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Issack FH, Bogale NT, Hassen SM, Ibrahim AI, Abdi AM, Bore TM, Answar IO. Unilateral Testicular Infarction a Very Rare Complication of Genital Tuberculosis: A Case Report and Literature Review. Res Rep Urol 2023; 15:479-484. [PMID: 37920685 PMCID: PMC10619968 DOI: 10.2147/rru.s434046] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/05/2023] [Accepted: 10/28/2023] [Indexed: 11/04/2023] Open
Abstract
Background Genitourinary tuberculosis is the second most common form of extrapulmonary tuberculosis in developing countries. Isolated genital TB is rare, but testicular infarction is an unusual complication of delayed management, in which surgical intervention is warranted. Case Presentation A 29-year-old male non-smoker presents with painful left scrotal pain of 21 days. Initially managed with intravenous antibiotics, the disease progressed and resulted in testicular infarction. Left orchiectomy was performed, and the specimen was sent for histopathological examination, which revealed features consistent with a testicular tuberculous abscess. Conclusion Tuberculous epididymo-orchitis (TBEO) with testicular infarction was unusual. It is prudent to consider this in patients presenting with long-standing urinary symptoms, particularly in those unresponsive to the initial antibiotic therapy. It requires a high index of suspicion, especially in TB endemic areas.
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Affiliation(s)
- Feysel Hassen Issack
- Urology Unit, Department of Surgery, Jigjiga University Sheik Hassen Yabare Comprehensive Specialized Hospital, Jigjiga, Ethiopia
| | - Nahom Tadesse Bogale
- Urology Unit, Department of Surgery, Jigjiga University Sheik Hassen Yabare Comprehensive Specialized Hospital, Jigjiga, Ethiopia
| | - Samater Mohammed Hassen
- Urology Unit, Department of Surgery, Jigjiga University Sheik Hassen Yabare Comprehensive Specialized Hospital, Jigjiga, Ethiopia
| | - Abdulhafiz Idris Ibrahim
- Department of Radiology, Jigjiga University Sheik Hassen Yabare Comprehensive Specialized Hospital, Jigjiga, Ethiopia
| | - Abdurehman Mohamed Abdi
- Urology Unit, Department of Surgery, Jigjiga University Sheik Hassen Yabare Comprehensive Specialized Hospital, Jigjiga, Ethiopia
| | - Tariku Mulatu Bore
- Department of Pathology, Jigjiga University Sheik Hassen Yabare Comprehensive Specialized Hospital, Jigjiga, Ethiopia
| | - Isak Omer Answar
- Department of Pathology, University of Gondar, College of Medicine and Health Sciences, Gondar, Ethiopia
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Gebrehiwot FG, Adem MB, Hassen IK, Gebreselassie KH, Mummed FO, Issack FH. Giant bladder stone resulting in acute kidney injury; A case report and review of literature. Urol Case Rep 2022; 42:101991. [PMID: 35070725 PMCID: PMC8761660 DOI: 10.1016/j.eucr.2022.101991] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/06/2021] [Revised: 12/25/2021] [Accepted: 01/06/2022] [Indexed: 11/16/2022] Open
Abstract
A giant bladder stone is very rare in adults. We report a case of giant bladder stone causing acute kidney injury in a 23-year-old male, who presented with lower urinary tract symptoms (LUTS) characterized by both irritative and obstructive LUTS. In addition, he also had episodes of reddish urine for the past decade. A non-contrast-enhanced CT scan was used for the diagnosis. Open cystolithotomy was performed and a 500g weighing stone was removed. He developed a superficial surgical site infection which was treated with wound care. He was discharged improved. Improvement in symptoms and serum creatinine was noted on follow-up.
