A Case of Idiopathic Spontaneous Intratesticular Hemorrhage
Publication date: September 2017 Source:Urology Case Reports, Volume 14 Author(s): Takumi Takeuchi, Yumiko Okuno, Hiroki Tanaka, Koji Mikami A 21-year-old man presented with acute-onset left lower abdominal pain that had initially developed 8 hours earlier. He was not given any medication including anti-coagulants. He denied trauma. On palpation, the left testis was slightly swollen and showed tenderness. The suspected diagnosis was testicular torsion, and surgical exploration was indicated. On visual inspection, the whole testis was black. The spermatic cord was neither distorted nor black. Testicular torsion could not b...
Source: Urology Case Reports - July 19, 2017 Category: Urology & Nephrology Source Type: research

Two-Stage Urethroplasty with Buccal Mucosa for Penoscrotal Hypospadias Reconstruction in a Male with a 46,XX Karyotype
We present a case regarding a 32-year old African male with penoscrotal hypospadias, left cryptorchidism and a left inguinal hernia. There were moderate masculinization characteristics. He underwent a Lichtenstein hernia repair with perioperative biopsies of the left inguinal testis and epididymis. Microscopic examination showed a Sertoli-only left testis with Leydig-cell hyperplasia and the left epididymis consisted of ovarian tissue with corpora albicantia and maturing follicles. Endocrinological evaluation showed a sex-determining region Y (SRY) negative 46,XX karyotype. We successfully performe...
Source: Urology Case Reports - July 18, 2017 Category: Urology & Nephrology Source Type: research

Management in Neonatal Priapism: Case and Review
Publication date: September 2017 Source:Urology Case Reports, Volume 14 Author(s): Andre Yoichi Kuwano, Alexandre Cavalcante, André Costa-Matos, Ezequiel Fabiane Spanholi, Frederico Mota Mascarenhas de Souza Neonatal priapism is uncommon and its cause is usually unknown, but it can generate anxiety for the parents and the pediatric team. The treatment in most cases is conservative and no sequelae are described. (Source: Urology Case Reports)
Source: Urology Case Reports - July 18, 2017 Category: Urology & Nephrology Source Type: research

Oddities Sporadic Neurofibroma of the Urinary Bladder. A Case Report
Publication date: September 2017 Source:Urology Case Reports, Volume 14 Author(s): Ahmed S. Zugail, Steeve Benadiba, Sophie Ferlicot, Jacques Irani Neurofibromas of the urinary bladder are an exceedingly rare entity and are considered mostly in conjunction with the disease of neurofibromatosis type 1. The fortuitous discovery of vesical plexiform neurofibromas without other stigmata of the disease is presented in a 57-year-old male patient. The course of his condition, modalities of investigation and a non-precedent treatment plan are demonstrated. (Source: Urology Case Reports)
Source: Urology Case Reports - July 13, 2017 Category: Urology & Nephrology Source Type: research

Serous Borderline Tumor of the Testis and Associated Magnetic Resonance Imaging Findings
We present a case of SBT after radical orchiectomy in a 59-year-old man who had 3-month progressive enlargement of his right hemi-scrotum, negative testicular tumor markers and scrotal ultrasound equivocal for malignancy. Magnetic resonance imaging (MRI) of the pelvis was obtained to aid with evaluation and showed marked hyperintensity on T2-weighted images with frond-like nodular peripheral enhancement within right testis mass. These distinct MRI findings can help clinicians differentiate SBT from other testis tumors. Relapse has not been observed in 8 years of follow-up. (Source: Urology Case Reports)
Source: Urology Case Reports - July 9, 2017 Category: Urology & Nephrology Source Type: research

Post-endovascular aneurysm repair (EVAR) testicular ischemia: A rare complication
We present the case of a patient who experienced a testicular infarction following repair of an infrarenal AAA. We also discuss the implications for this complication and review the available literature for similar cases and treatment options. (Source: Urology Case Reports)
Source: Urology Case Reports - July 9, 2017 Category: Urology & Nephrology Source Type: research

Robotic Assisted Common Sheath Ureteroneocystostomy of an Injured Ectopic Ureter Diagnosed in the Acute Post-operative Setting after Robotic Assisted Radical Prostatectomy
We present the case of a patient with an iatrogenic injury to an ectopic ureter that under went a robotic assisted common sheath ureteroneocystostomy three days post robotic assisted radical prostatectomy. (Source: Urology Case Reports)
Source: Urology Case Reports - July 1, 2017 Category: Urology & Nephrology Source Type: research

