Case Reports in UrologyPub Date : 2026-08-31eCollection Date: 2026-01-01DOI: 10.1155/criu/8373968
Mohammed Alshehri, Ebtesam Almajed, Khadijah Eid, Nojoud Alamri
{"title":"Laparoscopic Retroperitoneal Repair of a Retrocaval Ureter: A Case Report and Video Demonstration.","authors":"Mohammed Alshehri, Ebtesam Almajed, Khadijah Eid, Nojoud Alamri","doi":"10.1155/criu/8373968","DOIUrl":"10.1155/criu/8373968","url":null,"abstract":"<p><strong>Background: </strong>Retrocaval ureter is an uncommon congenital condition caused by abnormal development of the inferior vena cava. The resulting posterior displacement of the ureter may produce compression, impaired urinary drainage, and hydronephrosis.</p><p><strong>Case presentation: </strong>A 35-year-old man was referred following the detection of a right-sided Type I retrocaval ureter during evaluation of right renal colic. Laboratory investigations and physical examination were unremarkable. Computed tomography urography and retrograde pyelography demonstrated the characteristic abnormal ureteral course with associated proximal obstruction. The patient underwent laparoscopic retroperitoneal mobilization, transposition, and reconstruction of the ureter. The operative steps are presented in an accompanying video. Recovery was uncomplicated, and follow-up imaging demonstrated resolution of the obstruction.</p><p><strong>Conclusion: </strong>Laparoscopic retroperitoneal reconstruction provides direct access to the affected ureter while avoiding entry into the peritoneal cavity. In appropriately selected patients and experienced hands, it represents an effective minimally invasive option for the treatment of retrocaval ureter.</p>","PeriodicalId":30323,"journal":{"name":"Case Reports in Urology","volume":"2026 ","pages":"8373968"},"PeriodicalIF":0.0,"publicationDate":"2026-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13528853/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148867021","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Case Reports in UrologyPub Date : 2026-08-27eCollection Date: 2026-01-01DOI: 10.1155/criu/1639039
Avaneesh Kunta, Audra Garrigan, Kevin Heinsimer
{"title":"Temporary Perineal Urethrostomy for Bladder Tumor Resection.","authors":"Avaneesh Kunta, Audra Garrigan, Kevin Heinsimer","doi":"10.1155/criu/1639039","DOIUrl":"10.1155/criu/1639039","url":null,"abstract":"<p><p>We report a case of a 57-year-old male with extensive pelvic scarring from childhood burns who presented with gross hematuria and was diagnosed with high-grade pT1 urothelial carcinoma. Due to severe anatomical restrictions, traditional transurethral resection of bladder tumors (TURBT) was not feasible. A temporary perineal urethrostomy (PU) was performed to enable complete tumor resection. This is the first reported case of temporary PU facilitating TURBT in a patient with severe burn-related pelvic scarring, highlighting its role as a safe and effective alternative when standard endoscopic approaches are not possible.</p>","PeriodicalId":30323,"journal":{"name":"Case Reports in Urology","volume":"2026 ","pages":"1639039"},"PeriodicalIF":0.0,"publicationDate":"2026-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13519955/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148841287","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Case Reports in UrologyPub Date : 2026-08-25eCollection Date: 2026-01-01DOI: 10.1155/criu/8508136
Sachein Sharma, Ryan Jaehne, Cyrus Oster, Dong Ren, Shivani Kandukuri, Li Lei, Dimitrios Korentzelos, Matthew J Oberley, Eugene Muchnik, Mark G Evans
{"title":"Adenocarcinoma of the Rete Testis With PI3K/AKT/mTOR Pathway Alteration and a Gene Expression Profile Resembling Papillary Renal Cell Carcinoma: A Case Report.","authors":"Sachein Sharma, Ryan Jaehne, Cyrus Oster, Dong Ren, Shivani Kandukuri, Li Lei, Dimitrios Korentzelos, Matthew J Oberley, Eugene Muchnik, Mark G Evans","doi":"10.1155/criu/8508136","DOIUrl":"10.1155/criu/8508136","url":null,"abstract":"<p><p>Adenocarcinoma of the rete testis (ACRT) is a rare, gland-forming neoplasm arising from rete testis epithelium and is typically associated with poor prognosis. Currently, our knowledge of ACRT has been limited to single reports and small series, and its molecular characteristics are largely unknown. We present a patient, whose scrotal tumor demonstrated a gene expression profile similar to that of papillary renal cell carcinoma (PRCC) and alteration of PI3K/AKT/mTOR pathway, thereby expanding our understanding of the genomic landscape of ACRT.</p>","PeriodicalId":30323,"journal":{"name":"Case Reports in Urology","volume":"2026 ","pages":"8508136"},"PeriodicalIF":0.0,"publicationDate":"2026-08-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13504671/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148819600","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Case Reports in UrologyPub Date : 2026-08-21eCollection Date: 2026-01-01DOI: 10.1155/criu/9964573
