Santosh Kumar

..This study was conducted to evaluate the safety and efficacy of the antifibrinolytic agent tranexamic acid in reducing blood loss in patients undergoing percutaneous nephrolithotomy...

..We present a rare case of a postmenopausal woman who presented to us with a symptomatic giant retroperitoneal mass situated in the interaortocaval region that we managed with surgical resection...

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..This study was performed to compare the safety and efficacy of spongiosum block along with intraurethral lignocaine with intraurethral lignocaine alone for optical internal urethrotomy...

..Association of situs inversus totalis and autosomal recessive polycystic kidney disease has also been reported. Recent studies have revealed ciliary dysfunction as a cause of both conditions...

..Medical causes of bleeding such as locally endemic viral hemorrhagic fevers should also be kept in mind and evaluated especially when a surgical cause of the bleed is not found or suspected in bleeding after any surgery...

..We describe a case of crossed fused L-shaped kidney with congenital ureteropelvic junction obstruction involving an orthotopically located kidney presenting as renal trauma, and its management by laparoscopic heminephrectomy...

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..5, 15 and 20 for group A, B and C respectively). Intranasal desmopressin is not an effective analgesic in renal colic: exerts mild analgesic effect over a period of 30 min. It does not potentiate the effect of diclofenac...

..This report describes previously reported cases of PEComa in brief and highlights the problems associated with the management of this tumour...

..5 cm and prolonged surgery were risk factors for urosepsis. Nitrofurantoin is beneficial in the prevention of endotoxemia and urosepsis especially in patients with larger stones and hydronephrosis...

..In this paper, we describe simple laparoscopic techniques for the management of these cases of atypical and complex UPJ obstruction...

..A 24-year-old woman presented with paradoxic incontinence 1 week after caesarean section. Intravenous urography revealed a left ureterouterine fistula. She was treated successfully by laparoscopic ureteroneocystostomy...

..He was managed by excision of mass along with the fistulae and staged buccal mucosal urethroplasty...

..05). Our study showed that DMSO with lignocaine is a better local anesthetic agent for SWL than EMLA cream. The stone fragmentation and clearance rates are also better in the DMSO group...

..There was no mortality. Patients with calculus nephropathy can be salvaged using PNL with good improvement in renal function and acceptable morbidity when appropriate preoperative preparation and perioperative care are given...

..The patient was treated with systemic anticoagulation, antibiotics, and B complex therapy. At 3 months follow-up, there was complete resolution of thrombus but the left kidney was nonfunctioning...

..We present a case of renal cell carcinoma involving left kidney with tumor thrombus extending into both venae cavae, treated by left radical nephrectomy with vena caval thrombectomy...

..Abdominal repair of the fistula, right nephroureterectomy, and excision of the vaginal septum was performed...

..The vagina was reconstructed using an amniotic mould. The report underlies the importance of MRI in diagnosing complexity of such rare anomalies. It also stresses for the need of hysterectomy if cervicovaginal agenesis is present...

..We describe novel and simple techniques for management of cases of atypical and complex ureteropelvic junction (UPJ) obstruction...

..To evaluate the role of tamsulosin in the clearance of fragments after extracorporeal shock wave lithotripsy (ESWL) to treat renal calculi...

..To predict the outcome of redo-urethroplasty after failed single or multiple open urethral procedures for pelvic fracture urethral distraction defects...

..To investigate the role of tamsulosin as an adjunct to management of upper ureteric stones (UUS) with extracorporeal shock wave lithotripsy (SWL)...

..To compare the efficacy and safety of intracorpus spongiosum block (ICSB) over topical anesthesia for performing visual internal urethrotomy (VIU) in a randomized clinical trial...

..Laparoscopic ureterocalicostomy is technically feasible for the salvage of a giant hydronephrotic kidney and duplicates the results of open surgery...

..Owing to capacious ureter and nonimpacted stent, a careful attempt of pulling can be made under fluoroscopic guidance to minimize the time of ureteroscopic lithotripsy and complications thereof...

..This can stabilize renal function and optimize patients who may require surgery. Surgical marsupialization offers superior definitive treatment of lymphoceles with the least recurrence rates...

..To the best of our knowledge, this method of reconstruction has not yet been reported for this condition...

..Urosepsis is an important complication after percutaneous nephrolithotomy (PNL). Risk increases by around 4 times with larger stones and hydronephrosis (HDN)...

..We evaluated the clinical importance of circulating CgA in CRPC patients receiving Docetaxel...

..To investigate the effect of voiding position on uroflowmetric variables and postvoid residual urine (PVR) volume in healthy adult men without lower urinary tract symptoms (LUTS)...

..In this case, the possible etiology of megaureter, the differential diagnosis, and the clinical implications are discussed...

..A urethral stricture, if not promptly managed, can lead to devastating complications necessitating complex surgical management...

..We investigated the status of oxidative stress in patients with renal cell carcinoma...

..To present our experience and outcomes with the challenging problem of rectourethral fistula (RUF) using the perineal approach. RUF is a rare occurrence...

..In this paper, we present the case of a 26-year-old male who was treated with laparoscopic ureteropyelostomy for a symptomatic lower moiety UPJ obstruction...

