Case Reports in Urology最新文献_第6页

Complete Duplex of the Left Ureter with Lower Moiety Hydronephrosis Secondary to Ureteral Stone in Adult 成人左输尿管完全双侧伴输尿管结石继发的下段肾积水

Case Reports in Urology Pub Date : 2022-04-12 DOI: 10.1155/2022/6552889

Masresha S Dino, A. Tefera, K. H. Gebreselassie, Sena Sefera Akkasa, F. O. Mummed

引用次数: 2

Persistent Müllerian Duct Syndrome: Understanding the Challenges 持续性<s:1>勒氏管综合征:理解挑战

Case Reports in Urology Pub Date : 2022-03-27 DOI: 10.1155/2022/2643833

I. Chua, N. Samnakay

{"title":"Persistent Müllerian Duct Syndrome: Understanding the Challenges","authors":"I. Chua, N. Samnakay","doi":"10.1155/2022/2643833","DOIUrl":"https://doi.org/10.1155/2022/2643833","url":null,"abstract":"Persistent Müllerian duct syndrome (PMDS) is a rare autosomal recessive condition defined by the presence of Müllerian duct-derived structures in an otherwise normally masculinized phenotypical and genotypical (46,XY) male. We describe the case of an infant diagnosed with PMDS, managed and followed up for 7 years. The diagnosis of PMDS was made at laparoscopy at 6 months of age for investigation and management of bilateral impalpable testes. A Müllerian structure resembling a uterus with bilateral fallopian tube-like structures was seen in the pelvis, along with bilateral intra-abdominal testes. Gonadal biopsy confirmed normal testicular tissue. The child underwent successful bilateral two-stage Fowler-Stephens orchidopexies. The Müllerian remnant was preserved to maintain testicular vascularity. At the most recent follow-up, the testes are intrascrotal and normal on palpation. There have been no clinical symptoms or concerns with the Müllerian remnant during surveillance with ultrasound and MRI. To date, there are less than 300 cases described in the medical literature, with limited consensus on management. We reflect on challenges the condition poses, including fertility preservation in PMDS, testicular and Müllerian malignancy risk in PMDS, and optimal management and surveillance of PMDS.","PeriodicalId":30323,"journal":{"name":"Case Reports in Urology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72466808","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 2

Reconstruction of a Scrotum by Combining Two Skin Flaps in a Ball Shape 结合两个皮瓣成球状重建阴囊

Case Reports in Urology Pub Date : 2022-03-19 DOI: 10.1155/2022/2808821

K. Kashiyama, Motoi Nakano, Akihito Higashi, Shoko Ashizuka, Yuki Moriuchi, Atsuhiko Iwao, Katsumi Tanaka

{"title":"Reconstruction of a Scrotum by Combining Two Skin Flaps in a Ball Shape","authors":"K. Kashiyama, Motoi Nakano, Akihito Higashi, Shoko Ashizuka, Yuki Moriuchi, Atsuhiko Iwao, Katsumi Tanaka","doi":"10.1155/2022/2808821","DOIUrl":"https://doi.org/10.1155/2022/2808821","url":null,"abstract":"Background The scrotum functions to maintain spermatogenesis and hormonal production of Leydig cells by preventing the testicles from rising in temperature and protecting them from the outside world. The scrotum, along with the penis, is also an organ that symbolizes masculinity. Therefore, deformity or loss of the scrotum can be a major psychological problem. Various scrotal reconstruction techniques have been reported. In these papers, there is some discussion about the type of skin flap, but little discussion about the method of suturing the skin flap. We devised a way to reconstruct a scrotum to a natural size by suturing two skin flaps together to form a ball shape. Case Presentation. Case 1 was a patient with a missing scrotum due to Fournier's gangrene. Total resection of the scrotum, including the bilateral testes, was performed to save his life. Reconstructive surgery was performed 11 days after the initial surgery. Reconstruction was performed using bilateral gluteal fold flaps. Case 2 was a patient with a congenital defect of the scrotum. The testis on the right side exhibited cryptorchidism, and the scrotum was missing, and the testis on the left side was encased in a hypoplastic scrotum. Reconstruction was performed using an internal pudendal artery perforator flap. Conclusion There are two types of scrotal defects: those with testes present and those with testes missing. This method can be used for both types of scrotal defects, and we were able to create a scrotum that satisfied each patient.","PeriodicalId":30323,"journal":{"name":"Case Reports in Urology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-03-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74317114","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Large Pelvic Hematoma after UroLift® Procedure for Treatment of BPH with Median Lobe UroLift®手术治疗中叶前列腺增生后大盆腔血肿

