Dr. Omar Mua Busran- Borungawan

Dr. Omar Mua Busran- Borungawan Diplomate, Philippine Board of Urology
Fellow, Philippine Urological Association
Fellow, Philippine C

Majority of pe**le cancer is squamous cell carcinoma, occurs most exclusively in an uncircumcised men, commonly between ...
06/03/2021

Majority of pe**le cancer is squamous cell carcinoma, occurs most exclusively in an uncircumcised men, commonly between the ages of 50 and 70 years . Factors associated with intact or redundant prepuce are sm**ma and phimosis. Smegma-induced chronic inflammation may predispose to the development of phimosis as well as SCC. Phimosis, the inability to retract the fo****in over the g***s, is associated with an increased risk of infection as well as dysplastic changes of the preputial sac. Uncircumcised men have been found to be at an increased risk of HPV infection.

Clinically, it may present as a small area of induration and erythema or a large ulcerating and infiltrative lesion. As it progresses, bleeding, itching, discharge, foul odor and pain may be observed.

NOTE: Images cannot be posted due to facebook restriction issue.

■ Obstructive UropathyProcedure: UTZ-guided Percutaneous Nephrostomy Tube Insertion, Bilateral
05/03/2021

■ Obstructive Uropathy

Procedure: UTZ-guided Percutaneous Nephrostomy Tube Insertion, Bilateral

Vesicoureteral Reflux Grade V
05/03/2021

Vesicoureteral Reflux Grade V

Addressed to our medical students👍A case of 16 y/o, M, seen at first because of incarcerated suprapubic foley catheter. ...
04/03/2021

Addressed to our medical students👍

A case of 16 y/o, M, seen at first because of incarcerated suprapubic foley catheter. 7 years prior, he underwent exploratory laparatomy for abdominal trauma 2 to vehicular accident. Suprapubic cystostomy catheter was placed. Several months later, perineal urethroplasty was performed. 4 weeks post-op, urethral catheter was removed, however urinary retention was experienced several days later. Failed attempted urethral catherization prompted reinsertion of suprapubic cystostomy catheter. Patient was lost to follow-up for 7 years. He replaces his catheter every 4 weeks. 3 months prior, he failed to change his catheter resulting to significant urinary infection and moderate to severe pain. Suprapubic catheter cannot be withdrawn. After several work-ups, perineal anastomosis redo-urethroplasty was eventually performed.

Renal Tumors
02/03/2021

Renal Tumors

Rare
02/03/2021

Rare

Kidney and Ureteral Stone Treament◇ American Urological Association (AUA) Guidelines and Best Practice Statements:■ Fo...
27/02/2021

Kidney and Ureteral Stone Treament

◇ American Urological Association (AUA) Guidelines and Best Practice Statements:

■ For KIDNEY stone:

▪︎Symptomatic w/ non-lower pole stone 2cm 👉 PCNL as first line therapy

▪︎ Asymptomatic non-obstructing caliceal stone 👉 may offer active surveillance

▪︎Symptomatic lower pole stone 1cm 👉 PCNL has a high stone-free rate but with greater morbidity. Option: ESWL

■ For URETERAL Stone:

▪︎ Uncomplicated distal ureteral stone < 1cm 👉 observation w/ or w/o MET (medical expulsion treatment) × 4-6 weeks, and if unsuccessful 👉 definitive treatment.

▪︎ Middle or distal ureteral stone that require intervention 👉 URS is the first line therapy. Option 👉 ESWL

▪︎ ESWL has the least morbidity and lowest complication rate. URS has a greater stone-free rate in a single procedure.

▪︎ DJ stenting is not routinely performed in patients undergoing SWL.

NOTE: These guidelines and best practice statements is not absolute, and do not pre-empt urologist judgement in individual cases. 👍

Symptoms that can cause considerable stress and a negative impact on your quality of life. 😨 👽OVERACTIVE BLADDER ...
06/02/2021

Symptoms that can cause considerable stress and a negative impact on your quality of life. 😨

👽OVERACTIVE BLADDER
□ frequent urination
□ urinary urgency
□ urge incontinence
□ nocturia (getting up to urinate at
night for at least 2 times)

☠CAUSES:
▪︎UTI
▪︎Estrogen deficiency after
menopause
▪︎Nerve damage
▪︎Excess weight
▪︎Medications, alcohol, caffeine

● Health benefits of Circumcision ●
04/01/2021

● Health benefits of Circumcision ●

Is Watermelon A Natural Vi**ra?🤔
04/01/2021

Is Watermelon A Natural Vi**ra?

🤔

How does a damaged kidney look due to chronic stone obstruction?
25/12/2020

How does a damaged kidney look due to chronic stone obstruction?

Address

Clinic Room 45, 3/F, Maria Reyna/Xavier University Hospital
Cagayan De Oro City
9000

Opening Hours

Monday 9am - 5pm
Tuesday 10am - 3pm
Wednesday 9am - 5pm
Thursday 10am - 3pm
Friday 9am - 5pm
Saturday 9am - 3pm

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