{"title":"Staged repair of Effmann type IIA2Y urethral duplication using composite tissue tubularization: A case report","authors":"P.R. Saju, H. Balabhaskar, Sunil Ashok, S.J. Aquil Faris, Maradana Prudhvi Vasanth, Sharoo Shaneej, Jinesh Jayadevan","doi":"10.1016/j.eucr.2025.103137","DOIUrl":"10.1016/j.eucr.2025.103137","url":null,"abstract":"<div><div>Effmann type IIA2Y urethral duplication is a rare congenital anomaly requiring individualized surgical management. We report a pediatric case managed with initial buccal mucosa grafting and perineal urethrostomy, followed by a 9-year loss to follow-up. On return, the graft remained viable, and definitive repair was performed using composite tissue tubularization with buccal mucosa, perineal, and scrotal skin. The patient achieved continent, complication-free voiding. This case highlights the durability of multi-tissue grafts and demonstrates the feasibility of delayed reconstruction in complex urethral anomalies.</div></div>","PeriodicalId":38188,"journal":{"name":"Urology Case Reports","volume":"62 ","pages":"Article 103137"},"PeriodicalIF":0.5,"publicationDate":"2025-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144686962","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":"Spontaneous rupture of the upper urinary tract (fornix) secondary to ureteropelvic junction obstruction: A case report of a rare condition","authors":"Idriss Ziani , Salim Ouskri , Imad Boualaoui , Ahmed Ibrahimi , Hachem EL-Sayegh , Yassine Nouini","doi":"10.1016/j.eucr.2025.103134","DOIUrl":"10.1016/j.eucr.2025.103134","url":null,"abstract":"<div><div><u>Spontaneous rupture of the renal fornix (SRF) is a rare condition, usually caused by acute upper urinary tract obstruction, most commonly from kidney stones</u>. Its association with ureteropelvic junction obstruction (UPJO), whether congenital or acquired, is very uncommon. We report a case of a 29-year-old man with fever and right lumbar pain. Imaging showed a fornix rupture without stones, indicating possible UPJO. Emergency drainage with a double-J stent quickly improved his condition, followed by laparoscopic pyeloplasty, leading to full recovery. <u>This case highlights the importance of timely management of UPJO to prevent serious complications like fornix rupture.</u></div></div>","PeriodicalId":38188,"journal":{"name":"Urology Case Reports","volume":"62 ","pages":"Article 103134"},"PeriodicalIF":0.4,"publicationDate":"2025-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144763828","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}
W. Salama , M. Tetou , M. Mrabti , M.A. Sobhi , A. Elbahri , M. Alami , A. Ameur
{"title":"Massive congenital bladder diverticulum in a teenager: Navigating an uncommon clinical entity through an exceptional therapeutic challenge – A case report","authors":"W. Salama , M. Tetou , M. Mrabti , M.A. Sobhi , A. Elbahri , M. Alami , A. Ameur","doi":"10.1016/j.eucr.2025.103139","DOIUrl":"10.1016/j.eucr.2025.103139","url":null,"abstract":"<div><div>Primary congenital bladder diverticula, rare in pediatric populations and particularly in females, often justify surgery for symptomatic cases. We report a 15-year-old girl with a giant bladder diverticulum, significant post-void residual urine, and preserved renal function without vesicoureteral reflux. Conservative care included antibiotic prophylaxis, surveillance imaging, and lifestyle modifications was adopted due to family refusal of surgery. Clinical stability (reduced infections, no complications) and anatomical stability were observed, supporting the hypothesis of residual muscular fibers as a stabilizing factor, suggesting potential nosological reclassification. This case underscores individualized therapeutic decisions integrating family preferences and rigorous monitoring.