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Introduction: We analyze our recent results and discuss the advantages and disadvantages of bilateral single-session ureterorenoscopy (URS) for bilateral ureteral stones. Patients and Methods: 55 patients underwent URS with pneumatic lithotripsy (PL) for bilateral stones. 61 (55.5%), 28 (25.4%) and 21 (19.1%) stones were located in the lower, middle and upper ureter, respectively. Results: Of the 110 stones, 99 (90.0%) were fragmented in a single procedure. The stone clearance rate was 94.5% after the second session. The stone clearance rates with regard to stone location were 71.4, 89.3 and 96.7% for the upper, middle and lower ureter, respectively. An analysis of the clearance rates based on location demonstrated that lower ureteric stones were more successfully removed than upper ureteric stones (96.7 vs.71.4%, p = 0.003). Conclusion: Bilateral single-session URS with PL is a highly effective treatment modality for bilateral ureteral stones. The success rate of PL is affected by stone size and location.

Aim: To evaluate outcomes of laparoscopic adrenalectomy (LA) and laparoendoscopic single-site surgery (LESS) for adrenal masses in the light of changing laparoscopic surgical techniques. Materials and Methods: Seventy-three patients were analyzed retrospectively. There were 2 groups; group 1 included patients who had conventional transperitoneal LA and transperitoneal LESS, and group 2 included patients who had lateral retroperitoneal LA, retroperitoneal LA in prone position, and retroperitoneal LESS. Demographic data, urine 3-methoxy-4-hydroxymandelic acid, normetanephrine, epinephrine, serum cortisol, aldosterone, adrenocorticotropic hormone, American Society of Anesthesiologists score, side and size of mass, conversion to open surgery, complications, estimated blood loss, operation time, pathological results were recorded and analyzed. Results: There was no difference in demographic data and serum parameters between both groups. Tumor size, estimated blood loss, operation time, transfusion rate and hospital stay were less for group 2 (p < 0.05, p = 0.0001). However, the complication rate was similar in both groups; in retroperitoneal prone position, the complication rate was less than for other surgical approaches, but statistically significant results could not be assessed. Conclusions: Even if the diameter of adrenal mass is larger than 6 cm, LA may be considered as the gold standard. The retroperitoneal approach especially in prone position may be a promising treatment method in the near future for adrenalectomy in selected patients.

Cite as: Can Urol Assoc J 2014;8(1-2):e51-3. http://dx.doi.org/10.5489/cuaj.1226 Published online January 14, 2014. AbstractConcomitant urethral injury is rare in penile fracture. We report the case of a 34-year-old male who presented to the emergency department 12 hours after a blunt self-injury of the penis. Physical examination revealed a swollen, ecchymotic, and deviated circumcised penis without blood at the meatus. The fracture line extending along the bilateral corpora without urethral involvement was seen intraoperatively. The fracture side was repaired primarily. The patient healed and recovered without complication. To our knowledge, this is the second reported case of bilateral corporeal rupture without urethral involvement.

Amaç: Üreter taşı olan hastalarda böbrek shear wave elastografi (SWE) incelemenin tanısal etkinliğinin değerlendirilmesi. Metot: 30 hastanın her iki böbreği prospektif olarak SWE ile incelendi. Üreter taşı boyutu ve hidronefroz derecesi ultrasonografi incelemesi ile değerlendirildi. Karşı taraf normal böbrek kontrol grubu olarak değerlendirildi. Üreter taşı boyutu, hidronefrozun derecesi ve böbrek shear wave hızındaki değişiklikler not edildi ve aralarındaki ilişkiler istatiksel anlamlılık açısından incelendi. Bulgular: Üreter taşından etkilenen böbrek SWE değerlerinde normal böbrek ile karşılaştırıldığında anlamlı artış mevcuttur (3.87+-1.22 vs 2.06+-0.72 m/sec) (p=0.01). Cinsiyet ile üreter taşı boyutu arasında ve SWE değerleri arasında korelasyon yoktur. Hidronefroz derecesi ile ureter taşı boyutu arasında pozitif korelasyon saptandı (p=0.047, r=0,36). İkinci derece ve üstünde hidronefroz saptanan böbreklerde SWE değerleri grade 1 olanlara göre daha fazladır. Sonuç: Üreter taşına bağlı hidronefrozu olan hastalarda böbrek parankim elastisitesindeki değişiklikleri değerlerndirmede SWE gelecek vadeden bir yöntemdir. Gelecek çalışmalar sonuçlarımızı netleştirecektir.