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The radical cystectomy is a by-choice management with the patients suffering from infiltrating urinary bladder carcinoma. The crossed kidney ectopy is a developmental anomaly. We are presenting a patient with the infiltrating bladder carcinoma and the coexistent kidney developmental anomaly in the form of the crossed ectopy of the right kidney. [ABSTRACT FROM AUTHOR]

Aim of the study: Horseshoe kidney is one of the most common genitourinary system anomalies. The frequency of its occurrence in the whole population is about 0.25%. In the available literature more than 200 cases of such tumor-defect coexistence have been described. Purpose of this study was to present the possibilities of using various methods of surgical treatment of tumors localized in the horseshoe kidney. Material and methods: In the years 2004-2007 five patients were diagnosed and treated for tumors in horseshoe kidneys. Ultrasonography, computed tomography, urography and nuclear magnetic resonance were applied in the diagnosis. During the treatment both open operations and modern methods of treating tumors with a diameter less than 40 mm (nephron sparing) were used. Results: Renal cell carcinoma (RCC) was confirmed in all the patients. Conclusions: Our observations confirm the fact that RCC is the most often diagnosed tumor in horseshoe kidneys. The prognostic factors are the same as in the case of tumors of the kidneys without any abnormalities. The diagnosis is based on applying the modern methods of imaging and in the treatment it is possible to apply the modern, non-invasive methods. [ABSTRACT FROM AUTHOR]

A case of effective and save treatment of stones in patient with solitary kidney using a minimally invasive surgical techniques was presented. Treatment consisted of complete removal of stagehorn calculi in solitary kidney using percutaneous nephrolithotrypsy ( PCNL). [ABSTRACT FROM AUTHOR]

Wstęp: Urazy męskich zewnętrznych narządów płciowych są rzadko przedstawiane w piśmiennictwie. Celem pracy byto przedstawienie materiału własnego z próbą wykorzystania skali AAST w ocenie cięż-kości urazów. Materiał i metody: Od stycznia 2004 roku do czerwca 2008 roku leczono 41 pacjentów z urazami zewnętrznych narządów płciowych. Urazy tępe stanowiły 90,2%, a penetrujące 9,8%. Wszyscy pacjenci zostali poddani leczeniu operacyjnemu. Uraz jąder stwierdzono u 48,7% pacjentów, z tego w stopniu III --u 50%, IV --u 35 % i V --u 15%. Uszkodzenie moszny powstałe w wyniku tępego urazu wykazano u 19,5%, a w wyniku urazu przenikającego u 4,9%. Tępe urazy prącia stwierdzano u 17%, przenikające u 4,9%, a mieszane u 4,8% pacjentów. Wyniki: Wszyscy pacjenci 2ostali zakwalifikowani do leczenia operacyjnego. Pacjentom z uszkodzeniami moszny powstałymi w wyniku mechanizmu tępego konieczna była ewakuacja krwiaka i drenaż, natomiast u 4,9% pacjentów z uszkodzeniami penetrującymi moszny niezbędna była jej rewizja i zeszycie skóry. Czternastu pacjentom z urazami jąder zeszyto uszkodzoną osłonkę białawą, natomiast u 6 chorych konieczne było usunięcie jądra. W grupie pacjentów z urazami prącia u 2 (4,9%) doszło do całkowitej gilotynowej amputacji narządu, natomiast 7 (17%) wymagało leczenia operacyjnego w różnym zakresie. Wnioski: W diagnostyce urazów zewnętrznych narządów płciowych męskich możliwe jest wykorzysta-nie skali AAST. Każdy, nawet najmniejszy uraz może prowadzić do niepłodności i być powodem zaburzeń wzwodu, mikcji i zdrowia psychicznego. W ocenie stopnia uszkodzenia oraz w monitorowaniu ewolucji zmian pourazowych niezwykle przydatną metodą jest ultrasonografia. [ABSTRACT FROM AUTHOR]

We describe a case of minimally invasive endoscopic technique used in the treatment of a large calculus in the intestinal neobladder. The patient had the intestinal bladder created by means of the Vesica Ileale Padovana (VIP) method because of an invasive urothelial carcinoma. The use of the pneumatic lithotripter, inserted through the urethra into the intestinal neobladder, enabled crushing of the calculus and safe evacuation of the resulting small fragments. The endoscopic technique described enabled avoidance of a technically difficult surgical treatment and allowed for rapid return of the patient to complete health. In our opinion this is the best method of treatment. [ABSTRACT FROM AUTHOR]

Analysing the data available in the literature, contemporary methods of treatment of nephrolithiasis are limited to the methods of minimally invasive percutaneous nephrolithotomy (PCNL) and ureterorenoscopic lithotripsy (URSL), not excluding their use in the presence of developmental abnormalities and kidney impairment only. Minimally invasive methods have become standard procedures. A complement to ineffective URSL and PCNL treatment is extracorporeal shock wave lithotripsy. This is confirmed by 30 years of observation in the only treatment of kidney calculi by Alken launched in 1981 and continued by Jones et al. Before the era of endoscopic procedures (PCNL and URSL) effectively removed the only deposits in the kidney in open operations. Minimally invasive treatments are recommended for patients with localized deposits in the pelvicalyceal system or solitary kidney ureter. They are recognized as safe and effective treatment in a solitary kidney in particular in patients who have already been operated on.

The disorders of the erectile dysfunction are well-known complication connected with the operating interventions of abdominal and pelvic surgery. Radical treatment of the malignancy, vascular operations and transurethral resection can lead to the rise of these disorders. The majority of these interventions is carried out at patients in the old age at which the disorders of the erection already existed about the various degree of intensification before treating operating how also the presence of the illnesses of the leaders to their rise or intensification after finishing the treatment (diabetes, arterial hypertension, arteriosclerosis). Patients in the young aged wait not only curing from the malignancy from second side, but also the behaviour of the quality of the life (QOL - quality of life), which the correct erection enabling is one of elements satisfying living together.

The ureter which runs behind the main lower vein is the evolutionary fault of the vascular system. It is the result of the disorder of the foetal vein canals developments. The clinical symptoms resulting from this fault are: the pains in the lumbar region, hematuria, the recurrent pyelonephritis, nephrolithiasis and the arterial hypertension. Ultrasonography, tomography and magnetic resonans imaging are used in the diagnosis. The best treatment is the operation leading to the restoration of the ureter anatomic position. Nowadays the laparoscopic minimal invasive methods are used more and more often. In this study we described 3 patients. Each of them underwent the operation to correct the ureter position. The result was the improvement of the clinical condition.

Thirty six patients with blunt kidney injury were qualified for the treatment based on the results of present diagnostic methods and AAST (American Association for the Surgery of Trauma) scale. In all of them ultrasonographic exam was performed. It was abnormal in 38.9% of patients. This abnormality was confirmed in intravenous urography in 36.1% patients; 86.1% of them were treated conservatively, while the rest (13.9%) was operated on. For the correct diagnosis and qualification for the treatment, contemporary standards containing a general condition and radiographic examination results were applied.

The study presents the patient who was diagnosed with a malformation of the right kidney located in the right hip cavity, and also hydronephrosis. The malformation was detected during the diagnosis of the massive haematuria which was caused by the blunt injury of the right hip cavity. The X-ray examination confirmed the presence of the damage of the right dystopic kidney, type I according to AAST. The conservative treatment was sufficient to improve the general condition of the patient. After the check-up examination there was no recommendation for surgical treatment of hydronephrosis.