Spontaneous perirenal haemorrhage in polyarteritis nodosa.

Patients presenting with flank pain are likely to have urological pathology but when features of hypotension are present high index of suspicion is needed to reach the cause such as perirenal haemorrhage. Spontaneous perirenal haemorrhage (SPH) is an uncommon presentation of vasculitis, autoimmune disease or malignancy. It is common in males in the age group between 30 and 60 years.

Digital rectal examination is no longer necessary in the routine follow-up of men with undetectable prostate specific antigen after radical prostatectomy: the implications for follow-up.

Objectives: We determined the role of Digital Rectal Examination (DRE) in the follow-up of those patients treated with radical prostatectomy for clinically localised prostate cancer having an undetectable PSA. We discuss the implications of our findings.

Materials And Methods: An analysis was performed of a prospectively organised data base of 1118 patients treated at our institution by radical prostatectomy after the introduction of PSA in 1987.