Global Journal of Urology and Nephrology


Large urinary bladder leiomyoma causing right hydronephrosis, a rare case report: diagnosis and management

Case Report of Global Journal of Urology and Nephrology Large urinary bladder leiomyoma causing right hydronephrosis, a rare case report: diagnosis and management Manjeet Kumar1, Kailash barwal1, Girish Kumar1, Kalpesh Mahesh Parmar2, Pamposh raina1 1 Department of Urology, IGMC, Shimla, Himachal Pradesh, India 2 Department of Urology, PGIMER, Chandigarh, India Background Leiomyoma of the urinary bladder is a rare tumor despite the routine use of ultrasonography. These tumors are typically asymptomatic, sometimes present with hematuria, dysuria, and bladder outlet obstruction. Leiomyoma is a benign tumor which is detected incidentally and rarely causes upper urinary tract changes. (1, 2) We present an extremely rare case of leiomyoma in urinary bladder causing right hydronephrosis and presenting with flank pain. Case summary A 42 years female presented with flank pain in the emergency room as result of hydronephrosis in the right kidney. Imaging of urinary tract revealed 6 x 6.5 cm, a well-circumscribed tumor with right hydroureteronephrosis suggestive of leiomyoma of the urinary bladder. Excision of leiomyoma was done intravesically with preservation of bilateral ureteral orifices’. Conclusion Our case highlights despite being a large tumor there was no ureteral involvement. The hydronephrosis was the result of compression from large sized leiomyoma which was successfully managed by excision of leiomyoma. Keywords: Leiomyoma, urinary bladder, Hydronephrosis, Transurethral biopsy, ureteric orifice ...

Mineral-Bone Disorders in Chronic Hemodialysis Patients in Sub-Saharan Africa: Dakar Experience (Senegal West Africa)

Research Article of Global Journal of Urology and Nephrology Mineral-Bone Disorders in Chronic Hemodialysis Patients in Sub-Saharan Africa: Dakar Experience (Senegal West Africa) LEMRABOTT Ahmet Tall2, KANE Yaya1 *, FAYE Maria2, FALL Khodia2, BANGOURA Mohamed1, FAYE Moustapha1, DIA Gueye Diatou3 , AIDARA Chérif Mohamadou1, CISSE M Moustapha4, SECK S Mohamed3, KA El Hadji Fary2, NIANG Abdou2, DIOUF Boucar2 1Nephrology and Hemodialysis Department - Orthopedic, Radiology Department, Peace Hospital, Assane Seck University, ZIGUINCHOR, Senegal; 2Nephrology and Hemodialysis Department, UCAD HALD, Dakar; 3Nephrology, Hemodialysis and internal medicine Department, CHR, St. Louis, Gaston Berger University; 4Nephrology and Hemodialysis Department, CHR, University of Thies Introduction: Mineral bone disorders (BMD) are almost constant complications in chronic hemodialysis patients. The objective of our study was to determine the prevalence and profiles of BMD in chronic hemodialysis patients. Patients and methods: This is a six-year descriptive and analytical retrospective study from January 1st, 2010 to December 31st, 2015, at the hemodialysis department of the University Hospital Center (CHU) Aristide Le Dantec. Were also included patients on chronic hemodialysis for at least 3 months, with at least one prescribed amount of parathyroid (PTH). For each included patient, the epidemiological, dialytic, diagnostic and therapeutic parameters were collected and analyzed. Results: Over 86 patients, 71 (82.5%) had BMD. The average age was 48.92 ± 15.5 years old, with a sex ratio of 0, 65. Nephroangiosclerosis was the most frequent initial nephropathy (56.3%). The dialysis seniority was 5.2 ± 2.9 years old and 93% of patients profited from 3 sessions of 4 hours per week. Eleven patients (15.5%) had previous aluminum intoxication. Fifty-eight patients (81.6%) had secondary hyperparathyroidism, 12.6% had adynamic osteopathy (OA), and 1.4% had osteomalacia. In patients with secondary hyperparathyroidism, the average age was 48.6 ± 15 years old. 37.9% of these patients had articular pains, 22.4% had bone ...

