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ABSTRACT
Year : 2016  |  Volume : 8  |  Issue : 5  |  Page : 78-80  

Penile Cancer and Others


Date of Web Publication18-Dec-2015

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How to cite this article:
. Penile Cancer and Others. Urol Ann 2016;8, Suppl S1:78-80

How to cite this URL:
. Penile Cancer and Others. Urol Ann [serial online] 2016 [cited 2020 Jan 25];8, Suppl S1:78-80. Available from: http://www.urologyannals.com/text.asp?2016/8/5/78/172187

Squamous cell carcinoma of the penis in Saudi Arabia

A. H. Kardar, M. Aslam, A. Percha, T. Merdad, S. Kattan, E. Lindstedt, H. Al Zahrani, K. Hanash


Department of Urology, King Faisal Specialist Hospital and Research Centre, Riyadh, Saudi Arabia

Objectives: Squamous cell carcinoma (SCC) of the penis is very rare in the Muslim societies due to the practice of childhood circumcision. We evaluated the presentation and treatment outcome of SCC of the penis after "Tuhama Circumcision".

Methods: Clinical presentation of SCC in this group of patients was evaluated. All these patients had undergone "Tuhama circumcision" at puberty. The treatment modalities, used in management of these patients and their long-term outcome were analyzed retrospectively.

Results: There were twenty-two patients, age range 31-48 years (mean 57.8). The mean duration between circumcision and development of tumour was 45 years (15-73). Ten patients presented with chronic non-healing ulcer on their penis, 3 had bleeding ulcer and penile mass was the presenting symptoms in 9 patients. The tumor was of grade I in 8 patient, grade II in 13 and in one case it was grade III.

Surgical excision was done in 16 patients (total penectomy in 6, partial penectomy in 7 and local excision in 3). At 6 months to 17 years (mean 8 years) follow 11 out of 13 patients are alive and disease free. Four out of six patients who refused surgical excision received radiotherapy, did poorly and died within 7 months.

Conclusion: SCC of the penis in post circumcision scar is a rare disease and surgical excision offers better long-term outcome than radiotherapy.

Presented at the: 12 th Saudi Urology Conference

Al Hada and Taif Armed Forces Hospital Program

23-25 February 1999

(7-9 Dhu Al Qa'dah 1419)

Incidental versus symptomatic adrenal tumor in 23 patients

K. Al Otaibi, T. Al Tartir


Surgical Services Division, Saudi Aramco, Dhahran Health Center, Dhahran, Saudi Arabia

Purpose: Adrenal tumors can present with different clinical pictures with a good chance of being asymptomatic. We reviewed our adrenalectomy cases done in Saudi Arabial.

Material and Methods: A retrospective study has been conducted on 23 patients underwent adrenalectomy over the last 15 years. The charts were reviewed and analyzed. We collected data regarding the presenting symptoms, physical exam, laboratory work-up and imaging techniques used.

Results: Incidental adrenal tumors were found in 7 patients (30.4%) out of the total number, 15 patients (65%) were found to have high blood pressure, 5 of them had pheochromocytoma, 1 had Cushing's syndrome and 8 patients had Conn's syndrome. 9 patients (39%) were found to have pheochromocytoma; 2 of them were asymptotic.

Conclusion: Adrenal tumors can present in many ways. It can present with no symptoms, vague abdominal pain, or hypertension. Pheochromocytoma can be asymptotic. We recommended careful investigation of any uncontrolled cases of hypertension.

Presented at the: 13 th Saudi Urological Conference

Riyadh Armed Forces Hospital

14-17 February 2000

(09-12 Dhu Al Qa'dah 1420)

Primary Kaposi's sarcoma of the penis in HIV negative patients

Farouk H. Osman, Abdelmoniem H. Koko, Mokhtar Alkhalem, Mohammed Al Bazie, Ahmed Abdalgabar, Reda Abu Hassan, Khalid Al Anunal


Department of Urology Armed Forces Hospital, King Abdulaziz Air Base, Dhahran, Saudi Arabia

Introduction: Kaposi sarcoma is a malignant multifocal disease originates from vascular endothelial cells. First described in 1872 by Moritz Kaposi. It affects immunocompromised patients especially HIV positive or those receiving immunosuppressive therapy. The disease is rare in HIV negative immunocompetent young population, and especially rare as an isolated penile lesion. We herein are presenting two cases of primary solitary penile Kaposi's sarcoma in HIV negative immunocompetent young patients.

Objectives: To report two extremely rare cases of primary solitary penile Kaposi's sarcoma in HIV negative young patients.

Methods: Retrospective review of two cases of primary solitary penile Kaposi's sarcoma in HIV negative young patients.

Conclusion: Isolated Kaposi's sarcoma of the penis can be encountered in very rare occasions in HIV negative young patients, and can give rise to a great clinical diagnostic challenge.

