Hypophysitis Due to Paranasal Sinusitis: Neurosurgical Perspective from Developing World.

Background: Sinusitis is a common clinical condition, but sphenoid sinusitis is a less common form and even rarer is hypophysitis as a complication of the latter. Clinically, hypophysitis may mimic a pituitary neoplasm in presenting with mass effect and pituitary hormone dysfunction.

Case Description: We present 5 cases of sinusitis-related hypophysitis treated at the Royal Care International Hospital in Khartoum, Sudan.

Risk factors associated with sexual dysfunction after transurethral resection of the prostate.

Background: The effect of transurethral resection of prostate (TURP) for benign prostatic hyperplasia (BPH) on sexual function continues to be a controversial issue. The aim of this study was to evaluate sexual functions in Saudi patients suffering from BPH before and after TURP.

Patients And Methods: The influence of TURP on libido, erection and ejaculation was prospectively studied in 179 patients undergoing TURP for BPH.

Eosinophilic cystitis simulating invasive bladder cancer: a real diagnostic challenge.

Objectives: To report our experience with eosinophilic cystitis (EC) presented as invasive bladder cancer.

Materials And Methods: We recently treated three patients with bladder masses mimicking neoplasms and biopsy proved the diagnosis of EC. Data from our three patients were presented.

Renal transplantation in patients with complete obstruction of the inferior vena cava.

We describe 2 patients with end-stage renal disease who had complete obstruction of the inferior vena cava and were successfully treated with renal transplantation in the usual iliac fossa position. One patient is doing well, with normal renal function more than 20 years after transplantation; the other patient was lost to follow-up after 3 months. Despite some technical difficulties, these patients apparently do well provided that an adequate collateral circulation bypassing the obstruction is confirmed by venography, and the patients receive anticoagulant therapy indefinitely.

Risk factors in prostatectomy bleeding: preoperative urinary infection is the only reversible factor.

Objectives: To find out whether any of a preset battery of clinical and laboratory parameters has significant correlation with blood loss caused by transurethral prostatectomy (TURP).

Patients And Methods: All new patients undergoing a TURP over a 1-year period were included in the study. For each patient the following parameters were documented: (1) Pre-operatively: Age, mode of presentation, blood pressure, complete blood count, coagulation screening, calcification of abdominal blood vessels on plain X-ray, prostate size on digital rectal examination (DRE), pre-operative urine culture, presence of haematuria, ECG changes and drugs taken.