Renal replacement lipomatosis of the kidney is characterized by renal sinus and perirenal fat proliferation. It is associated with chronic infection and calculi, commonly central, often obstructing. The kidney may be large or small but is usually nonfunctioning. Most of the renal parenchyma has been replaced by fat, pararenal fascia are thickened, and there may be fistulae. We reported radiological findings of renal replacement lipomatosis in a 55 year-old man.

Lipomatosis

Renal sinus

Renal parenchyma

Parenchyma

Sinus (botany)

10.29333/ejgm/82603

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Medical image. Hydrocolpos in a child.

Güner Sönmez Seçil Aydınöz Hakan Mutlu Ersin Öztürk Onur Sıldıroğlu

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Epididymoorchitis due to Brucella melitensis: Review of 19 Patients

Urologia Internationalis (2007)

Hanefi Cem Gül İlker Akyol Bülent Şen Cüneyt Adayener Abdullah Haholu

We describe the clinical characteristics, treatment and long-term outcome of 19 patients with Brucella epididymoorchitis treated at the Department of Urology.Between 1998 and 2005, a total of 19 cases with epididymoorchitis due to Brucella melitensis were diagnosed at our hospital. The diagnosis of Brucella was made by isolating Brucella species from blood culture or epididymal aspiration or by standard tube agglutination testing and slide agglutination testing together with clinical findings.Seven cases (36.8%) had undulant fever. Brucella species was isolated from blood cultures in 11 patients and from epididymal aspiration in 3 patients. Rose Bengal tests were positive in all patients. Total recovery was obtained in 12 cases with a 6-week treatment. Five patients (26.3%) did not respond to therapy and another 2 (10.5%) relapsed.Brucella orchitis should be considered in the differential diagnosis of scrotal pathologies where Brucella is endemic.

Orchitis

Direct agglutination test

10.1159/000200791

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Distal Hypospadias Repair in Adults: The Results of 97 Cases

Urologia Internationalis (2006)

Cüneyt Adayener İlker Akyol

Introduction: We reviewed our 9-year experience on 97 men with distal hypospadias who had undergone hypospadias surgeries. Subjects and Methods: Patients were divided into two groups: group 1 included 17 men who had one or more unsuccessful surgeries in their childhood, and group 2 included 80 men with no previous hypospadias repairs. Meatal positions were glanular in 6, coronal in 35 and subcoronal in 56 patients. Our 97 hypospadias surgeries involved 42 meatal advancement and glanuloplasty, 41 Mathieu and 14 tubularized incised plate urethroplasty procedures. Results: The overall success rate was 88% (86 of the 97 patients). The success rate was 76.5% for group 1 (13 of the 17 patients) and 91.3% for group 2 (73 of the 80 patients). Better voiding function and good cosmetic appearance was achieved in all patients. Urinary flow rates were significantly higher in all groups postoperatively. The success rates were 91.4 and 85% for the patients with preoperative coronal and subcoronal meatal positions, respectively. The success rate was significantly lower in crippled cases and in cases with longer neourethra. Conclusion: Although the same techniques are used for children and adults in hypospadias surgery, the results in adults differ from those in children. The success rate for primary adult cases is quite acceptable, but it is decreased in patients having longer neourethra and having multiple previous interventions.

Meatal stenosis

10.1159/000091628

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Does Circumcision Cause Meatal Strictures?

Journal of Pediatric Urology (2009)

İlker Akyol Hasan Soydan Ferhat Ateş Kenan Karademir Temuçin Şenkul

Meatal stenosis

Meatus

10.1016/j.jpurol.2009.02.132

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