Experience of a Tertiary-Level Urology Center in the Clinical Urological Events of Rare and Very Rare Incidence. III. Psychourological Events: 1. Psychic Anuria.

INTRODUCTION: Psychic anuria is an old term, referring to a very rare psycho-urological event that has scarcely been studied so far. MATERIALS AND METHODS: A retrospective study of the patients with psychic anuria presented to Assiut Urology and Nephrology Hospital during the period July 1991-June 2016 was done. Psychic anuria was defined, and the demographic and clinical characteristics including the methods of diagnosis and management were studied. RESULTS: Of more than 3,800 cases of anuria, 9 female patients (0.24%) experienced psychic anuria in the age range of 17-43 years. Cardinal clinical findings included anuria for 36-72 h with absence of organic causes and normal renal function tests. Psychosocial risk factors were reported in the 9 cases. Anuria was documented by reliable history (56%) or observable urine collection (44%). Diagnosis was done by exclusion, where the investigations revealed no organic causes. Seven cases responded to the placebo intervention and 2 cases were self-limiting and resolved spontaneously. CONCLUSIONS: Psychic anuria is an extremely rare urological emergency that presents, mainly, in young adult females with unknown mechanisms. Renal vasoconstriction following psychosocial stressors is suggested. It is diagnosed by exclusion and resolves spontaneously or responds to placebo intervention as a mental distraction technique.

Indoor 222Rn concentration measurements in some buildings of Hebron province during the winter season of the year 2000.

In this study, we report on the indoor radon concentration levels in a number of locations scattered in the Hebron province, Palestine. The measurements were performed during the winter season of the year 1999/2000 using the CR-39 detectors. The radon concentration levels were found to vary from 23 to 580 Bq m(-3). The arithmetic average of the obtained radon concentration levels was found to be 91 Bq m(-3). It was found that most of the radon concentration levels in houses and school rooms are below the low reference levels limits. Most of the high-radon concentration levels were found in unpainted storage rooms.