Hemangioma of penile urethra - Treatment with intralesional triamcinolone.

Hemangiomas are benign vascular lesion, most commonly seen in liver and skin whereas rarely found in genitourinary system. In genitourinary tract urethral hemangiomas are mostly found in males. A case of uretheral hemangioma in 18 years old boy who presented with history of painless bleeding per urethra since age of 3 years. Cystoscopy revealed multiple sub centric lesions in anterior urethra distal to verumontenum. Patient was treated with cystoscopic fulguration using diathermy. He started bleeding again on 3rd postoperative day, so intralesional triamcinolone was given. On follow up at one and three months he was asymptomatic.

Clinicopathological Characteristics of Prostate Cancer in Patients Presenting to a Tertiary Care Private Sector Hospital.

Prostate cancer (PCa) is one of the leading cancers in older males. The aim of this study was to evaluate the clinico-pathological characteristics of prostate cancer and rate of detection of prostate cancer by DRE (digital rectal exam) in patients presenting to a tertiary care private sector hospital in Islamabad, and determine the awareness about PCa in these patients. There were 226 patients who presented from December 2009 to December 2015 having mean age of 68.63 ±8.76 years and median Prostate Specific Antigen (PSA) value of 19.12 ng/mL (IQR=35.8). Median prostatic volume was 49 (IQR=22) gram/cc in the subjects. DRE was abnormal in 164 (72.56%) patients and normal in 62 (27.43%) patients only. Majority of patients presented relatively late, which may be due to lack of screening programme or public awareness.

Outcome Of Trans Rectal Ultrasound Guided Twelve Core Biopsy Of Prostate For The Detection Of Prostate Cancer- A Single Centre Experience.

BACKGROUND: This study was conducted to determine the outcome of trans-rectal ultrasound (TRUS) guided biopsy of prostate for the detection of prostatic carcinoma in a single tertiary care hospital in Pakistan. METHODS: This is a retrospective study including three hundred and eightythree patients who underwent trans rectal ultrasound guided biopsy of prostate in a single tertiary care hospital. Indications for biopsy were raised prostate specific antigen (PSA), abnormal digital rectal examination (DRE) and/or both. Twelve core biopsy of prostate was done.. RESULTS: The overall detection rate of prostate cancer was 59%. Prostate cancer detection in various PSA ranges of 0-3.99, 4-9.99, 10-19.99 and >20 ng/ml are 22.22%, 37.88%, 50.0% and 89.9%. PSA density >0.15ng/ml2 can diagnose 74.5% of patients with cancer. Prostate cancer detection rate based on abnormal DRE is 64.6% compared to 60.8% detected by PSA>4 ng/ml. CONCLUSIONS: In conclusion raised PSA, smaller prostate volume, abnormal DRE and raised PSA density are associated with greater chances of detection of prostate carcinoma.

Managing a Large-Size Adrenal Cyst by Hand-Assisted Laparoscopic Surgery in a Young Male.

Adrenal cysts are not common and are most often non-functional and asymptomatic. Most of these cysts are found incidentally. These lesions exhibit a broad histomorphologic spectrum and may vary from benign cysts to malignant cystic neoplasms. Our patient was a 21-year male who presented with abdominal discomfort and epigastric pain and was diagnosed with left adrenal cyst on ultrasound, which was later confirmed by CT scan.