{"title":"Total penile amputation following ritual circumcision: A case report of a devastating complication","authors":"Saad Andaloussi , Zakarya Alami Hassani , Saad Annattah , Omar Dalero , 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}
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 , Joshua Del Papa , Maram Al Shareef , Manal Gabril , 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}
{"title":"Single-port robot assisted partial nephrectomy via the supine anterior retroperitoneal approach (SARA)","authors":"Sij Hemal, 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}
{"title":"A rare case of renal medullary carcinoma without sickle cell hemoglobinopathy in a Japanese woman","authors":"Masanori Ishizaki , Masaru Hasumi , Kazumichi Muramatsu , Misa Iijima , Nobuaki Shimizu","doi":"10.1016/j.eucr.2025.102996","DOIUrl":"10.1016/j.eucr.2025.102996","url":null,"abstract":"<div><div>Diagnostic and treatment guidelines for renal medullary carcinoma are not established. A 52-year-old Japanese woman presented to her general physician with symptoms of cough and respiratory distress. A primary malignant tumor of the right kidney and multiple metastases were suspected during imaging; therefore, she was referred to our department for consultation. The results of a computed tomography-guided tumor biopsy revealed a diagnosis of renal medullary carcinoma without sickle cell hemoglobinopathy. This case was atypical because renal medullary carcinoma was not accompanied by sickle cell hemoglobinopathy and the patient was Japanese.</div></div>","PeriodicalId":38188,"journal":{"name":"Urology Case Reports","volume":"60 ","pages":"Article 102996"},"PeriodicalIF":0.5,"publicationDate":"2025-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143580605","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}
Juliana Arenas Hoyos , Jeff Lawrence Pugach , Lynne M. Eger , Sandy Cope-Yokoyama , Shane F. Batie
{"title":"Pediatric epididymal schistosomiasis, challenging diagnosis, and implications","authors":"Juliana Arenas Hoyos , Jeff Lawrence Pugach , Lynne M. Eger , Sandy Cope-Yokoyama , Shane F. Batie","doi":"10.1016/j.eucr.2025.102997","DOIUrl":"10.1016/j.eucr.2025.102997","url":null,"abstract":"<div><div>Schistosomiasis is a parasitic infection that may be difficult to diagnose in non-endemic regions and may manifest with epididymal involvement.</div><div>Testicular schistosomiasis remains a rare disease. The diagnosis is based on clinical suspicion due to a low degree of specificity when it comes to laboratory tests and imaging studies. Treatment mainstays are anthelminthic medication and excision.</div><div>We present the first report of epididymal schistosomiasis in a pediatric patient in the United States. Patients require a definitive histologic diagnosis. It is helpful to obtain a thorough history to elucidate exposure to endemic areas as part of assessment and treatment.</div></div>","PeriodicalId":38188,"journal":{"name":"Urology Case Reports","volume":"60 ","pages":"Article 102997"},"PeriodicalIF":0.5,"publicationDate":"2025-03-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143563015","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}
Dar Yoffe , Joseph GR. Paturzo , Alexandra Payne , Erin Hays , Michael Markel , Gaurav Bandi
{"title":"Paraneoplastic limbic encephalitis secondary to sertoli cell testicular tumor: A case report","authors":"Dar Yoffe , Joseph GR. Paturzo , Alexandra Payne , Erin Hays , Michael Markel , Gaurav Bandi","doi":"10.1016/j.eucr.2025.102995","DOIUrl":"10.1016/j.eucr.2025.102995","url":null,"abstract":"<div><div>Paraneoplastic Limbic Encephalitis (PLE) is a neurocognitive condition caused by an immune response to neuronal proteins linked to malignancy, such as testicular cancer. We report a 25-year-old male with cognitive and personality changes. <u>His initial</u> MRI showed vasogenic edema. <u>A subsequent</u> CT scan revealed bilateral hydroceles, and a follow-up scrotal US uncovered a right testicular mass, leading to a radical orchiectomy that confirmed a Sertoli cell tumor. Following orchiectomy and immunomodulating therapy, the patient's symptoms showed near-complete <u>resolution</u> within a year. This is the first documented case of PLE resulting from a non-germ cell testicular tumor.</div></div>","PeriodicalId":38188,"journal":{"name":"Urology Case Reports","volume":"60 ","pages":"Article 102995"},"PeriodicalIF":0.5,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143534706","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}
Luca Bertozzi , Eileen Zhang , Mohadese Behtaj , Olivia Gordon , Michael J. Whalen
