Giant isolated renal cyst hydatid: From diagnosis to treatment

Hydatid cyst disease is a parasitic infestation caused by Echinococcus granulosus. Renal involvement is rarely seen as 2-4% of all cases. Rarely renal involvement is isolated whereas commonly it accompanies involvement of other organs. We aimed to present a 30-year-old male patient with renal involvement reaching a giant size and undiagnosed in another center

Primary Vesical Actinomycosis in a 23-Year-Old Man

Introduction. Actinomycosis can affect any organ of the body, although cutaneous fistulas are common in actinomycotic infections, and other organs such as the bladder are only rarely involved. Case Presentation. Herein we report and discuss a young male patient with primary vesical actinomycosis. A 23-year-old man was hospitalized complaining of intermittent gross hematuria over a 6-month duration. The patient underwent a cystoscopic examination under general anesthesia; an edematous, hyperemic, wide-based mass, which protruded from the dome of the bladder, was seen and incompletely resected. The histopathological examination of the material showed Actinomyces organisms surrounded by inflammation and a photomicrograph showed the microorganism. After confirmation of bladder actinomycosis, the patient received penicillin. A CT scan of the abdomen and pelvis showed no evidence of the mass at the postoperative 6th month. Cystoscopic examination showed complete healing of the transurethral resection area at the dome of the bladder. Conclusion. In conclusion, we believe that the gold standard treatment for vesical actinomycosis should include the combination of a transurethral resection of the mass and long-term penicillin treatment

Renal epithelioid angiomyolipoma mimicking urothelial carcinoma of the upper urinary tract

Epithelioid angiomyolipoma is a rare mesenchymal tumor arising mainly in the kidney that can potentially behave aggressively. Epithelioid angiomyolipoma can often resemble sarcomatoid renal cell carcinoma, high grade renal carcinoma or sarcoma. Its similarity to renal cell carcinoma has been emphasized in most of the cases reported in literature. With the purpose of contributing to the awareness of this similarity, a 32-year-old female patient with renal epitelioid angiomyolipoma in the left kidney which radiologically mimicked urothelial cell carcinoma of the upper urinary tract is presented

Ureteroscopy and holmium laser lithotripsy: Is this procedure safe in pregnant women with ureteral stones at different locations?

Objectives: The aim of this study was to assess the safety and effectiveness of ureteroscopy and Holmium: Yttrium-Aluminum-Garnet lithotripsy for the treatment of ureteral stones with different localizations in symptomatic pregnant women. Methods: A retrospective analysis was performed on 19 pregnant patients referred to our center between January 2005 and December 2012 with symptomatic hydronephrosis requiring surgical intervention. 7.5 F and 9.5 F semirigid ureterorenoscopy with Holmium laser lithotripsy was used for treatment in all patients. Complications were stratified according to modified Clavien criteria. Results: The mean age of patients was 25.4 (18-41) years, and the mean gestation duration was 24.8 (7-33) weeks. Six cases (31.5%) had a history of stone. Solitary kidney secondary to previous nephrectomy was observed in 2 patients and 1 patient had a hypoplastic kidney. Abdominal ultrasonography was used as the main diagnostic tool. Mean stone size was 9.2 mm (6-13). The location of the stones was the lower, middle, and upper ureter in 8 (42.1%), 5 (26.3%) and 6 (31.5%) cases, respectively. All stones were fragmented with Holmium laser lithotripsy. Of the 19 patients, 11 (57.8%) required doublr J stent insertion peroperatively. Intraoperative urological and obstetric complications were not observed. Postoperatively two complications were noted. According to Clavien criteria a complication was level 1, and the other was level 2. Conclusions: For treatment of pregnant women with symptomatic ureteral stones in every location, Holmium laser lithotripsy with a semirigid ureteroscopy can be used as judicious treatment. This approach is effective and safe with an acceptable complication rate

A questionnaire study about gonadal shield use of urologists

Objectives: Our aim is to reflect routines, awareness,and consciousness level of urologists about usage of gonadalshield (GS) in Turkey.Materials and methods: Because of this objective aquestionnaire which includes 15 questions was prepared.The questionnaire was delivered to urologists in a TurkishUrology congress. Data derived from 271 urologists byface to face interview were evaluated.Results: Participant were urologists (n=271), consistedof professors (n=33), associate professors (n= 36), assistantprofessors (n= 36), specialists (n=94), and residents(n=81). According to the data obtained from the questionnaires,22% of the participants acquired their first informationabout GS as a medical student, 44% during theirresidency training, and 14% of them had no informationabout GS at all. Besides 64% of them did not read anymedical article about this subject until that time, and 54%them practically hadn’t seen any GS during their urologypractice. In 82% of the hospitals where participants wereworking hadn’t had any GS, and 18% of the urologistshad indicated that GS was available in their hospitals, andthey used them once in a while. Urologists responded favorably(20%) or unfavorably (80 %) to the question of ‘Doyou find yourself or your colleagues adequately sensitive,and mindful about GS use?Conclusions: Sensitivity and awareness about use ofgonadal shields among Turkish urologists are not at adesired level and for this reason, it is not used widely.The urologists should be informed in urological academicplatforms about gonad protecting devices.Key words: Gonad shield, questionnaire survey, radiation,urologis