Case Reports in Urology最新文献

{"title":"Duplex Renal Collecting System Lithiasis: A Case of a Challenging Management Technique.","authors":"Ioannis Loufopoulos, Clarence Zwengunde, Soumendra Datta","doi":"10.1155/criu/1543018","DOIUrl":"10.1155/criu/1543018","url":null,"abstract":"<p><p>Duplex renal collecting system is a relatively common congenital abnormality affecting equally both pelvicalyceal systems. Although usually it is an incidental finding, it can cause significant problems to the patients such as recurrent urinary tract infections, hydronephrosis, and lithiasis. In this study, we describe an interesting surgical management option for a patient with upper moiety hydronephrosis and lithiasis of the aberrant ureter, achieving resolution of the hydronephrosis and complete removal of the calculus. A 49-year-old female patient presented with symptoms of left colicky pain. During the initial investigation, a left-sided duplex renal collecting system with severely hydronephrotic upper pole moiety and grossly dilated tortuous ureter with distal calculus and ectopic insertion to urinary bladder was identified. On cystoscopy, the upper moiety ureteric opening was identified distally to the urethral sphincter. Under ultrasound guidance, endoscopic transvesical resection was performed distal to the stented lower moiety ureteric orifice, resulting in the identification of the stone and extraction. Short- and long-term follow-up demonstrated no recurrence of the stone and significant resolution of the hydronephrosis. In conclusion, in this case report, we describe an unusual anatomical variation of the upper moiety outflow, and we introduce a new technique of intravesical ultrasound-guided removal of an obstructive calculus.</p>","PeriodicalId":30323,"journal":{"name":"Case Reports in Urology","volume":"2025 ","pages":"1543018"},"PeriodicalIF":0.0,"publicationDate":"2025-06-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12178762/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144369230","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}

{"title":"Penile Metastasis as the Presenting Symptom of Colorectal Carcinoma: A Rare Case Report.","authors":"Mann Patel, Alain Kaldany, Farida Tanko, Andrew Parrott, Thomas L Jang","doi":"10.1155/criu/8856762","DOIUrl":"10.1155/criu/8856762","url":null,"abstract":"<p><p><b>Background:</b> Secondary penile cancer, despite the region's rich vascularization, is a rare phenomenon with only around 500 cases ever reported, typically of genitourinary origin and in even rarer cases, of colorectal adenocarcinoma. Unfortunately, the underlying mechanisms are not well elucidated, and prognosis remains poor with a late onset and median overall survival of 9 months for colon adenocarcinoma. Secondary penile cancer often presents alongside concurrent metastases months or years following successful treatment of the primary tumor. However, we report a case of an isolated penile metastasis as the presenting symptom of colon adenocarcinoma with no identifiable primary lesion or history of malignancy. <b>Case Summary:</b> A 67-year-old African-American male presented with a 1-month history of voiding symptoms, whereupon follow-up revealed a penile mass near the left base of the penis. Postoperative histopathological, immunohistochemical, and genomic analyses revealed characteristics of invasive and metastatic colorectal adenocarcinoma. Initial diagnostic testing revealed elevations in serum tumor markers CA 19-9 and carcinoembryonic antigen, while whole body PET/CT scan and colonoscopy failed to identify any tumorigenic lesions or primary colorectal malignancy. Although hypermetabolic activity was noted near the base of the penis and bilateral inguinal lymph nodes, the patient is currently on chemotherapy with a modified FOLFOX-6 regimen with active surveillance and no adverse effects. <b>Conclusion:</b> Here, we report a rare case of isolated penile metastasis as the first presentation of colon adenocarcinoma with no primary lesion. Regardless of origin, secondary penile cancer is a rare phenomenon with a poor prognosis. While the exact mechanism of spread is uncertain, the most probable mode of dissemination is through venous networks. There is also no standard of treatment relying on surgical, therapeutic, and palliative management. Although unclear, our unique presentation may portend a more favorable prognosis with continued treatment and observation.</p>","PeriodicalId":30323,"journal":{"name":"Case Reports in Urology","volume":"2025 ","pages":"8856762"},"PeriodicalIF":0.0,"publicationDate":"2025-05-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12129613/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144209690","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}

