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The Kilogland: Giant prostatic hyperplasia with incidental prostate adenocarcinoma
IF 0.5
Urology Case Reports Pub Date : 2025-03-07 DOI: 10.1016/j.eucr.2025.102994
Rushil Rawal , Joshua Davood , John Heard , Peris Castaneda , Hyung Kim , Daniel Luthringer , Michael Ahdoot
{"title":"The Kilogland: Giant prostatic hyperplasia with incidental prostate adenocarcinoma","authors":"Rushil Rawal ,&nbsp;Joshua Davood ,&nbsp;John Heard ,&nbsp;Peris Castaneda ,&nbsp;Hyung Kim ,&nbsp;Daniel Luthringer ,&nbsp;Michael Ahdoot","doi":"10.1016/j.eucr.2025.102994","DOIUrl":"10.1016/j.eucr.2025.102994","url":null,"abstract":"<div><div>A 74-year-old man with PSA of 21.1 ng/mL, eGFR of 13 mL/min/1.73 m<sup>2</sup> (stage 4 renal disease), and an 889 mL prostate (MRI; transrectal ultrasound estimated 1000 <u>mL</u>) underwent robotic simple prostatectomy for severe lower urinary tract symptoms, including nocturia and recurrent urinary retention. Adenoma dissection, bladder re-anastomosis, and morcellation resulted in 500 mL blood loss and one transfusion. Pathology revealed stromal/glandular hyperplasia and incidental Gleason 8 (3 + 5) adenocarcinoma (&lt;2 % of tissue, no invasion). At six months, PSA was 0.25 ng/mL, with good continence. This case highlights successful robotic management of massive BPH with incidental malignancy.</div></div>","PeriodicalId":38188,"journal":{"name":"Urology Case Reports","volume":"60 ","pages":"Article 102994"},"PeriodicalIF":0.5,"publicationDate":"2025-03-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143610795","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
Urethral migration of a ventriculoperitoneal shunt in a 6-month-Old female infant: A rare complication of hydrocephalus management
IF 0.5
Urology Case Reports Pub Date : 2025-03-06 DOI: 10.1016/j.eucr.2025.102998
Yalda Obaidy , Ajmal Sherzad , Dunya Moghul
{"title":"Urethral migration of a ventriculoperitoneal shunt in a 6-month-Old female infant: A rare complication of hydrocephalus management","authors":"Yalda Obaidy ,&nbsp;Ajmal Sherzad ,&nbsp;Dunya Moghul","doi":"10.1016/j.eucr.2025.102998","DOIUrl":"10.1016/j.eucr.2025.102998","url":null,"abstract":"<div><div>Hydrocephalus, occurring in 0.9–1.8 per 1000 births, is managed through ventriculoperitoneal shunt placement. This intervention carries potential complications, with migration and infection being predominant concerns.</div><div>6-month-old female infant presented with VP shunt migration through the urethra, 5 months after hydrocephalus treatment. Clinical manifestations included irritability, mild fever, vomiting, and tense, bulging fontanelle. Laboratory findings revealed elevated white blood cell count of 21,000/mm<sup>3</sup> and positive microbiological cultures. Surgical intervention involved catheter removal, and shunt revision.</div><div>This rare case of VP shunt urethral migration highlights the critical importance of vigilant monitoring and prompt, multidisciplinary intervention in pediatric neurosurgery.</div></div>","PeriodicalId":38188,"journal":{"name":"Urology Case Reports","volume":"60 ","pages":"Article 102998"},"PeriodicalIF":0.5,"publicationDate":"2025-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143610797","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
Crossing genitourinary limits: First case of monkeypox diagnosed by a urology service in Mexico. A diagnostic challenge
IF 0.5
Urology Case Reports Pub Date : 2025-03-06 DOI: 10.1016/j.eucr.2025.103006
César A. Silva-Mendoza , Alec Anceno , Daniel R. Magdaleno-Rodríguez , Pedro A. Alvarado-Bahena , Héctor A. Miranda- Blasnich , Marco A. Ascencio-Martínez , Carlos D. Silva-Villarreal , Alyx A. Garibay-Aponte , Alicia Valdez-Gaona , Abigail Granada-Vigueras , Fernando Fernández Varela-Gómez , Jorge G. Morales-Montor