Presented at the: 18 th Saudi Urological Conference

King Abdulaziz University Hospital

20-23 February 2006

(21-24 Muharram 1427)

Malignant ureteral obstruction: DJ or PCN? impact of drainage on quality of life

B. Al-Matter, M. Gomha, A. Al-Dayel


Department of Urology, King Fahd Specialist Hospital, Dammam, Saudi Arabia

Aim of the Work: Drainage of obstructed kidneys due to advanced malignancies does not improve survival but may improve quality of life. We retrospectively reviewed patients with malignant ureteral obstruction who were treated in Urology Department in KFSHD to evaluate the methods of relief of obstruction and their impact on quality of life of these patients.

Patients and Methods: Between January 2006 and December 2007, we treat 12 patients with ureteral obstruction due to advanced malignancies. These were 7 males and 5 females with a mean age of 72 ± 13.7 y (range 40-89). The cause of obstruction was bladder carcinoma in 7 patients, cervical carcinoma in 2, prostatic carcinoma in 1, colon cancer in 1 and pelvic tumor (? Sarcoma) in 1. Kidney obstruction was unilateral in 4 and bilateral in 8. Renal pain was present in 9 patients and absent in 3. Creatinine was high in 8 patients (>120 micro mol/L) and normal in 4. Kidney obstruction was relieved by double J (DJ) and/or percutaneous nephrostomy (PCN). Impact of drainage on quality of life was assessed by telephone interview using a global question directed to both patient and a family member (Is patient better, same or worse?). For patients drained by DJ, they were asked about local irritative symptoms (frequency, hematuria, dysuria) and loin pain, while patients with PCN were asked about local pain, sleep disturbance due to the tube, social disturbance due to carrying a bag and the frequent disconnection of the tube.

Results: Kidney obstruction was relieved by DJ in 5 patients (3 bilateral and 2 unilateral), PCN in 5 (2 bilateral and 3 unilateral) and DJ on one side and PCN in the other side in 2. Renal function improved after drainage in 9 patients and remained stable in 3. At last follow up, 6 patients were dead and 6 were alive with improved or stable renal function (2 with PCN and 4 with DJ). All survived patients (5 with bladder cancer and one with cervical cancer), feel generally better. One of the 2 patients with PCN had frequent disconnection of the tube and limitation of his social activities while the other patient only complained of some local pain. In patients with DJ (one with cervical cancer and 3 with bladder cancer), the lower urinary tract symptoms are tolerable and not increased while loin pain improved although still with little bothersome.

Conclusion: Although not improving survival, relief of kidney obstruction due to advanced malignancies by either DJ or PCN is feasible and generally improved patients' quality of life.

Presented at the: 20 th Saudi Urological Conference



King Fahad Hospital of the University - Tabuk

18-20 March 2008

Urinary tract involvement in non-urologic malignancies

A. Al-Abbad, M. Gomha, B. Al-Matter, A. Al-Dayel


Department of Urology, King Fahd Specialist Hospital, Dammam, Saudi Arabia

Aim of the Work: The association of non-urologic malignancies and urinary tract involvement is not common. We reviewed patients with non-urologic malignancies who presented or have been referred to Urology Department for management of urinary tract involvement.

Patients and Methods: Between January 2006 and December 2007, 10 patients presented with concomitant non-urologic malignancies and urinary tract involvement. These were 6 males and 4 females with age range 40-85 y. The type of non-urologic malignancy was colon cancer in 5 patients, cervical carcinoma in 2, mucinous carcinoma of appendix in 1, small intestinal adenocarcinoma in 1 and pelvic tumor (?Sarcoma in 1). Medical records of these patients were reviewed as regards to mode of presentation, pattern of urinary tract involvement, management and outcome.

Results: Five patients presented with ureteral obstruction (2 cervical carcinomas, 1 colon cancer, 1 mucinous carcinoma of the appendix, 1 pelvic tumor), 4 of them were drained by DJ or PCN. Urinary bladder was directly involved by sigmoid cancer in one patient who was managed by hemicolectomy and total cystectomy; while another advanced colon cancer presented by a metastatic mass in suprapubic region. One patient with colon cancer has associated localized renal tumor and was managed by hemicolectomy and radical nephrectomy; while another one has associated locally advanced prostatic carcinoma and managed by hemicolectomy and bilateral orchiectomy. The patient with small intestinal adenocarcinoma presented with a metastatic mass infiltrating the prostate. Chemotherapy and/or radiotherapy were given when appropriate. At last follow up 3 patients were dead and 7 were alive.

Conclusion: Urinary tract can have separate primary tumors associated with non-urologic malignancies or directly involved by these non-urologic tumors. Treatment of these patients should be individualized.

Presented at the: 20 th Saudi Urological Conference

King Fahad Hospital of the University - Tabuk

18-20 March 2008




 

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