A Case of Bacillus Calmette-Gu érin Cystitis Diagnosed with a Novel Loop-mediated Isothermal Amplification Method
Publication date: September 2017 Source:Urology Case Reports, Volume 14 Author(s): Kazuyoshi Tachi, Akinori Sato, Yuji Kouzaki, Takuya Maeda, Akihiko Kawana, Tomohiko Asano Intravesical bacillus Calmette–Guérin (BCG) instillation is broadly used to prevent bladder cancer recurrence or to treat carcinoma in situ. BCG infection is rare but can cause serious problems because this strain has intrinsic resistance to pyrazinamide, a first-line anti-tuberculosis drug. Furthermore, there had been no specific and easy procedure accurately diagnosing BCG infection. In this case report we present the first case of BCG c...
Source: Urology Case Reports - July 1, 2017 Category: Urology & Nephrology Source Type: research

A Unique Case of Spontaneous Bilateral Renal Subcapsular Urinoma Secondary to High Pressure Chronic Retention of Urine
We describe a case of spontaneous asymptomatic bilateral subcapsular urinomas in an adult male with high pressure retention of urine secondary to bladder outlet obstruction. An extensive literature review shows this to be a unique case. (Source: Urology Case Reports)
Source: Urology Case Reports - June 30, 2017 Category: Urology & Nephrology Source Type: research

Resolution of a Debilitating Paraneoplastic Parkinson-like Neurological Syndrome Following Tyrosine Inhibitor Therapy and Consolidative Nephrectomy in a Patient with Advanced Clear Cell Renal Cell  Carcinoma
Publication date: September 2017 Source:Urology Case Reports, Volume 14 Author(s): Naveed Ali, Alexander Kutikov, Daniel M. Geynisman Paraneoplastic syndromes are commonly encountered in renal cell carcinoma, but neurological manifestations are rare. Herein we report a case of a patient with locally advanced renal cell carcinoma who presented with Parkinson-like symptoms which prohibited surgery due to poor performance status. However, a significant improvement was noted after tyrosine kinase inhibitor therapy, allowing the patient to proceed to curative surgery. (Source: Urology Case Reports)
Source: Urology Case Reports - June 20, 2017 Category: Urology & Nephrology Source Type: research

Intravesical ALT-803 for BCG-unresponsive Bladder Cancer – A Case Report
Publication date: September 2017 Source:Urology Case Reports, Volume 14 Author(s): Jeffrey Huang, John Schisler, Hing C. Wong, Charles J. Rosser, Joseph Sterbis The administration of intravesical chemotherapy or BCG often can prolong the progression-free interval after initial transurethral resection in select bladder cancer (BCa) patients. However, 60% of these patients will recur and up to 30% of patients with recurrent BCa will progress and succumb to their disease over a 15 year period, while another 50% will cystectomy in an attempt to control their disease. Thus better therapeutic strategies are needed for patients ...
Source: Urology Case Reports - June 9, 2017 Category: Urology & Nephrology Source Type: research

Targeted Prostate Biopsy Using 68Gallium PSMA-PET/CT for Image Guidance
Publication date: September 2017 Source:Urology Case Reports, Volume 14 Author(s): Demetrios N. Simopoulos, Shyam Natarajan, Tonye A. Jones, Wolfgang P. Fendler, Anthony E. Sisk, Leonard S. Marks Prostate specific membrane antigen (PSMA) scanning is a sensitive method of prostate cancer detection. In a 71 y.o. man with a PSA of 49 (6%F), 4 negative MRI studies and 6 negative biopsies over an 8 year interval, a 68Ga-PSMA PET/CT scan showed a PSMA-avid spot in the prostate. Using image fusion technology, the lesion was target-biopsied and Gleason 3 + 4 = 7 (cancer core length of 12 mm) was...
Source: Urology Case Reports - June 3, 2017 Category: Urology & Nephrology Source Type: research

Recurrent Kidney Stone Episodes Leading to a Diagnosis of Occult Acromegaly
We present a case of occult acromegaly secondary to a pituitary tumor discovered 20 years after the patient's first stone episode. (Source: Urology Case Reports)
Source: Urology Case Reports - June 3, 2017 Category: Urology & Nephrology Source Type: research