Case Reports in Urology Pub Date : 2022-03-16 DOI: 10.1155/2022/7065865

Max J. Roehmholdt, D. Bentley

{"title":"Large Pelvic Hematoma after UroLift® Procedure for Treatment of BPH with Median Lobe","authors":"Max J. Roehmholdt, D. Bentley","doi":"10.1155/2022/7065865","DOIUrl":"https://doi.org/10.1155/2022/7065865","url":null,"abstract":"The UroLift® procedure is a minimally invasive technique used to treat benign prostatic hyperplasia (BPH) in the office or hospital setting. As of 2021, over 200,000 of these procedures have been performed, with an excellent safety profile. We present a case report of a patient who underwent the UroLift® procedure and was found to have a 16.5 cm pelvic hematoma within 16 hours. This study was done as a retrospective chart review. In addition, a comprehensive review of the literature was performed, and all relevant government and company websites were reviewed for thorough evaluation. The patient had an uncomplicated inpatient UroLift® procedure for BPH using 5 implants and was discharged from the hospital without incident. The patient presented to the emergency department with abdominal pain 16 hours after the procedure, and a 16.5 cm pelvic hematoma was found on computerized tomography (CT) scan. Since 2015, there have been 27 cases of pelvic hematoma after UroLift® reported to the United States Food and Drug Administration (FDA), and only 2 cases published in the literature. Our patient required hospital admission for 3 days and 3 units of packed red blood cells, but no surgical exploration or intervention. The procedure was technically successful as it improved the patient's voiding and lower urinary tract symptoms (LUTS) as of 2-month follow-up. Potential etiologies include implant firing depth beyond the extent of the prostate, as well as treatment of the median lobe.","PeriodicalId":30323,"journal":{"name":"Case Reports in Urology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-03-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72427181","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 4

Corrigendum to “Unilateral Giant Hydronephrosis Secondary to Ureteropelvic Junction Obstruction in a Middle-Aged Woman” 《1例中年妇女肾盂输尿管连接处梗阻继发单侧巨大肾积水》的勘误表

Case Reports in Urology Pub Date : 2022-03-02 DOI: 10.1155/2022/9813052

Masresha S Dino, S. Hassen, Tesfaye H. Tufax

引用次数: 0

Laparoscopic Management of an Inflammatory Pseudotumor Mimicking a Locally Advanced Renal Carcinoma: A Diagnostic Pitfall 模拟局部晚期肾癌的炎性假肿瘤的腹腔镜治疗:一个诊断缺陷

Case Reports in Urology Pub Date : 2022-02-23 DOI: 10.1155/2022/4485930

I. Boualaoui, I. Ziani, S. Marrakchi, M. Raiss, F. Zouidia, A. Ibrahimi, H. El Sayegh, Y. Nouini

引用次数: 1

Ureteral Diaphragmatic Hernia Treated with Ureteral Stenting: A Case Report and Review of the Literature 输尿管支架术治疗输尿管膈疝1例报告及文献复习

Case Reports in Urology Pub Date : 2022-02-22 DOI: 10.1155/2022/4866502

Tateki Yoshino, Ayako Itakura, Shinnosuke Fujikawa, Tomoyuki Sugitani, K. Kawakami, Emi Ishibashi, K. Kodama, Shota Oshima

{"title":"Ureteral Diaphragmatic Hernia Treated with Ureteral Stenting: A Case Report and Review of the Literature","authors":"Tateki Yoshino, Ayako Itakura, Shinnosuke Fujikawa, Tomoyuki Sugitani, K. Kawakami, Emi Ishibashi, K. Kodama, Shota Oshima","doi":"10.1155/2022/4866502","DOIUrl":"https://doi.org/10.1155/2022/4866502","url":null,"abstract":"Ureteral diaphragmatic hernia through diaphragmatic defects is an exceptionally rare subset of ureteral hernia with only fourteen such cases reported in English manuscripts. An 85-year-old woman was introduced to our department with right flank pain, fever elevation, and nausea. Urinalysis showed bacteriuria, and Escherichia coli was detected in the urine culture. Blood analysis revealed abnormal findings, including elevated WBC count (10,510/μl) and C-reactive protein (0.28 mg/dl). Computed tomography (CT) of the abdomen demonstrated a defect of the right diaphragmatic crus containing a dilated right ureter with associated hydronephrosis. Retrograde pyelography showed hydronephrosis and dilated ureter loops through the defect of diaphragmatic crus, known as a “curlicue sign,” and the diagnosis was right ureteral diaphragmatic hernia. A ureteral stent was placed on her right side, and the ureter was reducted into the retroperitoneal space. After six months, the ureteral stent was removed, with no subsequent recurrence of the ureteral diaphragmatic hernia at seven months. We reviewed all cases in the literature published in English of ureteral diaphragmatic hernia. While the etiology of ureteral diaphragmatic hernia is unknown, our present case and previous reports suggest that a ureteral diaphragmatic hernia may occur due to hepatic atrophy and/or an elevated position of the right kidney.","PeriodicalId":30323,"journal":{"name":"Case Reports in Urology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-02-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90943848","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Prune Belly Syndrome Associated with Interstitial 17q12 Microdeletion. 西梅肚综合征与间质17q12微缺失相关。

Case Reports in Urology Pub Date : 2022-02-14 eCollection Date: 2022-01-01 DOI: 10.1155/2022/7364286

Surasak Puvabanditsin, Miry Shim, Jeffrey Suell, Jeffrey Manzano, Kristin Blackledge, Avram Bursky-Tammam, Rajeev Mehta

