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To prospectively evaluate the effectiveness of adenotonsillectomy on resolving urinary storage symptoms such as frequency, urgency, and urgency urinary incontinence (UUI) in indicated sleep disordered breathing (SDB) patients.We prospectively analyzed changes in storage symptoms and SDB score before and after surgery in 102 children (74 males, 28 females, mean age 8.4 ± 2.8 years) who underwent adenotonsillectomy between July 2011 and Feb 2012. Before and 3 months after surgery, all children and their parents were requested to answer a self-reported SDB scale-questionnaire (22 questions, 0-22 points) and a urinary storage symptoms questionnaire.The prevalence of urgency in the overall patients was 31.2%. After adenotonsillectomy, prevalence of frequency and, urgency in addition to SDB score were significantly decreased (p ≦ 0.001). The prevalence of UUI was also significantly lower (11.6%-7.4%, p 0.001). Patients with urgency had a significantly higher SDB score than those without (11.4 ± 4.3 vs. 7.8 ± 4.0, p 0.001). After treatment, there was no difference between these two groups.Adenotonsillectomy markedly improved both SDB score and decreased the prevalence of voiding symptoms (frequency, urgency, and UUI). There was a strong correlation between preoperative SDB score and severity of urgency in children with SDB.

Kidney disease is a worldwide public health problem. Renal failure follows several disease stages including acute and chronic kidney symptoms. Acute kidney injury (AKI) may lead to chronic kidney disease (CKD), which can progress to end-stage renal disease (ESRD) with a mortality rate. Current treatment options are limited to dialysis and kidney transplantation; however, problems such as donor organ shortage, graft failure and numerous complications remain a concern. To address this issue, cell-based approaches using tissue engineering (TE) and regenerative medicine (RM) may provide attractive approaches to replace the damaged kidney cells with functional renal specific cells, leading to restoration of normal kidney functions. While development of renal tissue engineering is in a steady state due to the complex composition and highly regulated functionality of the kidney, cell therapy using stem cells and primary kidney cells has demonstrated promising therapeutic outcomes in terms of restoration of renal functions in AKI and CKD. In this review, basic components needed for successful renal kidney engineering are discussed, and recent TE and RM approaches to treatment of specific kidney diseases will be presented.

Objective To evaluate whether periprostatic implantation (PPI) of human bone marrow-derived mesenchymal stem cells (hBMSCs) potentiates recovery of erectile function after intracavernosal injection (ICI) of hBMSCs in a rat model of cavernous nerve (CN) injury. Methods Sprague-Dawley rats that had undergone bilateral CN injury were treated by ICI with or without PPI of hBMSCs (10 rats per group). hBMSCs were harvested from healthy human donors. Fibrin scaffolds were used for PPI of hBMSCs. After 4 weeks, erectile responses to electric pelvic ganglion stimulation were studied. The expression of neuronal nitric oxide synthase (nNOS)-positive nerve fibers and smooth muscle/collagen ratio was evaluated in each penis. Results ICI of hBMSCs slightly improved erectile function compared with the control group (maximal intracavernosal pressure/mean arterial pressure, 39.1% vs 21.7%; P = .060), but a combination of PPI and ICI significantly improved erectile function (45.0%, P = .007). After stem cell therapy, the number of nNOS-positive nerve fibers increased significantly in the PPI + ICI group ( P = .017). The smooth muscle/collagen ratio increased significantly after stem cell therapy in the ICI and PPI + ICI groups (both P Conclusion ICI of hBMSCs in a rat model of CN injury results in recovery of penile erection by decreasing corporeal smooth muscle deterioration and collagen deposition. PPI of hBMSCs potentiates recovery of erectile function by ICI of hBMSCs via regeneration of nNOS-containing nerve fibers.

Identification of macroscopic fat within an adrenal mass is usually diagnosed as benign myelolipoma, thereby avoiding unnecessary radical surgery. However, macroscopic fat-containing adrenocortical carcinomas have occasionally been reported. We report a case of macroscopic fat-containing adrenocortical carcinoma. The lesion was depicted on CT and MR as macroscopic fat-containing a large mass with patchy peripheral heterogeneous enhancement. Therefore, adrenocortical carcinoma should be included as one of the rare causes of macroscopic fat-containing an adrenal mass.

from loss and subsequent restoration of blood flow, which is detrimental to shortand long-term graft function and survival. Treatment of donor organs with small molecules such as hydrogen sulfide (H2S) is a novel method of modulating prolonged IRI during transplantation. We postulated that H2S treatment during prolonged cold storage could mitigate IRI-induced renal allograft injury following allogeneic renal transplantation (RTx). METHODS: Following bilateral native nephrectomy, recipient Lewis rats underwent RTx with kidneys obtained from Brown Norway donor rats that were flushed with either University of Wisconsin preservation solution (UWgroup; n1⁄48) or UW+150 mMNaHS (H2Sgroup; n1⁄45) and stored for 24 hours at 4 C in the same solution. Sham surgeries (midline incision only; n1⁄45) were also performed and animals were monitored for 14 days to assess allograft function and survival. An additional subset of donor kidneys in each treatment group (n1⁄48 per group) were perfused with 5 mM Ethidium Homodimer-1 (EthD-1) immediately following cold storage and analyzed via fluorescent microscopy for in situ characterization of tissue necrosis. ATP levels were also measured to assess the metabolic state of donor kidneys following cold storage. RESULTS: H2S treated animals exhibited significantly improved (p