Chromophobe Renal Cell Carcinoma and the Synchronous Presence of Primary Colon Malignancies. Is There a Relation?
We present the rare case of an 81-year-old female patient suffering from chromophobe renal cell carcinoma (chRCC) and an angiomyolipoma of her left kidney, synchronous with an adenocarcinoma of the caecum. While there is an established connection between RCC and colon cancer, a literature review is performed to specify this association in regard to chRCC and the synchronous presence of colon malignancies. (Source: Urology Case Reports)
Source: Urology Case Reports - June 2, 2017 Category: Urology & Nephrology Source Type: research

Single Large Bladder Stone in a Young Male Adult with Primary Hyperparathyroidism
Publication date: July 2017 Source:Urology Case Reports, Volume 13 Author(s): Omar Halalsheh, Firas Sahawneh, Khaled Altopajee, Abdelrahman Almanasra Bladder stones are caused when minerals are built up in the bladder, especially if the bladder is incompletely emptied. These stones will pass while they are small. Otherwise, they get stuck to the bladder wall or ureter. If this happens, they gradually gather more mineral crystals, becoming larger over time. Primary hyperparathyroidism is usually caused by a tumor within the parathyroid gland, and elevated calcium levels can cause digestive symptoms, psychiatric abnormaliti...
Source: Urology Case Reports - June 1, 2017 Category: Urology & Nephrology Source Type: research

Congenital Scaphoid Megalourethra: A Case Report
Publication date: September 2017 Source:Urology Case Reports, Volume 14 Author(s): Kenji Obara, Hiroyuki Yamazaki, Kazutoshi Yamana, Hiroo Kuroki, Yoshihiko Tomita A congenital megalourethra is an enlargement of the pendulous urethra without evidence of distal obstruction. A 1-month-old boy presented to us with complaint of weak stream, ballooning of the penis before and during voiding and post voiding dribbling, since birth. Physical examination and cystourethroscope confirmed the diagnosis of congenital scaphoid megalourethra. He underwent reduction urethroplasty. During postoperative follow up, he had normal looking pe...
Source: Urology Case Reports - June 1, 2017 Category: Urology & Nephrology Source Type: research

Robotic-Assisted Abdomino-perineal Vesicourethral Anastomotic Reconstruction for 4.5 Centimeter Post-prostatectomy Stricture
We report surgical management of a disrupted radical prostatectomy vesicourethral anastomosis after bleeding from undiagnosed hemophilia that required re-exploration, pudendal artery embolization, and urinary diversion with nephrostomy and surgical drains. After referral, the 4.5 cm vesicourethral anastomotic defect was reconstructed with a robotic-assisted abdomino-perineal approach. Intra-abdominal robotic-assisted mobilization of the bladder and perineal mobilization of the urethra permitted a tension-free vesicourethral anastomosis while avoiding a pubectomy. Side docking of the Da Vinci Xi robot allows for simultaneou...
Source: Urology Case Reports - June 1, 2017 Category: Urology & Nephrology Source Type: research

Case Presentation: Lung Consolidation as Sequelae of BCG Sepsis After Combined Intravesical and Intraurethral BCG
We describe BCG sepsis occurring in a patient treated with combined intravesical and intraurethral BCG which resulted in lung consolidation with acid-fast bacilli requiring cessation of BCG and initiation of systemic antibiotic therapy. (Source: Urology Case Reports)
Source: Urology Case Reports - May 22, 2017 Category: Urology & Nephrology Source Type: research

Laparoscopic Management of Pelvic Organ Prolapse in a Kidney Transplant Recipient
Publication date: July 2017 Source:Urology Case Reports, Volume 13 Author(s): Jean Rouffilange, Maxime Deslandes, Laurent Lopez This is a report of a laparoscopic double mesh sacrocolpopexy performed in the setting of a 73-year-old woman carrying a grafted kidney. The patient had a vaginal prolapse of the anterior and posterior floor without urinary incontinence. Despite immunosuppression due to anti-rejection treatments and the presence of kidney transplant in left iliac fossa, laparoscopic intervention with the introduction of prosthetic material was conducted. The intervention showed no major difficulty in its implemen...
Source: Urology Case Reports - May 22, 2017 Category: Urology & Nephrology Source Type: research

Carcinosarcoma of the Tunica Vaginalis Following Radiation Therapy for Localized Prostate Cancer
Publication date: July 2017 Source:Urology Case Reports, Volume 13 Author(s): Charles D. Viers, Subodh M. Lele, Tara Kirkpatrick, Chad A. LaGrange Spermatic cord tumors (SCTs) are rare neoplasms with 80% exhibiting benign pathology. Of the malignant SCTs, 90% are sarcomas. To date there has only been one documented case of primary CS of the spermatic cord which occurred in a 40 year old with no reported medical history. A 76-year-old male with a history of biopsy proven Gleason score 7 (3 + 4) prostatic adenocarcinoma underwent external beam radiation therapy (7920 cGy) in 44 fractions in 2004. He...
Source: Urology Case Reports - May 20, 2017 Category: Urology & Nephrology Source Type: research

