Browsing by Author "Amit Attam"

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Penile incarceration with metallic foreign bodies: Management and review of literature
(2013) Sameer Trivedi; Amit Attam; Arun Kerketa; Navin Daruka; Bharat Behre; Abhinav Agrawal; Sudhir Rathi; U.S. Dwivedi
Introduction: Penile strangulation from constricting metallic objects disorders is an uncommon urological emergency which requires prompt intervention to prevent complications. The treatment modalities are diverse and characterized by lack of consensus. Material and Methods: Three cases with penile incarceration due to constricting metallic objects who presented to our department were included in this study. All 3 patients required different management options highlighting the diversity of clinical presentation and need for customization of treatment as per the clinical scenario. Results: The 3 patients required different approach for treatment. First patient could be managed by degloving of penile skin while second patient required mechanical removal of the foreign body and debridement of local necrotic tissues. The third patient had to undergo excision of gangrenous penile skin and skin grafting. Conclusion: The study emphasizes the diversity of clinical presentations and the need for employing different surgical techniques to achieve the desired results. © 2013 S. Karger AG, Basel.
Renal cell carcinoma presenting with inguinal metastasis: A rare presentation
(2012) Amit Attam; Arun Kerketta; Sameer Trivedi; Udai Shankar Dwivedi
Renal cell carcinoma has myriad presentations. Inguinal metastasis at presentation is a rare finding in this tumor. Possible mechanisms of such metastasis may include retrograde lymphatic spread or spread via retrograde spermatic vein flow. Excision of the left inguinal nodal mass was done with a left radical nephrectomy. At a 1-year followup, there was no evidence of any locoregional or systemic recurrence, even in the absence of systemic adjuvant immunotherapy. © 2012 Digital Science Press, Inc.