Hao Yang , Zesheng Zeng , Jianfeng Sheng , Wei Wang , Cheng Fu
{"title":"A combined inferior epigastric artery perforator propeller flap with scrotal flap for the reconstruction of a massive penoscrotal defect:A case report","authors":"Hao Yang , Zesheng Zeng , Jianfeng Sheng , Wei Wang , Cheng Fu","doi":"10.1016/j.eucr.2025.103092","DOIUrl":"10.1016/j.eucr.2025.103092","url":null,"abstract":"<div><div>Extramammary Paget's disease (EMPD) is a rare malignant skin tumor that commonly affects the penis and scrotum. This article presents a case of penoscrotal Paget's disease, detailing the diagnosis, treatment, and reconstructive process. Precise defect repair was achieved by excising the lesion and employing a combined propeller flap based on the inferior epigastric artery perforator and a scrotal skin flap. Postoperative outcomes included satisfactory restoration of the penis and scrotum appearance, with preservation of their functions. This case provides an additional reconstructive option for extensive defects following EMPD surgery.</div></div>","PeriodicalId":38188,"journal":{"name":"Urology Case Reports","volume":"61 ","pages":"Article 103092"},"PeriodicalIF":0.5,"publicationDate":"2025-06-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144240236","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}
Boris Cachay Tello , José Antonio Arias Delgado , Fernando Jeancarlos Imán Izquierdo , Pamela Lopez Peña , José Luis Barrantes Ticlla , Rodrigo Alonso Fribourg Liendo , Juana del Valle-Mendoza , Wilmer Silva-Caso
{"title":"Testicular tumor in an infant: A case report","authors":"Boris Cachay Tello , José Antonio Arias Delgado , Fernando Jeancarlos Imán Izquierdo , Pamela Lopez Peña , José Luis Barrantes Ticlla , Rodrigo Alonso Fribourg Liendo , Juana del Valle-Mendoza , Wilmer Silva-Caso","doi":"10.1016/j.eucr.2025.103088","DOIUrl":"10.1016/j.eucr.2025.103088","url":null,"abstract":"<div><div>Testicular tumors in the pediatric population represent between the 1 % and 2 % of all malignant neoplasms detected in children. We present the case of a 6-month-old male patient diagnosed with testicular teratoma. A left radical orchiectomy was performed at 8 months of age, and pathology report confirms prepubertal teratoma. At 3 years follow-up, the patient is asymptomatic and remains under medical vigilance. This case report highlights the importance of early diagnosis and appropriate treatment of testicular tumors in children, as well as continuous follow-up and medical vigilance to monitor the patient's long-term health to avoid recurrence or complications.</div></div>","PeriodicalId":38188,"journal":{"name":"Urology Case Reports","volume":"61 ","pages":"Article 103088"},"PeriodicalIF":0.5,"publicationDate":"2025-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144213012","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}
{"title":"Epidermoid cyst arising from the epididymis in a prepubertal boy","authors":"Kenji Tsutsui, Fumi Matsumoto, Takashi Ueno, Yuko Ueda, Satoko Matsuyama, Futoshi Matsui","doi":"10.1016/j.eucr.2025.103090","DOIUrl":"10.1016/j.eucr.2025.103090","url":null,"abstract":"<div><div>Benign epididymal neoplasms are rare in children. While epidermoid cysts commonly occur in the testis, scrotum, and foreskin, they are only rarely found in the paratesticular region. We present the first reported case of an epidermoid cyst arising from the epididymis in a 3-year-old boy. Testis-sparing surgery was performed to obtain a definitive diagnosis.</div></div>","PeriodicalId":38188,"journal":{"name":"Urology Case Reports","volume":"61 ","pages":"Article 103090"},"PeriodicalIF":0.5,"publicationDate":"2025-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144213009","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}
M.Z. Nazario-Pérez , A.P. Quiles-Méndez , I. Pastrana-Echevarría , R. Brito -Sánchez , G. Ruiz-Deyá