引用次数: 0

The "Tri-Glide" Technique: A Case Report on a Novel Intraoperative Approach for Removal of Retained and Encrusted Ureteral Stents. “三滑”技术:术中取出输尿管内保留和结膜支架的新方法一例报告。

Case Reports in Urology Pub Date : 2022-02-03 eCollection Date: 2022-01-01 DOI: 10.1155/2022/5708348

Alejandra Perez, Adam Carl Nolte, Giuseppe Maurici, Alexander Charles Small, Spencer Steve Liem, Jorge Francisco Pereira, Alan Scott Polackwich, Rafael Yanes, Ojas Shah

{"title":"The \"Tri-Glide\" Technique: A Case Report on a Novel Intraoperative Approach for Removal of Retained and Encrusted Ureteral Stents.","authors":"Alejandra Perez, Adam Carl Nolte, Giuseppe Maurici, Alexander Charles Small, Spencer Steve Liem, Jorge Francisco Pereira, Alan Scott Polackwich, Rafael Yanes, Ojas Shah","doi":"10.1155/2022/5708348","DOIUrl":"https://doi.org/10.1155/2022/5708348","url":null,"abstract":"Background: Retained ureteral stents can result in significant morbidity and can be surgically challenging to urologists. A multimodal approach is often necessary for removal, potentially including retrograde and antegrade procedures performed over multiple anesthetic sessions. We describe the novel \"Tri-Glide\" technique for treating retained stents, particularly those with stent shaft encrustation prohibiting safe removal. Case Presentation. Two patients with nephrolithiasis and retained, encrusted ureteral stents were managed with the \"Tri-Glide\" technique. Patient #1 was a 58-year-old man with a severely calcified ureteral stent, retained for 14 years. After undergoing simultaneous cystolitholapaxy and percutaneous nephrolithotomy to treat proximal and distal encrustations, the stent shaft remained trapped in the ureter due to heavy calcifications. Three hydrophilic guidewires were passed alongside the stent, allowing it to easily slide out of the ureter intact. Patient #2 was a 74-year-old man who after only 3-months of stent dwell time developed severe stent shaft encrustation preventing removal. After multiple maneuvers failed, the \"Tri-Glide\" technique was used to create a smooth track for stent to slide out intact with gentle traction. Both patients did well postoperatively with no complications.Conclusion: The \"Tri-Glide\" technique can aid in the management of complex encrusted stent extractions, especially when there is significant shaft encrustation.","PeriodicalId":30323,"journal":{"name":"Case Reports in Urology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-02-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8831047/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39777116","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: 1

Urethral Prolapse Case Report: Surgical and Social Considerations in Senegal. 尿道脱垂病例报告:塞内加尔的外科和社会考虑。

Case Reports in Urology Pub Date : 2022-01-24 eCollection Date: 2022-01-01 DOI: 10.1155/2022/5541416

Mohamed Jalloh, Jennifer Heibig, Oumar Gaye, William Ghaul, Gabrielle Yankelevich, Medina Ndoye, Mouhamadou Moustapha Mbodji, Ayun Cassell, Lamine Niang, Serigne Magueye Gueye

{"title":"Urethral Prolapse Case Report: Surgical and Social Considerations in Senegal.","authors":"Mohamed Jalloh, Jennifer Heibig, Oumar Gaye, William Ghaul, Gabrielle Yankelevich, Medina Ndoye, Mouhamadou Moustapha Mbodji, Ayun Cassell, Lamine Niang, Serigne Magueye Gueye","doi":"10.1155/2022/5541416","DOIUrl":"https://doi.org/10.1155/2022/5541416","url":null,"abstract":"We present three cases of urethral prolapse in prepubertal females in Senegal who presented with vulvar bleeding. Careful gynecologic and urologic physical exams were performed and revealed urethral origin and prolapse. Conservative versus surgical approaches were taken in different patients, but ultimately, each patient received a urethral meatoplasty. Surgical excision of these masses yielded a full recovery in the patients. A careful review of the literature was then undertaken and showed that surgical excision or ligation of the prolapse is preferable to more conservative treatment. The case series article discusses the rare occurrence of urethral prolapse, as well as the epidemiology and prognostic and therapeutic implications of urethral prolapse in prepubertal females. Introduction. Urethral prolapse is a rare condition occurring mostly in young black females. It can be worrying to the parents as it often causes vulvar bleeding. Case Presentation. We present three cases of urethral prolapse in prepubertal females who presented with vulvar bleeding. Physical exams were performed and revealed urethral origin and prolapse. Each patient underwent a urethral meatoplasty and subsequently experienced a full recovery after respective follow-up of 2 years, 1 year, and 1 year. Conclusion. Urethral prolapse is a rare condition which can be managed successfully by surgery. Plain Language Summary. This case report on pediatric urethral prolapse showcases the different presentations and modalities of treatment, as the literature does not show that a specific treatment is always undertaken. In some countries, there are strong social considerations and they demonstrate difficulty separating sexual abuse from genitourinary pathologies, which are important to address in the treatment of these conditions.","PeriodicalId":30323,"journal":{"name":"Case Reports in Urology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-01-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8803435/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39759480","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