{"title":"Crossing genitourinary limits: First case of monkeypox diagnosed by a urology service in Mexico. A diagnostic challenge","authors":"César A. Silva-Mendoza ,&nbsp;Alec Anceno ,&nbsp;Daniel R. Magdaleno-Rodríguez ,&nbsp;Pedro A. Alvarado-Bahena ,&nbsp;Héctor A. Miranda- Blasnich ,&nbsp;Marco A. Ascencio-Martínez ,&nbsp;Carlos D. Silva-Villarreal ,&nbsp;Alyx A. Garibay-Aponte ,&nbsp;Alicia Valdez-Gaona ,&nbsp;Abigail Granada-Vigueras ,&nbsp;Fernando Fernández Varela-Gómez ,&nbsp;Jorge G. Morales-Montor","doi":"10.1016/j.eucr.2025.103006","DOIUrl":"10.1016/j.eucr.2025.103006","url":null,"abstract":"<div><div>This case is the first documented instance of genitourinary monkeypox (Mpox) diagnosed by a urology service in Mexico, emphasizing the role of urologists in managing atypical genitourinary infections. A 28-year-old homosexual male with HIV developed penile swelling and pustular lesions, confirmed as MPXV infection by PCR. Symptomatic management was initiated, and the patient was referred for tecovirimat therapy under a clinical trial.</div><div>Mpox lesions often mimic sexually transmitted conditions, leading to diagnostic delays. Limited awareness among healthcare providers compounds these challenges. Urologists must consider Mpox in atypical genital cases, particularly in high-risk populations, to ensure timely diagnosis and treatment.</div></div>","PeriodicalId":38188,"journal":{"name":"Urology Case Reports","volume":"60 ","pages":"Article 103006"},"PeriodicalIF":0.5,"publicationDate":"2025-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143620201","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
Ureteral metastasis incidentally found from primary breast cancer: A case report and review of the literature
IF 0.5
Urology Case Reports Pub Date : 2025-03-05 DOI: 10.1016/j.eucr.2025.103003
Matthew Satariano , Vivian Wong , Sarah Sweigert
{"title":"Ureteral metastasis incidentally found from primary breast cancer: A case report and review of the literature","authors":"Matthew Satariano ,&nbsp;Vivian Wong ,&nbsp;Sarah Sweigert","doi":"10.1016/j.eucr.2025.103003","DOIUrl":"10.1016/j.eucr.2025.103003","url":null,"abstract":"<div><div>Breast cancer metastasis to the ureter has been rarely reported and is typically diagnosed by autopsy or radiographically rather than by pathological inspection. We present the rare case of a 60-year-old female in which computed tomography urography imaging during nephrolithiasis revealed an incidental ureteral mass. Pathology workup following mass biopsy was estrogen receptor positive, progesterone receptor negative, and HER2 negative. The patient was ultimately diagnosed with metastatic lobular carcinoma of breast origin based on pathology from the axillary lymph node tissue. This case adds to the body of literature of a rare presentation of ureteral involvement from primary breast cancer.</div></div>","PeriodicalId":38188,"journal":{"name":"Urology Case Reports","volume":"60 ","pages":"Article 103003"},"PeriodicalIF":0.5,"publicationDate":"2025-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143592652","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
Robotic unilateral seminal vesiculectomy for chronic hematospermia
IF 0.5
Urology Case Reports Pub Date : 2025-03-05 DOI: 10.1016/j.eucr.2025.103005
Amjad Alwaal , Ernest Gillan , Aleksandar Popovic , James C. Jensen
{"title":"Robotic unilateral seminal vesiculectomy for chronic hematospermia","authors":"Amjad Alwaal ,&nbsp;Ernest Gillan ,&nbsp;Aleksandar Popovic ,&nbsp;James C. Jensen","doi":"10.1016/j.eucr.2025.103005","DOIUrl":"10.1016/j.eucr.2025.103005","url":null,"abstract":"<div><div>Hematospermia is typically self-limited and warrants no surgical intervention. However, chronic hematospermia requires investigation and treatment depending on etiology. We present an unusual case of chronic hematospermia for 5 years in a 22-year-old patient, which failed conservative medical management. MRI was conducted which revealed left seminal vesicle (SV) distended with blood and a normal right SV. He was treated with robotic unilateral seminal vesiculectomy (RUSV). At 6 months follow-up, ejaculation was normal and hematospermia resolved. Therefore, RUSV is a valid option for chronic hematospermia and can preserve normal ejaculatory function, particularly if the SV responsible for the hematospermia is lateralized.</div></div>","PeriodicalId":38188,"journal":{"name":"Urology Case Reports","volume":"60 ","pages":"Article 103005"},"PeriodicalIF":0.5,"publicationDate":"2025-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143580608","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