{"title":"Molecular profiling of basal cell carcinoma of the prostate: A case report and literature review","authors":"Luca Bertozzi , Eileen Zhang , Mohadese Behtaj , Olivia Gordon , Michael J. Whalen","doi":"10.1016/j.eucr.2025.102993","DOIUrl":"10.1016/j.eucr.2025.102993","url":null,"abstract":"<div><div>Prostate basal cell carcinoma (BCC) is a rare pathologic variant with a poorly understood molecular profile. Here, we describe a case of prostate BCC and compare its genetic alterations to cases in the literature. After presenting with hematuria, our patient underwent definitive radical prostatectomy for his localized biopsy-proven BCC. Somatic and germline testing revealed mutations in PIK3R1, KMT2D, and NOTCH1, and MUTYH, NBN, and MSH3, respectively. Upon literature review, we found that prostate BCC mutations disrupt cell growth, epigenetic regulation, and cell fate determination. With no consensus guidelines available, experimental targeted therapies have shown promise for prostate BCC management.</div></div>","PeriodicalId":38188,"journal":{"name":"Urology Case Reports","volume":"60 ","pages":"Article 102993"},"PeriodicalIF":0.5,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143534705","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":"Urinary myiasis; a case report and literature review","authors":"Siavash Vaziri , Zeinab Mohseni Afshar , Mohammad-Bagher Rajabalian , Behzad Narouie , Babak Sayad , Seyed Hamid Madani , Zohreh Bartani , Mehdi Sedighi , Negar Radpour , Hamidreza Momeni","doi":"10.1016/j.eucr.2025.102992","DOIUrl":"10.1016/j.eucr.2025.102992","url":null,"abstract":"<div><div>Urinary myiasis, a rare condition caused by the infestation of fly larvae in the urinary tract, poses diagnostic challenges due to its nonspecific symptoms and low prevalence. We report a 52-year-old woman with persistent dysuria, frequency despite multiple treatments for suspected infections. Cystoscopy revealed erythema and debris, but imaging and laboratory tests were unremarkable. A live larva was identified in urine analysis, confirming the diagnosis. Treatment involved improved hygiene and hydration. Prompt recognition and management is needed to prevent complications. Awareness of this rare condition is crucial, particularly in individuals with poor sanitation and underlying urinary tract abnormalities.</div></div>","PeriodicalId":38188,"journal":{"name":"Urology Case Reports","volume":"59 ","pages":"Article 102992"},"PeriodicalIF":0.5,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143511091","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 sigmoid volvulus after robotic-assisted laparoscopic prostatectomy","authors":"Kunind Oberoi , Kapil Sethi","doi":"10.1016/j.eucr.2025.102988","DOIUrl":"10.1016/j.eucr.2025.102988","url":null,"abstract":"<div><div>A 73-year-old man underwent uncomplicated robotic-assisted laparoscopic prostatectomy (RALP). Nineteen days later, he developed constipation, obstipation, and distension. Imaging confirmed sigmoid volvulus, and he was subsequently managed with endoscopic detorsion. Recurrence occurred two months later, requiring colectomy.</div><div>Sigmoid volvulus has not been reported after RALP. RALP may contribute to sigmoid volvulus due to operative patient positioning, pneumoperitoneum, and mesenteric mobilization. Clinicians should be aware of this potential complication, particularly in elderly patients with predisposing anatomical factors. Consideration may be needed to laterally repair any sigmoid released during dissection in RALP.</div></div>","PeriodicalId":38188,"journal":{"name":"Urology Case Reports","volume":"59 ","pages":"Article 102988"},"PeriodicalIF":0.5,"publicationDate":"2025-02-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143488420","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}
Kanagavel Yathwin, Rajiv Raj D., Vittalraj Pavitra, Sanjanika S., Balaji Singh K.
{"title":"IgG4-related para-testicular fibrous pseudotumor- A rare benign testicular mass mimicking malignancy: A case report and literature review","authors":"Kanagavel Yathwin, Rajiv Raj D., Vittalraj Pavitra, Sanjanika S., Balaji Singh K.","doi":"10.1016/j.eucr.2025.102989","DOIUrl":"10.1016/j.eucr.2025.102989","url":null,"abstract":"<div><div>Para-testicular fibrous pseudotumors (PFP) are rare benign reactive lesions comprising of 6 % of para-testicular masses. Often misdiagnosed as malignant due to clinical and radiological overlap, they are frequently treated with aggressive surgery. We report a case of a 70-year-old male with a left inguinal swelling diagnosed post-orchidectomy as PFP. Histopathology revealed collagen-rich fibrotic tissue with lymphoplasmacytic infiltrates and IgG4-positive plasma cells. While PFP treatment requires surgical resection, testicle-sparing procedures with intraoperative frozen section assessment may prevent unnecessary orchidectomy. Further studies are needed to establish diagnostic protocols and explore the association between PFP and IgG4-related diseases.</div></div>","PeriodicalId":38188,"journal":{"name":"Urology Case Reports","volume":"59 ","pages":"Article 102989"},"PeriodicalIF":0.5,"publicationDate":"2025-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143471427","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}