A 25-year-old male patient, with a past medical history of transient jaundice in infancy, was initially admitted to another Medical Center’s Surgical Department. The patient presented with acute abdomen, with severe diffuse abdominal pain radiating to the ipsilateral flank, a palpable right-upper quadrant abdominal mass, and jaundice. Surgical exploration revealed an extended cyst of the common...

A 34-year-old man presented to our pain clinic with a rectourethral fistula following urethroplasty for posttraumatic stricture urethra. Following urethroplasty, the patient’s urinary obstruction was not relieved, so he underwent suprapubic cystostomy. During the passage of urine through the suprapubic cystostomy catheter, a small amount of urine leaked out through the urethra and anal opening,...

PURPOSE We describe our experience with blunt straddle injuries to the anterior urethra and identify factors that may affect patient outcome. MATERIALS AND METHODS We reviewed the San Francisco General Hospital Urologic Trauma data base to identify men with blunt straddle injury. We analyzed presentation and initial management, location and length of urethral stricture, surgical options, and ...

UNLABELLED In a beautifully descriptive paper, authors from Rio de Janeiro and San Francisco report a quantitative and qualitative histological analysis of spongiosal tissue in patients with bulbar urethral strictures. They found that stricture formation was characterised by major alterations in extracellular matrix features. OBJECTIVE To report a quantitative and qualitative histological ana...

INTRODUCTION Suprapubic cystostomy is performed in spinal cord injury patients in order to prevent complications associated with long-term urethral catheter drainage. We report a patient in whom suprapubic catheter did not drain urine satisfactorily and imaging studies revealed hourglass bladder. CASE PRESENTATION A female patient sustained paraplegia in a traffic accident in 1994 at the age ...

BACKGROUND Transurethral resection of the prostate (TURP) involves the risk of transurethral resection (TUR) syndrome owing to hyponatremia. Irrigation fluid type, duration of operation, and weight of resected mass have been evaluated as risk factors for TUR syndrome. The purpose of the present study was to identify risk factors related to TUR syndrome in the elderly. METHODS After obtaining ...