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September 2015

Volume 2  Issue 3

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Image Case Report
Congenital Ureteropelvic Junction Obstruction

Otar Datiashvili MD, Nachum Katlowitz MD, Barry Hahn*

Ureteropelvic junction (UPJ) obstruction is defined as an obstruction of the flow of urine from the renal pelvis to the proximal ureter. The condition is frequently encountered by both adult and pediatric urologists. The reported incidence of ureteropelvic junction (UPJ) obstruction is 1 in 500 live births and is more common in males. Congenital abnormalities may be observed in both adults and children, but adults may also present with UPJ obstruction following previous surgery or other disorders that can cause inflammation of the upper urinary tract.

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Case Report
Regression of Pulmonary Metastatic Renal Cell Carcinoma

Mujalli Mhailan Murshidi*#

An 82 year old male patient, previously healthy, presented to our clinic complaining of left loin pain of one month duration. Physical examination of the abdomen revealed the presence of solid left loin mass and Grade 3 left varicocele. Abdominal CT scan was done with IV contrast (Figure 1 and Figure 2), it showed lobulated heterogeneous soft tissue mass arising from the anterior portion of the left kidney measuring 5.5cm X 3cm X 3cm, compressing the left renal pelvis and middle caleyx. The renal vessels are possibly encased at the left renal hilum. Few small left para-aortic lymph nodes < 1cm are seen.

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Letter to Editor
Robotic Cystectomy and Intracorporeal Neobladder Formation- A Standardised Robotic Surgery Curriculum is Vital

Goonewardene SS*MBChB BMedSc Dip.SSc MRCS (Ed and Eng), Gillatt D MBBS MD FRCS(Urol), Persad R MBBS MD FRCS(Urol)

A complete minimally invasive approach shows consistent advantages compared with open radical cystectomy, such as blood loss and length of stay. The lower complications rates, and shorter length of stay all contribute to better functional outcomes and oncological outcomes. This procedure can be long in length, with impact on haemodynamic status due to Trendelenburg position. As a result, appropriate patient selection remains paramount.

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