Ali Tabibi, Mohammad Sajjad Zabihi, Mahyar Najarian, Mehdi Dadpour
{"title":"Isolated testicular metastasis from prostate cancer following three years of hormone therapy and radiotherapy","authors":"Ali Tabibi, Mohammad Sajjad Zabihi, Mahyar Najarian, Mehdi Dadpour","doi":"10.1016/j.eucr.2025.103080","DOIUrl":"10.1016/j.eucr.2025.103080","url":null,"abstract":"<div><div>This case report presents a 61-year-old male patient diagnosed with high-risk prostate cancer who underwent hormone therapy and radiotherapy. Three years after beginning treatment, rising prostate-specific antigen (PSA) levels led to a PET CT scan, which identified isolated metastases in the left testicle. The patient then underwent a radical orchiectomy. One-year follow up revealed undetectable PSA and no evidence of any metastases. The significance of this case lies in the uncommon occurrence of testicular metastasis from prostate cancer, particularly when presenting in isolation after a prolonged period following hormone therapy and radiotherapy.</div></div>","PeriodicalId":38188,"journal":{"name":"Urology Case Reports","volume":"61 ","pages":"Article 103080"},"PeriodicalIF":0.5,"publicationDate":"2025-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144167153","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}
Madison Dale , Claudia Studebaker-DeMartino , Rocco Morabito Jr. , Vincent Graffeo
{"title":"Acute renal failure in the setting of bilateral ureteral obstruction secondary to plasmacytoid variant urothelial cell carcinoma","authors":"Madison Dale , Claudia Studebaker-DeMartino , Rocco Morabito Jr. , Vincent Graffeo","doi":"10.1016/j.eucr.2025.103084","DOIUrl":"10.1016/j.eucr.2025.103084","url":null,"abstract":"<div><div>Plasmacytoid urothelial carcinoma (PUC) is an aggressive variant of urothelial cell carcinoma (UCC) that has a tendency for unique presentation at time of diagnosis. We present a 68-year-old male who developed generalized abdominal pain with an incidental finding of acute renal failure secondary to ureteral strictures. He was subsequently diagnosed with PUC. Management of PUC is multifactorial with neoadjuvant chemotherapy followed by radical cystectomy. Despite these invasive treatments, the prognosis is often significantly inferior to typical UCC. This case demonstrates the need for high clinical suspicion in the setting of unpredicted strictures within the abdomen and pelvis.</div></div>","PeriodicalId":38188,"journal":{"name":"Urology Case Reports","volume":"61 ","pages":"Article 103084"},"PeriodicalIF":0.5,"publicationDate":"2025-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144178213","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":"Vacuum-assisted mini-ECIRS for calyceal diverticular stones in a recipient of a kidney transplant: A case report","authors":"Ponthakorn Srithongsongsaeng, Kun Sirisopana, Surawach Piyawannarat, Yada Phengsalae, Premsant Sangkum, Wisoot Kongchareonsombat, Chinnakhet Ketsuwan","doi":"10.1016/j.eucr.2025.103079","DOIUrl":"10.1016/j.eucr.2025.103079","url":null,"abstract":"<div><div>Urolithiasis in renal allografts can cause serious complications, particularly when involving calyceal diverticula due to altered anatomy. We report the case of a 44-year-old female recipient of a kidney transplant who presented with recurrent urinary tract infections and elevated serum creatinine levels. Imaging revealed a calyceal diverticular stone. After a failed retrograde approach, she underwent vacuum-assisted mini-endoscopic combined intrarenal surgery (ECIRS). A flexible ureteroscope enabled precise puncture and direct visualization for diverticular neck incision and fulguration. The procedure was successful with no complications. Vacuum-assisted mini-ECIRS is a safe and effective option for complex stone cases in recipients of transplants.</div></div>","PeriodicalId":38188,"journal":{"name":"Urology Case Reports","volume":"61 ","pages":"Article 103079"},"PeriodicalIF":0.5,"publicationDate":"2025-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144167152","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}
Alicia Phillips , Miranda Floen , Teri Mauch , Claudia Berrondo
