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Experience of a tertiary-level urology center in the clinical urological events of rare and very rare incidence. III. Psychourological events: 2. Phobia of renal failure due to loin pain

Research Abstract
Background End-stage renal disease and loin pain are prevalent nephrourological topics with unfavorable reputations among populations. We aimed to present our center’s experience with the cases of phobia of renal failure in relation to loin pain. Methods It is a retrospective study of phobia of renal failure among the patients who presented with loin pain to our center between July 1991 and June 2017. Description of perception of renal failure risk was guided by the modified Common Sense Model of Illness Representation. Results Of more than 64, 000 patients who presented with loin pain, only 78 patients (0.12%) had phobia of renal failure. Mean age ± SD (Range) was 41.12 ± 9.58 (23–60) years. Sixty-four patients (82.1%) expressed directly fear of renal failure. Physical examination and investigations revealed no risks of renal failure in all patients. High percentages of phobia of renal failure were associated with the female gender (73.1%), the presence of a relative patient with renal failure (83.3%), and low socioeconomic levels: education (89.7%), residential (75.6%), and economic status (88.5%) levels. The modified Common Sense Model of Illness Representation revealed predominant emotional representations and unreal cognitive domains with altered perception of renal failure risk. Conclusions Phobia of renal failure is very rare. It is a consequence of the altered perception of risk of renal failure due to unconscious attribution of loin pain to renal failure. Female gender, the presence of a relative with renal failure, and low socioeconomic levels could be suggested as risk factors for phobia of renal failure.
Research Authors
Rabea Ahmed Gadelkareem, Nashwa Mostafa Azoz, Ahmed Reda, Ahmed Abdelhamid Shahat, Mohamed Farouk Abdelhafez, Amr Abou Faddan, Mahmoud Farouk, Mohamed Fawzy, Mahmoud Mohammed Osman, Mohammed Abdallah Elgammal
Research Department
Research Journal
African Journal of Urology
Research Pages
NULL
Research Publisher
SpringerOpen
Research Rank
1
Research Vol
Vol. (26), No. (35)
Research Website
https://doi.org/10.1186/s12301-020-00043-8
Research Year
2020

Experience of a tertiary-level urology center in the clinical urological events of rare and very rare incidence. III. Psychourological events: 2. Phobia of renal failure due to loin pain

Research Abstract
Background End-stage renal disease and loin pain are prevalent nephrourological topics with unfavorable reputations among populations. We aimed to present our center’s experience with the cases of phobia of renal failure in relation to loin pain. Methods It is a retrospective study of phobia of renal failure among the patients who presented with loin pain to our center between July 1991 and June 2017. Description of perception of renal failure risk was guided by the modified Common Sense Model of Illness Representation. Results Of more than 64, 000 patients who presented with loin pain, only 78 patients (0.12%) had phobia of renal failure. Mean age ± SD (Range) was 41.12 ± 9.58 (23–60) years. Sixty-four patients (82.1%) expressed directly fear of renal failure. Physical examination and investigations revealed no risks of renal failure in all patients. High percentages of phobia of renal failure were associated with the female gender (73.1%), the presence of a relative patient with renal failure (83.3%), and low socioeconomic levels: education (89.7%), residential (75.6%), and economic status (88.5%) levels. The modified Common Sense Model of Illness Representation revealed predominant emotional representations and unreal cognitive domains with altered perception of renal failure risk. Conclusions Phobia of renal failure is very rare. It is a consequence of the altered perception of risk of renal failure due to unconscious attribution of loin pain to renal failure. Female gender, the presence of a relative with renal failure, and low socioeconomic levels could be suggested as risk factors for phobia of renal failure.
Research Authors
Rabea Ahmed Gadelkareem, Nashwa Mostafa Azoz, Ahmed Reda, Ahmed Abdelhamid Shahat, Mohamed Farouk Abdelhafez, Amr Abou Faddan, Mahmoud Farouk, Mohamed Fawzy, Mahmoud Mohammed Osman, Mohammed Abdallah Elgammal
Research Department
Research Journal
African Journal of Urology
Research Pages
NULL
Research Publisher
SpringerOpen
Research Rank
1
Research Vol
Vol. (26), No. (35)
Research Website
https://doi.org/10.1186/s12301-020-00043-8
Research Year
2020

Experience of a tertiary-level urology center in the clinical urological events of rare and very rare incidence. III. Psychourological events: 2. Phobia of renal failure due to loin pain

