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Papers by Andrews Ninan
Urology, May 1, 2005
Retention of Foley balloon in the bladder or urethra is a troublesome complication that presents ... more Retention of Foley balloon in the bladder or urethra is a troublesome complication that presents a challenge to the urologist. We describe a complicated case of Foley catheter balloon retention (and trauma) within the urethra in an orthopedic patient undergoing hemiarthroplasty. The Foley balloon failed to deflate with standard methods. We used transrectal ultrasonography to successfully diagnose and manage the case.
Urologia Internationalis, 2005
A 61-year-old white male was transferred from an outside medical institution to the Atlanta Veter... more A 61-year-old white male was transferred from an outside medical institution to the Atlanta Veterans Affairs Medical Center for treatment of pneumonia and pulmonary embolus. During investigation with pelvic CT scan, a 1-cm solid mass was noted incidentally within the right posterior wall of the bladder. There was no hydronephrosis. The patient had no urinary symptoms. Urinalysis and urine culture were negative. Serum creatinine was normal at 1.1 mg/dl. Cystoscopy revealed a smooth round mass located at the right ureteral orifi ce (fi g. 1 a). The mass was completely covered with normal urothelium, which suggested bladder muscle rather than urothelial origin. The mass was enucleated endoscopically using a standard resectoscope. With the use of electrocautery through Collin's knife, the urothelium was incised along the medial edge of the bladder tumor (fi g. 1 b). The tumor was dissected off the bladder wall starting along its medial aspect. The dissection was continued laterally after the tumor had been freed off the right ureter. The entire mass with its intact capsule was then shelled off the bladder wall (fi g. 1 c) and removed using a Nitinol stone basket (Boston Scientifi c; Model No. 390-105). A double-J stent was inserted into the right ureter (fi g. 1 d) and left in place for 2 weeks. Postoperative recovery was uneventful. At the 6-month follow-up, serum creatinine remained stable at 1.0 mg/dl and MAG3 nuclear renal scan showed normal renal function without obstruction. Flexible cystoscopy showed complete healing of the tumor bed. Histopathological examination of the specimen revealed benign leiomyoma of the bladder.
Urologia Internationalis, 2005
A case of benign leiomyoma of the urinary bladder was discovered incidentally and treated success... more A case of benign leiomyoma of the urinary bladder was discovered incidentally and treated successfully with endoscopic enucleation. We describe the technique of this new surgical approach and discuss its advantages. We recommend this minimally invasive approach over open surgical resection.
Urology, 2005
Retention of Foley balloon in the bladder or urethra is a troublesome complication that presents ... more Retention of Foley balloon in the bladder or urethra is a troublesome complication that presents a challenge to the urologist. We describe a complicated case of Foley catheter balloon retention (and trauma) within the urethra in an orthopedic patient undergoing hemiarthroplasty. The Foley balloon failed to deflate with standard methods. We used transrectal ultrasonography to successfully diagnose and manage the case. UROLOGY 65: 1001.e6-1001.e7, 2005.
Urology, May 1, 2005
Retention of Foley balloon in the bladder or urethra is a troublesome complication that presents ... more Retention of Foley balloon in the bladder or urethra is a troublesome complication that presents a challenge to the urologist. We describe a complicated case of Foley catheter balloon retention (and trauma) within the urethra in an orthopedic patient undergoing hemiarthroplasty. The Foley balloon failed to deflate with standard methods. We used transrectal ultrasonography to successfully diagnose and manage the case.
Urologia Internationalis, 2005
A 61-year-old white male was transferred from an outside medical institution to the Atlanta Veter... more A 61-year-old white male was transferred from an outside medical institution to the Atlanta Veterans Affairs Medical Center for treatment of pneumonia and pulmonary embolus. During investigation with pelvic CT scan, a 1-cm solid mass was noted incidentally within the right posterior wall of the bladder. There was no hydronephrosis. The patient had no urinary symptoms. Urinalysis and urine culture were negative. Serum creatinine was normal at 1.1 mg/dl. Cystoscopy revealed a smooth round mass located at the right ureteral orifi ce (fi g. 1 a). The mass was completely covered with normal urothelium, which suggested bladder muscle rather than urothelial origin. The mass was enucleated endoscopically using a standard resectoscope. With the use of electrocautery through Collin's knife, the urothelium was incised along the medial edge of the bladder tumor (fi g. 1 b). The tumor was dissected off the bladder wall starting along its medial aspect. The dissection was continued laterally after the tumor had been freed off the right ureter. The entire mass with its intact capsule was then shelled off the bladder wall (fi g. 1 c) and removed using a Nitinol stone basket (Boston Scientifi c; Model No. 390-105). A double-J stent was inserted into the right ureter (fi g. 1 d) and left in place for 2 weeks. Postoperative recovery was uneventful. At the 6-month follow-up, serum creatinine remained stable at 1.0 mg/dl and MAG3 nuclear renal scan showed normal renal function without obstruction. Flexible cystoscopy showed complete healing of the tumor bed. Histopathological examination of the specimen revealed benign leiomyoma of the bladder.
Urologia Internationalis, 2005
A case of benign leiomyoma of the urinary bladder was discovered incidentally and treated success... more A case of benign leiomyoma of the urinary bladder was discovered incidentally and treated successfully with endoscopic enucleation. We describe the technique of this new surgical approach and discuss its advantages. We recommend this minimally invasive approach over open surgical resection.
Urology, 2005
Retention of Foley balloon in the bladder or urethra is a troublesome complication that presents ... more Retention of Foley balloon in the bladder or urethra is a troublesome complication that presents a challenge to the urologist. We describe a complicated case of Foley catheter balloon retention (and trauma) within the urethra in an orthopedic patient undergoing hemiarthroplasty. The Foley balloon failed to deflate with standard methods. We used transrectal ultrasonography to successfully diagnose and manage the case. UROLOGY 65: 1001.e6-1001.e7, 2005.