{"title":"Spontaneous bladder perforation with urinary ascites secondary to posterior urethral valves and suspected atypical congenital nephrotic syndrome of a premature neonate: A case report","authors":"Alicia Phillips , Miranda Floen , Teri Mauch , Claudia Berrondo","doi":"10.1016/j.eucr.2025.103078","DOIUrl":"10.1016/j.eucr.2025.103078","url":null,"abstract":"<div><div>Fetal bladder rupture is a rare phenomenon with few reported cases in the literature. It is often a complication of congenital abnormalities causing urinary obstruction, such as posterior urethral valves (PUV). Congenital nephrotic syndrome (CNS) is another rare genitourinary disorder characterized by proteinuria, hypoalbuminemia and edema presenting in the first 3 months of life. We present a case of a premature male infant delivered at 32 weeks with fetal ascites from bladder rupture secondary to PUV. The infant also exhibited clinical features suggestive of CNS. This case illustrates the value of comprehensive differential diagnosis, medical decision making, and collaborative multidisciplinary care.</div></div>","PeriodicalId":38188,"journal":{"name":"Urology Case Reports","volume":"61 ","pages":"Article 103078"},"PeriodicalIF":0.5,"publicationDate":"2025-05-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144138433","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}
Puvvada Sandeep, S. Shanthakumar, Venkata Mahesh Chalumuru, D. Ramesh, Tarun Dilip Javali
{"title":"Rectovaginal fistula in a patient with Mayer-Rokitansky-Kuster-Hauser syndrome","authors":"Puvvada Sandeep, S. Shanthakumar, Venkata Mahesh Chalumuru, D. Ramesh, Tarun Dilip Javali","doi":"10.1016/j.eucr.2025.103075","DOIUrl":"10.1016/j.eucr.2025.103075","url":null,"abstract":"<div><div>MRKH syndrome is defined by the congenital absence of the uterus and the upper two-thirds of the vagina in females, who otherwise exhibit normal secondary sexual characteristics and possess a typical 46, XX karyotype. Here we report a case of 23 year old female diagnosed with Mayer-Rokitansky-Kuster-Hauser syndrome when presenting with features of rectovaginal fistula.</div></div>","PeriodicalId":38188,"journal":{"name":"Urology Case Reports","volume":"61 ","pages":"Article 103075"},"PeriodicalIF":0.5,"publicationDate":"2025-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144147087","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}
Aya Mohamed Nasr Ibrahim , Mohab Alsaid Saad , Mustafa I. Al-Shalah , Zaid F. Altawallbeh , Abdelrahman Elkhiat , Mohamed Elsaqa , Hasan Ahmad Matar , Akhmad Asaad Matar , Mostafa Said
{"title":"Late presentation of incomplete bladder duplication: an unexpected misdiagnosed rare case report","authors":"Aya Mohamed Nasr Ibrahim , Mohab Alsaid Saad , Mustafa I. Al-Shalah , Zaid F. Altawallbeh , Abdelrahman Elkhiat , Mohamed Elsaqa , Hasan Ahmad Matar , Akhmad Asaad Matar , Mostafa Said","doi":"10.1016/j.eucr.2025.103074","DOIUrl":"10.1016/j.eucr.2025.103074","url":null,"abstract":"<div><div>Incomplete bladder duplication (BD) is a rare congenital anomaly in which two bladder halves remain partially connected and share a single urethra; only 12 cases have been recorded. A 60-year-old female with severe lower urinary tract symptoms (LUTS) following hysterectomy and sacrocolpopexy. Initially suspected to be mesh-related, cystourethroscopy and MRI revealed an incomplete sagittal bladder septum. Laser excision resolved her symptoms. While surgery is rarely needed for BD, this case underscores its necessity in symptomatic patients. This case of incomplete BD without associated multiple congenital malformations emphasizes the need to consider rare congenital anomalies even in atypical presentation.</div></div>","PeriodicalId":38188,"journal":{"name":"Urology Case Reports","volume":"61 ","pages":"Article 103074"},"PeriodicalIF":0.5,"publicationDate":"2025-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144178212","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}
Roland Muyisa , Emile Watumwa , Charmante Pendeza , Angelique Makelele , Marina Maha , Pascal Kalondero
{"title":"Successful healing of a suprapubic and inguinal necrotizing fasciitis in an 18-month-old girl using sugar dressings: A case report","authors":"Roland Muyisa , Emile Watumwa , Charmante Pendeza , Angelique Makelele , Marina Maha , Pascal Kalondero","doi":"10.1016/j.eucr.2025.103073","DOIUrl":"10.1016/j.eucr.2025.103073","url":null,"abstract":"<div><div>Necrotizing fasciitis (NF) is a severe infection, rare in pediatrics, often challenging to diagnose. An 18-month-old girl presented with fever and swelling after a minor cut. Over six days, her condition worsened, leading to the diagnosis of NF. Surgical debridement revealed extensive necrosis. After intensive care with sugar dressings and broad-spectrum antibiotics, her wound improved significantly. She was discharged after 21 days, emphasizing the importance of hygiene and timely medical care.</div></div>","PeriodicalId":38188,"journal":{"name":"Urology Case Reports","volume":"61 ","pages":"Article 103073"},"PeriodicalIF":0.5,"publicationDate":"2025-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144107936","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}
