Urology Case ReportsPub Date : 2026-09-01Epub Date: 2026-08-26DOI: 10.1016/j.eucr.2026.103587
Junzhou Su, Ying Wang, Sijie Feng
{"title":"Plexiform neurofibroma of the scrotum in a 16-year-old male: A case report","authors":"Junzhou Su, Ying Wang, Sijie Feng","doi":"10.1016/j.eucr.2026.103587","DOIUrl":"10.1016/j.eucr.2026.103587","url":null,"abstract":"<div><div>Plexiform neurofibroma is a benign peripheral nerve sheath tumor considered pathognomonic for neurofibromatosis type 1. Isolated scrotal occurrence without systemic manifestations of neurofibromatosis type 1 is exceedingly rare. We report a 16-year-old male with a progressively enlarging right scrotal mass measuring 8 × 4 cm. There were no café-au-lait spots, axillary freckling, or family history of neurofibromatosis type 1. Magnetic resonance imaging showed the characteristic target sign. Complete surgical excision via a scrotal approach with testicular preservation was performed. Histopathology confirmed plexiform neurofibroma, with positive staining for S-100, SOX10, and CD34. No recurrence was observed at 6-month follow-up.</div></div>","PeriodicalId":38188,"journal":{"name":"Urology Case Reports","volume":"68 ","pages":"Article 103587"},"PeriodicalIF":0.5,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13564059/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148956721","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}
Urology Case ReportsPub Date : 2026-09-01Epub Date: 2026-08-26DOI: 10.1016/j.eucr.2026.103585
Soumya Yallapragada, Andrew Gianakopoulos, Pritvi Murthy
{"title":"A case of emphysematous cystitis with significant quantity and atypical gas distribution on CT","authors":"Soumya Yallapragada, Andrew Gianakopoulos, Pritvi Murthy","doi":"10.1016/j.eucr.2026.103585","DOIUrl":"10.1016/j.eucr.2026.103585","url":null,"abstract":"<div><div>Emphysematous cystitis is a fulminant infection of the bladder caused by gas-producing bacteria. It is characterized by air within the bladder wall and lumen on imaging. We present a case of emphysematous cystitis in an 84-year-old male with mild abdominal pain found to have features of diffuse and atypical gas distribution on computed tomography (CT). Given consistent hemodynamic stability and lack of systemic infection symptoms, we elected to treat this patient with conservative measures. This is the first published case report of emphysematous cystitis with retroperitoneal, inguinal and scrotal air pockets seen on imaging.</div></div>","PeriodicalId":38188,"journal":{"name":"Urology Case Reports","volume":"68 ","pages":"Article 103585"},"PeriodicalIF":0.5,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13563220/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148956763","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}
Urology Case ReportsPub Date : 2026-09-01Epub Date: 2026-08-31DOI: 10.1016/j.eucr.2026.103577
Jayalaxmi Shripati Aihole
{"title":"Recurrent inguinal hernia in a child: distal sac should not be ignored","authors":"Jayalaxmi Shripati Aihole","doi":"10.1016/j.eucr.2026.103577","DOIUrl":"10.1016/j.eucr.2026.103577","url":null,"abstract":"<div><div>A hernia is the protrusion of an organ, such as the bowel, through the lining wall of the cavity in which it normally resides. Pediatric hernias are common developmental abnormalities which have different etiopathogenesis as well as management as compared to adults. Presence of persistent processus vaginalis is common mechanism in the etiopathogenesis of indirect inguinal hernia and hydrocele in children. Right sided hernias more common than left since, as , left processus vaginalis obliterates before the right. Author is reporting here a case of recurrent inguinoscrotal hernia with hydrocele in a child and its management.</div></div>","PeriodicalId":38188,"journal":{"name":"Urology Case Reports","volume":"68 ","pages":"Article 103577"},"PeriodicalIF":0.5,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13564051/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148956794","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}
Urology Case ReportsPub Date : 2026-09-01Epub Date: 2026-08-31DOI: 10.1016/j.eucr.2026.103593
Iyad Mashhoor Hakeem, Abdulrahman Yahya, Abdullah Hussain Alghamdi, Khalid Ali Alshehri