Squamous Cell Carcinoma of the Renal Pelvis: Atypical Presentation of a Rare Malignancy
We report a SCC of the renal pelvis in a 72 year-old female who presented with abdominal pain. To date, this is the largest SCC originating from the renal pelvis reported in the literature, made even more exceptional by the lack of antecedent risk factors. (Source: Urology Case Reports)
Source: Urology Case Reports - May 19, 2017 Category: Urology & Nephrology Source Type: research

Renal Myxoma, an Incidental Finding
Publication date: July 2017 Source:Urology Case Reports, Volume 13 Author(s): Parth Thakker, Tam Ramsey, Fernando Navarro Myxomas are mesenchymal tumors commonly found in the heart and skin. Renal myxomas are rare, having only been documented 14 times. Our case is a 55-year-old woman who presented to our clinic after a right renal mass was incidentally found on CT. Evaluation with MRI showed a mass that appeared to arise from the supero-medial cortex of the right kidney. As the imaging was concerning for renal cell carcinoma, the patient underwent a partial nephrectomy. Microscopic examination showed a well-circumscribed ...
Source: Urology Case Reports - May 14, 2017 Category: Urology & Nephrology Source Type: research

Metastatic Adenocarcinoma of the Prostate Presenting as Supraclavicular and Bulky Generalized Lymphadenopathy with a Benign Digital Rectal Exam
Publication date: July 2017 Source:Urology Case Reports, Volume 13 Author(s): Edward J. Park, Florian A. Stroie, Brian J. McArdle, Sarah P. Psutka A 63-year-old male presented with complaints of an enlarging left supraclavicular mass and weight loss. Computed tomography demonstrated a large retroperitoneal mass causing displacement of the adjacent organs, and moderate left hydroureteronephrosis. Multiple pulmonary nodules, lytic spinal lesions, and generalized lymphadenopathy including the left supraclavicular region were seen. Serum prostate-specific antigen level was 2064.0 ng/mL. Digital rectal exam revealed an enlarge...
Source: Urology Case Reports - May 14, 2017 Category: Urology & Nephrology Source Type: research

Robot-Assisted Laparoscopic Management of Caliceal Diverticular  Calculi
This article shows technical feasibility with minimal morbidity of robot-assisted laparoscopic stone removal and obliteration of a caliceal diverticulum. (Source: Urology Case Reports)
Source: Urology Case Reports - May 14, 2017 Category: Urology & Nephrology Source Type: research

Penile Calciphylaxis: The Use of Radiological Investigations in the Management of a Rare and Challenging Condition
Publication date: July 2017 Source:Urology Case Reports, Volume 13 Author(s): Rebecca A. Campbell, Laith M. Alzweri, Nikolai A. Sopko, Katarzyna J. Macura, Arthur L. Burnett Penile calciphylaxis is a rare phenomenon of penile necrosis observed in patients with hemodialysis-dependent end-stage renal failure. Multiple treatments have been proposed including conservative management, surgical debridement and penectomy; yet, the prognosis remains extremely poor. Here, we describe a patient with protracted resolution of dry gangrene of the glans, which failed conservative management of wound care and pain management. Radiologic...
Source: Urology Case Reports - May 12, 2017 Category: Urology & Nephrology Source Type: research

Open Vesicocalicostomy for the Management of Transplant Ureteral Stricture
Publication date: July 2017 Source:Urology Case Reports, Volume 13 Author(s): Margaret M. Higgins, Jonathan P. Walker, Michael F. Daily, Shubham Gupta A 59-year-old male developed a proximal stricture of his transplant ureter ten years after a living donor renal transplant. Endoscopic management was unsuccessful, and the patient was temporized with percutaneous nephrostomy tubes for months. Eventually, it became clear he would require surgical revision. Intraoperatively, complete fibrosis of the renal hilum, and intrarenal location of the pelvis precluded the planned pyelovesicostomy. A successful open vesicocalicostomy w...
Source: Urology Case Reports - May 12, 2017 Category: Urology & Nephrology Source Type: research