Management of ureteral IgG4-Related Disease: The great masquerader
IF 0.5
Urology Case Reports Pub Date : 2025-03-05 DOI: 10.1016/j.eucr.2025.103004
David Hennes , Yuigi Yuminaga
{"title":"Management of ureteral IgG4-Related Disease: The great masquerader","authors":"David Hennes ,&nbsp;Yuigi Yuminaga","doi":"10.1016/j.eucr.2025.103004","DOIUrl":"10.1016/j.eucr.2025.103004","url":null,"abstract":"<div><div>IgG4-related disease (IgG4-RD) is a systemic fibro-inflammatory condition that can mimic malignancies, including ureteric urothelial carcinoma (UCC). This case report describes a 65-year-old female presenting with obstructive uropathy due to IgG4-related ureteritis. Initial imaging suggested UCC, however ureteric biopsy was negative. Elevated serum IgG4 levels (3.77 g/L) supported the diagnosis of IgG4-related ureteritis. Treatment with methotrexate, prednisolone, and rituximab led to significant improvement, with subsequent imaging showing resolution of obstructive uropathy. This case highlights the importance of considering IgG4-RD in the differential diagnosis of ureteric malignancies to prevent unnecessary invasive procedures and optimize patient outcomes through appropriate immunosuppressive therapy.</div></div>","PeriodicalId":38188,"journal":{"name":"Urology Case Reports","volume":"60 ","pages":"Article 103004"},"PeriodicalIF":0.5,"publicationDate":"2025-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143654809","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
Renal tuberculosis mimicking cystic renal cell carcinoma: A case report
IF 0.5
Urology Case Reports Pub Date : 2025-03-04 DOI: 10.1016/j.eucr.2025.103001
Kays Chaker , Nader Gharbia , Alia Zehani , Boutheina Mosbahi , Samar Zribi , Yassine Nouira
{"title":"Renal tuberculosis mimicking cystic renal cell carcinoma: A case report","authors":"Kays Chaker ,&nbsp;Nader Gharbia ,&nbsp;Alia Zehani ,&nbsp;Boutheina Mosbahi ,&nbsp;Samar Zribi ,&nbsp;Yassine Nouira","doi":"10.1016/j.eucr.2025.103001","DOIUrl":"10.1016/j.eucr.2025.103001","url":null,"abstract":"<div><div>Renal tuberculosis is a rare and often under-recognized condition, frequently leading to delayed diagnosis due to its nonspecific symptoms and atypical clinical presentation. We report a case of renal tuberculosis initially masquerading as a renal cystic tumor in a 56-year-old woman. This case highlights the crucial importance of a thorough clinical and diagnostic approach to differentiate renal tuberculosis lesions from renal cystic tumors. Early and appropriate management of this condition can help avoid complications and improve patient prognosis.</div></div>","PeriodicalId":38188,"journal":{"name":"Urology Case Reports","volume":"60 ","pages":"Article 103001"},"PeriodicalIF":0.5,"publicationDate":"2025-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143580599","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
Total penile amputation following ritual circumcision: A case report of a devastating complication
IF 0.5
Urology Case Reports Pub Date : 2025-03-04 DOI: 10.1016/j.eucr.2025.103000
Saad Andaloussi , Zakarya Alami Hassani , Saad Annattah , Omar Dalero , Aziz Elmadi
