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1.
Urol Case Rep ; 49: 102439, 2023 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-37250963

RESUMEN

Intrauterine device (IUD) is one of the most effective and standard contraception methods worldwide, including in Indonesia. A 54-year-old woman with frequent urination, pain in urination, and intermittency. History of using IUD 19 years ago. Urinalysis revealed there are pyuria and positive occult blood urine exam. Urinary sediment evaluation revealed some erythrocytes, leukocytes, and epithelial cells. Abdominal non-contrast CT scan revealed a stone with IUD. Stone and IUD were extracted via cystolithotomy. IUD complications may develop into bladder stone formation caused by IUD migration to the bladder. Stone extraction relieves symptoms and gives a good prognosis.

2.
Pan Afr Med J ; 44: 3, 2023.
Artículo en Inglés | MEDLINE | ID: mdl-36818032

RESUMEN

Cryptorchidism is the most common congenital malformation of the male genitourinary tract. An undescended testicle has a 10% chance of developing cancer, with an intra-abdominal testicle having the highest risk. We present a 24-year-old man with a history of bilateral cryptorchidism, complaining of lower abdominal mass for two months. An abdominal computed tomography scan showed an intra-abdominal mass lesion measuring 13 x 9 cm and displacing the bladder caudally. Exploratory laparotomy revealed a right intra-abdominal testicular tumor. A right orchiectomy and left orchidopexy was performed. Histopathological examination revealed a testicular seminoma. The patient was discharged without complications and was referred to the oncology department for chemotherapy and further management. Our findings support the early treatment and close monitoring of cases of cryptorchidism due to the risk of malignancy as well as the necessity of routine scrotal examinations in all males presenting with an abdominal mass.


Asunto(s)
Criptorquidismo , Seminoma , Neoplasias Testiculares , Humanos , Masculino , Adulto Joven , Adulto , Criptorquidismo/diagnóstico , Seminoma/diagnóstico , Neoplasias Testiculares/diagnóstico , Orquiectomía/métodos
3.
Pan Afr Med J ; 44: 1, 2023.
Artículo en Inglés | MEDLINE | ID: mdl-36818034

RESUMEN

Retrieving these forgotten encrusted double j (DJ) stents could be challenging and require multimodal urological interventions, especially in a single-functioning transplanted kidney. Only a few cases of mini-percutaneous nephrolithotomy (mini-PCNL) via ultrasonography (US) guidance in transplanted kidneys have been published. We report a 47-year-old man; a case of a transplanted kidney, with a complaint of abdominal pain and dysuria for two weeks. The patient had a forgotten DJ stent for more than a year due to a lack of post-procedural follow-up information. An abdominal computed tomography scan showed a 20 x 13mm stone in the proximal tip of the DJ stent. Ultrasonography-guided mini-PCNL with a 19-fr rigid nephroscope was performed without complications. In conclusion, we emphasize the importance of patient education regarding the indwelling DJ stent. This case also provides that if an experienced urologist performs it, the US-guided mini-PCNL is safe and effective in transplanted kidney patients.


Asunto(s)
Nefrolitotomía Percutánea , Nefrostomía Percutánea , Uréter , Masculino , Humanos , Persona de Mediana Edad , Riñón , Tomografía Computarizada por Rayos X , Stents , Nefrostomía Percutánea/métodos
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