Research Abstract
Background End-stage renal disease and loin pain are prevalent nephrourological topics with unfavorable reputations among populations. We aimed to present our center’s experience with the cases of phobia of renal failure in relation to loin pain. Methods It is a retrospective study of phobia of renal failure among the patients who presented with loin pain to our center between July 1991 and June 2017. Description of perception of renal failure risk was guided by the modified Common Sense Model of Illness Representation. Results Of more than 64, 000 patients who presented with loin pain, only 78 patients (0.12%) had phobia of renal failure. Mean age ± SD (Range) was 41.12 ± 9.58 (23–60) years. Sixty-four patients (82.1%) expressed directly fear of renal failure. Physical examination and investigations revealed no risks of renal failure in all patients. High percentages of phobia of renal failure were associated with the female gender (73.1%), the presence of a relative patient with renal failure (83.3%), and low socioeconomic levels: education (89.7%), residential (75.6%), and economic status (88.5%) levels. The modified Common Sense Model of Illness Representation revealed predominant emotional representations and unreal cognitive domains with altered perception of renal failure risk. Conclusions Phobia of renal failure is very rare. It is a consequence of the altered perception of risk of renal failure due to unconscious attribution of loin pain to renal failure. Female gender, the presence of a relative with renal failure, and low socioeconomic levels could be suggested as risk factors for phobia of renal failure.
Research Authors
Rabea Ahmed Gadelkareem, Nashwa Mostafa Azoz, Ahmed Reda, Ahmed Abdelhamid Shahat, Mohamed Farouk Abdelhafez, Amr Abou Faddan, Mahmoud Farouk, Mohamed Fawzy, Mahmoud Mohammed Osman, Mohammed Abdallah Elgammal
Research Department
Research Journal
African Journal of Urology
Research Pages
NULL
Research Publisher
SpringerOpen
Research Rank
1
Research Vol
Vol. (26), No. (35)
Research Website
https://doi.org/10.1186/s12301-020-00043-8
Research Year
2020

Ectopic testis: an experience of a tertiary-level urology center at Upper Egypt

Research Abstract
Background Testicular ectopia is defined as a testis which is located away from the normal pathway of testicular descent and outside its ipsilateral hemiscrotum. Controversies have been raised about considering the abdominal and inguinal ectopic testes as undescended ones. Our purpose was to review our center’s experience with the diagnosis and management of testicular ectopia focusing on the inguinal ectopic testis. Retrospectively, we studied the clinical and surgical characteristics of a case series of testicular ectopia which was managed in our center during July 2001–June 2016. Results Out of 1132 patients with undescended testes, 44 cases (3.9%) had testicular ectopia. Twenty-three cases (mean age = 5.15 ± 5.79 years) fulfilled the criteria of inguinal ectopic testis. Clinically, testes were relatively mobile and superficial. Surgically, they were located in the superficial inguinal pouch, had relatively long spermatic cords, and commonly had average rather than small sizes. The other ectopic 21 cases (mean age = 10.56 ± 6.92 years) were perineal, anterior abdominal wall, femoral, prepubic, and transverse testes in 7 (33.3%), 4 (19%), 4 (19%), 3 (14.3%), and 3 (14.3%) cases, respectively. Congenital inguinal hernia was the commonest associated anomaly (22.7%). All cases were treated surgically with only 1 case of testicular atrophy (2.3%). Conclusions Testicular ectopia is rare with relatively delayed presentations. Different anatomical sites have been reported including the superficial inguinal pouch and anterior abdominal wall with variable complexities and controversies. The inguinal ectopic testis is the most controversial, but it might be characterized from other entities based on certain clinical and surgical criteria.
Research Authors
Rabea Ahmed Gadelkareem, Ahmed Abdelhamid Shahat, Ahmed Reda, Ahmed Mohamed Moeen, Mohamed Farouk Abdelhafez, Mahmoud Farouk Abughanima, Osama Mansour, Nasreldin Mohammed, Mahmoud Mohammed Osman, Ahmed Abdelaziz Elderwy, Hisham Mokhtar Hammouda
Research Department
Research Journal
Annals of Pediatric Surgery
Research Pages
9
Research Publisher
SpringerOpen
Research Rank
1
Research Vol
Vol. (16), No. (27)
Research Website
https://doi.org/10.1186/s43159-020-00038-8
Research Year
2020