</div></div>","PeriodicalId":38188,"journal":{"name":"Urology Case Reports","volume":"62 ","pages":"Article 103139"},"PeriodicalIF":0.5,"publicationDate":"2025-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144694833","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":"When scoliosis surgery in a child unexpectedly resolves hydronephrosis: A case report and review of the literature","authors":"Peranzoni Francesca, Zambelli Pierre-Yves, Broennimann Enrico","doi":"10.1016/j.eucr.2025.103138","DOIUrl":"10.1016/j.eucr.2025.103138","url":null,"abstract":"<div><div>Hydronephrosis, defined as dilation of the renal pelvis and calyces, may occur with scoliosis or after corrective surgery. However, spontaneous resolution of pre-existing hydronephrosis following scoliosis correction has not been previously reported. We present a 12-year-old girl with a <em>ZMYM2</em> mutation, severe thoracolumbar scoliosis (Cobb 103°), and bilateral hydronephrosis. After posterior spinal fusion (T4–L3), hydronephrosis resolved completely. Just as the spinal angle, likely the angle between the renal pelvis and ureter was similarly adjusted, facilitating improved urinary drainage. This rare case highlights a possible dual therapeutic effect of scoliosis correction on spinal alignment and urinary drainage in selected cases.</div></div>","PeriodicalId":38188,"journal":{"name":"Urology Case Reports","volume":"62 ","pages":"Article 103138"},"PeriodicalIF":0.4,"publicationDate":"2025-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144779989","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}
Jae Won Yun , Muhammad-Kabir Ali , Christopher Anderson , Tevita Aho , Tamer El-Husseiny
{"title":"A rare case of inflammatory myofibroblastic tumour mimicking retained prostatic tissue following HoLEP","authors":"Jae Won Yun , Muhammad-Kabir Ali , Christopher Anderson , Tevita Aho , Tamer El-Husseiny","doi":"10.1016/j.eucr.2025.103135","DOIUrl":"10.1016/j.eucr.2025.103135","url":null,"abstract":"<div><div>Retained prostatic tissue following HoLEP is rare but requires prompt surgical intervention. We present the case of rapidly growing inflammatory myofibroblastic tumour of the bladder presenting shortly after HoLEP, successfully resected in an en-bloc fashion with Holmium-YAG laser. Further prospective data is required for genitourinary inflammatory myofibroblastic tumours to standardise oncological management.</div></div>","PeriodicalId":38188,"journal":{"name":"Urology Case Reports","volume":"62 ","pages":"Article 103135"},"PeriodicalIF":0.4,"publicationDate":"2025-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144739329","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}
Zaiqing Jiang , Yunfeng Li , Kai Zhao , Xinbao Yin , Ke Wang , Zongliang Zhang
{"title":"Giant adrenal calcification: rare case report and literature review","authors":"Zaiqing Jiang , Yunfeng Li , Kai Zhao , Xinbao Yin , Ke Wang , Zongliang Zhang","doi":"10.1016/j.eucr.2025.103131","DOIUrl":"10.1016/j.eucr.2025.103131","url":null,"abstract":"<div><div>We report the largest documented case of idiopathic giant adrenal calcification in a middle-aged woman, incidentally detected during imaging. Preoperative CT revealed an 8.5 × 7.0 × 5.0 cm left adrenal mass. Retroperitoneal laparoscopic adrenalectomy was successfully performed, with no recurrence at 18-month follow-up. This rare condition lacks evidence-based guidelines, necessitating multicenter studies to refine diagnosis and management.</div></div>","PeriodicalId":38188,"journal":{"name":"Urology Case Reports","volume":"62 ","pages":"Article 103131"},"PeriodicalIF":0.5,"publicationDate":"2025-07-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144694288","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":"Immunotherapy-related cystitis induced by nivolumab: A case report and review of the literature","authors":"Yingying Yuan , Lianqing Lou , Siheng Zhu , Dong Yan","doi":"10.1016/j.eucr.2025.103132","DOIUrl":"10.1016/j.eucr.2025.103132","url":null,"abstract":"<div><div>Immune checkpoint inhibitors (ICIs) like nivolumab have revolutionized cancer treatment but can cause immune-related adverse events (irAEs), including rare cystitis. This case report describes a gastric cancer patient who developed urinary symptoms, such as hematuria and frequent urination, after nivolumab treatment. Despite initial antibiotics, symptoms worsened, leading to a diagnosis of immune-related cystitis. Intravenous methylprednisolone provided rapid relief and restored renal function. Early recognition and corticosteroid treatment are crucial for managing ICI-induced cystitis and preventing unnecessary antibiotics.