{"title":"Total penile amputation following ritual circumcision: A case report of a devastating complication","authors":"Saad Andaloussi ,&nbsp;Zakarya Alami Hassani ,&nbsp;Saad Annattah ,&nbsp;Omar Dalero ,&nbsp;Aziz Elmadi","doi":"10.1016/j.eucr.2025.103000","DOIUrl":"10.1016/j.eucr.2025.103000","url":null,"abstract":"<div><div>Circumcision is among the most commonly performed surgical procedures in boys. In Morocco, this practice is often carried out by traditional practitioners, exposing patients to potentially catastrophic complications that are challenging to manage. We report the case of a 2-year-old boy who underwent ritual circumcision complicated by total penile amputation, with loss of the amputated stump. A meatoplasty was performed, and the postoperative course was uneventful. This case underscores the importance of recognizing circumcision as a surgical procedure that should not be trivialized. Furthermore, it highlights the necessity of implementing training programs for traditional practitioners to promote safe circumcision practices.</div></div>","PeriodicalId":38188,"journal":{"name":"Urology Case Reports","volume":"60 ","pages":"Article 103000"},"PeriodicalIF":0.5,"publicationDate":"2025-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143580606","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
Double left sided cryptorchidism in a 3-year-old male: A case report of polyorchidism
IF 0.5
Urology Case Reports Pub Date : 2025-03-04 DOI: 10.1016/j.eucr.2025.102999
Chris J. Zhang , Joshua Del Papa , Maram Al Shareef , Manal Gabril , Jennifer Ying-Kee Lam
{"title":"Double left sided cryptorchidism in a 3-year-old male: A case report of polyorchidism","authors":"Chris J. Zhang ,&nbsp;Joshua Del Papa ,&nbsp;Maram Al Shareef ,&nbsp;Manal Gabril ,&nbsp;Jennifer Ying-Kee Lam","doi":"10.1016/j.eucr.2025.102999","DOIUrl":"10.1016/j.eucr.2025.102999","url":null,"abstract":"<div><div>Polyorchidism is a rare congenital urogenital abnormality with a limited number of reports in the literature. The principal consideration in the management of polyorchidism is the prevention of future risk of malignancy. We present a case of a 3-year-old male presenting with left-sided cryptorchidism found to have a left-sided supernumerary testicle. He was treated with orchiectomy of both testes. While rare, the possibility of supernumerary testicle should be considered during surgery for cryptorchidism. Non-scrotal supernumerary testes should generally be excised to reduce the risk of malignancy.</div></div>","PeriodicalId":38188,"journal":{"name":"Urology Case Reports","volume":"60 ","pages":"Article 102999"},"PeriodicalIF":0.5,"publicationDate":"2025-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143592640","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
Single-port robot assisted partial nephrectomy via the supine anterior retroperitoneal approach (SARA)
IF 0.5
Urology Case Reports Pub Date : 2025-03-03 DOI: 10.1016/j.eucr.2025.103002
Sij Hemal, Sina Sobhani
{"title":"Single-port robot assisted partial nephrectomy via the supine anterior retroperitoneal approach (SARA)","authors":"Sij Hemal,&nbsp;Sina Sobhani","doi":"10.1016/j.eucr.2025.103002","DOIUrl":"10.1016/j.eucr.2025.103002","url":null,"abstract":"<div><div>This video explores the technique of robot-assisted partial nephrectomy using the Da-Vinci Single-Port robot via SARA in a 56-year-old male with history of diverticulitis found to have a 2.5 cm renal mass upon workup for abdominal pain. Retroperitoneal access was obtained at the McBurney point for port placement. Surgical steps: 1) retroperitoneal access at McBurney's point 2) renal hilum dissection 3) renal tumor identification 4) intraoperative ultrasound 5) hilar clamping 6) renal tumor excision using enucleoresection technique 7) Deep renorrhaphy 8) Early unclamping and cortical renorrhaphy. Surgery was successful without any complications with a warm ischemia time of 14 minutes.</div></div>","PeriodicalId":38188,"journal":{"name":"Urology Case Reports","volume":"60 ","pages":"Article 103002"},"PeriodicalIF":0.5,"publicationDate":"2025-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143580604","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
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