Renal Cell Carcinoma in a Pregnant Woman With Horseshoe Kidney
Publication date: July 2017 Source:Urology Case Reports, Volume 13 Author(s): Anna Scavuzzo, Zael Santana Rios, Cristobal Diaz-Gomez, Beatriz Varguez Gonzalez, Victor Osornio-Sanchez, Edgar Bravo-Castro, Edgar Linden-Castro, Pedro Martinez-Cervera, Miguel Angel Jimenez-Rios To our knowledge, this is the first reported case of renal cell carcinoma in kidney horseshoe diagnosed in the second trimester of pregnancy. We performed open radical nephrectomy when the pregnancy was completed. Kidney cancer is rare during pregnancy and the symptoms can be mimic urinary infection. The diagnosis and its management can be a challenge....
Source: Urology Case Reports - May 12, 2017 Category: Urology & Nephrology Source Type: research

Adenocarcinoma in a Koff Urinary Ileal Diversion
We present a 76yo female with a history of neurogenic bladder secondary to paraplegia who underwent the formation of a “Koff” pouch as a conduit. Nineteen years later she presents with hematuria and was found to have adenocarcinoma originating in her conduit. (Source: Urology Case Reports)
Source: Urology Case Reports - May 11, 2017 Category: Urology & Nephrology Source Type: research

A Case Report of Priapism With Unusual Presentation and Clinical Course
Publication date: May 2017 Source:Urology Case Reports, Volume 12 Author(s): Wenjie Zhong, Hamesh Jina, Prem Rathore, Eddy Lee Hao Wong, Pascal Mancuso, Nestor Lalak, Lawrence Hayden, Kayvan Haghighi This is a case report on a patient with an unusual presentation and clinical course of priapism. It further discusses treatment options with reflection on current literatures and guidelines. 48 year old patient presented with a history of more than 50 episodes of priapism, each lasting for five minutes. Patient had history of brain tumor that was resected and had since been in remission. On examination and further biochemistr...
Source: Urology Case Reports - May 10, 2017 Category: Urology & Nephrology Source Type: research

Pancake Kidney With Obstructed Moiety: A Rare Renal Fusion Anomaly
We present a case of a 28-year-old male with symptomatic obstruction of a non-functioning moiety of a pancake kidney. He underwent ureterectomy with a finding of only atretic renal parenchyma at exploration. He recovered well and had resolution of his pain at 3-month follow-up. (Source: Urology Case Reports)
Source: Urology Case Reports - May 10, 2017 Category: Urology & Nephrology Source Type: research

Persistent Mullerian Duct Syndrome Presenting in an Incarcerated Recurrent Inguinal Hernia with Hydrocele
We report the case of a 49-year-old male with discovery of this anomaly during inguinal hernia repair. A 49-year-old man presented to the clinic for recurrent inguinal hernia with enlarging left scrotum consistent with hydrocele on imaging. Upon exploration of the left groin, the left testis was pulled up into the abdomen, revealing a uterus, fallopian tube, and a second atrophic testis. Despite the rarity of HUI, the differential diagnosis for inguinal hernia with associated cryptorchidism and/or hydrocele should include this rare form of pseudohermaphroditism. (Source: Urology Case Reports)
Source: Urology Case Reports - May 10, 2017 Category: Urology & Nephrology Source Type: research

Innumerable Condyloma Acuminatum Tumors of the Bladder
Publication date: May 2017 Source:Urology Case Reports, Volume 12 Author(s): Alexandra J. Murray, Trinity J. Bivalacqua, Nikolai A. Sopko Condylomata acuminata caused by human papillomavirus (HPV), a sexually transmitted virus, are rarely seen beyond the external genitalia and anal region. Here, a patient with innumerable condyloma acuminatum of the bladder is presented. Attempted surgical resection was performed and intraoperative photographs are presented. (Source: Urology Case Reports)
Source: Urology Case Reports - May 10, 2017 Category: Urology & Nephrology Source Type: research

Three-Dimensional Volume Rendering of Entrapped Malecot Nephrostomy Catheter by Granulation Tissue
Publication date: May 2017 Source:Urology Case Reports, Volume 12 Author(s): Toru Sugihara, Akira Ishikawa, Takeshi Takamoto, Yoshitaka Kinoshita, Tetsuji Minami, Yukio Yamada, Yukio Homma, Masatoshi Makuuchi An 87-year-old man undergoing radical cystectomy and bilateral nephrostomy visited our hospital 19 days postoperatively because of a lack of urine flow from the left 14-Fr Malecot nephrostomy catheter. The catheter was apparently firmly anchored to the kidney, and an attempt to reposition the catheter failed. Three-dimensional computed tomography volume rendering indicated a deformity of the left catheter compar...
Source: Urology Case Reports - May 10, 2017 Category: Urology & Nephrology Source Type: research

