Computed tomography scan in supine and prone positions: an alternative method to detect intramural gas in emphysematous cystitis and to evaluate efficacy after adjuvant continuous intravesical irrigation treatment.

Objective: To evaluate the efficacy of continuous intravesical irrigation with saline plus amikacin as adjuvant therapy and to evaluate the computed tomography (CT) scan in supine and prone positions (CystoCT scan) as an alternative diagnostic and evaluation method of intramural gas in emphysematous cystitis (EC) before and after treatment.

Methods: Consecutive patients with a diagnosis of EC who were hospitalized between March 2006 and January 2011 were investigated. The diagnosis was made by CystoCT scan.

[Effect of body mass index on PSA in northeast Mexican patients].

Objective: To evaluate the effect of body mass index (BMI) on PSA in northeast Mexican patients included in prostate cancer (Pca) early detection screening campaigns offered by our institution.

Material And Methods: One hundred and ninety seven patients came voluntarily to our Pca early detection screening campaigns.

Exclusion Criteria: PSA >10 ng/dl, patients on 5-α Reductase inhibitors or hormonal replacement.

[Extracorporeal tumorectomy and autotransplantation in a patient with a single kidney and a multicentric clear cell carcinoma].

Objective: To demonstrate that "bench surgery" and autotransplantation are still alternatives in the treatment of complex renal cancer cases.

Methods: 58 y/o female with history of radical nephrectomy due to renal cancer who asked for medical attention because of back pain. Renal masses were found during her evaluation and she was referred to our service.

[Continous bladder irrigation with amikacin as adjuvant treatment for emphysematous cystitis].

Objective: To demonstrate that continuos intravesical irrigation with amikacin is an effective adyuvant treatment in Emphisematous Cistitis therapy.

Methods: A 3 way transurethral Foley catheter was placed and a continuous intravesical irrigation was initiated with amikacin 500 mg in 1L of normal saline (500 micrograms per ml) within 6 hours 4 times a day and three consecutive days.

Results: After 3 days of treatment the patient showed significant clinical response.