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All Journal Indonesian Journal of Urology Indonesian Journal of Cancer
Rai, Shreyas
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Biochemistry, Genetics & Molecular Biology Health Professions Immunology & microbiology Medicine & Pharmacology Public Health

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BUCCAL MUCOSAL GRAFT ONLAY TECHNIQUE FOR UPPER URETERIC AND UPJ STRICTURES Nerli, Rajendra; Rai, Shreyas; Jogula, Abhinay; Patel, Keyur; Bokare, Ashwin
Indonesian Journal of Urology Vol 31 No 1 (2024)
Publisher : Indonesian Urological Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32421/juri.v31i1.865

Abstract

Objective: In this paper we report our experience in the use of buccal mucosal grafts in the reconstruction of difficult upper ureteric and uretero-pelvic junction strictures. Material & Methods: We retrospectively looked at our hospital inpatient and outpatient records of all patients who underwent surgical treatment for benign upper ureteric strictures and ureteropelvic junction strictures. Results: During the study period a total of 22 patients with a mean age of 326.07 years underwent buccal mucosal graft repair. The mean length of the narrowing/stricture was 6.40 1.44 cm. Conclusion: Buccal mucosal onlay graft ureteroplasty is a suitable treatment option for long, complicated benign upper ureteric and select ureteropelvic junction stric­tures. It is technically simple and capable of providing optimum patency of ureter with good urinary drainage. It is safe and effective. Keywords: Buccal mucosa, ureteric stricture, ureteropelvic junction stricture, graft, ureteroplasty
STAGED URETHROPLASTY FOLLOWING SEVERE ELECTRIC BURNS TO PERINEUM AND GENITALIA: A CASE REPORT Patel, Keyur; Nerli, Rajendra; Rai, Shreyas; Bokare, Ashwin; Setya, Nishant
Indonesian Journal of Urology Vol 31 No 3 (2024)
Publisher : Indonesian Urological Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32421/juri.v31i3.866

Abstract

Objective: This study aims to know the surgical treatment of electrical injuries, perineum, and scrotum. Case(s) Presentation: A 55-year-old male sustained electric burns to the back, perineum and scrotum. The patient failed to void following removal of the catheter 6 weeks later, hence the patient was referred to the urology department for further management. was counselled for a two-phase urethral surgery. Discussion: In our case, the patient had sustained perineal and scrotal burns when he sat over a live wire. This led to the loss of skin and soft tissues, needing massive musculoskeletal and skin grafts. Our patient underwent a number of revision surgeries leading to repeated scarring of the perineal tissues and skin. Conclusion: Electrical injuries to the perinium and genitalia are rare. Hence the surgical strategy of electrical injuries requires a step-wise approach. Initially, conservative debridement needs to performed so as to preserve any tissue of questionable viability and ensure subsequent adequate soft-tissue coverage. The reconstructive surgical procedures bring about satisfactory outcomes. Keywords: Electrical injury, perineum, scrotum, surgical strategy.
Use of 177Lutetium-PSMA in the Treatment of Metastatic Castrate-Resistant Prostate Cancer: A Case Report Nerli, R B; Ghagane, Shridhar C; Bokare, Ashwin; Shetty, Rakesh; Ramesh, Sudha; Rai, Shreyas
Indonesian Journal of Cancer Vol 19, No 3 (2025): September
Publisher : http://dharmais.co.id/

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33371/ijoc.v19i3.1324

Abstract

Introduction: Despite several recent advances and the introduction of newer anti-cancer agents, metastatic castrate-resistant prostate cancer (mCRPC) remains challenging to treat and remains fatal. Recent studies have raised the possibility of targeted radionuclide therapies such as 177Lutetium-PSMA (prostate-specific membrane antigen) as a viable therapeutic option in men with metastatic prostate cancer. Case Presentation: A 53-year-old male presenting with lower urinary tract symptoms was found to have cancer of the prostate on further evaluation. The patient underwent radical prostatectomy, and during follow-up, bony metastasis was noted at the end of two years. The patient received androgen deprivation therapy and, over the next ten years, underwent chemotherapy, enzalutamide therapy, and secondary chemotherapy. The patient continued to have painful bony metastasis and was treated with 177Lutetium-PSMA therapy. Conclusion: 177Lutetium-PSMA demonstrates a promising treatment response in men with metastatic castration-resistant prostate cancer (mCRPC).
Co-Authors Bokare, Ashwin Ghagane, Shridhar C Jogula, Abhinay Nerli, R B Nerli, Rajendra Patel, Keyur Ramesh, Sudha Setya, Nishant Shetty, Rakesh