Pancake Kidney Found Inside Abdominal Cavity: Rare Case with Literature Review
Publication date: July 2017 Source:Urology Case Reports, Volume 13 Author(s): Hamzeh M. Ghawanmeh, Mohmmad Al-Ghazo, Omar M. Halalsheh, Omar M. Al-Ghazo, Ahmad K. Alshammari, Anas I. Al-Karasneh, Radwan Al-Okour The cake or lump kidney is a rare form of fusion. The pancake kidney is always found in the pelvic cavity, in the greater or lesser pelvis. However, we report a case of pancake kidney which was found inside abdominal cavity while investigating 32-year-old male for lower limb pain. CT scan with IV contrast reveals ‘fused mass situated in the right side of abdominal cavity with course uncrossed ureters opening...
Source: Urology Case Reports - May 10, 2017 Category: Urology & Nephrology Source Type: research

A 45,X/46,XY Male with Orchidopexy Diagnosed with Mixed Germ Cell Tumor After 21-year Follow-up
Publication date: July 2017 Source:Urology Case Reports, Volume 13 Author(s): Masashi Kubota, Naoki Terada, Katsuhiro Ito, Hideaki Takada, Toshihiro Magaribuchi, Atsuro Sawada, Shusuke Akamatsu, Hiromitsu Negoro, Ryoichi Saito, Takashi Kobayashi, Toshinari Yamasaki, Takahiro Inoue, Osamu Ogawa A case of a 45,X/46,XY boy with gonadal dysgenesis is presented. The patient showed hypospadias and right undescended testis. He underwent underwent repair surgery for hypospadias, right orchidopexy, and bilateral testicular biopsy. Testicular biopsy revealed no malignant finding. He was followed-up annually by scrotum palpation. Wh...
Source: Urology Case Reports - May 10, 2017 Category: Urology & Nephrology Source Type: research

Renal Tuberculosis in a 9 Months Old: Case Report and Review of the Literature
Publication date: July 2017 Source:Urology Case Reports, Volume 13 Author(s): Ariadna Fabià Mayans, Oriol Angerri Feu, Helena Ascaso Til, Yolanda Arce Terroba, Rebeca Blanco Fernández, Anna Bujons Tur, Jorge Caffaratti Sfulcini A nine months old girl with prenatal diagnosis of bilateral hydronephrosis underwent serious studies and in view of the presumed diagnosis of right functional annulment, a right laparoscopic nephroureterectomy was performed. The anatomopatological result was suggestive of tuberculosis without previous contact with the disease. Postoperatively, the child received antituberculosis thera...
Source: Urology Case Reports - May 10, 2017 Category: Urology & Nephrology Source Type: research

Aggressive Angiomyxoma Involving Penis and Urethra – A Case Report
We report a case of aggressive penile angiomyxoma in a sixty-two-year-old obese, diabetic male patient. He presented with obstructive lower urinary tract symptoms (LUTS) and diffuse enlargement of the penis and scrotum. He was managed with excision, reduction scrotoplasty, internal urethrotomy, followed by Leuprolide therapy for prevention of recurrence. He is on follow up for 20 months without recurrence and obstructive symptoms. (Source: Urology Case Reports)
Source: Urology Case Reports - May 10, 2017 Category: Urology & Nephrology Source Type: research

Multiple Recurrent Paraganglioma in a Pediatric Patient with Germline SDH-B Mutation
Publication date: July 2017 Source:Urology Case Reports, Volume 13 Author(s): Aidan McGowan, Julie Y. An, Sally Tanakchi, Mahir Maruf, Akhil Muthigi, Arvin George, Daniel Su, Maria J. Merino, W. Marston Linehan, Shawna L. Boyle, Adam R. Metwalli Magnetic Resonance Imaging (MRI) and fluoro-2-deoxy-d-glucose positron emission tomography (FDG-PET) are recognized approaches for locating paragangliomas. Recently, gallium-68 DOTA-octreotate (DOTATATE) scans have shown promise detecting neuroendocrine tumors missed by FDG-PET and MRI. 13-year-old male with SDH-B mutation presented with symptoms of paraganglioma and elevated cate...
Source: Urology Case Reports - May 10, 2017 Category: Urology & Nephrology Source Type: research