{"title":"Retroperitoneal Mystery: Primary Retroperitoneal Mucinous Cystic Neoplasm With Concomitant Cystic Neoplasm of the Pancreas.","authors":"Luis Gonzalez Miranda, Jessica Qiu, Yubo Wu, Kirsten Greene","doi":"10.1155/criu/3296313","DOIUrl":"10.1155/criu/3296313","url":null,"abstract":"<p><p>Urologists are commonly referred patients with retroperitoneal lesions and masses arising from or involving the kidney. In this case, the patient had a retroperitoneal mass identified on imaging which was initially concerning for a cystic renal neoplasm, but it was clearly distinct from all surrounding structures. Pathology found the very uncommon and unexpected diagnosis of a mucinous cystic neoplasm (MCN) with ovarian-type stroma suspected to have arisen from the pancreas. MCNs are lesions that most commonly arise in the ovaries, but less often can arise in extraovarian tissues. Of these extraovarian MCNs, primary retroperitoneal MCNs are exceedingly rare masses with some similarity to their pancreatic and ovarian counterparts. We present a case of an MCN found in the retroperitoneum and initially mistaken for a cystic renal mass, with histological markers and a concomitant pancreatic cyst that suggests possible pancreatic origin. Interestingly, no literature has described pancreatic MCNs without invasive features that have been found in the retroperitoneum without any formal tissue connection to the pancreas. The pathogenesis of retroperitoneal MCNs is still unknown, and as a result, the optimal treatment strategy is unclear.</p>","PeriodicalId":30323,"journal":{"name":"Case Reports in Urology","volume":"2025 ","pages":"3296313"},"PeriodicalIF":0.0,"publicationDate":"2025-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12122154/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144182220","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}

{"title":"Inability to Perform Retrograde Ureteroscopic Stone Treatment: A Postoperative Anatomical Change After Fleur-de-Lis Abdominoplasty.","authors":"Parker L Heger, Thomas F Rashid, Lucas B Vergamini, Bristol B Whiles, Aaron Tverye, Wilson R Molina","doi":"10.1155/criu/4992363","DOIUrl":"10.1155/criu/4992363","url":null,"abstract":"<p><p>Abdominoplasty is a frequently performed elective procedure, often indicated for patients after substantial weight loss resulting in significant redundant skin. Closing techniques and the lifting of the mons pubis during abdominoplasty have been proposed to alleviate symptoms of stress urinary incontinence by elevating and supporting the urethra. Despite these observations, the impact of abdominoplasty on pelvic anatomy and subsequent endoscopic procedures remains underexplored and underreported. We present a case where cystoscope passage as part of endoscopic laser lithotripsy for nephrolithiasis was impeded by altered anatomy in a patient with a history of Fleur-de-Lis abdominoplasty.</p>","PeriodicalId":30323,"journal":{"name":"Case Reports in Urology","volume":"2025 ","pages":"4992363"},"PeriodicalIF":0.0,"publicationDate":"2025-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12119170/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144175071","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}

{"title":"Recurrent Urosepsis Following Stent Removal for Ureteral Stones: A Case Report.","authors":"Cesar Prugue, Parker Reber, Amanda Austin","doi":"10.1155/criu/5547651","DOIUrl":"https://doi.org/10.1155/criu/5547651","url":null,"abstract":"<p><p>Urosepsis, a severe infection originating from the urinary tract, can be life-threatening. We present the case of a 56-year-old female who developed urosepsis twice within 15 days, each episode occurring shortly after stent removal. Ureteroscopy with stent placement was initially performed to treat a 12-mm stone in the distal left ureter. Although the stent was removed only after imaging showed no residual stones, sepsis developed shortly after, leading to another ureteroscopy and stent placement. Before the removal of the second stent, imaging again confirmed no stones were present, yet she experienced sepsis once more following the second stent removal. Further imaging studies during hospital admission for both episodes of sepsis revealed stone fragments and hydronephrosis which were missed during office evaluations. This case highlights the need for more effective imaging techniques to detect residual stones. The decision to place a stent after ureteroscopy for ureteral stone treatment should also be carefully considered, even for low-risk patients, to reduce infection risk.</p>","PeriodicalId":30323,"journal":{"name":"Case Reports in Urology","volume":"2025 ","pages":"5547651"},"PeriodicalIF":0.0,"publicationDate":"2025-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12043385/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143999439","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}