{"title":"Ectopic ureter inserting into the ejaculatory duct: A case report","authors":"Iyad Mashhoor Hakeem, Abdulrahman Yahya, Abdullah Hussain Alghamdi, Khalid Ali Alshehri","doi":"10.1016/j.eucr.2026.103593","DOIUrl":"10.1016/j.eucr.2026.103593","url":null,"abstract":"<div><div>A 44-year-old man presented with bilateral flank pain, dysuria, and incomplete bladder emptying. Evaluation demonstrated a non-functioning atrophic left kidney, a markedly dilated tortuous ureter, and an ectopic ureter inserting into the left ejaculatory duct with an associated ejaculatory duct stone. Diagnosis was established using CT, MRI, DMSA scan, cystoscopy, and retrograde pyelography. Surgical findings confirmed the anomaly, and postoperative semen analysis showed hemato- and oligoasthenospermia. This rare congenital urological abnormality illustrates the importance of multimodal imaging and multidisciplinary management to achieve accurate diagnosis and guide appropriate treatment.</div></div>","PeriodicalId":38188,"journal":{"name":"Urology Case Reports","volume":"68 ","pages":"Article 103593"},"PeriodicalIF":0.5,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148958456","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}
Urology Case ReportsPub Date : 2026-09-01Epub Date: 2026-08-26DOI: 10.1016/j.eucr.2026.103591
A.A. Abou Taleb
{"title":"Transperineal laser ablation for 300-gram benign prostatic hyperplasia in an inoperable high-risk patient: Expanding the therapeutic horizon","authors":"A.A. Abou Taleb","doi":"10.1016/j.eucr.2026.103591","DOIUrl":"10.1016/j.eucr.2026.103591","url":null,"abstract":"<div><div>Transperineal laser ablation (TPLA) is an emerging minimally invasive option for benign prostatic hyperplasia, but its role in massive glands remains undefined. We report a 78-year-old catheter-dependent man with a 300-g prostate, severe cardiopulmonary comorbidity, left ventricular ejection fraction of 25%, and mandatory dual antiplatelet therapy, making standard surgery unsafe. Total-gland TPLA was performed under local anesthesia using eight fibers and 42,300 J without complications. The patient became catheter-free after 15 days, with Qmax improving to 19.3 mL/s and prostate volume decreasing to 90 g at six months. TPLA may be feasible in selected high-risk patients with extreme BPH.</div></div>","PeriodicalId":38188,"journal":{"name":"Urology Case Reports","volume":"68 ","pages":"Article 103591"},"PeriodicalIF":0.5,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13563225/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148956858","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}
Urology Case ReportsPub Date : 2026-09-01Epub Date: 2026-08-28DOI: 10.1016/j.eucr.2026.103582
Zeyu Guo, Pengcheng Yang, Baowen Guo, Xuanpeng Li, Yang Liu, Haiyang Li, Jing Wei, Hengping Li
{"title":"Primary sarcomatoid urothelial carcinoma of the ureter: A case report and literature review","authors":"Zeyu Guo, Pengcheng Yang, Baowen Guo, Xuanpeng Li, Yang Liu, Haiyang Li, Jing Wei, Hengping Li","doi":"10.1016/j.eucr.2026.103582","DOIUrl":"10.1016/j.eucr.2026.103582","url":null,"abstract":"<div><div>Primary sarcomatoid urothelial carcinoma of the ureter is rare and aggressive, with limited evidence to guide treatment. We report a 57-year-old man with gross hematuria and a left ureteral mass who underwent robot-assisted radical nephroureterectomy with bladder cuff excision. Histopathology confirmed sarcomatoid urothelial carcinoma with full-thickness ureteral-wall involvement. One month later, retroperitoneal lymph nodes were radiologically suspicious for metastatic disease. The patient received one cycle of pirarubicin followed by five cycles of pirarubicin plus ifosfamide and subsequent anlotinib maintenance. At 11 months, the nodes had markedly decreased; the disease remained radiographically stable at the latest follow-up.</div></div>","PeriodicalId":38188,"journal":{"name":"Urology Case Reports","volume":"68 ","pages":"Article 103582"},"PeriodicalIF":0.5,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148958469","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}
Urology Case ReportsPub Date : 2026-07-01Epub Date: 2026-06-23DOI: 10.1016/j.eucr.2026.103521
Víctor Hugo Linares-Serrano, Porfirio Damián López-Alvarado, Félix Pérez-Oliva, Omar Alexander Hernández-Hernández, Carlos Eduardo Vázquez-Flores, David Sánchez-Delgadillo, Eduardo Jair Mota-Ortiz
{"title":"Scrotal flap phalloplasty and perineal urethrostomy following total penectomy for stage IIIB penile cancer: a case report","authors":"Víctor Hugo Linares-Serrano, Porfirio Damián López-Alvarado, Félix Pérez-Oliva, Omar Alexander Hernández-Hernández, Carlos Eduardo Vázquez-Flores, David Sánchez-Delgadillo, Eduardo Jair Mota-Ortiz","doi":"10.1016/j.eucr.2026.103521","DOIUrl":"10.1016/j.eucr.2026.103521","url":null,"abstract":"<div><div>Penile squamous cell carcinoma is a rare malignancy that may require radical surgery in advanced stages. We report a 66-year-old male with a one-year history of a penile lesion diagnosed as verrucous squamous cell carcinoma, staged as T3N2M0 (clinical stage IIIB) based on magnetic resonance imaging findings. The patient underwent total penectomy with scrotal flap phalloplasty and perineal urethrostomy, followed by robotic inguinal lymphadenectomy, which revealed no metastatic involvement (pN0). Postoperative outcomes were favorable, with good flap viability and satisfactory urinary function. This case highlights a practical reconstructive approach and the importance of histopathological confirmation of nodal disease.