..To identify the differences in urinary profile of a stone former and the matched member of the family...

..Fracture of the penis is rare and needs a surgeon's attention for appropriate management. The exact role of diagnostic investigations has not been established. We studied the role of these investigations and the results of surgery...

..To compare the morbidity of primary skin closure with elective Tensor Fascia Lata (TFL) flap cover in groin dissections...

..Male urethral reconstruction for anterior urethral stricture has become increasingly popular and effective. Little is known about its potential impact on subsequent sexual performance...

..The cause of inadvertent injury was anatomical distortion of the great vessels due to the massive nature of the tumor. The case was managed successfully by immediate end-to-end anastomosis of the superior mesenteric artery...

..Histologic examination of the mass was consistent with metanephric adenoma. We are reporting this case of metanephric adenoma, being treated with laparoscopic partial nephrectomy...

..Histopathological examination confirmed the diagnosis of EH. Pelvic soft tissue origin of EH is extremely rare. The diagnosis of EH may be suggested by characteristic magnetic resonance imaging (MRI) findings...

..Renal tuberculosis presenting as large solid mass has not yet been reported. We present a case of solid renal mass of tubercular etiology. Diagnosis and management are presented...

..To evaluate the outcome of visual internal urethrotomy with a holmium:yttrium-aluminum-garnet laser along with intralesional triamcinolone injection...

..The objective of this study was to compare the incidence of LI in CaP patients with that in the general population and to identify factors affecting lactose intolerance in CaP patients...

..Generating a nomogram based on clinical lymph node status and histopathological findings in the primary tumor could facilitate clinical decision making in the management of penile cancer...

..However, unlike men, no universally accepted nomogram is available for them. This study was undertaken to establish normal reference values of urinary flow parameters for healthy Indian female population in menstrual age group...

..Initial treatment is conservative with removal of risk factor, anti-histaminics and steroids. Augmentation cystoplasty should be considered in patients with a small capacity bladder. These patients need a strict and long term follow-up...

..The second patient was successfully treated with total penectomy and perineal urethrostomy. He recovered well but was lost to follow-up...

..FNAC also confirmed metastases in the right level I cervical lymph node. The utility of IHC and molecular techniques in diagnosis of such a rare case is stressed and relevant literature is discussed...

..Conservative management with antitubercular drugs and urinary diversion with or without faecal diversion has a high success rate and should be the first line of treatment even if urine is negative for acid-fast bacilli...

..To review our experience with the management of fragmented and retained pigtail percutaneous nephrostomy (PCN) tubes and to explore the reasons for the fragmentation...

..58 times. In conclusion, we describe a case of two primary carcinomas: a unique urethral malignant melanoma and a breast carcinoma, detected and staged by (18)F-FDG PET/CT...

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..Urethral stent was patent and well covered. Subsequently he had an uneventful recovery. We describe a unique case of acute urinary retention due to calculus impaction within a urethral stent...

..To evaluate the outcome of shock wave lithotripsy (SWL) as monotherapy for solitary renal stones larger than 2 cm without ureteral stenting...

..We report our experience with two children who sustained grade 4 renal injury due to blunt trauma, which was managed successfully by endourological intervention facilitating preservation of renal units and review the current literature...

..Both the anterior and posterior urethral valves develop from different embryological sources; thus, this association is rare. A case with this association has not been reported previously in the literature...

..Shock wave lithotripsy is the treatment of choice for small renal and upper ureteric stones. This review examines the factors that improve fragmentation and clearance of stones, and recent advances in this area...

..CT images showed thickening of skull bones...

..Conclusions : Laparoscopic partial nephrectomy faces the problem of technical complexity and availability of expertise. Open partial nephrectomy continues to be the gold standard for nephron sparing surgery...

..To assess the need of a second transurethral resection (TUR) in select T1G3 bladder tumor patients...

..Some progress has been made in the understanding and management of viral hemorrhagic cystitis. This article reviews the common causes of severe hemorrhagic cystitis and the currently available management options...

..The literature search was done using the Medline database with keywords: vesicovaginal fistula, laparoscopy and robotic repair filtered for the last 5 years...

..Open surgical technique is a widely followed method. The complication rate following catheter placement varies and catheter blockage due to omental plugging is one of the main reasons...

..Routine DJ stenting during renal transplantation is not mandatory. It can harm an immunosuppressed renal transplant recipient by predisposing to various complications...

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..In our opinion, persistence of a radiological finding of residual abscess in the absence of clinical disease does not appear to be a contraindication to renal transplantation...

..In this article we review the current concepts in the evaluation and surgical management of PFUDD, including redo urethroplasty...

..To present our experience with four urethral injuries in females accompanying a pelvic fracture, managed with primary repair or realignment of the urethra...

..Urethroplasty is completed in the standard technique. The tunica is opened longitudinally and dissected away as a rectangular flap from the testis and wrapped around the urethra...

..This transition is apparently accompanied by dissociation or rearrangement of several salt bridges in the proximity of Cys(154) and modulates accessibility and hydration of the heme pocket...

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..In the present study, we have optimized the methodology to radiolabel it with technetium-99m ((99m)Tc) efficiently and evaluated its physicochemical and biological properties...