Managing Renal Cell Carcinoma Associated Paraneoplastic Syndrome with Nephron-sparing Surgery in a Patient with von Hippel-Lindau
Publication date: July 2017 Source:Urology Case Reports, Volume 13 Author(s): John M. DiBianco, Julie Y. An, Sally Tanakchi, Zachary Stanik, Aidan McGowan, Mahir Maruf, Abhinav Sidana, Amit Lodha Jain, Akhil Muthigi, Arvin K. George, Christopher Bayne, W. Marston Linehan, Shawna L. Boyle, Adam R. Metwalli A patient with germline von Hippel-Lindau (VHL) gene alteration and history of multiple tumors present with classical paraneoplastic syndrome (PNS) associated with renal cell carcinoma (RCC). She underwent open nephron sparing surgery with resolution of symptoms. She remained without recurrence of RCC for the initial 2&n...
Source: Urology Case Reports - May 10, 2017 Category: Urology & Nephrology Source Type: research

Angiosarcoma of the Bladder: Review of the Literature and Discussion About a Clinical Case
Publication date: July 2017 Source:Urology Case Reports, Volume 13 Author(s): Florian Gerbaud, Alexandre Ingels, Sophie Ferlicot, Jacques Irani Our reported case is a 72 year-old man who presented with hematuria. A transurethral resection of the bladder tumor (TURB-T) has been performed. Histopathological diagnosis was an epithelioid angiosarcoma. CT scan revealed a bladder thickening. The treatment consisted in a complete pelvectomy with urinary and digestive diversion. Following the operation, the patient developed liver and pulmonary metastasis. He died 5 months after the initial diagnosis. (Source: Urology Case Reports)
Source: Urology Case Reports - May 10, 2017 Category: Urology & Nephrology Source Type: research

Mature Cystitic Teratoma of the Bladder Masquerading as a Distal Ureteral Stone
Publication date: July 2017 Source:Urology Case Reports, Volume 13 Author(s): Mohamed Omar, Mohamed El-Gharabawy, Ahmed Samir, Eid El sherif, Manoj Monga A 27-year woman presented with irritative lower urinary tract symptoms and alleged small right distal ureteric stone that had been diagnosed with KUB and non-contrast spiral CT. Patient was scheduled for ureteroscopic lithotripsy, revealing absence of the presumed stone, while cystoscopy showed unexpected 2 cm pedunculated grayish white lesion, situated on the right lateral wall of the bladder with sparse hairs covering it. An incomplete TURBT was done; the histolog...
Source: Urology Case Reports - May 10, 2017 Category: Urology & Nephrology Source Type: research

Case Report: Vessel Injury During Suprapubic Catheter Placement and the Importance of Patient Positioning in Obese Patients
Publication date: July 2017 Source:Urology Case Reports, Volume 13 Author(s): Veronica Demtchouk, Harneet Gujral, Tanaz R. Ferzandi Obesity is a well-known risk factor for increased perioperative morbidity. As surgeons see higher volumes of obese patients, it is important to recognize how an elevated body mass index can impact even the most basic surgical steps, such as patient positioning. This case report describes an iatrogenic injury to the external iliac artery in a morbidly obese patient caused by an abdominal trocar during suprapubic catheter insertion secondary to malrotation of the bony pelvis. It highlights the ...
Source: Urology Case Reports - May 10, 2017 Category: Urology & Nephrology Source Type: research

Port Site Recurrence Following a Robotic Laparoscopic Radical Nephroureterectomy for Sarcomatoid Variant of Urothelial Carcinoma
Publication date: July 2017 Source:Urology Case Reports, Volume 13 Author(s): Jonathan Elliott Katz, Trinity J. Bivalacqua, Noah M. Hahn, Nikolai A. Sopko Port Site Recurrence (PSR) following laparoscopic tumor resections has been reported for a variety of tumors. Though PSR is a rare phenomenon, they most commonly occur following nephroureterectomies for upper tract urothelial carcinoma. Herein we report a novel case of a PSR following a robotic assisted nephroureterectomy for the sarcomatoid variant of urothelial carcinoma of the upper urinary tract. (Source: Urology Case Reports)
Source: Urology Case Reports - May 10, 2017 Category: Urology & Nephrology Source Type: research

Acute Foreskin Strangulation Injury due to Bathing Suit Mesh Entrapment
We describe the case of an 8-year-old male who presented with foreskin entrapment caused by bathing suit mesh. Management and literature review are discussed. (Source: Urology Case Reports)
Source: Urology Case Reports - May 10, 2017 Category: Urology & Nephrology Source Type: research