Ectopic testis: an experience of a tertiary-level urology center at Upper Egypt

Research Abstract
Background Testicular ectopia is defined as a testis which is located away from the normal pathway of testicular descent and outside its ipsilateral hemiscrotum. Controversies have been raised about considering the abdominal and inguinal ectopic testes as undescended ones. Our purpose was to review our center’s experience with the diagnosis and management of testicular ectopia focusing on the inguinal ectopic testis. Retrospectively, we studied the clinical and surgical characteristics of a case series of testicular ectopia which was managed in our center during July 2001–June 2016. Results Out of 1132 patients with undescended testes, 44 cases (3.9%) had testicular ectopia. Twenty-three cases (mean age = 5.15 ± 5.79 years) fulfilled the criteria of inguinal ectopic testis. Clinically, testes were relatively mobile and superficial. Surgically, they were located in the superficial inguinal pouch, had relatively long spermatic cords, and commonly had average rather than small sizes. The other ectopic 21 cases (mean age = 10.56 ± 6.92 years) were perineal, anterior abdominal wall, femoral, prepubic, and transverse testes in 7 (33.3%), 4 (19%), 4 (19%), 3 (14.3%), and 3 (14.3%) cases, respectively. Congenital inguinal hernia was the commonest associated anomaly (22.7%). All cases were treated surgically with only 1 case of testicular atrophy (2.3%). Conclusions Testicular ectopia is rare with relatively delayed presentations. Different anatomical sites have been reported including the superficial inguinal pouch and anterior abdominal wall with variable complexities and controversies. The inguinal ectopic testis is the most controversial, but it might be characterized from other entities based on certain clinical and surgical criteria.
Research Authors
Rabea Ahmed Gadelkareem, Ahmed Abdelhamid Shahat, Ahmed Reda, Ahmed Mohamed Moeen, Mohamed Farouk Abdelhafez, Mahmoud Farouk Abughanima, Osama Mansour, Nasreldin Mohammed, Mahmoud Mohammed Osman, Ahmed Abdelaziz Elderwy, Hisham Mokhtar Hammouda
Research Department
Research Journal
Annals of Pediatric Surgery
Research Pages
9
Research Publisher
SpringerOpen
Research Rank
1
Research Vol
Vol. (16), No. (27)
Research Website
https://doi.org/10.1186/s43159-020-00038-8
Research Year
2020

Ectopic testis: an experience of a tertiary-level urology center at Upper Egypt

Research Abstract
Background Testicular ectopia is defined as a testis which is located away from the normal pathway of testicular descent and outside its ipsilateral hemiscrotum. Controversies have been raised about considering the abdominal and inguinal ectopic testes as undescended ones. Our purpose was to review our center’s experience with the diagnosis and management of testicular ectopia focusing on the inguinal ectopic testis. Retrospectively, we studied the clinical and surgical characteristics of a case series of testicular ectopia which was managed in our center during July 2001–June 2016. Results Out of 1132 patients with undescended testes, 44 cases (3.9%) had testicular ectopia. Twenty-three cases (mean age = 5.15 ± 5.79 years) fulfilled the criteria of inguinal ectopic testis. Clinically, testes were relatively mobile and superficial. Surgically, they were located in the superficial inguinal pouch, had relatively long spermatic cords, and commonly had average rather than small sizes. The other ectopic 21 cases (mean age = 10.56 ± 6.92 years) were perineal, anterior abdominal wall, femoral, prepubic, and transverse testes in 7 (33.3%), 4 (19%), 4 (19%), 3 (14.3%), and 3 (14.3%) cases, respectively. Congenital inguinal hernia was the commonest associated anomaly (22.7%). All cases were treated surgically with only 1 case of testicular atrophy (2.3%). Conclusions Testicular ectopia is rare with relatively delayed presentations. Different anatomical sites have been reported including the superficial inguinal pouch and anterior abdominal wall with variable complexities and controversies. The inguinal ectopic testis is the most controversial, but it might be characterized from other entities based on certain clinical and surgical criteria.
Research Authors
Rabea Ahmed Gadelkareem, Ahmed Abdelhamid Shahat, Ahmed Reda, Ahmed Mohamed Moeen, Mohamed Farouk Abdelhafez, Mahmoud Farouk Abughanima, Osama Mansour, Nasreldin Mohammed, Mahmoud Mohammed Osman, Ahmed Abdelaziz Elderwy, Hisham Mokhtar Hammouda
Research Department
Research Journal
Annals of Pediatric Surgery
Research Pages
9
Research Publisher
SpringerOpen
Research Rank
1
Research Vol
Vol. (16), No. (27)
Research Website
https://doi.org/10.1186/s43159-020-00038-8
Research Year
2020

