Assessment of meatal stenosis in neonates undergoing circumcision using Plastibell Device with two different techniques.

Purpose: It was intended to compare meatal stenosis (MS) as a late complication of neonatal circumcision by using two different methods of Plastibell Device circumcision.

Materials And Methods: A total of 2,307 healthy term newborns (6-36 hours) who were born between 2007 and 2009 in Niknafs Medical Center of Rafsanjan, Iran, were simply randomized into two groups in a controlled, nonblinded clinical trial. In group A (1,102 neonates), the frenulum was maintained intact without any manipulation, and in group B (1,205 neonates) frenular hemostasis was performed in all cases by thermal cautery.

Does intraperitoneal injection of propofol prior to detorsion improve testes weight and histopathological findings in a rat model?

Objectives: To determine the long-term preventive effects of intraperitoneal propofol on testicular ischemia-reperfusion injury in a rat model.

Materials And Methods: Forty adult male albino Wistar rats were divided randomly into the following four groups according to the planned treatment (n=10 per group): group I, control; group II, sham-operated; group III, torsion/detorsion (T/D); and group IV, T/D plus propofol. Testicular ischemia was achieved by twisting the left testis 720° clockwise (ie, applying torsion) for 1 h.

Ewing sarcoma/primitive neuroectodermal tumor of the kidney: A report of three cases.

Introduction: Ewing sarcoma/Primitive neuroectodermal tumor of the kidney (ES/PNET) is a member of Ewing's sarcoma family, occurring in young adults and has aggressive clinical behavior and poor prognosis. However, its discrimination from the renal cell carcinoma (RCC) is very difficult preoperatively. We present three cases of this rare disease that were managed in two academic centers.

Evaluation of acute scrotum in our consecutive operated cases: a one-center study.

Purpose: The purpose of the present study was to evaluate the clinical history, demographic data, surgical exploration findings, and final diagnoses in all young males presenting with acute scrotum to our center.

Materials And Methods: This was a descriptive-retrospective study in which all consecutive cases of acute scrotum treated in our department from March 2008 to March 2012 were evaluated.

Results: A total of 116 cases were included in the study.

Cortical blindness after complicated general anesthesia in urological surgery.

Patient: Male, 4 FINAL DIAGNOSIS: Cortical blindness after complicated general anesthesia Symptoms: Blindness • fine motor activity derangements

Medication: - Clinical Procedure: General anesthesia for unilateral inguinal hydrocelectomy Specialty: Anesthesiology.

Objective: Rare disease.

Background: We report a case of transient cortical blindness after urological surgery.

Evaluation of orchiopexy practice patterns in patients with cryptorchidism: a single-centre study.

Objective: A retrospective study was conducted to determine the age at which orchiopexy was performed, and the laterality and anatomic location of undescended testes (UDTs) or non-palpable testes (NPTs). All documented orchiopexies performed in a large referral centre of Qom province, Qom, Iran during a 5 year period were evaluated.

Materials And Methods: A total of 324 patients admitted for surgical correction of cryptorchidism from 2005 to 2009 were eligible for inclusion in our study.

Evaluation of epidemiology, concomitant urethral disruption and seasonal variation of penile fracture: A report of 86 cases.

Introduction: Penile fracture (PF) is a well-recognized clinical entity and is often deemed a urological emergency. It is not uncommon in our region. The main objective of this study is to describe the clinical characteristics of patients diagnosed with penile fracture in the Qom Province, Iran.

Self-inflicted male bladder foreign body: its endoscopic removal using a rigid cystoscope and a suprapubic forceps.

Introduction. Herein we present an interesting technique for the removal of bladder foreign body (BFB) in which a combination of endoscopic and suprapubic cystostomy was used. Case Presentation.

Metachronous occurrence of triple malignancies of kidneys, prostate, and breast. A case report and review of the literature.

Multiple consecutive cancers involving different organs in a male individual are presented. Case Presentation. Herein, we present a rare case of primary right renal cell carcinoma (RCC), in which two different organ malignancies of prostate and breast were occurred consecutively.

Obstructive uropathy due to prolapsed lower ureters and bladder in patients with severe procidentia: A report of two cases.

Introduction: Pelvic organ prolape is not uncommon in multi-parous or elderly women. It is one of the rare but important causes of obstructive uropathy. Herein, we report two cases of severe procidentia that were referred with obstructive uropathy due to prolapsed bladder and ureters.

Malignant abdominal paraganglioma presenting as a giant intra-peritoneal mass.

Introduction: Paraganglioma is a malignant tumor that arises from the extra adrenal paraganglionic cells of the sympathetic or parasympathetic systems. Herein, we present a case of abdominal mass of unknown histology that underwent a very difficult surgical mass resection. Its final histologic diagnosis was non-functional paraganglioma that was presented as a huge intra-peritoneal mass.

Primary obstructive megaureter with a giant lower ureteral stone synchronous with ipsilateral staghorn kidney.

Introduction: Primary obstructive megaureter (POM) is uncommon in adults. Urolithiasis formation may uncover the underlying congenital abnormally of these patients.

Presentation Of Case: Herein, we present a 20-year-old man who was admitted with synchronous left renal staghorn and a lower giant ureteral stone.

Transperitoneal laparoscopic heminephrectomy in duplex kidneys: a one centre experience.

Purpose: The standard treatment for a duplex kidney with poorly functioning upper pole moiety is ipsilateral upper pole heminephrectomy. This procedure is usually performed by open surgery, but with recent developments in techniques of uro-laparoscopy, it can be done with it, safely. In this study we evaluated the results and safety of laparoscopic heminephrectomy in our consecutive cases.