Illusive Dynamic Nadirs and Masks of Postoperative Hyponatraemia and the TURP Syndrome: Volumetric Overload Over Time (VO/T) Concept for Resolving its Puzzle

Research Article of Global Journal of Urology and Nephrology Illusive Dynamic Nadirs and Masks of Postoperative Hyponatraemia and the TURP Syndrome: Volumetric Overload Over Time (VO/T) Concept for Resolving its Puzzle Ahmed N. Ghanem1*, Khalid A Ghanem2, Salma A. Ghanem3, Nisha Pindoria4 and Yasmina Saad Elsayed5. 1.Mansoura University,No1 President Mubarak Street, Mansoura 35511, Egypt. 2Mansoura University Hospital, Mansoura 35511, Egypt. 3.Barts & The Royal London NHS Trust,Royal London Hospital,Whitechapel road Whitechapel,London,E1 1BB;4.North Middlesex University Hospital,Sterling Way,London ,N18 1QX; 5. Mansoura University Hospital, Mansoura 35511, Egypt Introduction and Objective Postoperative hyponatraemia (HN) causes serious morbidity and mortality, of which the transurethral resection of the prostate (TURP) syndrome is a unique model. It is an illusive puzzle with unclear definition, unknown aetiology, difficult diagnosis and disputed therapy. Clinical presentation ranges from prodromal symptoms to severe signs of circulatory shock and multiple vital organ dysfunction/ failure (MVOD/F) or death. All severe cases were reported retrospectively and attributed to multiple toxic/ dilution hypotheses interchangeably with recognized clinical conditions. The overlooked VO/T causes dynamic HN nadirs and masks making it a complex clinical/biochemical jigsaw puzzle with false and missing pieces. The objective here is to resolve this puzzle. Patients and Methods: Investigations based on clinical observations, critical literature analysis, physics-physiological and clinical prospective studies done over the past 32 years. Observations and deductive analysis identified VO/T insult, HN nadirs, clinical paradoxical masks of shock and MVOD/F. Documented evidence provided correct puzzle pieces and stepping-stones that led to new understanding, rejecting false and discovering missing ones. Prospective studies verified and quantified VO/T insult causing secondary, tertiary HN nadirs and osmotic gaps. Severity depends on VO over T and fluid type of sodium-free (VO1) and sodium-based (VO2) fluids and tonicity as well as patient’s variables of body weight and hormones. The results of all prospective studies on ...

Epidemiological Profile and Histopathological Aspects of Malignant Tumors of Testicle in Yaounde and Douala (Cameroon)

Research Article of Global Journal of Urology and Nephrology Epidemiological Profile and Histopathological Aspects of Malignant Tumors of Testicle in Yaounde and Douala (Cameroon) Jean Paul Ndamba Engbang a,b; Hervé Moby b,c; Zacharie Sandoc , Gabriel Hervé Omgba Ndib, Amadou Fewoud e aDouala Laquintinie Hospital, Douala,Cameroon; bFaculty of Medicine and Pharmaceutical Sciences of University of Douala, Douala,Cameroon); cNkongsamba Regional Hospital, Nkongsamba,Cameroon; dFaculty of Medicine and Biomedical Sciences ofUniversity of Yaoundé1, Yaounde,Cameroon; eDouala General Hospital, Douala, (Cameroon) Objective: Determine the epidemiological profile and histopathological aspects of testicular cancer in the two major cities of Cameroon, Yaoundé and Douala. Patients and methods: It was a retrospective cross-sectional descriptive study conducted in the reference structures approved for anatomopathological examination in Yaoundé and Douala. The study was conducted over a 17-year period (2001-2017). We included all cases of histologically confirmed testicular tumors. Variables included frequency, year of diagnosis, sociodemographic data, clinical aspects, types of sampling, gross macroscopy, and histological types. Results: We collected 81 cases of testicular tumors (49 benign tumors and 32 malignant tumors), with a mean age of diagnosis of 36.27 ± 18.9 years. For malignant tumors, the mean age was 40.25 ± 25.02 years, the predominant age group was 20-29 years (25%), the predominant type of specimen was the orchidectomy %, the predominant histological types were germ cell tumors with 30% seminomas. Conclusion: Testicular tumoral pathology affects more young man and is dominated by seminoma-type germ tumors. Keywords: Malignant testicular tumors; Epidemiology; Histology; Cameroon ...

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