Renomedullary Interstitial Cell Tumor in the Background of a Renal Oncocytoma: A Case Report.

Renomedullary interstitial cell tumors (RMICTs) are rare benign renal tumors that arise from the renal medulla. They are rarely symptomatic and are mostly discovered incidentally. Radiologically, their co-presence ipsilaterally in the background of a larger mass introduces a miscellaneous presentation that raises the suspicion of metastatic disease.

Predictors of Phosphodiesterase Type 5 Inhibitor Treatment Failure in Patients Diagnosed With Erectile Dysfunction.

Introduction: Erectile dysfunction (ED) is a prevalent condition, especially in aging populations, with significant implications for quality of life. While phosphodiesterase type 5 inhibitors (PDE5Is) are the first-line treatment, a substantial percentage of patients do not respond satisfactorily. This study aimed to identify predictors of PDE5I treatment failure in ED patients.

Bladder outflow obstruction in women: Clinical and basic evaluation.

Aim: Female bladder outflow obstruction is an underdiagnosed and undermanaged condition. This review article aims to illustrate the basic and clinical evaluation of patients who might have this condition.

Review: Clinical evaluation includes clinical history, examination, and basic investigations, including uroflowmetry and postvoid residual, urinalysis and culture, renal function assessment, ultrasound of kidneys and bladder, voiding cystourethrography, and magnetic resonance imaging.

Is Sacral Neuromodulation a Treatment Option for Primary Bladder Neck Obstruction?

Here, we present the first reported case that used sacral neuromodulation as a treatment option for bladder neck obstruction in a 48-year-old man who presented with a long-standing history of lower urinary tract symptoms such as storage and voiding symptoms unresponsive to conservative and medical treatments, including chemodenervation. The patient was diagnosed with primary bladder neck obstruction (PBNO) using a urodynamic study, voiding cystourethrography, and cystoscopy. Sacral neuromodulation was used because the patient refused bladder neck incision because of the risk of retrograde ejaculation.

Safety and efficacy of renal hilum control during laparoscopic nephrectomy and nephroureterectomy: A single-center experience in Saudi Arabia.

Objective: The objective of the study is to evaluate the safety, efficacy, and long-term outcome of renal pedicle control during laparoscopic nephrectomy and nephroureterectomy.

Patients And Methods: A total of 126 nephrectomies and nephroureterectomies that underwent renal pedicle control using the endovascular stapler (45 or 60 mm vascular reload) were retrospectively analyzed. Perioperative outcomes, including the risk of arteriovenous fistula (AVF), hospital stay, and estimated blood loss, were recorded.

Cystic epitholiod angiomyolipoma mimicking a cystic renal cell carcinoma: A case report.

Here we report a case of epitholiod angiomyolipoma with cystic changes in a 42-year-old woman. Preoperative imaging studies revealed a 9.8 cm cystic tumor arising from the lower pole of the right kidney, with multiple enhancing solid components and septation diagnosed as a cystic renal cell carcinoma.

Urolithiasis and water intake in Saudi Arabia, is it a matter of quality or quantity?

Introduction: Urolithiasis is a significant problem with an increasing incidence and prevalence worldwide. Multiple factors such as water intake, climate change, dietary habit, and genetic factors can affect stone formation. Our aim is to clarify the relationship between water intake and urolithiasis in Saudi Arabia as a hot climate area.

Renal pedicle control in laparoscopic donor nephrectomy: Evaluation of a single-center experience.

Introduction And Study Purpose: Renal pedicle control is a crucial period in laparoscopic donor nephrectomy (LDN). Till now, there is no standardized technique for renal pedicle control. Proper evaluation and investigation of the different ways of renal vessel control have to be done to avoid any calamitous event.

Male sexual function after weight-loss surgeries in a group of Saudi population.

Introduction: Obesity is associated with erectile dysfunction in many studies. This study aims to inspect the impact of weight-loss surgery on the erectile function in the Saudi male population.

Patients And Methods: Forty-two consecutive male patients who underwent weight-loss surgery during a period from February 2013 to July 2016 were included in the study.

Successful surgical treatment of giant scrotal lymphedema associated with Hodgkin's lymphoma: A rare case report.

Scrotal lymphedema is a rare disease, caused by obstruction of the lymphatic vessels draining into the scrotum, and may be induced by malignant lymphoma. A 27-year-old male, who was treated for Hodgkin's lymphoma, presented with scrotal swelling for 3 years. We observed huge scrotal swelling with extension to the suprapubic region and lower right limb, a significantly thickened scrotal wall, and nonpalpable testes.

Management of polyorchidism in a prepubertal boy: A case report and literature review.