Chronic headache as the first symptom of an undiagnosed renal cell carcinoma.

Renal cell carcinoma (RCC) is an uncommon tumor that rarely metastasizes primarily to the brain. Brain metastases are commonly observed in patients with metastatic RCC, with a reported incidence of 2-17%. The prognosis of brain metastatic RCC is poor.

Evaluation of biochemical urinary stone composition and its relationship to tap water hardness in Qom province, central Iran.

Purpose: The aim of this study was to evaluate the biochemical stone composition in general population of Qom province, central Iran, and its relationship with high tap water hardness.

Materials And Methods: In a prospective study, from March 2008 to July 2011, biochemical analysis of urinary stones in patients living in Qom province for at least 5 years was performed. Stones were retrieved by spontaneous passage, endoscopic or open surgery, and after extracorporeal shockwave lithotripsy.

Percutaneous nephrolithotomy complications in 671 consecutive patients: a single-center experience.

Purpose: To evaluate major and minor complications of percutaneous nephrolithotomy (PCNL) and their management in our consecutive cases.

Materials And Methods: We reviewed medical records of 671 patients who had undergone PCNL in our center from March 2000 to March 2006. The demographic data, stone parameters, PCNL complications, and stone-free rate were evaluated.

Transverse testicular ectopia, a case report and review of literature.

Crossed testicular ectopia (CTE)/transverse testicular ectopia (TTE) is a rare but well known congenital anomaly, in which both gonads migrate toward the same hemiscrotum. It is usually associated with other abnormalities such as persistent Mullerian duct syndrome, true hermaphroditism, inguinal hernia, hypospadias, pseudohermaphroditism, and scrotal anomalies. About 100 cases of transverse testicular ectopia have been reported in published studies.

Evaluation of prostate cancer prevalence in Iranian male population with increased PSA level, a one center experience.

Purpose: This study was conducted to evaluate the incidence of prostate cancer (PCa) in Iranian male patients with increased prostate-specific antigen (PSA), and normal or abnormal digital rectal examination (DRE) that underwent prostate biopsy.

Materials And Methods: From March 2006 to April 2009, a total of 346 consecutive males suspected of having PCa due to increased PSA levels underwent transrectal ultrasonography (TRUS)-guided sextant biopsy of the prostate. The total PSA (tPSA), demographic data, incidence of PCa, benign prostate hyperplasia (BPH), and prostatitis were assessed.

Genitourinary system trauma after 2003 Bam earthquake in Kerman, Iran.

Background: Natural disasters, especially earthquakes, result in many health problems all over the world, of which urological injuries should not be underestimated. Car accidents and falling from a height are the most common causes of genitourinary system injury. The lack of specific data in the literature regarding the outcome of earthquake-related genitourinary system trauma prompted us to undertake this study.

Urologist-operated ultrasound and its use in urological outpatient clinics.

Introduction: Ultrasonograghy plays an important role in the evaluation of urinary tract disorders in cases of medical or surgical renal disorders, because of its lower cost, availability, and lack of ionizing radiation and because with it there is no need for contrast material injection or ingestion. It needs no intervention or preparation and specifically can differentiate between the multiple causes of flank pain. Urologist-operated sonography is a quick, cost-effective, and time-saving modality for both the physician and patient for obtaining first or final diagnosis.

The safety and efficacy of PCNL with supracostal approach in the treatment of renal stones.

Objective: Supracostal superior calyceal access has been shown to be the most suitable approach for staghorn calculi, calculi in the upper ureter, and complex inferior calyceal calculi. It is a good choice for direct access for most of the intrarenal collecting system and upper ureter. The aim of this retrospective study was to evaluate a single center data regarding the safety and efficacy of this approach for percutaneous renal stone surgery.

Mathieu repair of distal and midshaft hypospadias: risks and benefits of foreskin reconstruction versus circumcision.

Background: The purpose of this study was to compare the risks and benefits of Mathieu repair of hypospadias with or without circumcision in consecutive operated cases.

Methods: Eighty-six children with midshaft or distal hypospadias were randomly divided into two groups and underwent circumcision (Group A) or preputial reconstruction (Group B) during hypospadias repair. Postoperative complications, outcomes, and parental satisfaction were assessed for circumcised and uncircumcised patients.

Evaluation of epidemiology, safety, and complications of male circumcision using conventional dissection surgery: experience at one center.

Background: Circumcision can be performed for a variety of techniques, including conventional dissection surgery or a Plastibell device, and has religious, ritual, or medical roots. In countries like Iran, circumcision is done purely on religious grounds. In this study, we outline 390 cases in our practice and describe the epidemiology, indications, surgical technique used, and the early complications.

Renal Cell Carcinoma with Simultaneous Bilateral Adrenal Metastasis: Ipsilateral Radical Nephrectomy with Contralateral Adrenal Preservation.

Although renal cell carcinoma (RCC) can metastasize to almost every organ, the most common metastatic sites are the lungs, abdomen, bones and brain. We present a rare case of a 72-year-old male with a large left RCC with simultaneous bilateral adrenal metastasis. In the process of surgical treatment, he underwent left radical nephrectomy with ipsilateral adrenalectomy.

Torsion of Testis in an Infant with Unilateral UDT.

Torsion of an undescended testis is uncommon. Torsion of a cryptorchid testicle presents a nonspecific symptomatology. Clinical suspicion indicates emergent surgical exploration, irrespective of Doppler ultrasound with its inherent false negative results.