Case Reports in Urology最新文献_第3页

Unusual Location of Residual Mass in an Uncorrected Undescended Testis with Germ Cell Tumor. 未矫正未发现睾丸生殖细胞肿瘤残留肿块的异常位置。

Case Reports in Urology Pub Date : 2023-10-03 eCollection Date: 2023-01-01 DOI: 10.1155/2023/6626799

Navid Masoumi, Mostafa Farajpour, Atoosa Gharib

引用次数: 0

First Two Cases of Conservative Treatment for Extreme Proximal Penile Fracture of the Corpora Cavernosa. 阴茎海绵体近端极端骨折保守治疗的头两个病例。

Case Reports in Urology Pub Date : 2023-06-10 eCollection Date: 2023-01-01 DOI: 10.1155/2023/5706109

Alicia Blondeau, Aurélie Grandmougin, Clément Larose, Charles Mazeaud

{"title":"First Two Cases of Conservative Treatment for Extreme Proximal Penile Fracture of the Corpora Cavernosa.","authors":"Alicia Blondeau, Aurélie Grandmougin, Clément Larose, Charles Mazeaud","doi":"10.1155/2023/5706109","DOIUrl":"10.1155/2023/5706109","url":null,"abstract":"Penile fracture is a urological emergency, and surgery is usually recommended to prevent complications. However, proximal locations are scarce and not well investigated. We present two rare penile fractures involving the proximal corpora cavernosa with an original conservative strategy to manage this clinical presentation. Twenty-five- and thirty-eight-year-old men with no previous medical history were admitted to the emergency room for penile trauma during sexual intercourse a few months apart. Both presented with \"butterfly pattern\" ecchymosis with a palpable hematoma on the perineum. They had no hematuria or voiding dysfunction. Ultrasound found a hematoma and a tear of the proximal corpus cavernosum for the younger one. Then, an MRI confirmed a longitudinal fracture of the right corpus cavernosum for the first patient and left for the second, without urethral injury. In agreement with the patients facing this atypical presentation, we proposed a conservative treatment with analgesics, monitoring, and advice to stop sexual activity for three weeks. After six weeks and four weeks, respectively, we performed a clinical evaluation and a second MRI that found no residual tear or hematoma. The IIEF-5 questionnaire was 24/25 and 25/25. The patients were clinically symptom-free at 8 and 11 months of follow-up. Extreme proximal fracture of the corpus cavernosum can be managed conservatively in selected situations. MRI is useful for decision-making by confirming the diagnosis and location to avoid surgery.","PeriodicalId":30323,"journal":{"name":"Case Reports in Urology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10276763/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10018934","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}

引用次数: 0

Robot-Assisted Removal of a Partially Intravesical Intrauterine Device (IUD) and Large Bladder Stone. 机器人辅助移除部分膀胱内节育器（IUD）和大膀胱结石。

Case Reports in Urology Pub Date : 2023-01-27 eCollection Date: 2023-01-01 DOI: 10.1155/2023/8074689

Cassandra Heaney, Paul Lee, Andrew Winer

引用次数: 0

Drug-Induced Urinary Stone of Atazanavir Incidentally Found in an Asymptomatic Patient: A Case Report. 偶然在无症状患者中发现阿扎那韦药物性尿路结石一例报告。

Case Reports in Urology Pub Date : 2023-01-01 DOI: 10.1155/2023/4890711

Maëlle Plawecki, Marie Bistoquet, Pierre-Edouard Grillet, Nicolas Abdo, Jean-Sébastien Souweine, Jean-Paul Cristol

引用次数: 0

Solitary Abdominal Wall Lymph Node Recurrence in Prostate Cancer Patient with Dramatic Prostate-Specific Antigen Decrease following Metastasectomy. 前列腺癌转移切除术后前列腺特异性抗原显著降低的孤立腹壁淋巴结复发。

Case Reports in Urology Pub Date : 2023-01-01 DOI: 10.1155/2023/7301284

Andrew Williams, Amr A Elbakry, Tyler Trump, Ion Prisneac, Matthew Smolkin, David Zekan, Mohamad W Salkini

{"title":"Solitary Abdominal Wall Lymph Node Recurrence in Prostate Cancer Patient with Dramatic Prostate-Specific Antigen Decrease following Metastasectomy.","authors":"Andrew Williams, Amr A Elbakry, Tyler Trump, Ion Prisneac, Matthew Smolkin, David Zekan, Mohamad W Salkini","doi":"10.1155/2023/7301284","DOIUrl":"https://doi.org/10.1155/2023/7301284","url":null,"abstract":"Prostate cancer patients routinely undergo surveillance for recurrence using prostate-specific antigen (PSA). While PSA's benefit in screening is controversial, its use for detecting recurrence in patients with history of prostate cancer is pivotal. Rising PSAs with the newly advanced prostate-specific membrane antigen positron emission tomography (PSMA PET) can help localize the location of recurrences for better excision and management. Here, we present a 55-year-old with prostate cancer, with initially undetectable postprostatectomy PSA levels, who later presented with a PSA of 3.47 ng/mL. PSMA PET showed isolated uptake in an abdominal wall mass. Pelvic lymphadenectomy and abdominal wall mass excision were performed, confirming a single metastasis in an abdominal wall lymph node. Metastasectomy led to a dramatic drop in PSA to 0.10 ng/mL both postoperatively and on long-term follow-up. Our case illustrates the potential benefit of metastasis-directed therapy in delayed oligometastasis following definitive management of prostate cancer.","PeriodicalId":30323,"journal":{"name":"Case Reports in Urology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9937751/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10767458","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}

引用次数: 0

Priapism in a Child from Homocystinuria from Methylenetetrahydrofolate Reductase MTHFR (C677T) Mutation. 亚甲基四氢叶酸还原酶(MTHFR) (C677T)突变致同型半胱氨酸尿患儿阴茎勃起症