Daniel Alejandro Arreola-Ramírez , Sahara Hurtado-Gómez , Alec Anceno , Fernando Fernández Varela-Gómez , Nancy Berenice Guzmán-Martínez , Hirepan Armenta-Álvarez , Alan Gabriel Contreras-Saldívar
{"title":"Successful living donor kidney transplantation following ex vivo repair of renal artery aneurysm","authors":"Daniel Alejandro Arreola-Ramírez , Sahara Hurtado-Gómez , Alec Anceno , Fernando Fernández Varela-Gómez , Nancy Berenice Guzmán-Martínez , Hirepan Armenta-Álvarez , Alan Gabriel Contreras-Saldívar","doi":"10.1016/j.eucr.2025.103076","DOIUrl":"10.1016/j.eucr.2025.103076","url":null,"abstract":"<div><div>Renal-artery aneurysms (RAA), rare vascular lesions (≈0.1 % prevalence), may be detected during living-donor evaluations. We report a successful right kidney transplant from a 33-year-old woman with an 11 × 13 mm saccular RAA at the first bifurcation, detected by CT angiography. Following hand-assisted laparoscopic nephrectomy, ex vivo repair involved aneurysm excision and reconstruction with a 6-mm heparin-bonded ePTFE graft. Cold ischemia was 110 min; implantation into the 69-year-old recipient was uneventful. Immediate postoperative diuresis occurred; discharge creatinine was 1.2 mg/dL. At 18 months, both remain asymptomatic with stable renal function and normotension.</div></div>","PeriodicalId":38188,"journal":{"name":"Urology Case Reports","volume":"61 ","pages":"Article 103076"},"PeriodicalIF":0.5,"publicationDate":"2025-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144114833","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":"Asthenozoospermia in a patient with reciprocal translocation t(12;15): A case report","authors":"Tea Mladenić , Anita Barišić , Ivan Vukelić , Antun Gršković , Nada Starčević Čizmarević , Jadranka Vraneković","doi":"10.1016/j.eucr.2025.103077","DOIUrl":"10.1016/j.eucr.2025.103077","url":null,"abstract":"<div><div>Reciprocal translocation is a chromosomal aberration where fragments are exchanged between two non-homologous chromosomes. Its prevalence is estimated at 0.16–0.2 % in the general population, rising to 1.3 % among infertile men. We report a 34-year-old Caucasian male with asthenozoospermia who was admitted for genetic testing. G-banding revealed a reciprocal translocation between chromosomes 12 and 15, with a karyotype of 46,XY,t(12;15)(p13.2?q15). Fluorescence <em>in situ</em> hybridisation confirmed this translocation using specific probes for chromosomes 12 and 15. This case highlights a rare chromosomal translocation t (12; 15) (p13.2? q15) associated with asthenozoospermia. Further sequencing analysis is needed to determine the precise breakpoints and assess potential genotype-phenotype correlations.</div></div>","PeriodicalId":38188,"journal":{"name":"Urology Case Reports","volume":"61 ","pages":"Article 103077"},"PeriodicalIF":0.5,"publicationDate":"2025-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144107938","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}
Gabriel van de Walle , Luca A. Morgantini , Bronwyn G. Long , Nicoleta C. Arva , Cristiana Hentea , Claudia C. Boucher Berry , Amanda Osta , Emilie K. Johnson
{"title":"Unilateral pubic hair growth: a paracrine finding indicative of underlying leydig cell tumor in a prepubertal boy","authors":"Gabriel van de Walle , Luca A. Morgantini , Bronwyn G. Long , Nicoleta C. Arva , Cristiana Hentea , Claudia C. Boucher Berry , Amanda Osta , Emilie K. Johnson","doi":"10.1016/j.eucr.2025.103071","DOIUrl":"10.1016/j.eucr.2025.103071","url":null,"abstract":"<div><div>Leydig cell tumors (LCTs) are rare in children and typically present with testicular masses and signs of early puberty. We report a case of a 6-year-old boy presenting solely with precocious pubic hair growth. Ultrasound revealed a small right testicular mass and elevated serum testosterone. Intra-operatively, hair growth was more prominent on the affected hemi-scrotum. Testis-sparing surgery confirmed a benign LCT with adjacent increased spermatogenesis. This is the first known report of ipsilateral pubic hair as a presenting sign of LCT. Localized androgen excess may be an early clinical indicator to guide timely diagnosis and treatment.</div></div>","PeriodicalId":38188,"journal":{"name":"Urology Case Reports","volume":"61 ","pages":"Article 103071"},"PeriodicalIF":0.5,"publicationDate":"2025-05-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144099515","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}