Publications by authors named "Fouad Al Kawai"
Ureteral injury is one of the major complications related to colorectal and gynecologic procedures. Injuries are sometimes identified intraoperatively, but the diagnosis of ureteral injury is often delayed. Ureterocolic fistula is a relatively rare condition and mostly due to obstructing calculi, diverticular disease of the colon, radiotherapy, cancer, or trauma.
View Article and Find Full Text PDFBackground: Metanephric adenoma (MA) is a rare benign renal tumor that resembles renal cell carcinoma and Wilms' tumor in radiological as well as pathological appearance. It can present at any age or gender, and it is extremely rare in the pediatric age group with less than 50 reported cases. Fanconi-Bickel syndrome (FBS) is a rare autosomal recessive disorder of carbohydrate metabolism.
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- Posterior urethral valves (PUVs) are a leading cause of bladder obstruction in boys, and this study aimed to evaluate how early treatment affects bladder function compared to delayed treatment.
- Researchers analyzed data from 153 patients divided into two groups: one group that received early intervention and another that had delayed ablation of the valves.
- The results showed that early treatment was linked to lower rates of chronic kidney disease and better renal function, while bladder functionality remained similar in both groups.
Article Synopsis
- Ureteropelvic junction obstruction (UPJO) is a common issue in pediatric urology, and while treatment guidelines are clear, the best approach for children with poorly functioning kidneys remains debated.
- This study involved a retrospective evaluation of 21 children with significant UPJO (DRF ≤20%) who underwent open dismembered pyeloplasty, revealing promising outcomes after surgery with improved kidney function in many cases.
- Follow-up results showed a notable improvement in renal health indicators, with no complications or need for reintervention in the patients studied, indicating that pyeloplasty can be effective even in those with lower kidney function.
Introduction And Objective: Anderson-Hynes dismembered pyeloplasty is considered the standard surgical treatment for ureteropelvic junction obstruction (UPJO). After pyeloplasty, stent drainage remains controversial. The commonly used stents are either an internal double-J (DJ) or an externalized pyeloureteral (PU) stents.
View Article and Find Full Text PDFObjective Vesicoureteral reflux (VUR) is a common finding in the pediatric population with the risk of repeated infections and renal damage. There is little is known about the natural history of primary bilateral high-grade reflux. Herein we present our experience in the management of primary high-grade bilateral VUR and the long-term outcome of renal function in this specific group of patients.
View Article and Find Full Text PDFTesticular tumors are not uncommon in children and represent 1%-2% of all pediatric malignancies. Prepubertal testicular yolk sac tumor is the most common childhood testicular cancer, accounting for 70%-80% of all cases. The clinical presentation varies from one patient to another; most common presentation is painless scrotal mass.
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