Kwabena Boahen Asare, Lorraine Zaki, Bassem Zaki
{"title":"Concurrent Management of Prostate Cancer and Perianal Fistula: A Case Report, Treatment Considerations, and Review of Literature.","authors":"Kwabena Boahen Asare, Lorraine Zaki, Bassem Zaki","doi":"10.1155/criu/9964573","DOIUrl":"10.1155/criu/9964573","url":null,"abstract":"<p><strong>Background: </strong>Prostate cancer and pre-existing perianal fistula are challenging conditions to manage concurrently as pelvic radiotherapy may raise concern for impaired wound healing, infection, or fistula progression. Although radiotherapy has traditionally raised concern as a risk factor for fistulization, this case suggests that selected patients with a pre-existing perianal fistula may be treated with careful multidisciplinary planning and modern radiotherapy techniques.</p><p><strong>Case presentation: </strong>A 70-year-old male diagnosed with favorable intermediate-risk prostate cancer and a concurrent perianal fistula was treated with definitive radiation therapy and staged surgical treatment, respectively. The patient underwent intensity-modulated radiation therapy (IMRT) with daily image-guided radiation therapy (IGRT), receiving a total dose of 70 Gy in 28 fractions while minimizing radiation dose to the perianal region. Prior to radiation, a seton was placed to facilitate drainage and reduce infection risk from the fistula. Following radiotherapy, the patient underwent successful surgical fistulectomy without complications. At 26 months posttreatment, the patient remains free of biochemical recurrence and without recurrence of the perianal fistula.</p><p><strong>Conclusions: </strong>This case highlights the clinical importance of applying and coordinating established management principles to an uncommon and challenging scenario. Although seton placement, IMRT/IGRT, and fistula surgery are individually well-established approaches, their sequencing in the setting of localized prostate cancer with a concurrent pre-existing perianal fistula remains poorly described. This report offers a practical example of individualized, staged management in a complex clinical scenario for which standardized treatment pathways remain limited.</p>","PeriodicalId":30323,"journal":{"name":"Case Reports in Urology","volume":"2026 ","pages":"9964573"},"PeriodicalIF":0.0,"publicationDate":"2026-08-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13498855/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148798816","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Case Reports in UrologyPub Date : 2026-08-21eCollection Date: 2026-01-01DOI: 10.1155/criu/1563744
Michael J Markel, Michael Chang, Elisabeth S Rindner, Jenna Dickman, Krishnan Venkatesan, Nathan M Shaw
{"title":"Lymphoma as a Rare Cause of Ureteral Obstruction: A Case Report.","authors":"Michael J Markel, Michael Chang, Elisabeth S Rindner, Jenna Dickman, Krishnan Venkatesan, Nathan M Shaw","doi":"10.1155/criu/1563744","DOIUrl":"10.1155/criu/1563744","url":null,"abstract":"<p><p>Extranodal marginal zone lymphoma involving the urinary system is a rare manifestation of lymphoma. Ureteric obstruction by this subtype of lymphoma can mimic other more common genitourinary or retroperitoneal conditions. The current case describes a 42-year-old female who presented with abdominal pain and hydronephrosis without findings supportive of renal or ureteric calculus. Diagnostic work-up was unremarkable, even with the employment of endoscopic evaluation. The patient's ureter was dilated and she underwent both stenting and eventual percutaneous nephrostomy tube placement. Ultimately, she underwent surgical intervention with ureteral reimplantation and associated histopathological analysis was able to definitively diagnose a low-grade B-cell extranodal marginal zone lymphoma. The present case highlights the diagnostic challenges associated with this rare etiology of urinary obstruction. It also emphasizes the importance of considering atypical malignancy in the differential diagnosis of recurrent ureteral obstruction, especially when traditional radiological imaging and clinical assessment are unrevealing.