Ureteroscopy under spinal versus general anaesthesia: morbidity and stone clearance.

Objective: To compare morbidity and stone clearance by ureteroscopy carried out under spinal anaesthesia with that carried out under general anaesthesia.

Study Design: Quasi-experimental study.

Place And Duration Of Study: The study was conducted at the Kidney Centre, Postgraduate Training Institute, Karachi, from September 2005 to December 2006.

Safety and efficacy of tubeless percutaneous nephrolithotomy.

Objective: To determine the safety and efficacy of tubeless percutaneous nephrolithotomy (PCNL).

Methods: A quasi-experimental study conducted on 50 patients, at a specialized urology centre.

Results: The primary success rate of the procedure in terms of stone clearance was 70%.

Tuberous sclerosis with bilateral renal angiomyolipoma and wunderlich's syndrome.

This case describes a 47-year-old female with tuberous sclerosis associated with bilateral giant renal angiomyolipomas. She underwent an initial renal angioembolization in August 2006. After four months, she required emergency nephrectomy due to spontaneous hemorrhage from the angiomyolipoma (Wunderlich's syndrome).

Adrenocortical carcinoma with endocrine syndromes.

Adrenocortical carcinoma is a rare disease. A 32 years old lady presented with complaints of hypertension, abdominal swelling, weight gain, hirsutism and bone pains. She was found to have a large adrenocortical carcinoma with associated Cushing's and virilization syndromes.

Pregnancy after augmentation cystoplasty.

We report a case of 26 year old female who underwent ileo-cystoplasty for interstitial cystitis and two years later delivered a live baby through a lower segment caesarean section (LSCS) at 36 weeks.

Ureteric pellet causing non-functioning kidney.

This case report describes a young man with bilateral flank pain for one year following a gunshot trauma to abdomen. On ureteroscopy a pellet was found in the right ureter.