An unusual presentation of a foreign body in the urinary bladder: A migrant intrauterine device

A 35-year-old woman, who had had an intrauterine device inserted 7 years earlier, presented with dysuria, pollakiuria, suprapubic pain and urethral irritation. The intrauterine device was found in the bladder with stone formation and was removed by endoscopy

Urologic screening for men with Behcet's syndrome

Objectives. To establish the urologic status of men with Behcet's syndrome, because studies assessing the urologic aspect of Behcet's syndrome are rare

Modified ''pluck'' nephroureterectomy for upper urinary tract disorders: Combined endourologic and open approach

Nephroureterectomy is the standard surgical approach for upper urinary tract transitional-cell carcinoma (TCC) and many other conditions, In 1952, a modification of the conventional method was described in which a transurethral resection of the ureteral meatus and intramural meter is undertaken until the remaining ureter has no attachment to the bladder, The resected area and the distal tip of the ureter are coagulated, and the ureter is removed in continuity with the kidney through a single flank incision, Since January 1990, we have performed 12 nephroureterectomies with this technique (9 men and 3 women with an average age of 61.8 years, ranging from 35 to 73), Six of them were operated on for a TCC of the upper urinary tract, and the postoperative follow-up of these patients was from 6 to 54 months (mean 18.6), Within the follow-up period, tumor has not recurred either at the resected trigonal area or in the retroperitoneum, and only one patient has bad a tumor distant from the site of ureteric resection, One patient with bladder TCC, who had a suspect kidney mass on the left side detected by CT, underwent nephroureterectomy with this technique, Five patients had primary renal disorders and upper tract calculous problems, in which nephroureterectomy was required, After the transurethral resection, an indwelling catheter was left in the bladder for 4 days, We believe that our experience confirms the feasibility of this technique in order to improve and simplify nephroureterectomy, Therefore, we recommend the modified ''pluck'' technique in all patients who are candidates for an operation requiring nephrometerectomy, as it gives considerable benefit to the patient

Retrovesical leiomyosarcoma

A case of retrovesical leiomyosarcoma in a male patient is described. The preoperative radiological and laboratory studies were inconclusive in determining the primary origin of the tumor. Diagnosis of a malignant tumor with smooth muscle origin was suggested by needle biopsy. However, the definitive diagnosis and the primary site of origin could only be determined by surgical exploration and subsequent histopathologic examination after excision. No sign of recurrence or metastasis was present 12 months after complete surgical resection

Extracorporeal Shockwave Lithotripsy in the Pediatric Population*

Background: Shockwave lithotripsy (SWL) is being used increasingly as a therapeutic modality for childhood urolithiasis. We reported our experience and results of SWL in the pediatric population

Impact of transition zone biopsies in detection and evaluation of prostate cancer

Objective: To analyze the impact of 2 systematic transition zone (TZ) biopsies in addition to systematic sextant biopsies in an effort to establish the importance of cancer detected in the transition zone. Methods: Between November 1995 and October 1996, TRUS-guided systematic sextant peripheral zone (PZ) and two additional TZ biopsies were performed on 189 consecutive men. Radical retropubic prostatectomy (RRP) was performed to 13 patients with organ-confined prostate cancer. The biopsy results of the 52 patients with cancer and the pathological specimens of the patients who underwent surgery were compared. Results: Of the 189 patients, 52 (27.5%) had prostate cancer of whom 20 (38.5%) both in the PZ and TZ, 31 (59.6%) only in the PZ, and 1 (1.9%) in the TZ only. Of the 96 patients with high serum PSA levels despite normal DRE, 14 had prostate cancer. TZ cancer only rate was 7.1% (1 in 14 patients) in this group. RRP was performed to 8 patients who had cancer only in the PZ and 5 patients in both TZ and PZ. The pathological stages of the postoperative specimens and extracapsular extension rates of those with cancer in the PZ and TZ were significantly higher (p = 0.029 and p = 0.008, respectively). Conclusions: Routine TZ biopsy does not substantially increase the prostate cancer detection rate, however it can be useful in selected patient groups. If further studies reveal the relationship of cancer in the transition zone, higher capsular extension rate (pT3 cancer) and higher pathological stage after radical surgery, then TZ biopsies may yield additional information that might influence the therapeutic approach