The early experience described in this study suggests that LESS-SN is a safe and effective alternative to CTL-SN that provides surgeons with a minimally invasive surgical option and the ability to hide the surgical incision within the umbilicus; however, a larger series is necessary to confirm these findings and to determine if there are any benefits in pain, recovery, or cosmesis.

We report three cases of stone formation at the prostatic urethra after 80 W potassium-titanyl-phosphate laser ablation of the prostate for benign prostatic hyperplasia. These complications occurred several months after the procedure. The diagnosis was made by ultrasonography, plain radiography of the kidneys, ureters, and bladder, and cystoscopy in patients who were being evaluated after presenting with irritative voiding symptoms. The patients were treated by cystolithotripsy and resection of the calcified prostatic tissue.

No abstract

ÖzetAmaç: Laparo-endoskopik tek taraflı cerrahi (Laparoendoscopic single-site surgery, LESS) multipl insizyonlarla ilişkili potansiyel morbiditeyi azaltırken minimal invazif cerrahinin kozmetik faydalarını daha da iyileştirmeye çalışan yakın zamanda gelişmiş bir cerrahidir. Bu çalışmanın amacı ilk LESS-basit nefrektomi (LESS-simple nephrectomy, LESS-SN) deneyimi sonuçlarımızı bildirmek ve potansiyel faydalarını tanımlamaktır. Gereç ve yöntem: Aralık 2008 ile Aralık 2009 tarihleri arasında, basit nefrektomi gereken 15 hastaya bu konuda deneyimli aynı cerrah LESS-SN uygulandı. Hasta karakteristikleri, operasyon detayları ve hastaların normal aktivitelerine dönüş zamanları kayıt edildi. Bulgular: Ortalama operasyon süresi 119.6±15 (dağılım 100-150) dk, kan kaybı 52±18 (dağılım 20-80) mL ve hastanede kalış süresi 2.06±0.2 (dağılım 2-3) gün idi. Normal aktiviteye dönüş zamanı 10.86±1.84 (dağılım 9-15) gün idi. Belirgin intraoperatif veya postoperatif komplikasyon oluşmadı. Sonuç: Başlıca avantajları daha iyi kozmetik sonuç ve minimal postoperatif ağrı olan LESS-SN, benign böbrek hastalıklarının tedavisinde rutin olarak kullanılabilecek ve conventional transperitoneal laparoscopic-simple nephrectomy'nin yerini alabilecek etkin ve güvenli bir cerrahi işlem olabilir.Anah tar söz cük ler: Laparo-endoskopik tek taraflı cerrahi; laparoskopi; nefrektomi; tek port. AbstractObjective: Laparo-endoscopic single-site surgery (LESS), an attempt to further enhance the cosmetic benefits of minimally invasive surgery while minimizing the potential morbidity associated with multiple incisions, has been recently developed. The aim of this study was to report the results of our initial LESS-simple nephrectomy (LESS-SN) experience and to define potential benefits. Materials and methods: Between December 2008 andDecember 2009, LESS-SN were performed in 15 patients requiring simple nephrectomy by a single experienced surgeon. Patient characteristics, operative details and time to return to work were recorded. Results:The mean operative time was 119.6±15 (range 100-150) min, blood loss was 52±18 (range 20-80) mL, and hospitalization time was 2.06±0.2 (range 2-3) day. The mean time to return to normal activities was 10.86±1.84 (range 9-15) days. No significant intraoperative or postoperative complications occured. Conclusion:The main advantages of LESS-SN are better cosmetic results and minimal postoperative pain. LESS-SN may take the place of conventional transperitoneal laparoscopic-simple nephrectomy and may be considered a routine, safe, and effective surgical procedure in simple nephrectomy for benign renal diseases.

Abdominoscrotal hydrocele is a rare entity with unclear etiology which may be diagnosed with general examination and ultrasound imaging. During examination it may misinterpreted as acute urinary retention of the bladder (globe-like) especially if associated with hydronephrosis. It should be treated surgically. Here we present a case of left abdominoscrotal hydrocele with accompanying left grade 2 and right grade 1 hydronephrosis.