</div></div>","PeriodicalId":38188,"journal":{"name":"Urology Case Reports","volume":"62 ","pages":"Article 103132"},"PeriodicalIF":0.5,"publicationDate":"2025-07-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144694289","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":"Cough-associated detrusor overactivity resolved after intravesical onabotulinumtoxin A injection: A case report","authors":"Rie Yoshimura , Nobutaka Shimizu , Mio Togo , Shinkuro Yamamoto , Tomoya Nao , Tsutomu Shimamoto , Hideo Fukuhara , Satoshi Fukata , Shingo Ashida , Takashi Karashima , Motoaki Saito , Keiji Inoue","doi":"10.1016/j.eucr.2025.103129","DOIUrl":"10.1016/j.eucr.2025.103129","url":null,"abstract":"<div><div>A 68-year-old woman developed urgency urinary incontinence (UUI) one month after tension-free vaginal tape (TVT) surgery for stress urinary incontinence. Pharmacological treatment was ineffective. Pressure-flow study revealed cough-associated detrusor overactivity (CADO). An intravesical injection of 100 U botulinum toxin resolved symptoms and normalized bladder sensation. Six months later, CADO recurred and was successfully treated with a second injection. No adverse events occurred. CADO is often misdiagnosed as stress incontinence, and accurate diagnosis requires urodynamic evaluation. This case highlights the potential of intravesical botulinum toxin for managing CADO, including recurrence. Further studies should establish optimal diagnostic strategies and long-term efficacy.</div></div>","PeriodicalId":38188,"journal":{"name":"Urology Case Reports","volume":"62 ","pages":"Article 103129"},"PeriodicalIF":0.5,"publicationDate":"2025-07-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144665665","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":"Late-presenting congenital anterior urethral diverticulum causing renal impairment in a male child","authors":"Yasmine Houas , Arije Zouaoui , Riadh Jouini","doi":"10.1016/j.eucr.2025.103127","DOIUrl":"10.1016/j.eucr.2025.103127","url":null,"abstract":"<div><div>We report the case of a 6-year-old boy who presented with lower urinary tract obstruction and chronic renal impairment due to a delayed diagnosis of isolated CAUD. The diagnosis was eventually made by voiding cystourethrography, which revealed a large anterior diverticulum. This case illustrates a rare late presentation of CAUD with significant renal dysfunction, highlighting a crucial diagnostic pitfall. Clinicians should actively consider and investigate for anterior urethral diverticulum in any male child presenting with unexplained renal insufficiency or voiding symptoms, as early detection is essential to prevent irreversible upper urinary tract damage.</div></div>","PeriodicalId":38188,"journal":{"name":"Urology Case Reports","volume":"62 ","pages":"Article 103127"},"PeriodicalIF":0.5,"publicationDate":"2025-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144694832","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":"A case of mid-segment ureteral duplication: Uncovering a rare developmental anomaly","authors":"Yazan Dibas , Jana Dibas , Motaz Daraghma , Zaid Sawaftah","doi":"10.1016/j.eucr.2025.103128","DOIUrl":"10.1016/j.eucr.2025.103128","url":null,"abstract":"<div><div>Ureteral duplication is a congenital anomaly often associated with urinary complications. We report a case of a 54-year-old female presenting with recurrent urinary tract infections and right flank pain. Imaging revealed a rare mid-segment ureteral duplication, where the ureter bifurcates and rejoins before entering the bladder. The anomaly was complicated by ESBL-producing <em>Escherichia coli</em> infection. Conservative management with antibiotics was chosen after the patient declined surgery. This case underscores the diagnostic challenges of mid-segment duplications and highlights the importance of advanced imaging in adults with unexplained recurrent urinary tract infections.</div></div>","PeriodicalId":38188,"journal":{"name":"Urology Case Reports","volume":"62 ","pages":"Article 103128"},"PeriodicalIF":0.5,"publicationDate":"2025-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144679671","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}