{"title":"Endoscopic Removal of Superglue From the Urethra: A Case Report and Review of the Literature.","authors":"Marcus Derigs, Aristeidis Zacharis, Cem Aksoy, Subhajit Mandal, Johannes Huber, Christer Groeben","doi":"10.1155/criu/2780056","DOIUrl":"https://doi.org/10.1155/criu/2780056","url":null,"abstract":"<p><p><b>Background:</b> The self-insertion of superglue into the male urethra is an uncommon and challenging cause of urethral obstruction, with only five reported cases to date. These cases demonstrate diverse clinical presentations and treatment approaches. This report presents the sixth documented case, reviews the existing literature, and proposes a structured treatment approach for superglue-induced urethral obstruction. <b>Case Presentation:</b> A 51-year-old male instilled superglue into his urethra to secure a pintail comb inserted for self-stimulation. Upon forcefully removing the comb, hardened superglue fragments remained stuck in the urethra, causing urinary retention. Endoscopic extraction using rigid cystoscopy and forceps under local anesthesia successfully removed all fragments from the penile urethra and bladder. <b>Conclusion:</b> Early endoscopic extraction using rigid cystoscopy under local anesthesia represents a safe and effective treatment option for nonadherent superglue fragments in the urethra.</p>","PeriodicalId":30323,"journal":{"name":"Case Reports in Urology","volume":"2025 ","pages":"2780056"},"PeriodicalIF":0.0,"publicationDate":"2025-04-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12031598/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144050086","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}

{"title":"Perineal Incision for the Surgical Management of Extremely Proximal Internal Penile Fractures-A Case Series and Review of Literature.","authors":"Anas Khan, Hester Lacey, James Brittain, Charles Coker, Ruairidh Crawford","doi":"10.1155/criu/7921626","DOIUrl":"https://doi.org/10.1155/criu/7921626","url":null,"abstract":"<p><p>This case series presents four cases of extreme proximal internal corpus cavernosum (EPICC) penile fractures. Patients, aged 33-53, presented with penile trauma primarily during sexual intercourse, exhibiting atypical symptoms sparing the penis but with significant perineal and scrotal bruising. Diagnosis was confirmed via penile magnetic resonance imaging (MRI), revealing fractures at the penile base. All patients underwent surgical repair through a midline perineal incision, with no long-term complications reported. This series highlights the value of MRI for diagnosing atypical fractures and supports a perineal surgical approach for optimal exposure and repair in EPICC fractures.</p>","PeriodicalId":30323,"journal":{"name":"Case Reports in Urology","volume":"2025 ","pages":"7921626"},"PeriodicalIF":0.0,"publicationDate":"2025-04-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12011461/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143989008","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}

{"title":"Detection of MRI-Invisible Disease Using PSMA PET/CT in a Patient Considering Focal Therapy.","authors":"Jae Woong Jang, Aaron Abrams, Anugayathri Jawahar, Hatice Savas, Ximing J Yang, Vikas Mehta, Marina Schnauss, Edward M Schaeffer, Ridwan Alam, Ashley E Ross","doi":"10.1155/criu/2981515","DOIUrl":"10.1155/criu/2981515","url":null,"abstract":"<p><p>Patient selection for focal therapy (FT) of prostate cancer requires the assessment of MRI and biopsy results. However, there is currently little guidance for the utility of PSMA PET/CT in FT planning. We describe the case of a man originally considered an ideal candidate for FT based on biopsy and MRI who was found to have a contralateral lesion-harboring cancer detected only on PSMA PET/CT. <b>Trial Registration:</b> ClinicalTrials.gov identifier: NCT05852041.</p>","PeriodicalId":30323,"journal":{"name":"Case Reports in Urology","volume":"2025 ","pages":"2981515"},"PeriodicalIF":0.0,"publicationDate":"2025-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11964713/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143774451","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}

