Hinyokika kiyo. Acta urologica Japonica
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Review Case Reports
[Renal angiomyolipoma and renal cell carcinoma associated with tuberous sclerosis: a case report].
The relationship between tuberous sclerosis and renal angiomyolipoma of the kidney is widely recognized, but the association of bilateral renal angiomyolipoma with renal cell carcinoma in tuberous sclerosis is extremely rare. Our case seems to be the 5th case reported in Japan. We report here a case of bilateral angiomyolipoma and renal cell carcinoma of the right kidney with tuberous sclerosis.
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A total of 61 patients with lower urinary tract injuries were treated at Nara Medical University and its affiliated hospitals, between January 1985 and June 1995. There were 9 patients with bladder injuries and 52 patients with urethral injuries. The main cause of bladder injury was a traffic accident sustained in 4 patients (44.5%) and that of urethral injury was an occupational accident sustained in 27 cases (51.9%). ⋯ Postoperative complications of urethral injury included urethral stricture in 30 patients (57.7%), incontinence in 3 (5.8%) and impotence in 3 (5.8%). A significant relationship between the duration of cystostomy and the incidence of postoperative urethral stricture was observed in our patients. Therefore at least three weeks of cystostomy will be necessary in the management of patients with complicated urethral injuries.