Learning by Clinical Reasoning Versus Interactive Lecture: An Analytical and Experimental Study of Teaching Urological Emergencies.

Objective: To scrutinize the progression of clinical reasoning and theoretical knowledge by comparing the impact of Clinical Reasoning-Based Learning (CRBL) sessions with interactive lectures (IL).

Methods: In this experimental study conducted from November 15, 2021, to May 7, 2022, we focused on second-year students in the second cycle of medical studies. Four specific urologic emergency scenarios (nephritic colic, macroscopic hematuria, acute scrotal pain, and urinary incontinence in men) were selected for interactive teaching sessions.

Predictive factors of bladder tumor recurrence after radical treatment of upper urinary tract cancer.

Introduction: The main problem after Radical Nephroureterectomy (RNU) for localized non-metastatic upper urinary tract urothelial cancer (NM-UUT-UC) is bladder recurrence.

Aim: To identify factors of bladder recurrence of localized NM-UUT-UC after radical treatment.

Methods: It is an analytical and observational study that was conducted in the department of urology of La Rabta Hospital in Tunis.

Fibrous pseudo tumor of the tunica vaginalis mimicking paratesticular cancer.

Fibrous pseudo tumor of the tunica vaginalis is a rare lesion affecting men representing a challenge in its diagnosis and treatment. We reported the case of a 17 year old male patient who presented for a right scrotal mass. Surgical resection of the mass was performed and the histological diagnosis was a fibrous pseudo tumor of the tunica vaginalis.

Ocular abscess: An extremely rare complication of transurethral resection of the prostate.

Ocular abscess following transurethral resection of the prostate is an rare complication. We report the case of a male who developed an ocular abscess with purulent melting of the eye after undergoing TURP for benign prostatic hyperplasia. The patient successfully underwent the TURP procedure.

Massive hydronephrosis due to obstruction by upper urinary tract urothelial carcinoma with compression of the inferior vena cava.

A 78-year-old woman presented with tachypnea, abdominal distension, bilateral lower limb edema, and hematuria. A contrast-enhanced CT scan of the abdomen and pelvis was performed, which revealed a significant left-sided hydronephrosis upstream of an upper urinary tract urothelial carcinoma (UUT-UC). The patient underwent a left open nephroureterectomy, and approximately 10 L of fluid were evacuated.

Intrascrotal self insertion of foreign body: Form of entry to schizophrenia.

A 23-year-old boy was referred to Urology because of a nail self insertion on the scrotum. Examination revealed a visible big nail within the scrotum, lateralized to the right at 1 cm from the median raphe. Scrotal exploration and debridement of non-viable tissue was performed, and no testicular or surrounding structure injury was found.

Pelvic ureteral angiomyoma mimicking urothelial carcinoma: A case report.

Background: Angiomyoma is a rare benign tumor that can occur in any organ with smooth muscles. No one has already described an angiomyoma of the ureter.

Case Presentation: We report the case of a 44 year old woman who presented with intermittent hematuria and left flank pain.

Pancreatic pseudocyst mimicking a left kidney abscess: a case report.

Background: Pancreatic pseudocyst are fluid filled sacs that develop as a result of dissection of pancreatic enzyme tissue. While most commonly found near the pancreas, they can also rarely occur in other areas such as the perirenal region.

Case Presentation: This study reports a new case of an infected perirenal pancreatic pseudocyst mimicking a left kidney abscess in a 46-year-old North African patient with history of recurrent acute pancreatitis, who presented with left lumbar region pain and fever.

Bladder colloid carcinoma: A case report.

Non-urothelial bladder cancers are rare. We report the case of a 72-year-old who consulted for terminal hematuria evolving for three months. Computed Tomography scan showed a tumor of the anterior wall of the bladder.

A round cell sarcoma of the bladder following radiotherapy: A case Report.

Sarcomas are uncommon and extremely aggressive malignancies. Sarcomas of the bladder are exceedingly rare. We report the case of 67-year-old female patient having had 20 years ago a total hysterectomy with bilateral adnexectomy followed by adjuvant external radiotherapy to an undifferentiated uterine sarcoma, was presented with hematuria.

How a laparoscopy for ovarian cyst causes anuria?

Considering the proximity of the lower urinary tract to gynecologic organs, several iatrogenic injuries of the bladder or ureters can occur. We report the case of 25 year old woman who suffered from bilateral ureteral injury causing renal failure following a laparoscopic detorsion of the left ovarian cyst.Double J stents were placed for 2 months with a favorable post operative course.

Traumatic renal injury revealing a horseshoe kidney: A case report.

Having a kidney disease is a major risk factor of renal injury during blunt traumas. We present a case of abdominal blunt trauma due to motor-vehicle accident in a 48 year old male patient. Abdominal computed tomography scan showed a high-volume retroperitoneal hematoma with rupture in the isthmus of the horseshoe kidney with active contrast-enhanced extravasation.

Bilateral ectopic pelvic kidney associated to left ureteropelvic junction syndrome: A case report.

Bilateral ectopic pelvic kidney is an exceptional finding and it may be associated rarely with other abnormalities of the kidney such as uretero-pelvic junction syndrome. We report a case of bilateral ectopic pelvic kidney revealed by left flanc pain with a left uretero-pelvic junction syndrome and a right ureteral duplication proved by computed tomography. A MAG3 renal scintigraphy was performed confirming the obstructive uretero-pelvic junction.

Adult bladder rhabdomyosarcoma: A case report.

Rhabdomyosarcomas (RMS) are mesenchymal tumors that develop at the expense of striated muscle fibers. It accounts for 6% of childhood malignancies. Rhabdomyosarcomas of the genitourinary tract also occur in children but are distinctly uncommon in adults.

Functional outcomes of surgical treatment of varicocele in infertile men: Comparison of three techniques.

Introduction: Among identified causes of male infertility, varicocele holds an important place and is significantly associated with sperm quality deterioration. Surgical management of this condition leads to an improvement in the sperm count and an increase in the spontaneous pregnancy rate.

Objective: The goal of this study was to compare different surgical techniques in terms of morbidity and fertility results.