To the Editor: In the 1st issue of HJNM for 2012 we read with interest a case where 3 different cancers were detected [1]. Synchronous second malignancy can be incidentally detected in routine fluorine-18-fluoro-deoxy-glucose positron emission tomography/computed tomography (18F-FDG PET/ CT) imaging in approximately 1% of cancer patients with lungs being the most frequent site [2]. We report th...

INTRODUCTION Lower urinary tract foreign body insertions have a low incidence. The motives for insertion of a variety of objects are difficult to comprehend. This case warrants discussion given the great management challenge faced by the oddity and infrequency with which a fork is encountered in the penile urethra. PRESENTATION OF CASE A 70-year-old man presents to the Emergency Department wi...

Male urethral stricture is prone to recurrence, ranging from 40% to 80% according to the length of stricture no matter what treatment is introduced. Therefore, it has long been a common challenge for urologists to handle the problem. Sounding or self-dilation has proved to be effective in reducing the recurrence rate significantly. However, a standard equipment set of urethral bougie is too exp...

AIM To report the experience with single stage dorsal inlay buccal mucosal grafts using the Snodgrass technique for complex redo cases. METHODS From May 2004 to December 2005, a total of 53 patients aged from 3 to 34 years old (average 11.62 +/- 7.18 years) with failed previous hypospadias surgery were included in the present study. Indications included urethral strictures and repair breakdow...

INTRODUCTION Acquired megalourethra (AMU) after repair of proximal hypospadias can be a serious complication. An observational retrospective study of its incidence among different types of repair was performed. MATERIALS AND METHODS Clinical charts of patients operated on for proximal hypospadias were reviewed. INCLUSION CRITERIA all primary hypospadias operated in 1991-2004, with the meatu...

A 28-week preterm baby was admitted to our neonatal intensive care unit (NICU). Due to surfactant deficiency lung disease, he was given surfactant and ventilated. He developed urinary retention and hence was catheterized with a size 4F feeding tube. When his clinical condition improved, it was decided to remove the catheter. While it was being removed, resistance was felt halfway through the pr...