Archives of Nephrology and Urology
EISSN : 2644-2833
Current Publisher: Fortune Journals (10.26502)
Total articles ≅ 25
Latest articles in this journal
Archives of Nephrology and Urology; doi:10.26502/anu
Archives of Nephrology and Urology, Volume 3, pp 77-82; doi:10.26502/anu.2644-2833023
Introduction: The effects of Gassless single port retroperitoneoscopic surgery with urologic diseaseremain unclear. In this retrospective review, we aim to elucidate the effect of the Gassless retroperitoneoscopy for urologic disease. Methods: We retrospectively enrolled five consecutive patients who visited the urologic department for urologic disease from January 2016 to October 2016. All cases were followed up at least 12 months postoperatively. Of these, two renal mass, two adrenal tumors and one ureter stricture were reports. Result: There were no significant differences between the characteristics of these groups. (p
Archives of Nephrology and Urology, Volume 3, pp 97-103; doi:10.26502/anu.2644-2833026
Objective: To retrospectively outline findings of testicular exploration in patients with suspicious acute scrotum and to compare the outcomes between exploration with and without US as a preoperative diagnostic tool. Methods: A retrospective analysis of patients underwent scrotal exploration from Jan2014 till Dec 2018 in our hospital was conducted. The data were divided into exploration with preoperative ultrasound (US group) and exploration without preoperative US (non-US group). Results: 47 patients (mean age 14-years) were explored during the 5-year period. The most common finding was torsion Cyst of Morgagni (34%, 16/47). True torsion was found in 27.6% (13/47) with 3 unsalvageable testes. Torsion rates were higher in patients who underwent US (7/14, 50%) than exploration without US (6/33, 18.1%). Time delay between two groups showed no statistical difference (p-value >.05). Also, US showed 70% sensitivity and 100% Specificity regarding torsion testis. Conclusion: Based on our numbers, negative exploration can be reduced with the help of US as a diagnostic tool for torsion. However, until further studies with larger populations and definitive pathway regarding ultrasound are commenced, we recommend urgent exploration as the standard intervention in dealing with suspicious acute scrotum.
Archives of Nephrology and Urology, Volume 3, pp 38-45; doi:10.26502/anu.2644-2833019
Introduction: Renal cell carcinoma accounts for 2-3% of adult malignant neoplasms and has the worst prognosis of the common urologic malignancies. According to the 2016 WHO classification there are 16 distinct histologic subtypes for renal cell carcinoma. Recently, an eosinophilic, solid and cystic renal cell carcinoma histologic subtype has been described and proposed as a separate entity. There are only 60 cases reported in the literature, here we report the 61st case and review the literature. Case Report: A 59-year-old woman presented in December 2018 with a renal mass found incidentally on a screening Computed Tomography. Magnetic Resonance Imaging of the Abdomen with and without contrast revealed an enhancing 2cm right lower pole renal mass. The patient elected to undergo laparoscopic with robotic assistance right retroperitoneal partial nephrectomy in March of 2019. Pathology was consistent with eosinophilic, solid and cystic renal cell carcinoma. Discussion: ESC RCC is an emerging entity whose incidence will continue to rise as it is better recognized. To our knowledge, this is the 61st reported case. After reviewing the literature, we compiled a table comparing the available data for each of the 61 cases. We found that It predominantly affects females at a younger age than other forms of RCC. It appears to be more indolent than clear cell RCC with higher rates of organ-confined disease and lower rates of stage IV disease. There is limited data regarding imaging findings and only one article that looked at this specifically. There were only 3 cases of metastasis.
Archives of Nephrology and Urology, Volume 3, pp 46-48; doi:10.26502/anu.2644-2833020
Accessory spleen is not a common finding, usually located nearby the normal anatomic location of the spleen, oftentimes in the splenic hilum, the great omentum and the pancreas. Pelvic accessory spleen is a very rare finding, mostly asymptomatic and incidentally radiologically detected. Herein, we present an 18 years old male who underwent an investigation for daytime urinary frequency and suspicious small right pelvic mass was demonstrated by both ultrasound and MRI scans. In view of being a potentially malignant tumor, a robotic-assisted removal was uneventfully performed and the final pathology was surprisingly compatible with an accessory spleen.