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Issack FH, Hassen SM, Mummed FO, Gebreselassie KH, Hassen SK, Hassen IK. Pilimiction, a Rare Presentation of Ovarian Teratoma: A Case Report. Res Rep Urol 2022; 14:57-61. [PMID: 35257005 PMCID: PMC8898156 DOI: 10.2147/rru.s356738] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/13/2022] [Accepted: 02/23/2022] [Indexed: 11/23/2022] Open
Abstract
Background Case Presentation Conclusion
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Affiliation(s)
- Feysel Hassen Issack
- Department of Surgery, Urology Unit, St. Paul’s Hospital Millennium Medical College, Addis Ababa, Ethiopia
- Correspondence: Feysel Hassen Issack, Department of Surgery, Urology Unit, St. Paul’s Hospital Millennium Medical College, Addis Ababa, Ethiopia, Tel +251932511145, Email
| | - Seid Mohammed Hassen
- Department of Surgery, Urology Unit, St. Paul’s Hospital Millennium Medical College, Addis Ababa, Ethiopia
| | - Ferid Ousman Mummed
- Department of Surgery, Urology Unit, St. Paul’s Hospital Millennium Medical College, Addis Ababa, Ethiopia
| | | | - Seid Kedir Hassen
- Department of Obstetrics and Gynecology, St. Paul’s Hospital Millennium Medical College, Addis Ababa, Ethiopia
| | - Ibsa Kedir Hassen
- Department of Surgery, Urology Unit, St. Paul’s Hospital Millennium Medical College, Addis Ababa, Ethiopia
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Tefera AT, Gebreselassie KH, Issack FH, Buser AA, Mummed FO, Dino MS, Gebrehiwot FG. Bilaterally Fused Supernumerary Kidneys: A Very Rare Case Report and Review of Literature. Int Med Case Rep J 2022; 15:61-68. [PMID: 35221730 PMCID: PMC8880725 DOI: 10.2147/imcrj.s352605] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/05/2021] [Accepted: 02/10/2022] [Indexed: 11/23/2022] Open
Affiliation(s)
- Alemayehu Tegegne Tefera
- Department of Surgery, Urology Unit, St. Paul’s Hospital Millennium Medical College, Addis Ababa, Ethiopia
| | - Kaleab Habtemichael Gebreselassie
- Department of Surgery, Urology Unit, St. Paul’s Hospital Millennium Medical College, Addis Ababa, Ethiopia
- Correspondence: Kaleab Habtemichael Gebreselassie, Department of Surgery, Urology Unit, St. Paul’s Hospital Millennium Medical College, PO Box 59004, Addis Ababa, Ethiopia, Email ;
| | - Feysel Hassen Issack
- Department of Surgery, Urology Unit, St. Paul’s Hospital Millennium Medical College, Addis Ababa, Ethiopia
| | - Ashenafi Aberra Buser
- Department of Radiology, St. Paul’s Hospital Millennium Medical College, Addis Ababa, Ethiopia
| | - Ferid Ousman Mummed
- Department of Surgery, Urology Unit, St. Paul’s Hospital Millennium Medical College, Addis Ababa, Ethiopia
| | - Masresha Solomon Dino
- Department of Surgery, Urology Unit, St. Paul’s Hospital Millennium Medical College, Addis Ababa, Ethiopia
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Gebreselassie KH, Gebrehiwot FG, Hailu HE, Beyene AD, Hassen SM, Mummed FO, Issack FH. Emergency Decompression of Obstructive Uropathy Using Percutaneous Nephrostomy: Disease Pattern and Treatment Outcome at Two Urology Centers in Ethiopia. Open Access Emerg Med 2022; 14:15-24. [PMID: 35046735 PMCID: PMC8761074 DOI: 10.2147/oaem.s344744] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/16/2021] [Accepted: 12/21/2021] [Indexed: 11/23/2022] Open
Abstract
Purpose Obstructive uropathy (OU) is a potentially life-threatening urologic emergency that requires urgent decompression. Percutaneous nephrostomy (PCN) is a commonly performed procedure to decompress OU. The objective of this study is to assess disease patterns and treatment outcome at two urologic centers in Ethiopia. Methods A cross-sectional study was conducted on 110 patients who underwent emergency PCN from October 1, 2019 to September 30, 2020. Data were collected by a retrospective chart review. SPSS 25 was used for analysis. Descriptive statistics and logistic regression were utilized to assess disease pattern and significant predictors. A p-value of <0.05 on multivariate logistic regression was considered statistically significant. Results Females accounted for 70% of cases and mean age at presentation was 48 ± 12.9 years. Bilateral OU was diagnosed in 60% of patients and 77.3% of obstructions occurred at the level of the ureter. Malignancies were diagnosed in >80% of patients among which cervical cancer was the commonest (37.3%) followed by bladder cancer (17.3%). Acute kidney injury (AKI) accounted for 70% of the presenting indications for PCN. Success rate after emergency PCN was 75.5% and 41.8% of the cases developed post-procedure complications. Factors that predicted successful outcome include male gender [AOR = 5.72 (1.13–28.92), 95% CI; p = 0.035], severe hydronephrosis pre-operatively [AOR = 7.12 (1.32–38.45), 95% CI; p = 0.022], and use of combined imaging (ultrasound and fluoroscope) to guide PCN [AOR = 12.91 (1.13–46.54), 95% CI; p = 0.039]. On the other hand, postoperative complication is a negative predictor [AOR = 0.26 (0.08–0.86), 95% CI; p = 0.027]. Conclusion In this study, overall success of emergency PCN is low. Presence of severe hydronephrosis predicts technical ease and better outcome of PCN. Procedures performed under ultrasound and fluoroscope guidance also improve outcome. Postoperative complication rate is high in this study and mandates strict preventive measures as it predicts unfavorable outcome.