Papillary Renal Cell Carcinoma Revealed by Renal Traumatism: A Case Report in Lom é
This study is a report on a case of papillary carcinoma of the kidney revealed by an abdominal contusion. The results of radiological investigations were discordant with the low intensity of the shock. The treatment consisted of radical nephrectomy because of the suspicion of a pre-existing malignancy. Histological analysis revealed a papillary carcinoma pT3N0M0. We focus on the need for performing diagnostic tests in order to avoid missing a pre-existing anomaly to the kidney trauma. (Source: Urology Case Reports)
Source: Urology Case Reports - May 10, 2017 Category: Urology & Nephrology Source Type: research

Solitary Renal Pelvic Lesion as the Primary Manifestation of Hodgkin Lymphoma: A Case Report
We report the first case of primary renal Hodgkin lymphoma and with the absence of supra- and sub-diaphragmatic adenopathy. (Source: Urology Case Reports)
Source: Urology Case Reports - May 10, 2017 Category: Urology & Nephrology Source Type: research

Robotic “Side Hole” Technique Placement of Ureteral Stent for Ureteral Lesion
Publication date: July 2017 Source:Urology Case Reports, Volume 13 Author(s): Cristina Falavolti, Vincenzo Pagliarulo, Federico Sergi, Elia Luperto, Maurizio Buscarini A 67-year-old patient underwent robotic-assisted laparoscopic radical prostatectomy and experienced right ureteral lesion. The laceration was recognized intraoperatively and immediately repaired over the ureteral double J stent. The wire and the stent were first advanced distally to the bladder. Then the wire was pulled with its soft end, cranially through one of the side holes of the proximal end of the stent toward the kidney allowing exact positioning of...
Source: Urology Case Reports - May 10, 2017 Category: Urology & Nephrology Source Type: research

Lumbar Artery Pseudoaneurysm: A Complication of Percutaneous Nephrostomy
Publication date: July 2017 Source:Urology Case Reports, Volume 13 Author(s): Melody Djuimo, Melanie Aubé, Mathieu Beland, Claudio Jeldres, Michel Carmel, Andrew Benko A 21 year-old male underwent nephrostomy tube insertion for hydronephrosis due to a large para-aortic adenopathy of a testicular tumor. In order to reduce infections during chemotherapy, a ureteral stent was placed. While removing the nephrostomy tube, a pulsatile bleeding was found and a renal angiography was done. A pseudoaneurysm of his first left lumbar (L1) artery communicating with the nephrostomy's access site was found. An embolization was pe...
Source: Urology Case Reports - May 10, 2017 Category: Urology & Nephrology Source Type: research

A Hard Ball for a Tennis Player: A Rare Case of Large Calcifying Sertoli Cell Testicular Tumor
Publication date: July 2017 Source:Urology Case Reports, Volume 13 Author(s): Simone Albisinni, Ibrahim Biaou, Fouad Aoun, Romain Diamand, Ksenija Limani, Alexandre Peltier, Roland van Velthoven, Eric Hawaux A 46 year old tennis player was addressed to our clinic after incidental finding of right testicular calcification on plain x-ray of the spine. Urologic consultation revealed a hard non-tender testicular mass which required inguinal orchiectomy. Final histology revealed large cell calcifying Sertoli cell tumor: we herein present the case and review current physiopathology of such rare testicular disease. (Source: Urology Case Reports)
Source: Urology Case Reports - May 10, 2017 Category: Urology & Nephrology Source Type: research

Severe Hypophosphatemia Following Denosumab Administration in a Hemodialysis Patient with Progressive Prostate Cancer
Publication date: July 2017 Source:Urology Case Reports, Volume 13 Author(s): Hiroshi Masuda, Kanya Kaga, Masahiko Inahara, Kazuhiro Araki, Satoko Kojima, Yukio Naya, Makoto Takano In a 68-year-old man on maintenance hemodialysis (HD), severe anemia was detected. Bone marrow biopsy was performed for investigation of pancytopenia and pathological examination revealed adenocarcinoma of the prostate. Prostate specific antigen (PSA) was 574 ng/mL. After androgen deprivation therapy was initiated, PSA decreased to 13.7 ng/mL. But subsequent elevation of PSA and pain due to bone metastases were recognized. Denosumab (...
Source: Urology Case Reports - May 10, 2017 Category: Urology & Nephrology Source Type: research