Archives of Nephrology and Urology, Volume 3, pp 104-105; doi:10.26502/anu.2644-2833027
Archives of Nephrology and Urology, Volume 3, pp 83-89; doi:10.26502/anu.2644-2833024
Infective endocarditis is one of the most important complications in hemodialysis patient due to vascular access, mainly in patients with central venous catheter (CVC) and arteriovenous (AV) graft. Infective endocarditis is associated with a high mortality for this category of patients. We present the case of a 56-year old male in hemodialysis treatment since 2015. He had a thrombosis of the native arteriovenous fistulas, which was corrected using an arteriovenous graft prosthesis. After a period of several months, the graft was thrombosed and a percutaneous thrombectomy of thrombosed hemodialysis graft was performed. Three months later the patient was identified with an infection of the graft, and also developed secondary bacteremic staphylococcal pneumonia and further aortic valve endocarditis. Infective endocarditis is a complex disease with a high mortality. A particular attention to this complication is required for hemodialysis patients who are using an AV graft because immediate diagnosis and treatment it is associated with a successful management of the infective endocarditis complication. Prevention strategies on following strict asepsis protocols, from placing the access to its manipulation during dialysis sessions, would lead to a significant reduction of this life-threatening complication in patients with hemodialysis.
Archives of Nephrology and Urology, Volume 3, pp 61-76; doi:10.26502/anu.2644-2833022
Context: Hypogonadism is common in cardiac transplant patients and exerts negative effects on bone, but also libido and quality of life. Objective: We investigated whether testosterone replacement therapy (TRT) on top of ibandronate in hypogonadal CTX recipients is beneficial for important clinical outcomes. Design: Observational study (eugonadal and hypogonadal) and non-blinded randomized controlled trial (hypogonadal subgroup). Setting: Academic tertiary care center at the Medical University of Graz, Austria Patients: 52 heart transplanted men (21 eugonadal, 31 hypogonadal) with untreated osteoporosis (median 50 months post transplantation). 8 patients could not enter the study because of pathological urologic examination. Intervention(s): Besides standard therapy with ibandronate 2 mg quarterly iv and oral daily calcium/vitamin D, hypogonadal men were randomly assigned to either testosterone replacement (n=14) or not (n=17). Main Outcome Measures: Bone mineral density (BMD), fracture incidence, sexual function Results: At baseline, hypogonadal compared to eugonadal men had lower Z-score values at the femoral neck (-1.54 vs. 0.15) and total hip (-1.34 vs. 0.01) (all P
Archives of Nephrology and Urology, Volume 3, pp 1-4; doi:10.26502/anu.2644-2833014
Neuroendocrine small cell carcinoma of the bladder is a rare cancer, rapidly aggressive and metastatic with a very pejorative behavior. The diagnosis is based on histological analysis coupled with immunohistochemical study. Because it is rare, there is no consensus to date. Its management should be multidisciplinary, involving surgery, chemotherapy, and radiotherapy. We report two new cases of neuroendocrine small cell carcinoma of the bladder, one is pure and the other associated with urothelial carcinoma. The poor outcome illustrates the quick evolution of this tumor. A review of the literature on this topic is also presented.
Archives of Nephrology and Urology, Volume 3, pp 90-96; doi:10.26502/anu.2644-2833025
Extramammary Paget’s Disease (EMPD) is a rare cutaneous, slow growing, intraepithelial adenocarcinoma that can be either primary (intraepithelial arising within the epidermis) or secondary (intraepithelial spread of a visceral carcinoma). Here we present the case of a 63-year-old male with EMPD of the glans penis stemming from underlying urothelial carcinoma. Our treatment decision elected for management with chemotherapy and local treatment with radiation therapy. Subsequent, review of the literature demonstrated a rare disease with a variety of underlying malignancies causing this secondary pathology. Caregivers should be aware of the association of Paget’s disease and urothelial cancer and should have a high index of suspicion that erythematous penile lesions may represent Paget’s disease and that penile biopsies should be performed early in this setting.