Ali Khan

Sclerotherapy with tetracycline solution for hydrocele

A study of sclerotherapy for hydrocele using different concentrations (10%, 5%, 2.5%) for tetracycline solution was done on 24 patients, 23 patients were cured. The effectiveness of sclerotherapy was the same for the three groups of patients with use of each different concentration of the solution. Pain was the only adverse effect. Nonspecific cellular foreign body reaction and fibrin strand proliferation were observed in the hydrocele fluid after this procedure. We consider sclerotherapy for hydrocele with tetracycline solution safe and the procedure of choice for patients in whom surgery or anesthesia is contraindicated, for patients who refuse surgery, and for economic reasons.

Unusual Foreign Body in the Urethra

Numerous cases of intraurethral foreign bodies of great variety and unusual nature have been reported. Such foreign bodies are usually introduced for sexual stimulation and/or during an intoxicated or confused state. Resulting symptoms usually involve the urinary frequency, dysuria, nocturia, hematuria, gross bleeding per urethra, difficulty in voiding, or complete urinary retention. Depending on the type of foreign body and its location, various methods of removal have been described, including meatotomy, cystoscopy, internal or external urethrotomy, suprapubic cystostomy, Fogarty catheterization, and injection of solvents. The most frequent complications are urethritis, urethral tear with periurethral abscess and/or fistula, hemorrhage, and urethral diverticuli. We report a case of an intraurethral fishhook with its complications and treatment. The diagnosis should be considered in high-risk patients with lower and urinary tract signs and symptoms.

Urinoma – A Rare Presentation of Carcinoma of the Bladder

Urinoma as a presenting sign of carcinoma of the bladder, as occurred in this case, is rare. Aspiration of the cystic mass under sonography and chemistry of the fluid confirmed the diagnosis. The inferior extension of the urinoma on CT scan confirmed the gradual fading of Gerotas fascia into the retroperitoneum. Abdominal mass in the form of a urinoma is an uncommon presentation and only a few documented cases are reported in the literature. This case illustrates that the Gerotas fascia fades inferiorly into the retroperitoneum.

Volvulus of Cecum Following Simple Nephrectomy

We report a case of intestinal obstruction secondary to cecal volvulus following a palliative nephrectomy. Cecal volvulus and other causes of acute abdomen should be considered in postoperative patients who develop adynamic ileus undergoing retroperitoneal surgery.

Blood Group Isoantigens and Bladder Cancer

The role of blood group ABO(H) surface isoantigen measurement in bladder cancer is discussed. The basis for this test is examined and an attempt is made to place the current status of this test in proper perspective.

Transitional Cell Carcinoma of the Bladder in a Young Adult

A rare case of bladder cancer in an 18-year-old male is presented and the clinical features and management discussed.

Seminoma in an Atrophic Testis

A rare case of a seminoma developing in an atrophic testis is described and the role of testicular atrophy in tumorigenesis is discussed.

Delayed Urinary Fistula following Abdominal Perineal Resection of Rectum and Anal Canal

Genitourinary dysfunction is one of the major complications of abdominal perineal resection. The onset may be in the remote postoperative period. We report a rare case of late perineal urinary fistula and pelvic urinoma which occurred 3 months following surgery.

A new technique for the repair of pediatric hydroceles.

The major difficulties encountered in the surgical correction of pediatric communicating hydroceles are separating the hernial sac from the spermatic vessels and vas, and identifying the anatomical location of the internal inguinal ring. The passage of a pediatric Foley catheter through the hernial sac via a high scrotal incision greatly expedites this surgery. Herein, we describe a new surgical technique and discuss its merits.

Unusual Presentation of Metastatic Carcinoma of Prostate

An unusual case of metastatic carcinoma of prostate, which presented as a huge abdominal mass and responded extremely well to endocrine therapy, is presented. The literature is reviewed.