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Sacrocolpopexy, a surgical technique with a low morbidity rate, is a valid procedure for repairing vaginal vault prolapse. To our knowledge, only 1 case of rectum erosion after open sacrocolpopexy has been reported in the literature, and there is no record of any such incident after laparoscopic sacrocolpopexy. We report the first case of mesh erosion involving the rectum instead of the vagina assessed 8 years after laparoscopic sacrocolpopexy. © 2013 S. Karger AG, Basel [ABSTRACT FROM AUTHOR]

Midurethral tape placement is the gold standard procedure for stress urinary incontinence (SUI). Among reported complications, tape erosion is uncommon. Several risk factors have been postulated as causes of vaginal erosion, but none have been demonstrated. Cases of vaginal erosion caused by tape infections have been described, but none has been associated with human papillomavirus (HPV) infection. We report the first case of vaginal exposure in a woman who underwent a midurethral sling procedure for SUI after HPV colonization. © 2013 S. Karger AG, Basel [ABSTRACT FROM AUTHOR]

Purpose: To evaluate the outcomes of pre-stented (PS) versus non-pre-stented (NPS) patients who have undergone retrograde intrarenal surgery (RIRS) for renal calculi with subgroup analysis of Asian and non-Asian cohorts. Methods: Protocol is registered in PROSPERO, CRD42021261123. Eligible studies identified from four electronic databases. Meta-analysis was done to enumerate the outcomes of RIRS in between PS and NPS. Secondary sub-analysis was done to look for differences in outcomes in Asian and non-Asian cohorts. Results: Fourteen studies involving 3831 patients (4 prospective, 10 retrospective studies) were included. PS patients experienced higher success rates of ureteral access sheath (UAS) insertion than NPS (RR 1.09, 95% CI 1.05–1.13, p < 0.00001). PS patients had lower risk of ureteral injuries from UAS placement (RR 0.69, 95% CI 0.50–0.96, p = 0.03). No significant differences in intra- and postoperative complications between two groups were found. Stone-free rate (SFR) outcomes for residual fragment (RF) cut-off of < 1 mm and < 4 mm favoured the PS patients (RR 1.10, 95% CI 1.04–1.17, p = 0.002 for < 4 mm, RR1.10, 95% CI 1.02–1.19, p = 0.02 for < 1 mm). In the subgroup analysis, PS Asian patients had similar SFR as NPS patients for SFR(< 4 mm) but non-Asian population showed better outcomes in the PS patients for SFR(< 4 mm) (RR 1.31, 95% CI 1.13–1.52, p = 0.0005). Conclusions: This meta-analysis suggests that pre-stenting results in a higher success for UAS placement, minimising intraoperative ureteric injury, with higher overall SFR for any RF cut-off in PS cohorts. In non-Asian cohort, significant differences occurred at SFR < 4 mm but not for SFR < 1 mm. No difference was seen in our Asian cohort for any SFR cut-off in both PS and NPS patients. [ABSTRACT FROM AUTHOR]

Fournier's gangrene, described for the first time by Alfred Jean Fournier in 1883, is a very uncommon disease. It is characterized by an acute process of cellulites and necrotizing fasciitis of the external genitalia, perineum and abdominal wall; its mortality rate is about 30-50%. We retrospectively reviewed 10 patients affected by Fournier's gangrene admitted to our Department of Urology from 1997 to 2006. At a mean follow-up of 37 months (range 0-108) 7 patients are alive and disease free, 1 patient is alive bearing the signs of the gangrene, and 2 patients died because of the disease complications. We have noted that patients' survival depends on early intervention and extremely aggressive approach: The combination of these factors with antibiotic therapy and supportive care have made this disease treatable and curable. [ABSTRACT FROM AUTHOR]

The aim of our study is to describe 10 cases of association between Renal Cell Carcinoma and female Breast Cancer, and to investigate the possible causes of this association according to the evidences found in Literature. This because a certain number of female patients we operated on for Renal Cell Carcinoma showed in their clinical history also a Primary Breast Cancer. There are many reports about the association between Renal Cell Carcinoma and other primary malignancies. The histologic type of Renal Cell Carcinoma usually associated to a second primary cancer is the papillary one. According to our experience, among 665 women affected with Breast Cancer, 10 of them suffered also from Renal Cell Carcinoma, whereas it was much more rare the association between female Breast Cancer and other primary malignancies. In 6 of these 10 cases the Renal Cell Carcinoma had a papillary histologic type, and in these 6 patients we found the most aggressive cases of Breast Cancers. The ethiologic factors that can usually cause either Renal Cell Carcinoma or primary female Breast Cancer were absent in clinical history. We concluded that during the follow up of female patients affected with Renal Cell Carcinoma, especially if it has a papillary histologic type, it is necessary to look for the presence of other malignancies, most of all Breast Cancer. Further investigations will be needed to clear up the reason of this association. [ABSTRACT FROM AUTHOR]

The authors report a rare case of high flow priapism due to a bilateral arteriosinusoidal fistula conservatively treated. Twenty months after the treatment the patient claimed to have a normal sexual activity. [ABSTRACT FROM AUTHOR]