</p>","PeriodicalId":30323,"journal":{"name":"Case Reports in Urology","volume":"2026 ","pages":"1563744"},"PeriodicalIF":0.0,"publicationDate":"2026-08-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13498890/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148798814","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Case Reports in UrologyPub Date : 2026-08-17eCollection Date: 2026-01-01DOI: 10.1155/criu/4860507
Savvina Polykarpou, Maria Miliatou, Prodromos Philippou
{"title":"Bilobed Testis: A Case Report and Review of the Literature.","authors":"Savvina Polykarpou, Maria Miliatou, Prodromos Philippou","doi":"10.1155/criu/4860507","DOIUrl":"10.1155/criu/4860507","url":null,"abstract":"<p><p>Bilobed testis is a rare anomaly of testicular development. Although its etiology remains uncertain, this condition may represent a variant of polyorchidism. We herein describe the case of an 18-year-old patient who presented with a painless scrotal nodule located in the upper pole of the left testis. We report this case to highlight the rarity of this entity and to delineate relevant issues such as radiologic features, differential diagnosis, and possible clinical implications.</p>","PeriodicalId":30323,"journal":{"name":"Case Reports in Urology","volume":"2026 ","pages":"4860507"},"PeriodicalIF":0.0,"publicationDate":"2026-08-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13478793/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148798827","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Case Reports in UrologyPub Date : 2026-08-07eCollection Date: 2026-01-01DOI: 10.1155/criu/2379059
Leslie Hoyt, Alexandra Bain, Stacy Ardoin, Miriam Conces, Christina Ching
{"title":"Pediatric Eosinophilic Cystitis: A Case Series From a Single Institution.","authors":"Leslie Hoyt, Alexandra Bain, Stacy Ardoin, Miriam Conces, Christina Ching","doi":"10.1155/criu/2379059","DOIUrl":"10.1155/criu/2379059","url":null,"abstract":"<p><p>Eosinophilic cystitis (EC) is an inflammatory disease characterized by eosinophilic bladder infiltrate. It is primarily seen in adults with presenting symptoms of dysuria and gross hematuria, and diagnosis is confirmed with bladder biopsy. Possible etiologies include allergies, prior bladder trauma, or parasitic infections and management involves nonsteroidal anti-inflammatory drugs, antihistamines, corticosteroids, and occasionally immunologic agents. EC is rare and especially uncommon in the pediatric population. We present a case series of five pediatric patients diagnosed with EC over a 20-year review at a single institution, including how they presented and their management. This case series highlights the first pediatric case of EC requiring an immunologic agent for symptom control as well as several cases uniquely associated with schistosomiasis.</p>","PeriodicalId":30323,"journal":{"name":"Case Reports in Urology","volume":"2026 ","pages":"2379059"},"PeriodicalIF":0.0,"publicationDate":"2026-08-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13449030/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148689966","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Case Reports in UrologyPub Date : 2026-08-05eCollection Date: 2026-01-01DOI: 10.1155/criu/1304419
John Y Kwon, John C Cheville, Miguel Muniz-Rincon, Mohamed E Ahmed, Eugene D Kwon, Irbaz Riaz, Dan S Childs, Geoffrey Johnson, Oliver Sartor, Lance C Pagliaro, Jacob J Orme
