Browsing by Author "Singhania, Piyush"

Now showing 1 - 4 of 4
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    Local Allergic Reaction to Contrast Material during Retrograde Urethrography.
    (2015-07) Raut, Nandkishor; Singhania, Piyush; Shringarpure, Sanish; Joshi, Nitin
    Adverse reactions associated with parenteral use of contrast agents are widely recognized, but reactions to contrast agents following retrograde urethrography are much less common. A rare case of local allergic reaction to ionic contrast during retrograde urethrography in a 25-year-old male patient, who was treated conservatively, has been described.
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    Lost in the shadows: shedding light on forgotten ureteral stent syndrome
    (Wolters Kluwer – Medknow, 2024-07) Gawali, Amey; Singhania, Piyush; Patil, Ajinkya; Vishwakarma, Kapil; Kulkarni, Sharang
    Ureteral stents have been essential in urology for over four decades, yet the challenge of retained or forgotten stents persists. This syndrome occurs when a DJ stent remains beyond its recommended removal time, typically more than 2 weeks, leading to complications like migration, fragmentation, and encrustation. We present a case of a 50-year-old woman with a two-month history of right flank pain, burning urination, and intermittent fever. She had undergone right stent lithotripsy 3 years prior. Imaging revealed a fractured double J stent with significant renal and bladder stones, extensive ureteral encrustation, and a large retroperitoneal collection. The right kidney showed cortical thinning and gross hydronephrosis. Initial management included broad-spectrum antibiotics, a pigtail catheter, and percutaneous nephrostomy. In a second session, mechanical cystolithotripsy and percutaneous nephrolithotomy removed the bladder and renal calculi, and the fractured stent ends. The patient recovered uneventfully. Forgotten ureteral stents often require staged endoscopic interventions due to encrustation. Timely stent removal is critical and often overlooked due to inadequate counseling. Establishing a stent registry and an automated reminder system via a mobile app could help prevent these occurrences.
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    A rare case of malakoplakia of the urinary bladder
    (Wolters Kluwer – Medknow, 2022-10) Yadav, Pranav Raja; Singhania, Piyush; Sahu, Piyush
    Malakoplakia (from Greek Malako “soft” + Plako “plaque”) is a rare inflammatory condition that presents as a papule, plaque, or ulceration that usually affects the genitourinary tract. The most frequently affected organ is the urinary bladder. This condition has features of granulomatous inflammation. The pathogenesis of the disease is not completely understood. It is often misdiagnosed as malignancy. In this case report, we present a case of urinary bladder malakoplakia which presented with obstructive uropathy and acute kidney injury (AKI)
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    A Rare Case of Urethral Duplication managed by Simple Meatal Correction.
    (2016-04) Joseph, Sengol; Singhania, Piyush; Shringarpure, Sanish; Joshi, Nitin; Nathwani, Parth; Lamba, Rajpal Singh; Pujari, Nandan
    Urethral duplication is a rare congenital anomaly. Although a number of theories have been proposed to describe the embryology of the condition, the actual mechanism of the disorder is still unclear. A case of urethral duplication in a 25-year-old male complaining of poor flow of urine and double stream has been discussed. The patient was treated successfully with simple meatal correction surgery.