Polyorchidism is a very rare embryological anomaly characterized by the presence of extra number of testes with the usual presentation of two homolateral and one contralateral testis and no clear guidelines for management. Herein, we present a 14yearold case with left supernumerary testes presented with discomfort and painless mass, diagnosed by US and confirmed by magnetic resonance imaging. Conservative treatment was implemented, in the form of ultrasound followup imaging (every 6-12 months) with selfscrotal examination every month.

Varicocele indicated scrotoplasty with varicocelectomy: A case report.

A 72 -year- old male patient presented to the clinic complaining of mild dragging scrotal pain and hanging scrotum interfering with his daily activity. Clinical examination revealed grade three left varicocele, enlarged hanging scrotum for more than 15 cm from the scrotal neck. The scrotum was explored and left varicocelectomy was done then scrotoplasty.

Microscopic subinguinal varicocelectomy for testicular pain: a retrospective study on outcomes and predictors of pain relief.

Background: Approximately 2-10% of patients with varicocele complain of pain. Varicocelectomy for testicular pain is a surgical choice when conservative therapy fails to relieve the pain. Different variables have been reported as prognostic factors for pain relief following varicocele ligation.

Scrotal calcinosis effect - Case report and review of literature.

Idiopathic scrotal calcinosis is a benign rare diseases that is characterized by single or multiple scrotal skin calcified nodules without evidence of systemic disease. We report the first case in Saudi Arabia of Idiopathic scrotal calcinosis in a patient whose a 42 years old male, medically and surgically free who presented to our clinic with multiple scrotal nodular lesions in which excision was done and histology showed calcium deposition in basophilic globules which is consistent with Idiopathic scrotal calcinosis. Although pathogenesis and etiology of Idiopathic scrotal calcinosis is controversial, surgical excision is the treatment of choice.

Giant hydronephrosis management in the Era of minimally invasive surgery: A case series.

Introduction: Giant hydronephrosis (GH) is a rare urological entity, described as more than 1 L of fluid contained in the renal collecting system. Ureteropelvic junction obstruction (UPJO) is the most common cause. GH if not discovered and managed early can result in long term complications.

Different managements of horseshoe kidney stones, any difference in the outcome?

Purpose: The aim is to assess the outcomes of different approaches for the management of renal stones associated with horseshoe kidneys (HSKs) in our institution over a 12-year period.

Methods: A retrospective review of 144 patients with HSKs who presented from 2000 to 2012 was performed. Twenty-eight patients (19.

Knowledge and attitude about sexually transmitted diseases among youth in Saudi Arabia.

Background: Sexually transmitted diseases (STDs) are one of the most serious diseases in the world. Our aim was to explore the knowledge and attitude about STDs among the youth.

Patients And Methods: This cross-sectional survey was conducted from August 1 to August 13, 2016.

Paraganglioma of Urinary Bladder Managed by Laparoscopic Partial Cystectomy in Conjunction with Flexible Cystoscopy: A Case Report.

Paraganglioma of the urinary bladder (PUB) is exceedingly rare, accounting for <0.1% of all urinary bladder tumors. Various challenging treatment options are available.

Does timing of presentation of penile fracture affect outcome of surgical intervention?

Objective: To assess the effect of timing of presentation of cases with penile fracture on the outcome of surgical intervention.

Patients And Methods: Between January 1986 and May 2010, 180 patients with penile fracture were treated surgically in our center. To assess the effect of timing of presentation, patients were classified into 2 groups: group I with early presentation (≤24 hours) and group II with delayed presentation (>24 hours).

False penile fracture: value of different diagnostic approaches and long-term outcome of conservative and surgical management.

Objectives: We determined the value of clinical and radiological findings in diagnosis of false penile fracture. Also, the long-term outcome of conservative and surgical treatment of such patients was evaluated.

Methods: Seventeen patients with false penile fracture were treated conservatively (3 patients) and surgically (14 patients) at our center.

Long-term outcome of surgical treatment of penile fracture complicated by urethral rupture.

Introduction: The combination of lesions of the penile urethra and the corpus cavernosum is rare and is likely to worsen the immediate and long-term prognosis.

Aim: To assess the late effects of penile fractures complicated by urethral rupture treated by immediate surgical intervention.

Methods: Fourteen patients with concomitant urethral rupture were treated surgically at our center.

Penile fracture: long-term outcome of immediate surgical intervention.

Objectives: To assess the etiology and the late effects of penile fractures treated by immediate surgical intervention.

Methods: Between 1986 and 2008, a total of 155 patients with penile fracture were treated surgically in our center. The interval from injury to presentation was between 1 and 96 hours.