</div></div>","PeriodicalId":38188,"journal":{"name":"Urology Case Reports","volume":"67 ","pages":"Article 103521"},"PeriodicalIF":0.5,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13319711/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148370159","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 transplant renal vein thrombosis caused by May-Thurner syndrome: a case report and review of literature","authors":"Koosha kamali, Hossein Saffari, Ehsan Zolfi, Shervin Najafizadeh, Nasrollah Abian, Farhad Ahmadi, Vahid Vahedisoraki","doi":"10.1016/j.eucr.2026.103516","DOIUrl":"10.1016/j.eucr.2026.103516","url":null,"abstract":"<div><div>Transplant renal vein thrombosis (TRVT) affects 0.1% to 4.2% of transplants, leading to graft loss in almost all cases. Mechanical factors are the most common underlying cause of TRVT, a category that includes May-Thurner syndrome (MTS). We report a 62-year-old man underwent left-sided kidney transplantation but developed recurrent deep vein thrombosis and TRVT. Two emergency thrombectomies restored graft function, though no iatrogenic cause was identified. Further investigations revealed MTS as the underlying etiology. Left common iliac vein stenting with long-term anticoagulation was implemented, highlighting the importance of considering anatomic venous anomalies in transplant recipients with unexplained or recurrent thrombosis.</div></div>","PeriodicalId":38188,"journal":{"name":"Urology Case Reports","volume":"67 ","pages":"Article 103516"},"PeriodicalIF":0.5,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13320444/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148370229","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}
Zubair Mohamed Dahir Sed, Mohamed Omar Osman Filig, Badrudin A. Warsame, Abdulkadir Ali Dahir, Shafie Adan Dirir
{"title":"Incidental discovery of persistent Müllerian duct syndrome with transverse testicular ectopia during adult inguinal hernia repair: A case report","authors":"Zubair Mohamed Dahir Sed, Mohamed Omar Osman Filig, Badrudin A. Warsame, Abdulkadir Ali Dahir, Shafie Adan Dirir","doi":"10.1016/j.eucr.2026.103524","DOIUrl":"10.1016/j.eucr.2026.103524","url":null,"abstract":"<div><div>Transverse testicular ectopia (TTE) associated with persistent Müllerian duct syndrome (PMDS) is a rare congenital anomaly that may remain undiagnosed until adulthood. We report a 27-year-old man with a right inguinal hernia, non-palpable left testis, and primary infertility. During hernia repair, exploration revealed a uterus, bilateral fallopian tubes, and an atrophic ectopic left testis within the right inguinal canal. Müllerian structures were excised, left orchidectomy performed, and the right testis preserved by orchidopexy. Histopathology showed no malignancy. Postoperative evaluation demonstrated a normal 46,XY karyotype and azoospermia. This case highlights the challenges of adult TTE with PMDS.</div></div>","PeriodicalId":38188,"journal":{"name":"Urology Case Reports","volume":"67 ","pages":"Article 103524"},"PeriodicalIF":0.5,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13355011/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148425008","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}
Sam Kwon, Tali Newman, Fiona Wardrop, Katherine Zhong, Josiah Dallmer, Andrew Hall, Michael Whalen
{"title":"Chromophobe renal cell carcinoma with nodal involvement: A rare case report highlighting unusual molecular features","authors":"Sam Kwon, Tali Newman, Fiona Wardrop, Katherine Zhong, Josiah Dallmer, Andrew Hall, Michael Whalen","doi":"10.1016/j.eucr.2026.103527","DOIUrl":"10.1016/j.eucr.2026.103527","url":null,"abstract":"<div><div>Chromophobe renal cell carcinoma (ChRCC) is a renal malignancy typically associated with indolent behavior, with nodal involvement being rare. We report a 78-year-old African American male with incidentally discovered node-positive (pN+) ChRCC with sarcomatoid differentiation who developed spinal metastases despite adjuvant pembrolizumab. Histopathologic evaluation demonstrated distinct plant-like cell membranes, while genomic profiling revealed CDK4 amplification and MTAP and CDKN2A alterations associated with aggressive tumor biology. Notably, the tumor also exhibited additional unique molecular alterations that have not been previously reported in the literature.</div></div>","PeriodicalId":38188,"journal":{"name":"Urology Case Reports","volume":"67 ","pages":"Article 103527"},"PeriodicalIF":0.5,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13351630/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148425055","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}