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Introduction: Acute urinary retention (AUR) is an important public health issue in older male population with benign prostatic hyperplasia (BPH). Various risk factors are associated with increased incidence of AUR among patients with BPH being managed conservatively. Method: A retrospective analysis was performed AUR with BPH among patients in Shree Birendra Hospital (SBH), Chhauni, Kathmandu, Nepal for a period of one year. Study variables included patient age, serum prostate specific antigen (PSA), prostate volume, history of AUR, smoking, diabetes mellitus, hypertension, cardiovascular disease, and other comorbid diseases. The SPSS was used for data analysis, X2 test to find out the association and a p4.5 ng/mL (p0.05). Conclusion: Our study showed that increasing age, high prostate volume, high serum PSA, diabetes and smoking had increased incidence of AUR among patients with BPH.

A 20 year old female was diagnosed, clinically, radiologically and by FNAC as a case of benign renal mass. She was observed for 5 months and on reevaluation by contract enhanced CT scan of abdomen revealed, contrast enhancing well demarcated mass with stable size. She was then planned for enucleation and frozen section biopsy. Per operatively, mass were easily enucleated but frozen section shows malignancy hence nephrectomy was done. Histopathological report showed; renal cell carcinoma, clear cell type and TNM staging; T1b Nx M0. Hence in this paper, we have reviewed the article regarding RCC in young age and a diagnostic dilemma of RCC in young age. Bangladesh Journal of Urology, Vol. 21, No. 1, January 2018 p.43-47