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Original Research

Comparison of effectiveness and safety of TVT and TOT procedures in the treatment of female stress urinary incontinence


1 Bezm-i Alem Vakıf Gureba Eğitim ve Araştırma Hastanesi, Üroloji Bölümü, İstanbul, Türkiye

2 Haseki Eğitim ve Araştırma Hastanesi, Üroloji Bölümü, İstanbul, Türkiye

3 İstanbul Tıp Fakültesi, Kadın Doğum Anabilim Dalı, İstanbul, Türkiye


DOI :
New J Urol. 2014; 9 (3): 64-71
Abstract

Abstract

Renal arteriovenous fistulas are uncom-mon lesions. Malignancies are one of the un-derlying cause of arteriovenous fistulas. The cli-nical manifestation of these lesions vary widely, from asymptomatic presentation to hypertensi-on. Herein we present the case of a 48-year-old man who was presented with heart failure and continuous murmur over the left costoverteb-ral angle. Contrast enhanced computerized to-mography showed enlarged left renal vein and arteriovenous fistula on the left kidney. Selecti-ve renal angiography confirmed the presence of extremely dilated left renal vein with high-flow arteriovenous fistula. We performed nephrec-tomy because of the large size and high-output of the fistula.The pathology revealed renal cell carcinoma. In the first month follow-up his symptoms were regressed.

Key Words: Heart failure; renal arteriove-nous fistula; renal cell carcinoma; nephrectomy.

Abstract

Renal arteriovenous fistulas are uncom-mon lesions. Malignancies are one of the un-derlying cause of arteriovenous fistulas. The cli-nical manifestation of these lesions vary widely, from asymptomatic presentation to hypertensi-on. Herein we present the case of a 48-year-old man who was presented with heart failure and continuous murmur over the left costoverteb-ral angle. Contrast enhanced computerized to-mography showed enlarged left renal vein and arteriovenous fistula on the left kidney. Selecti-ve renal angiography confirmed the presence of extremely dilated left renal vein with high-flow arteriovenous fistula. We performed nephrec-tomy because of the large size and high-output of the fistula.The pathology revealed renal cell carcinoma. In the first month follow-up his symptoms were regressed.

Key Words: Heart failure; renal arteriove-nous fistula; renal cell carcinoma; nephrectomy.

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