Ectopic testis: an experience of a tertiary-level urology center at Upper Egypt

Research Abstract
Background Testicular ectopia is defined as a testis which is located away from the normal pathway of testicular descent and outside its ipsilateral hemiscrotum. Controversies have been raised about considering the abdominal and inguinal ectopic testes as undescended ones. Our purpose was to review our center’s experience with the diagnosis and management of testicular ectopia focusing on the inguinal ectopic testis. Retrospectively, we studied the clinical and surgical characteristics of a case series of testicular ectopia which was managed in our center during July 2001–June 2016. Results Out of 1132 patients with undescended testes, 44 cases (3.9%) had testicular ectopia. Twenty-three cases (mean age = 5.15 ± 5.79 years) fulfilled the criteria of inguinal ectopic testis. Clinically, testes were relatively mobile and superficial. Surgically, they were located in the superficial inguinal pouch, had relatively long spermatic cords, and commonly had average rather than small sizes. The other ectopic 21 cases (mean age = 10.56 ± 6.92 years) were perineal, anterior abdominal wall, femoral, prepubic, and transverse testes in 7 (33.3%), 4 (19%), 4 (19%), 3 (14.3%), and 3 (14.3%) cases, respectively. Congenital inguinal hernia was the commonest associated anomaly (22.7%). All cases were treated surgically with only 1 case of testicular atrophy (2.3%). Conclusions Testicular ectopia is rare with relatively delayed presentations. Different anatomical sites have been reported including the superficial inguinal pouch and anterior abdominal wall with variable complexities and controversies. The inguinal ectopic testis is the most controversial, but it might be characterized from other entities based on certain clinical and surgical criteria.
Research Authors
Rabea Ahmed Gadelkareem, Ahmed Abdelhamid Shahat, Ahmed Reda, Ahmed Mohamed Moeen, Mohamed Farouk Abdelhafez, Mahmoud Farouk Abughanima, Osama Mansour, Nasreldin Mohammed, Mahmoud Mohammed Osman, Ahmed Abdelaziz Elderwy, Hisham Mokhtar Hammouda
Research Journal
Annals of Pediatric Surgery
Research Pages
9
Research Publisher
SpringerOpen
Research Rank
1
Research Vol
Vol. (16), No. (27)
Research Website
https://doi.org/10.1186/s43159-020-00038-8
Research Year
2020

Ectopic testis: an experience of a tertiary-level urology center at Upper Egypt

Research Abstract
Background Testicular ectopia is defined as a testis which is located away from the normal pathway of testicular descent and outside its ipsilateral hemiscrotum. Controversies have been raised about considering the abdominal and inguinal ectopic testes as undescended ones. Our purpose was to review our center’s experience with the diagnosis and management of testicular ectopia focusing on the inguinal ectopic testis. Retrospectively, we studied the clinical and surgical characteristics of a case series of testicular ectopia which was managed in our center during July 2001–June 2016. Results Out of 1132 patients with undescended testes, 44 cases (3.9%) had testicular ectopia. Twenty-three cases (mean age = 5.15 ± 5.79 years) fulfilled the criteria of inguinal ectopic testis. Clinically, testes were relatively mobile and superficial. Surgically, they were located in the superficial inguinal pouch, had relatively long spermatic cords, and commonly had average rather than small sizes. The other ectopic 21 cases (mean age = 10.56 ± 6.92 years) were perineal, anterior abdominal wall, femoral, prepubic, and transverse testes in 7 (33.3%), 4 (19%), 4 (19%), 3 (14.3%), and 3 (14.3%) cases, respectively. Congenital inguinal hernia was the commonest associated anomaly (22.7%). All cases were treated surgically with only 1 case of testicular atrophy (2.3%). Conclusions Testicular ectopia is rare with relatively delayed presentations. Different anatomical sites have been reported including the superficial inguinal pouch and anterior abdominal wall with variable complexities and controversies. The inguinal ectopic testis is the most controversial, but it might be characterized from other entities based on certain clinical and surgical criteria.
Research Authors
Rabea Ahmed Gadelkareem, Ahmed Abdelhamid Shahat, Ahmed Reda, Ahmed Mohamed Moeen, Mohamed Farouk Abdelhafez, Mahmoud Farouk Abughanima, Osama Mansour, Nasreldin Mohammed, Mahmoud Mohammed Osman, Ahmed Abdelaziz Elderwy, Hisham Mokhtar Hammouda
Research Department
Research Journal
Annals of Pediatric Surgery
Research Pages
9
Research Publisher
SpringerOpen
Research Rank
1
Research Vol
Vol. (16), No. (27)
Research Website
https://doi.org/10.1186/s43159-020-00038-8
Research Year
2020