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Affiliation(s)
| | | | - Haimanot Ewnetu Hailu
- Department of Public Health, Saint Paul's Hospital Millennium Medical College (SPHMMC), Addis Ababa, Ethiopia
| | - Andualem Deneke Beyene
- Department of Surgery, School of Medicine, College of Health Sciences, Addis Ababa University (AAU), Addis Ababa, Ethiopia
| | - Seid Mohammed Hassen
- Urology Unit, Department of Surgery, Saint Paul's Hospital Millennium Medical College (SPHMMC), Addis Ababa, Ethiopia
| | - Ferid Ousman Mummed
- Urology Unit, Department of Surgery, Saint Paul's Hospital Millennium Medical College (SPHMMC), Addis Ababa, Ethiopia
| | - Feysel Hassen Issack
- Urology Unit, Department of Surgery, Saint Paul's Hospital Millennium Medical College (SPHMMC), Addis Ababa, Ethiopia
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Berhe T, Hassen SM, Gebrehiwot FG, Mummed FO, Issack FH, Dino MS, Akkasa SS, Zerihun GA, Gebreselassie KH. Fused Supernumerary Kidney with Single Pelvis and Ureter; Presenting with Stones: A Case Report and Literature Review. Res Rep Urol 2022; 13:853-857. [PMID: 34993158 PMCID: PMC8711840 DOI: 10.2147/rru.s347328] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/11/2021] [Accepted: 12/15/2021] [Indexed: 11/23/2022] Open
Abstract
Introduction A supernumerary kidney is an extremely rare congenital anomaly, defined as the presence of one or more extra kidneys. Thus far, there have been less than 100 cases reported in the medical literature. It has its capsule, vascular supply, and collecting system. It frequently causes diagnostic challenges in clinical practice. The supernumerary kidney can be symptomatic due to the presence of stone. Case Presentation We present a case of a 19-year-old male patient who came to our clinic with the complaint of abdominal pain. On computed tomography urography (CTU), he was found to have a caudally located left fused supernumerary kidney with a separate vascular supply. Both left kidneys had a separately draining calyceal systems uniting at the left renal pelvis and drained by a single ureter. Multiple left renal stones (largest measures 4cm x 2.2cm) in both kidneys were also seen. The stones were removed surgically by doing pyelolithotomy and radial nephrolithotomy. The patient was doing well during follow-up visits with the improvement of abdominal pain. Conclusion Supernumerary kidney is a very rare congenital renal anomaly. This case is even unique, because of the fused supernumerary kidney and the presence of a single left renal pelvis and ureter. Imaging is very essential for planning surgical intervention. Stones in such kidneys can be managed with nephrolithotomy and/or pyelolithotomy.
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Affiliation(s)
- Tekleberhan Berhe
- Urology Unit, Department of Surgery, St. Paul's Hospital Millennium Medical College, Addis Ababa, Ethiopia
| | - Seid Mohammed Hassen
- Urology Unit, Department of Surgery, St. Paul's Hospital Millennium Medical College, Addis Ababa, Ethiopia
| | | | - Ferid Ousman Mummed
- Urology Unit, Department of Surgery, St. Paul's Hospital Millennium Medical College, Addis Ababa, Ethiopia
| | - Feysel Hassen Issack
- Urology Unit, Department of Surgery, St. Paul's Hospital Millennium Medical College, Addis Ababa, Ethiopia
| | - Masresha Solomon Dino
- Urology Unit, Department of Surgery, St. Paul's Hospital Millennium Medical College, Addis Ababa, Ethiopia
| | - Sena Sefera Akkasa
- Urology Unit, Department of Surgery, St. Paul's Hospital Millennium Medical College, Addis Ababa, Ethiopia
| | - Getachew Adamu Zerihun
- Urology Unit, Department of Surgery, St. Paul's Hospital Millennium Medical College, Addis Ababa, Ethiopia
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Hassen SM, Issack FH, Mummed FO, Hassen IK. Giant hydronephrosis secondary to ureteropelvic junction obstruction, a rare occurrence, case report. Urol Case Rep 2021; 39:101803. [PMID: 34430212 PMCID: PMC8365435 DOI: 10.1016/j.eucr.2021.101803] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/19/2021] [Revised: 08/05/2021] [Accepted: 08/09/2021] [Indexed: 11/27/2022] Open
Abstract
Giant hydronephrosis (GH) is very rare in adults. We report a case of a 46-year-old man who presented with progressively increasing abdominal swelling. A contrast-enhanced CT scan of the abdomen and pelvis was used for the diagnosis. Left side open nephrectomy was performed and 22 L fluid was evacuated. UPJ obstruction was noted intraoperatively. No recurrence of abdominal swelling was noted on follow up examination.
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Affiliation(s)
- Seid Mohammed Hassen
- Urology Unit of Department of Surgery, St. Paul's Hospital Millennium Medical College, Swaziland Street, Addis Ababa, Ethiopia
| | - Feysel Hassen Issack
- Urology Unit of Department of Surgery, St. Paul's Hospital Millennium Medical College, Swaziland Street, Addis Ababa, Ethiopia
| | - Ferid Ousman Mummed
- Urology Unit of Department of Surgery, St. Paul's Hospital Millennium Medical College, Swaziland Street, Addis Ababa, Ethiopia
| | - Ibsa Kedir Hassen
- Urology Unit of Department of Surgery, St. Paul's Hospital Millennium Medical College, Swaziland Street, Addis Ababa, Ethiopia
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