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A Case of Idiopathic Pediatric Urethral Stricture Managed with Modified Buccal Mucosa Graft Urethroplasty: A Case Report

ABSTRACT

Pediatric urethral narrowing or idiopathic etiology of a stricture is difficult to suspect in the absence of classic obstructive lower urinary tract symptoms. It is still unclear whether it should be defined as congenital stricture because of an absence of a clear-cut traumatic history; one cannot rule out unnoticed trauma in walking kids. We present a similar case in a child, managed with a modified conventional graft urethroplasty technique. 


Adittya K. Sharma, N. H. Nagaraja, J. Srinivas, G. K. Venkatesh

Submitted February 19, 2013 - Accepted for Publication April 28, 2013


KEYWORDS: Pediatric urethral stricture, congenital urethral stricture, Buccal graft urethroplasty

CORRESPONDENCE: Adittya K. Sharma, Department of Urology, Institute of Nephro-Urology, Victoria Hospital Campus, Bangalore, Karnataka ()

CITATION: UroToday Int J. 2013 June;6(3):art 32. http://dx.doi.org/10.3834/uij.1944-5784.2013.06.06

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Ovarian Dysgerminoma with Renal Metastasis: An Uncommon Phenomenon

ABSTRACT

Dysgerminomas are the most common malignant germ-cell tumor of the ovary, which are usually locally invasive and metastasize to regional lymph nodes. Metastases to the kidney are quite rare, occur in disseminated disease, and there are only a few reports in literature. We report a case of ovarian dysgerminoma metastasizing to the ipsilateral kidney in a 24-year-old female. 


Vinod Priyadarshi, Kaushik Sarkar, Jitendra Pratap Singh, Rajesh Loonia, Debashish Chakrabarty, Dilip Kumar Pal

Submitted February 25, 2013 - Accepted for Publication April 28, 2013


KEYWORDS: Dysgerminoma, metastasis, kidney, ovary

CORRESPONDENCE: Vinod Priyadarshi, MCh (std) and Resident, Department of Urology, Institute of Post Graduate Medical Education and Training, Kolkata, West Bengal, India ()

CITATION: UroToday Int J. 2013 June;6(3):art 31. http://dx.doi.org/10.3834/uij.1944-5784.2013.06.05

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Prevention of Poor Early Graft Function Using Open Nephrectomy, and Minimizing the Risk of Procedure-Related Factors

ABSTRACT

Purpose: To determine the incidence of immediate graft function (IGF), identify events causing delayed graft function (DGF), slow graft function (SGF), and factors that promoted IGF in our living donor transplant recipients using kidneys recovered exclusively by open donor nephrectomy (ODN).

Methods: We performed a recipient- and donor-database analysis after approval from our institutional review board.

Results: Out of 211 recipients, IGF was established in 99.2%, a prolonged recipient warm ischemia time (RWIT) of 112 minutes and severe hypoxia caused DGF (0.4%) and SGF (0.4%), respectively, in 2 recipients. Five grafts were lost, including 3 recipients who died with functioning grafts. A mean 42-month graft survival was 98% in the IGF group and 100% in the poor early graft function (PEGF) group, and small numbers in the PEGF group prevented statistical analysis. The presence of diabetes, black recipients, RWIT of ± 60 minutes, donor warm ischemia time (WIT) of ±5 minutes, multiple arteries, obesity, sensitization, re-transplantation, right kidneys, and female donors did not predispose to PEGF.

Conclusion: We found ODN to be associated with excellent IGF and recommend it. We also recommend minimizing the impact of procedural factors with meticulous vascular anastomoses to reduce RWIT, antithymocyte globulin induction (ATG) to avoid calcineurin inhibitor (CNI) nephrotoxicity, cold histidine-tryptophan-ketoglutarate (HTK) perfusion to reduce cellular injury, and maintain optimal oxygenation and filling pressures in the donor and recipient.


Taqi F Toufeeq Khan, Mohammad T Said, Suhaib Kamal, Faheem Akhter, Zakariya Al-Salam

Submitted January 28, 2013 - Accepted for Publication April 22, 2013


KEYWORDS: Living donor kidney transplant, open donor nephrectomy, immediate graft function, poor early graft function, warm ischemia, cold ischemia

CORRESPONDENCE: Taqi F Toufeeq Kahn, Department of Surgery, PO Box 7897/624N, Riyadh Military Hospital, Riyadh, 11159, Saudi Arabia ()

CITATION: UroToday Int J. 2013 June;6(3):art 30. http://dx.doi.org/10.3834/uij.1944-5784.2013.06.04

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Idiopathic Benign Ureteric Stricture: A Rare Presentation

ABSTRACT

We report a rare case of idiopathic ureteric stricture. Ureteric strictures usually occur following infective, ischemic malignant etiology or external compression with an incidence around 10% [1]. Idiopathic ureteric stricture is extremely rare.


Raman Tanwar, Sudhir Kumar Jain

Submitted March 12, 2013 - Accepted for Publication April 1, 2013


KEYWORDS: Idiopathic ureteric fibrosis, stricture, ureteric stricture

CORRESPONDENCE: Raman Tanwar, MS, Maulana Azad Medical College, Bahadur Shah Zafar Marg, New Delhi, Delhi, India ()

CITATION: UroToday Int J. 2013 June;6(3):art 29. http://dx.doi.org/10.3834/uij.1944-5784.2013.06.03

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Retroperitoneoscopic Dismembered Pyeloplasty for Primary Ureteropelvic Junction Obstruction in a Horseshoe Kidney: A Case Report and Review of the Literature

ABSTRACT

A 22-year-old female presented with symptomatic primary ureteropelvic junction (UPJ) obstruction of the right renal moiety in a horseshoe kidney. She was managed via right retroperitoneoscopic dismembered pyeloplasty. The patient is doing well in 2 years of follow-up. A review of the literature revealed 24 cases of transperitoneal laparoscopic pyeloplasty done for UPJ obstruction in a horseshoe kidney. Of these, only 1 case was approached with anterior extraperitoneal techniques for the kidney. Herein, we report the first right retroperitoneoscopic dismembered pyeloplasty, performed using 3 ports described for classic retroperitoneoscopy.


Vishwajeet Singh, Dheeraj Kumar Gupta, Rahul Janak Sinha

Submitted February 4, 2013 - Accepted for Publication March 25, 2013


KEYWORDS: Retroperitoneoscopy, dismembered, pyeloplasty, horseshoe kidney, UPJ obstruction

CORRESPONDENCE: Vishwajeet Singh, MS.,MCh (Urology), Chhatrapati Shahuji Maharaj Medical University (Formerly KGMC), Lucknow, Uttar Pradesh, India ()

CITATION: UroToday Int J. 2013 June;6(3):art 28. http://dx.doi.org/10.3834/uij.1944-5784.2013.06.02

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