{"title":"Pleomorphic Giant Cell Carcinoma of the Prostate Treated With Lutetium-177 PSMA.","authors":"John Y Kwon, John C Cheville, Miguel Muniz-Rincon, Mohamed E Ahmed, Eugene D Kwon, Irbaz Riaz, Dan S Childs, Geoffrey Johnson, Oliver Sartor, Lance C Pagliaro, Jacob J Orme","doi":"10.1155/criu/1304419","DOIUrl":"10.1155/criu/1304419","url":null,"abstract":"<p><p>Pleomorphic giant cell carcinoma (PGCC) of the prostate is an extremely rare and aggressive malignancy with limited treatment options. We present a case report of metastatic PGCC patients treated with <sup>177</sup>Lu-PSMA-617 radioligand therapy (Pluvicto) after progression on standard therapies. Both patients had PSMA-avid tumors on imaging. Molecular profiling revealed mutations in hallmark tumor suppressors including TP53, RB1, and PTEN. Both patients initially experienced partial radiographic response, in which one patient achieved stable disease for 9 months posttherapy. These findings suggest that PSMA-radioligand therapy may be a reasonable treatment for PGCC patients, but underscore the need for additional therapeutic options.</p>","PeriodicalId":30323,"journal":{"name":"Case Reports in Urology","volume":"2026 ","pages":"1304419"},"PeriodicalIF":0.0,"publicationDate":"2026-08-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13443711/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148686282","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Case Reports in UrologyPub Date : 2026-08-03eCollection Date: 2026-01-01DOI: 10.1155/criu/7195403
Ameer Zurob, George Kallingal
{"title":"Robotic Partial Nephrectomy for Isthmic RCC in a Horseshoe Kidney With Aberrant Aortic Arterial Supply.","authors":"Ameer Zurob, George Kallingal","doi":"10.1155/criu/7195403","DOIUrl":"10.1155/criu/7195403","url":null,"abstract":"<p><p>We report robotic-assisted partial nephrectomy for isthmic clear cell renal cell carcinoma in a horseshoe kidney with aberrant aortic arterial supply. Intraoperative management utilized indocyanine green-guided near-infrared fluorescence imaging, intraoperative ultrasonography, and ligation of aberrant arterial branches supplying the mass. Pathology demonstrated a 4.6-cm WHO/ISUP grade 3 clear cell RCC, pathologic stage pT1b with negative surgical margins. Postoperative recovery was uncomplicated with preserved renal function and no recurrence at 6 months. This case highlights the importance of detailed anatomic delineation during nephron-sparing surgery in complex horseshoe kidney anatomy.</p>","PeriodicalId":30323,"journal":{"name":"Case Reports in Urology","volume":"2026 ","pages":"7195403"},"PeriodicalIF":0.0,"publicationDate":"2026-08-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13434024/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148674212","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Case Reports in UrologyPub Date : 2026-07-28eCollection Date: 2026-01-01DOI: 10.1155/criu/4462826
Christopher Moran, Catherine Skibiel, Hadi Shojaei, Jeffrey J Tomaszewski, Tina Bocker Edmonston, Veniamin Barshay, Ruth Birbe
{"title":"Adult Granulosa Cell Tumor With Low-Level Amplifications of <i>JAK2</i>, <i>ERBB3</i>, <i>CDK4</i>, and <i>MDM2</i>: A Rare Testicular Tumor.","authors":"Christopher Moran, Catherine Skibiel, Hadi Shojaei, Jeffrey J Tomaszewski, Tina Bocker Edmonston, Veniamin Barshay, Ruth Birbe","doi":"10.1155/criu/4462826","DOIUrl":"10.1155/criu/4462826","url":null,"abstract":"<p><p>Testicular adult granulosa cell tumors (AGCTs) are exceptionally rare neoplasms that are thought to be the male counterpart of ovarian granulosa cell tumors (GCT). Here, we present a 50-year-old African American male who initially presented with right testicular pain and swelling, with ultrasound revealing a 2.0-cm heterogeneous hypoechoic lesion along the upper pole/interpolar right testicle with internal vascularity. Microscopic examination was consistent with AGCT, demonstrating monomorphic cells with elongated nuclei containing numerous small grooves, resembling ovarian granulosa cells, and scant cytoplasm arranged in trabeculae and sheets. Immunohistochemical stains of the tumor were positive for inhibin, vimentin, and weakly positive for calretinin, S100, and Ki67 (10%). Next Generation Sequencing (NGS) showed low-level amplifications of <i>JAK2</i>, <i>ERBB3</i>, <i>CDK4</i>, and <i>MDM2</i>. No gene fusions or mutations were identified. The patient underwent a radical orchiectomy and remains alive and disease-free at 42 months following diagnosis.</p>","PeriodicalId":30323,"journal":{"name":"Case Reports in Urology","volume":"2026 ","pages":"4462826"},"PeriodicalIF":0.0,"publicationDate":"2026-07-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13409338/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148621269","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}