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    Factors Influencing the Duration of Urine Leakage following Percutaneous Nephrolithotomy
    (Hindawi Ltd, 2014) Uyeturk, Ugur; Gucuk, Adnan; Kemahli, Eray; Dagistan, Emine; Yildiz, Mevlut; Yilmaz, Burak; Metin, Ahmet
    Purpose. The duration of urine leakage following the removal of the nephrostomy tube after percutaneous nephrolithotomy (PCNL) shows significant variations depending on the techniques used. We aimed to assess the factors likely to influence the duration of urine leakage. Material and Methods. In total, 103 patients who underwent PCNL were reviewed retrospectively. DUL was evaluated regarding patient characteristics, thickness of the access line, presence of hydronephrosis, and residual stones. Results. DUL was significantly prolonged in accordance with a decrease in the thickness of parenchyma tissue (R = -0.716, P < 0.001). DUL was prolonged as the degree of hydronephrosis (R = 0.526, P < 0.001) and the number of patients with residual stones (R = 0.273, P = 0.005) increased. Median DUL was significantly longer in patients with residual stones than those without residual stones (P = 0.002). In the receiving operating curve analysis, the optimum cut-off value of parenchymal thickness for hospitalization <= 12 h was 17.2mm (sensitivity, 90.2%; specificity, 69.4%; P = 0.001). Conclusions. We found that parenchymal thickness of the access line, hydronephrosis, and residual stones were the most influential factors determining DUL following PCNL, respectively.
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    Penile lymphangioma circumscriptum in advanced age: a rare case
    (Aves, 2011) Akkoc, Ali; Metin, Ahmet; Yanik, Serdar; Yildiz, Mevlut; Kandirali, Engin; Eroglu, Muzaffer
    Lymphangioma circumscriptum is a lymphatic malformation that is observed at early ages. It affects mostly the skin and subcutaneous tissues, but may affect all of the body organs and extend to the muscles. A 67-year-old male was referred to our department complaining of vesicular and erythematous lesions on the glans penis and an edematous skin lesion on the penile shaft that had recurred over the last 6 months. The patient had no history of allergy, trauma, drug use, or insect bites. An excisional biopsy taken from the penile skin was diagnosed as lymphangioma circumscriptum. The patient refused surgical excision or other treatment options for the penile lesion. Lymphangioma circumscriptum is predominantly observed at early ages, but it may arise at advanced ages and be confused with other penile lesions. Here, we report a case of penile lymphangioma circumscriptum that was observed at an advanced age to alert physicians to this rare condition and to prevent unnecessary therapy.