{"title":"Fungating extra-scrotal mass: Clinical T4 testicular cancer in a young adult","authors":"M.Z. Nazario-Pérez , A.P. Quiles-Méndez , I. Pastrana-Echevarría , R. Brito -Sánchez , G. Ruiz-Deyá","doi":"10.1016/j.eucr.2025.103091","DOIUrl":"10.1016/j.eucr.2025.103091","url":null,"abstract":"<div><div>Testicular cancer primarily manifests as a painless mass, yet atypical presentations can hinder effective diagnosis and management. Here we present a 34-year-old male with a large, ulcerated, fungating extra-scrotal mass invading the inguinal canal. Laboratory showed markedly elevated alpha-fetoprotein, and imaging confirmed advanced disease with bilateral pulmonary metastases. The patient underwent radical orchiectomy with partial scrotectomy. Histopathology revealed a pure post-pubertal yolk sac tumor. Despite guideline-directed systemic chemotherapy, the course was complicated by tumor-related bleeding and venous thromboembolism, resulting in death from massive pulmonary embolism. This case highlights the aggressiveness of adult yolk sac tumors and need for early intervention.</div></div>","PeriodicalId":38188,"journal":{"name":"Urology Case Reports","volume":"61 ","pages":"Article 103091"},"PeriodicalIF":0.5,"publicationDate":"2025-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144222229","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}
{"title":"Misdiagnosed groin swelling: A case of encysted hydrocele mimicking incarcerated inguinal hernia","authors":"Donald Dominick Lema , Bartholomeo Nicholaus Ngowi , Frank Bright , Denis Mucunguzi , Nyamhanga Maro Nsaho , Orgeness Jasper Mbwambo","doi":"10.1016/j.eucr.2025.103087","DOIUrl":"10.1016/j.eucr.2025.103087","url":null,"abstract":"<div><div>The hydrocele of the spermatic cord is a rare anomaly, often presents as an inguinal swelling that extends to the upper scrotum. It can be encysted, funicular, or mixed. A 14-year-old male experienced painful swelling in his right groin for three weeks, which was confirmed intraoperatively to be an encysted hydrocele of the spermatic cord. The diagnosis for this condition is primarily clinical; ultrasound may also aid in confirmation. Conservative management is possible in early infancy, but surgical intervention is often necessary if the condition persists or presents late.</div></div>","PeriodicalId":38188,"journal":{"name":"Urology Case Reports","volume":"61 ","pages":"Article 103087"},"PeriodicalIF":0.5,"publicationDate":"2025-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144203568","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}
M.A. Sobhi , L. Hamedoun , M. Mrabti , M. Tbouda , M. Alami , A. Ameur
{"title":"Perirenal schwannoma mimicking a renal mass: A diagnostic pitfall – Case report","authors":"M.A. Sobhi , L. Hamedoun , M. Mrabti , M. Tbouda , M. Alami , A. Ameur","doi":"10.1016/j.eucr.2025.103089","DOIUrl":"10.1016/j.eucr.2025.103089","url":null,"abstract":"<div><div>Perirenal schwannomas are rare benign tumors that may radiologically mimic renal malignancies. We report the case of a 39-year-old asymptomatic woman with an incidentally discovered perirenal mass initially suspected to be renal cancer. Intraoperatively, the lesion appeared well-encapsulated and extrarenal. Complete excision was performed, sparing the kidney. Histopathological analysis confirmed the diagnosis of benign schwannoma. This case highlights the diagnostic challenge of perirenal schwannomas and emphasizes the importance of intraoperative assessment and histological confirmation to avoid unnecessary nephrectomy.</div></div>","PeriodicalId":38188,"journal":{"name":"Urology Case Reports","volume":"61 ","pages":"Article 103089"},"PeriodicalIF":0.5,"publicationDate":"2025-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144213008","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}
{"title":"Surgical excision of Genitourinary neurofibromatosis complicated by enlarged scrotum and penis: A case report","authors":"Jiaqi An , Jianwei Wang , Zhengqing Bao","doi":"10.1016/j.eucr.2025.103085","DOIUrl":"10.1016/j.eucr.2025.103085","url":null,"abstract":"<div><div>Neurofibromatosis, the most common neurocutaneous syndrome, is characterized by numerous neural crest tumors and abnormal skin pigmentation. Genitourinary neurofibromatosis in children is extremely rare and bladder involvement is relatively common. Few cases of neurofibromatosis reported so far involve external genitalia. Here we present a 17-year-old boy with genitourinary neurofibromatosis who has a significantly enlarged penis and scrotum. Although the patient had no obvious symptoms, a diagnosis and surgical evaluation were necessary due to the underlying malignancy and the patient's discomfort.</div></div>","PeriodicalId":38188,"journal":{"name":"Urology Case Reports","volume":"61 ","pages":"Article 103085"},"PeriodicalIF":0.5,"publicationDate":"2025-05-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144240119","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}