Ectopic testis: an experience of a tertiary-level urology center at Upper Egypt

Research Abstract
Background Testicular ectopia is defined as a testis which is located away from the normal pathway of testicular descent and outside its ipsilateral hemiscrotum. Controversies have been raised about considering the abdominal and inguinal ectopic testes as undescended ones. Our purpose was to review our center’s experience with the diagnosis and management of testicular ectopia focusing on the inguinal ectopic testis. Retrospectively, we studied the clinical and surgical characteristics of a case series of testicular ectopia which was managed in our center during July 2001–June 2016. Results Out of 1132 patients with undescended testes, 44 cases (3.9%) had testicular ectopia. Twenty-three cases (mean age = 5.15 ± 5.79 years) fulfilled the criteria of inguinal ectopic testis. Clinically, testes were relatively mobile and superficial. Surgically, they were located in the superficial inguinal pouch, had relatively long spermatic cords, and commonly had average rather than small sizes. The other ectopic 21 cases (mean age = 10.56 ± 6.92 years) were perineal, anterior abdominal wall, femoral, prepubic, and transverse testes in 7 (33.3%), 4 (19%), 4 (19%), 3 (14.3%), and 3 (14.3%) cases, respectively. Congenital inguinal hernia was the commonest associated anomaly (22.7%). All cases were treated surgically with only 1 case of testicular atrophy (2.3%). Conclusions Testicular ectopia is rare with relatively delayed presentations. Different anatomical sites have been reported including the superficial inguinal pouch and anterior abdominal wall with variable complexities and controversies. The inguinal ectopic testis is the most controversial, but it might be characterized from other entities based on certain clinical and surgical criteria.
Research Authors
Rabea Ahmed Gadelkareem, Ahmed Abdelhamid Shahat, Ahmed Reda, Ahmed Mohamed Moeen, Mohamed Farouk Abdelhafez, Mahmoud Farouk Abughanima, Osama Mansour, Nasreldin Mohammed, Mahmoud Mohammed Osman, Ahmed Abdelaziz Elderwy, Hisham Mokhtar Hammouda
Research Department
Research Journal
Annals of Pediatric Surgery
Research Pages
9
Research Publisher
SpringerOpen
Research Rank
1
Research Vol
Vol. (16), No. (27)
Research Website
https://doi.org/10.1186/s43159-020-00038-8
Research Year
2020

Ectopic testis: an experience of a tertiary-level urology center at Upper Egypt

Research Abstract
Background Testicular ectopia is defined as a testis which is located away from the normal pathway of testicular descent and outside its ipsilateral hemiscrotum. Controversies have been raised about considering the abdominal and inguinal ectopic testes as undescended ones. Our purpose was to review our center’s experience with the diagnosis and management of testicular ectopia focusing on the inguinal ectopic testis. Retrospectively, we studied the clinical and surgical characteristics of a case series of testicular ectopia which was managed in our center during July 2001–June 2016. Results Out of 1132 patients with undescended testes, 44 cases (3.9%) had testicular ectopia. Twenty-three cases (mean age = 5.15 ± 5.79 years) fulfilled the criteria of inguinal ectopic testis. Clinically, testes were relatively mobile and superficial. Surgically, they were located in the superficial inguinal pouch, had relatively long spermatic cords, and commonly had average rather than small sizes. The other ectopic 21 cases (mean age = 10.56 ± 6.92 years) were perineal, anterior abdominal wall, femoral, prepubic, and transverse testes in 7 (33.3%), 4 (19%), 4 (19%), 3 (14.3%), and 3 (14.3%) cases, respectively. Congenital inguinal hernia was the commonest associated anomaly (22.7%). All cases were treated surgically with only 1 case of testicular atrophy (2.3%). Conclusions Testicular ectopia is rare with relatively delayed presentations. Different anatomical sites have been reported including the superficial inguinal pouch and anterior abdominal wall with variable complexities and controversies. The inguinal ectopic testis is the most controversial, but it might be characterized from other entities based on certain clinical and surgical criteria.
Research Authors
Rabea Ahmed Gadelkareem, Ahmed Abdelhamid Shahat, Ahmed Reda, Ahmed Mohamed Moeen, Mohamed Farouk Abdelhafez, Mahmoud Farouk Abughanima, Osama Mansour, Nasreldin Mohammed, Mahmoud Mohammed Osman, Ahmed Abdelaziz Elderwy, Hisham Mokhtar Hammouda
Research Department
Research Journal
Annals of Pediatric Surgery
Research Pages
9
Research Publisher
SpringerOpen
Research Rank
1
Research Vol
Vol. (16), No. (27)
Research Website
https://doi.org/10.1186/s43159-020-00038-8
Research Year
2020
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