{"title":"Management of Critical Wunderlich Syndrome: A Case Report and Review of Therapeutic Strategies.","authors":"Samer Danaf, Yehya Tlaiss, Mohamad Chams, Georges Assaf, Mohammad Moussa, Imad Ghantous","doi":"10.1155/criu/2129870","DOIUrl":"10.1155/criu/2129870","url":null,"abstract":"<p><p>This case report presents a compelling instance of Wunderlich syndrome (WS), a rare and nontraumatic medical condition characterized by spontaneous renal hemorrhage into the subcapsular and perirenal spaces. WS poses unique diagnostic and management challenges due to its sudden and substantial hemorrhage presentation that is life-threatening, often accompanied by acute flank pain, hemodynamic instability, and the presence of a flank mass. While the exact pathogenesis remains debated, WS can arise from various renal pathologies, including neoplastic and nonneoplastic conditions. In this case, a 65-year-old male with a complex medical history, including polycystic kidney disease, presented to the emergency room with massive hematuria leading to an abrupt severe drop in hemoglobin levels and hemodynamic instability. Despite aggressive management, including transfusions, the patient ultimately underwent an urgent open left radical nephrectomy due to the severity of the condition and distorted anatomy. Additionally, the report draws attention to the potential use of tranexamic acid in WS cases, stressing the importance of balancing its benefits against associated risks. This case highlights the critical importance of recognizing and promptly addressing WS, highlighting the diverse etiology of this condition, the role of tranexamic acid in controlling bleeding, and the lifesaving role of nephrectomy in cases of significant bleeding and hemodynamic instability.</p>","PeriodicalId":30323,"journal":{"name":"Case Reports in Urology","volume":"2025 ","pages":"2129870"},"PeriodicalIF":0.0,"publicationDate":"2025-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11929593/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143693692","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}

{"title":"Migrating Staghorn Calculus Secondary to a Renocolic Fistula: A Case Report and Review of the Literature.","authors":"Panagiota Fallon, Abhisekh Chatterjee, Nikolaos Chatzikrachtis, Dimitrios Sapountzis, Ivo Donkov, Samuel Bishara, Konstantinos Charitopoulos, Panagiotis Nikolinakos","doi":"10.1155/criu/1014938","DOIUrl":"10.1155/criu/1014938","url":null,"abstract":"<p><p><b>Background:</b> Staghorn calculi are large renal stones which occupy most of the renal pelvis and are commonly associated with chronic or recurrent upper urinary tract infections (rUTIs). They often require more aggressive management, such as percutaneous nephrolithotomy (PCNL) or nephrectomy, although conservative management may be a safer option for select patients, particularly those with significant comorbidities. The presence of chronic stones or recurrent infections in the kidney increases the risk of complications, including fistula and abscess formation. <b>Case Presentation:</b> A 68-year-old female presented to the emergency department with signs of urosepsis. Computed tomography (CT) imaging revealed a left-sided staghorn calculus with concurrent smaller renal calculi. Due to worsening kidney function during hospitalization, repeat imaging was done, which revealed a staghorn calculus in the rectum. The staghorn calculus migrated to the colon through a renocolic fistula, and the patient subsequently passed the large staghorn through the rectum spontaneously. Conservative management was pursued due to her high surgical risk. Several months after discharge, she represented with signs of infection, and a large left-sided psoas abscess was identified. <b>Conclusion:</b> As the patient had severe comorbidities, our options to manage the staghorn calculi were very limited. She responded well to conservative management initially, but then was found to have another complication associated with the staghorn. It is acceptable to manage uncomplicated staghorn calculi conservatively in a small selection of patients, who are not good candidates for more invasive procedures, though in healthier and younger people, aggressive management is recommended to prevent further complications or deterioration. It is crucial to highlight the importance of early recognition and individualized treatment for renocolic fistulas, as timely intervention can significantly improve patient outcomes.</p>","PeriodicalId":30323,"journal":{"name":"Case Reports in Urology","volume":"2025 ","pages":"1014938"},"PeriodicalIF":0.0,"publicationDate":"2025-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11955063/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143754816","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}