Non-venereal sclerosing lymphangitis of the penis: A report of two cases

WOS: 000411952400006Non-venereal sclerosing lymphangitis (NVSL) is a rare disease that develops after vigorous sexual intercourse. The disease was first described in 1923 by Hoffman. The condition is observed usually in the second or third decade of life. NVSL is characterized by a rope-like hard swelling around the coronal sulcus of the penis. It is generally painless and benign and usually resolves spontaneously. Penile Mondor's disease (PMD) must be considered in differential diagnosis. The lesion is harder and adherent to the underlying skin in PMD. Patients often have pain. Venous Doppler ultrasound is normal in NVSL but increased echogenicity and incompressible veins are observed in PMD. Here, we report two cases of NVSL. Establishing the diagnosis and knowing the course of the disease by dermatologists and urologists is very important to avoid misdiagnosis, unnecessary laboratory examinations and treatment

An intraluminal leiomyoma of the small intestine causing invagination and obstruction: A case report

Leiomyomas are mostly of benign character and are rarely seen in the gastrointestinal (GI) system. They represent one subgroup of a group of tumors known as gastrointestinal stromal tumors (GIST). Although rarely seen, they are symptomatic tumors, and they comprise 20-30% of all benign GI tumors. Diagnosis is difficult because of their rarity and the absence of specific symptoms

Outcomes of Six Patients Who were Treated with Selective Embolisation Due to Arteriovenous Fistula Following Percutaneous Nephrolithotomy

Objective: Arteriovenous fistula (AVF) is a rare yet serious complication of percutaneous nephrolithotomy (PCNL). The aim of this study was to investigate the preoperative characteristics and postoperative outcomes of patients treated with single-session selective embolisation following a diagnosis of AVF after PCNL. Methods: Data from 1,200 patients who underwent PCNL in our department between January 2008 and December 2014 were retrospectively reviewed. Overall, six patients who experienced delayed haematuria and were diagnosed with AVF formation were included. Patient characteristics, stone burden, PCNL procedure, and perioperative and postoperative parameters were evaluated. Results: Six patients with a mean age of 52 years (range: 42-57) were admitted to hospital with delayed intermittent haematuria following PCNL. All pre-PCNL stones in these patients were staghorn in type. Four patients (66%) had multiple access. Three patients needed blood transfusion due to development of hypotension. Following the diagnosis of AVF via angiography, all six patients were treated with selective embolisation during the same session. No additional treatment was required and no complications detected. Conclusion: AVF formation is one of the causes of delayed haemorrhage after PCNL. Multiple accesses, staghorn stones, and upper calyx entry increase the risk of bleeding and AVF formation. Patients with risk factors should be informed about delayed bleeding and possible complications of PCNL

The Role of Hematological Parameters in Predicting Fuhrman Grade and Tumor Stage in Renal Cell Carcinoma Patients Undergoing Nephrectomy

Background and objective: We investigated the ability of preoperative serum values of red blood cell distribution width (RDW), neutrophil lymphocyte ratio (NLR) and plateletcrit (PCT) to predict Fuhrman grades (FG) and tumor stages of renal cell carcinoma in patients who underwent radical nephrectomy. Materials and methods: Records of 283 patients that underwent radical or partial nephrectomy of renal masses at our clinic between January 2010 and April 2018, whose pathology results indicated renal cell carcinoma (RCC), and who had their FG and T1–4 N0M0 identified were retrospectively evaluated. The patients were divided into two groups based on their FG as low (I–II) and high (III–IV) and their T stages were similarly grouped as limited to kidney (pT1–pT2) and not limited to kidney (pT3–pT4). Results: Mean RDW, NLR, PCT cut-off values of the patients for FG and T stage were 15.65%, 3.54, 0.28% and 14.35%, 2.69, 0.28%, respectively. The RDW and NLR were determined to be statistically significant predictors of a pathologically high FG, whereas the PCT value was not a statistically significant predictor of high FG (p = 0.003, p = 0.006, p = 0.075, respectively). The relationship of RDW, NLR and PCT values with a limited to the kidney pathological T stage revealed statistically significant correlations for all three values. Conclusions: We determined that only RDW and NLR were markers predicting FG, while PCT had no prognostic value. On the other hand, all three of these values were associated with a limited to the kidney pathological T stage in patients who underwent nephrectomy due to renal masses and whose pathologies suggested RCC

Is Prostate Biopsy Recommended in Turkish Men with a Prostate-Specific Antigen Level between 2.5 and 4 ng/mL?

Background: Prostate cancer is the most common solid tumor. The incidence of prostate cancer shows regional and racial differences. The ideal PSA threshold for prostate biopsy is still being debated. Objective: We aimed to investigate cancer detection rates in Turkish men who underwent transrectal ultrasound-guided prostate biopsy (TRUSPB) who had prostate-specific antigen (PSA) levels in the range of 2.5 to 4.0 ng/mL and compare them with the rates of cancer in patients with PSA levels in the range of 4.0 to 10.0 ng/mL. Methods: All Turkish men who underwent TRUSPB in our clinic between January 2012 and May 2014 were included; that is, 101 patients (Group 1) with PSA level in the range of 2.5 to 4.0 ng/mL and 522 patients (Group 2) with PSA level in the range of 4.0 to 10.0 ng/mL. Mean PSA level, age, prostate volume, and cancer detection rates were evaluated. Results: The mean age was 60.5 and 64 years in Group 1 and Group 2, respectively (P = 0.06). The mean PSA level was determined as 3.1 and 6.8 ng/mL in Group 1 and Group 2, respectively (P = 0.03). The cancer detection rate was 12.7% in Group 1 (n = 13) and 30.8% in Group 2 (n = 161), which revealed a statistically significant difference between the 2 groups (P = 0.001). In Group 1, 9 of 13 patients (69%) had Gleason score of 6, 3 (23%) had Gleason score of 7, and 1 (8%) had a Gleason score of 8. Conclusions: The cancer detection rate is lower in Turkish men with PSA level in the range of 2.5 to 4.0 ng/mL when compared with men with PSA level in the range of 4.0 to 10.0 ng/mL. Furthermore, most patients in whom cancer was detected who have a PSA level in the range of 2.5 to 4.0 ng/mL are low risk. Therefore, the benefit of TRUSBP in Turkish men with PSA level between 2.5 and 4 ng/mL is low

Does Morbid Obesity Adversely Affect Success and Complication Rates in Percutaneous Nephrolithotomy?

WOS: 000391176200003Objective To investigate percutaneous nephrolithotomy (PNL) results of morbid obese patients with a body mass index (BMI) of >= 40 kg/m(2) by comparing with a control group of normal BMI (20-25 kg/m(2)). Materials and Methods Thirty patients with a BMI of >= 40 kg/m(2) were randomly assigned to group 1 and 30 patients with a normal BMI (20-25 kg/m(2)) constituted group 2 as controls. We compared the groups with regard to baseline characteristics, intraoperative parameters, and stone-free and complication rates. Results A total of 60 patients were included in the study. Demographic data and stone burden were similar in both groups. We found no significant differences in access number and success, operative time, and stone-free and complication rates. Conclusion PNL is a safe and effective treatment even for patients with a BMI of >= 40 kg/m(2)