Izadora Gabriela Coutinho , Paulo Acácio Egger , Ailton Fernandes Junior , Angelo Cezar Bolognese Junior , Abikeilla Ariane Bomfim Gomes Bernardi , Amanda Yumi Ono Valderrama
{"title":"Complete transverse vaginal septum complicated by pyocolpos, primary vesicoureteral reflux and ectopic ureter with renal loss: a case report","authors":"Izadora Gabriela Coutinho , Paulo Acácio Egger , Ailton Fernandes Junior , Angelo Cezar Bolognese Junior , Abikeilla Ariane Bomfim Gomes Bernardi , Amanda Yumi Ono Valderrama","doi":"10.1016/j.eucr.2025.103081","DOIUrl":"10.1016/j.eucr.2025.103081","url":null,"abstract":"<div><div>A transverse vaginal septum is a rare Müllerian anomaly caused by incomplete fusion between the Müllerian ducts and the urogenital sinus. It can obstruct menstrual flow, leading to hematocolpos, hydrocolpos, or pyocolpos. We report a 12-year-old girl with recurrent hematocolpos, abdominal pain, urinary symptoms, and infections. Imaging showed a complete transverse vaginal septum and grade II vesicoureteral reflux. She underwent surgical drainage, septum resection, and ureteral reimplantation. Recovery was favorable, with symptom resolution and preserved renal function. This case emphasizes the need for early diagnosis and a multidisciplinary approach to avoid long-term complications in complex urogenital anomalies.</div></div>","PeriodicalId":38188,"journal":{"name":"Urology Case Reports","volume":"61 ","pages":"Article 103081"},"PeriodicalIF":0.5,"publicationDate":"2025-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144190199","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}
Joon Yau Leong, Maria J. D'Amico, Courtney E. Capella, Leonard G. Gomella, Joseph K. Izes
{"title":"Port site metastasis after robotic assisted laparoscopic radical prostatectomy: Diagnosis via prostate-specific membrane antigen (PSMA)-targeted 18F-DCFPyL PET/CT","authors":"Joon Yau Leong, Maria J. D'Amico, Courtney E. Capella, Leonard G. Gomella, Joseph K. Izes","doi":"10.1016/j.eucr.2025.103082","DOIUrl":"10.1016/j.eucr.2025.103082","url":null,"abstract":"<div><div>We present a case of port site metastasis (PSM) that was identified in an 82-year-old man with an elevated prostate-specific antigen (PSA) to 3.9 ng/mL, concerning for biochemical recurrence after robotic-assisted radical prostatectomy, adjuvant radiation, and six months of androgen deprivation therapy with an undetectable PSA post-treatment over 10 years ago. A 2.1 cm solitary tracer avid nodule on the right lateral abdominal wall with no other evidence of recurrence or metastatic disease was found on prostate-specific membrane antigen (PSMA)–targeted <sup>18</sup>F-DCFPyL PET/CT scan. The patient underwent local excision of this metastatic lesion, and final pathology revealed metastatic prostatic adenocarcinoma.</div></div>","PeriodicalId":38188,"journal":{"name":"Urology Case Reports","volume":"61 ","pages":"Article 103082"},"PeriodicalIF":0.5,"publicationDate":"2025-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144185001","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}
Junjun Wu , Lei Wang , Pengpeng Zhao , Fuxiang Lin , Zhanping Xu
{"title":"Primary renal parenchymal squamous cell carcinoma involving the renal pelvis: a case report and review of the literature","authors":"Junjun Wu , Lei Wang , Pengpeng Zhao , Fuxiang Lin , Zhanping Xu","doi":"10.1016/j.eucr.2025.103083","DOIUrl":"10.1016/j.eucr.2025.103083","url":null,"abstract":"<div><div>Primary squamous cell carcinoma (SCC) of the renal parenchyma represents an exceptionally rare malignancy. We present an SCC case demonstrating renal pelvis invasion, histopathologically confirmed following radical nephrectomy. Postoperative adjuvant chemotherapy was initiated, with subsequent development of pulmonary and adrenal metastases at the 10th-month follow-up. After treatment adjustment, the patient is currently 12 months after the operation and is in good general condition. This case illustrates that a definitive diagnosis of primary renal parenchymal SCC remains achievable despite concomitant renal pelvis involvement, emphasizing the importance of comprehensive histopathological evaluation in such rare presentations.</div></div>","PeriodicalId":38188,"journal":{"name":"Urology Case Reports","volume":"61 ","pages":"Article 103083"},"PeriodicalIF":0.5,"publicationDate":"2025-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144167154","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}