Case Reports in Urology Pub Date : 2023-01-01 DOI: 10.1155/2023/2263341

Ameer Kakaje, Ammar Fadel, Osama Hosam Aldeen, Othman Hamdan

{"title":"Priapism in a Child from Homocystinuria from Methylenetetrahydrofolate Reductase MTHFR (C677T) Mutation.","authors":"Ameer Kakaje, Ammar Fadel, Osama Hosam Aldeen, Othman Hamdan","doi":"10.1155/2023/2263341","DOIUrl":"https://doi.org/10.1155/2023/2263341","url":null,"abstract":"Priapism is a prolonged involuntary erection that can have severe complications if left untreated. Ischaemic priapism is very rare in children and requires urgent intervention to prevent permanent erectile dysfunction and penile shortening. It can be caused by ischaemia in sickle cell anaemia, leukaemia, trauma, drugs, or idiopathy. Homocystinuria is a rare autosomal recessive disorder that can cause hyperhomocysteinemia and hypercoagulability. Very few reports suggested that priapism can be caused by hyperhomocysteinemia, and they were in adults. However, we present the first of such a case to the best of our knowledge of a prepubescent child who only had the MTHFR (C677T) mutation that causes homocystinuria and had ischaemic priapism. A nine-year-old Syrian Arab boy was presented with priapism that lasted for a few hours. Blood tests show normal blood count, film, and haemoglobin electrophoresis. However, prothrombin time, partial thromboplastin time, homocysteine level, and C-reactive protein were elevated. Other coagulation tests were within the normal range. Doppler ultrasonography found decreased cavernous blood flow, and warm 0.9% saline lavage of the cavernosa was indicated and successfully treated the priapism. Genetic testing for the homozygous MTHFR (C677T) mutation was later confirmed, and warfarin was indicated. In conclusion, homocystinuria is very rare in priapism, and this is the first case to report this phenomenon in a child. Ultrasonography in low-income countries is an essential tool that helps identify a wide variety of medical conditions such as priapism and can be successfully managed by aspiration with warm saline.","PeriodicalId":30323,"journal":{"name":"Case Reports in Urology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10359136/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9856030","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}

引用次数: 0

Progressive Ureteropelvic Junction Obstruction and Renal Function Deterioration in Adult, Even in a Short Period of Time. 成人进行性肾盂输尿管连接处梗阻和肾功能恶化，即使在短时间内。

Case Reports in Urology Pub Date : 2023-01-01 DOI: 10.1155/2023/6855975

Abbas Basiri, Behzad Narouie, Saeed Reza Ghanbarizadeh, Hamidreza Rouientan, Mohadese Ahmadzade

引用次数: 0

Robot-Assisted Repair of Bladder Rupture following Penile Ring Entrapment. 阴茎环夹持后膀胱破裂的机器人辅助修复。

Case Reports in Urology Pub Date : 2023-01-01 DOI: 10.1155/2023/5523569

Matthew Skalak, Rami Jirjis, Barrett G Anderson, Brandi D Miller

引用次数: 0

Pelvic Organ Prolapse in Ehlers-Danlos Syndrome. ehers - danlos综合征的盆腔器官脱垂。

Case Reports in Urology Pub Date : 2023-01-01 DOI: 10.1155/2023/6863711

Azadeh Nazemi, Katherine Shapiro, Shavy Nagpal, Nirit Rosenblum, Benjamin M Brucker

引用次数: 0

Triple Threat: Three Primary Malignancies Simultaneously Involving Three Genitourinary Organs. 三重威胁:三种原发性恶性肿瘤同时累及泌尿生殖器官。

Case Reports in Urology Pub Date : 2023-01-01 DOI: 10.1155/2023/3242986

Katharina Mitchell, Reima El Naili, Lakshmikumar Pillai, Eric Mark Lopez, John Riordan, Wallis Marsh, Adam Luchey, Ali Hajiran

{"title":"Triple Threat: Three Primary Malignancies Simultaneously Involving Three Genitourinary Organs.","authors":"Katharina Mitchell, Reima El Naili, Lakshmikumar Pillai, Eric Mark Lopez, John Riordan, Wallis Marsh, Adam Luchey, Ali Hajiran","doi":"10.1155/2023/3242986","DOIUrl":"https://doi.org/10.1155/2023/3242986","url":null,"abstract":"Statistically, the chance of having concurrent renal cell carcinoma (RCC), urothelial carcinoma of the bladder (UC), and a neuroendocrine tumor (NET) of the renal parenchyma is less than one in a trillion. Herein, we describe an unusual case of a 67-year-old female who presented with bilateral flank pain and severe gross hematuria. Cross-sectional imaging revealed two large heterogeneous, endophytic renal masses with a single enlarged paracaval lymph node. Diagnostic cystoscopy was performed for completion of gross hematuria evaluation and revealed a concurrent papillary bladder tumor. Percutaneous biopsies of bilateral renal masses revealed clear cell RCC involving the left kidney and well-differentiated NET involving the right kidney, and transurethral resection of the bladder tumor revealed high-grade nonmuscle invasive urothelial carcinoma. The patient elected to undergo bilateral nephroureterectomy, radical cystectomy, and retroperitoneal and pelvic lymphadenectomy. Final pathology confirmed the presence of three different malignancies: noninvasive high-grade papillary UC of the bladder (pTaN0), left renal clear cell RCC (pT2bN0), right renal well-differentiated NET, and a single paracaval lymph nodes positive for metastatic NET (pT2aN1).","PeriodicalId":30323,"journal":{"name":"Case Reports in Urology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10125746/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9356818","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}

引用次数: 0