Cavernous hemangioma of the glans penis: Concomitant surgical excision with circumcision in an uncircumcised patient

Hemangiomas are usually superficial, localized, and commonly involve the heador neck, although up to 30% may be seen in the liver. Hemangioma involving theglans penis is extremely rare. A patient with red swelling on the glans penis wasadmitted for circumcision to our clinic. We performed concomitant surgicalexcision together with circumcision, and presented the advantages of surgicaltreatment in such a case

Comparison of Pneumatic, Ultrasonic and Combination Lithotripters in Percutaneous Nephrolithotripsy

Purpose We aimed to compare the outcomes of pneumatic (PL), ultrasonic (UL) and combined (PL/UL) lithotripsy performed in percutaneous lithotripsy (PNL) according to success rates and stone clearence. Materials and Methods The medical records of 512 patients treated with PNL between April 2010 and April 2013 were evaluated. Postoperative stone analysis revealed as calcium oxalate in 408 of these patients. The operation notes of 355 patients recorded in detail with complete parameters were reviewed. According to stone disintegration method, patients were divided into three groups: PL only in Group I, UL only in Group II, and UL/PL combination in Group III. Number of patients was 155, 110 and 90, respectively. Results Fluoroscopy screening time was significantly shorter in group II, and III compared to group I (p<0.001). The failure rates were 13.5% (21 patients) for group I, 3.6% (4 patients) for group II, and 3.3% (3 patients) for group III. There was a significant statistical difference in favor of group II and III by means of success (p=0.023). Group II and III had larger FSA, and this was statistically significant (p=0.032). Stone disintegration time (SDT) was 64.0±41.92 minutes for group I, 49.5±34.63 for group II, and 37.7±16.89 for group III. Group III has a statistically significant shorter SDT (p=0.011). Conclusions We concluded that, in cases with high stone burden, where faster and efficient lithotripsy is needed, combined ultrasonic / pneumatic lithotripter may be the ideal choice and in suitable cases ultrasonic lithotripter usage provides important advantages to the surgeon

The Unusual Mass of Retrovesical Space: A Secondary Hydatid Cyst D?sease

Hydatic cyst of seminal vesicles is very rarely seen. We report a case who complained of the inability to void, which developed progressively with dysuria, frequency, nocturia, and tenesmus, due to a giant retrovesical hydatid cyst that displaced the bladder and rectosigmoid region

An unusual case: right proximal ureteral compression by the ovarian vein and distal ureteral compression by the external iliac vein

A 32-years old woman presented to the emergency room of Bozok University Research Hospital with right renal colic. Multidetector computed tomography (MDCT) showed compression of the proximal ureter by the right ovarian vein and compression of the right distal ureter by the right external iliac vein. To the best of our knowledge, right proximal ureteral compression by the ovarian vein together with distal ureteral compression by the external iliac vein have not been reported in the literature. Ovarian vein and external iliac vein compression should be considered in patients presenting to the emergency room with renal colic or low back pain and a dilated collecting system

An unusual case: right proximal ureteral compression by the ovarian vein and distal ureteral compression by the external iliac vein

A 32-years old woman presented to the emergency room of Bozok University Research Hospital with right renal colic. Multidetector computed tomography (MDCT) showed compression of the proximal ureter by the right ovarian vein and compression of the right distal ureter by the right external iliac vein. To the best of our knowledge, right proximal ureteral compression by the ovarian vein together with distal ureteral compression by the external iliac vein have not been reported in the literature. Ovarian vein and external iliac vein compression should be considered in patients presenting to the emergency room with renal colic or low back pain and a dilated collecting system

A rare emergency: testicular torsion in the inguinal canal.

Objectives. To report our experience and present the largest series of testicular torsion cases in the inguinal canal. Material and Methods. The clinical data of 13 patients with testicular torsion in the inguinal canal treated between 2005 and 2013 were reviewed. Recorded patient age, whether the testes were palpable or not, side of the affected testes, the presence of hernia, ischemia time, and operation outcomes were assessed. Results. Patient age ranged from 8 to 70 months (29.15 ± 20.22). Mean ischemia time was 16.5 ± 21.3 hours. Accompanying inguinal hernia was present in 92% of the cases (12/13). Four of the thirteen patients (30.8%) were treated by orchiectomy because the necrosis was present after prolonged ischemia time. Nine patients (69.2%) were treated by single session orchidopexy. Conclusion. Torsion of testes in the inguinal canal is a rare disease, but with rapid diagnosis, affected testes can be salvaged, but the key factor is to keep this condition in mind

Serum Kreatinin Seviyelerinin Perkutan Nefrolitotripside Kanama Uzerine Etkisi

Amac: Perkutan nefrolitotripsi (PNL), urolojinin son yillarina damga vurmus, pek cok merkezde uygulanabilen, morbiditesi ve mortalitesi son derece dusuk bir tedavi yontemi olarak karsimiza cikmaktadir. Biz bu calismamizda, PNL oncesi serum kreatinin degerindeki yuksekligin post operatif kanama durumuna etkisini arastirmayi amacladik. Materyal ve Metod: Klinigimizde PNL uygulanmis olan hastalar arasinda ure ve kreatinin degerleri yuksek olan hastalar ayrildi. Bu hastalarin yaslari, tas boyutlari, cinsiyetleri, tedavi oncesi hematokrit degerleri ve ek ko-morbiditeleri kaydedilerek hastalarin bu degerlerine benzer degerleri olan hastalar ile diger grup olusturuldu. Serum kreatinin degerleri yuksek olanlar Grup 1, normal olanlar ise Grup 2 olarak adlandirildi. Hastalarin beden kitle endeksi, tas boyutlari, operasyon oncesi ve sonrasi kreatin degeri, operasyon oncesi ve sonrasi hematokrit degeri, preoperatif trombosit sayisi, koagulasyon parametreleri (aPTT, INR degerleri), trakt sayisi, operasyon suresi, preoperatif trombosit sayisi, tassizlik oranlari ve eritrosit transfuzyonu olup olmadigi kaydedilerek kiyaslandi. Bulgular: Gruplarda preoperatif kreatinin degerleri sirasi ile Grup 1 ve 2 icin 2,11 +/- 0,44 ve 0,98 +/- 0,27 idi. Tas boyutlari 1. Grup icin 29,41 +/- 3,83 mm, 2. Grup icin ise 29,49 +/- 2,99 idi (p=0,317). Hastalarin operasyon oncesi hematokrit degerleri 1 ve 2. Gruplar icin sirasiyla 44,88 +/- 5,61 ve 47,51 +/- 4,61 idi (p=0,381). Bu degerler operasyon sonrasi her iki grup icin sirasi ile 30,27 +/- 7,01 ve 37,74 +/- 7,11 idi (p=0,044). Sonuc: Calismamizda kreatinin degerlerinin PNL sonrasi kanama icin bir risk faktoru oldugu, serum kreatinin degerlerinin yuksekligi olan hastalarda, olmayanlara oranla hematokrit dususunun daha fazla oldugu gorulmektedir. [Cukurova Med J 2015; 40(2.000): 221-225