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Kidney transplantation from deceased donors is in its infancy in India. Cadaver organ donation was accepted legally in 1994 by the “Human Organs Transplantation Act.” Marginal donors are now accepted by many centers for kidney transplantation. We report a case of procurement of both kidneys from a young deceased donor having recurrent primary brain tumor, transplanted into two adult recipients with successful outcome. [ABSTRACT FROM AUTHOR]

Although transitional cell carcinoma (TCC) is most common histological subtype, calcification in TCC is rarely seen. We report a 64-year-old gentleman who on evaluation found to have calcification in TCC of urinary bladder and its implication on calcium metabolism and management. [ABSTRACT FROM AUTHOR]

Seizures can lead to different types of injuries which can be as simple as minor lacerations and at times as serious as fractures and head injuries. We are reporting a case wherein a female patient presented with a history of abdominal pain and not passing urine for 24h following an attack of seizure. After catheterization the urine drained was blood-stained. On clinical suspicion a cystogram was done which showed intraperitoneal rupture of the bladder. At laparotomy an isolated rent in the dome of the bladder was found which was repaired in three layers. Postoperative period was uneventful. To our knowledge this is the second case of its kind reported in the literature. Our case illustrates that a thorough abdominal examination is desirable while examining a patient following an episode of generalized seizure. [ABSTRACT FROM AUTHOR]

Introduction: Management of PFUDD with bladder neck incompetence is technically demanding and requires a considerable expertise and experience. We managed such a case with anstomotic urethroplasty and rectus fascial sling. Methods: A 35 years male met a road traffic accident and had urethral injury along with pelvic fracture. SPC diversion was done. After 3 months of diversion a core through VIU was done. Voiding trial was given after one month, which failed. Patient was referred to us. Physical examination was within normal limits. Filling cystogram showed a normal outline of bladder with opened bladder neck and complete obliteration at prostatomembranous junction. RGU showed normal anterior urethra with complete obliteration at the level of bulbomembranous junction. Antegrade scopy revealed an open bladder neck. We used abdominoperineal route to manage this case. Anastomotic urethroplasty was done. A rectus fascial sling was placed at the level of the bladder neck. MCU done after 3 weeks showed acceptable result. Patient is voiding well without any incontinence. Results: Incontinence in PFUDD can be due to encasement of the bladder neck in a fibrotic scar, injury to the bladder neck or neurological injury. Management of such a case is quite challenging. Literature supports to manage such conditions in two stages. We performed both the procedures in the same sitting as the findings were quite unequivocal. Conclusions: Simultaneous management of the PFUDD with open bladder neck is feasible in single sitting with anastomotic urethroplasty and rectus fascial sling in experienced hands. [ABSTRACT FROM AUTHOR]

Objective: Retroperitoneoscopy, by avoiding peritoneal breach and injury to intra-abdominal organs, provides a more direct and rapid access to the kidney and the renal hilum. Laparoscopic partial nephrectomy by retroperitoneal route (LPNR) is less commonly performed than transperitoneal route for early stage renal cancer. The objective of this study is to carry out the outcomes of partial nephrectomy using retroperitoneal approach., Materials and Methods: Patients, who underwent LPNR from period 2008 to 2014, were retrospectively analyzed. Outcomes of interest included demographic data, preoperative data, perioperative variables, surgical complications, recurrence of disease, and mortality, if any, during their follow-up., Results: Among 24 patients, 16 were male, and 8 were female. Mean age and mean body mass index, respectively, were 49.16 years (range: 25-75) and 25.35 kg/m 2 (17.84-34.25). Among renal masses, the right-sided to left-sided distribution was 13:11. The proportions of low-risk and intermediate-risk nephrometry score (NS) cases were 13 (54.17%) and 11 (45.83%), respectively, as assessed by renal NS. Mean operative duration, mean warm ischemia time, mean estimated blood loss, and mean hospital stay, respectively, were 132.5 min (90-170), 21.83 min (15-44), 106 ml (25-300) ml, and 5.25 days. During the postoperative period, complications encountered were lung atelectasis in one, bleeding in two, and urinary leakage in one. Histopathology revealed malignancy in 23 patients and leiomyoma in the remaining one. All patients but two experienced a disease free survival during a median follow- up period of 33 months., Conclusion: Overall outcomes for LPNR is comparable to the outcomes for open and transperitoneal laparoscopic partial nephrectomy mentioned in the literature and is equally safe for the right-sided and left-sided lesions., Competing Interests: There are no conflicts of interest.