RESUMO
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. The patient underwent laparoscopic radical nephrectomy. Histopathology revealed a lipid-poor angiomylipoma with epithelioid features.
RESUMO
OBJECTIVES: There is a shortage of urology residents in the KSA, and patients may have to wait for nearly three months to seek medical consultation with qualified urologists. According to the literature, urology residents face work-related burnout, which may affect the quality of health services provided to Saudi patients. This study aims to investigate the prevalence of work-related burnout among urology residents in KSA. METHODS: A cross-sectional survey was carried out among Saudi urology residents using the Copenhagen Burnout Inventory (CBI), which includes personal, work, and patient-related burnouts. The survey was electronically sent to urology residents registered with the Saudi Commission for Health Specialties (SCFHS). Data were analysed using the SPSS program. RESULTS: Of the 247 selected residents, 215 (87.04%) completed the questionnaire. Concerning personal burnout, 12.6% reported 'always feeling tired', 13% 'always physically exhausted', and 19.1% reported being 'always emotionally exhausted'. In addition, approximately 14% described the work as emotionally exhausting to a very high degree, while 18.6% added that they felt burnt out because of the work to a very high degree. According to the CBI, the mean personal burnout was 57.92, while the mean work-related burnout was 55.26. CONCLUSIONS: Urology residents in KSA suffer from a high degree of burnout, and urgent interventions are essential to make their work-life balance less exhausting.