Nasser Simforoosh , Javad Nikbakht , Ahmad Eghbali , Nooshin Ahmadi , Mohammad Sajjad Zabihi , Saeedeh Sarhadi , Mehdi Dadpour
{"title":"Bilateral simultaneous laparoscopic clipless adrenal-sparing surgery for pheochromocytoma in a pediatric patient: A case report","authors":"Nasser Simforoosh , Javad Nikbakht , Ahmad Eghbali , Nooshin Ahmadi , Mohammad Sajjad Zabihi , Saeedeh Sarhadi , Mehdi Dadpour","doi":"10.1016/j.eucr.2025.103072","DOIUrl":"10.1016/j.eucr.2025.103072","url":null,"abstract":"<div><div>Herein, we describe an 11-year-old male with a known history of Von Hippel-Lindau disease. He presented with malignant hypertension and bilateral adrenal masses measuring approximately 5cm and 3cm on the right and left sides, respectively. Pheochromocytoma was confirmed through imaging and lab data. The patient successfully underwent bilateral simultaneous laparoscopic clipless adrenal-sparing surgery. At the six-month follow-up, he remained asymptomatic and normotensive, normal laboratory tests or imaging. Additionally, there were no signs of adrenal insufficiency, eliminating the need for corticosteroid or mineralocorticoid replacement therapy. Laparoscopic bilateral synchronous adrenal-sparing surgery represents a significant advancement in the management of pediatric bilateral pheochromocytoma.</div></div>","PeriodicalId":38188,"journal":{"name":"Urology Case Reports","volume":"61 ","pages":"Article 103072"},"PeriodicalIF":0.5,"publicationDate":"2025-05-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144099516","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":"Serial evaluation of gonads of complete androgen insensitivity syndrome from birth to puberty: Is gonadectomy necessary?","authors":"Yuko Ueda, Fumi Matsumoto, Futoshi Matsui, Satoko Matsuyama","doi":"10.1016/j.eucr.2025.103068","DOIUrl":"10.1016/j.eucr.2025.103068","url":null,"abstract":"<div><div>The timing of gonadectomy in patients with complete androgen insensitivity syndrome (CAIS) remains controversial due to concerns about the potential risk of malignancy. We report a rare case of CAIS diagnosed shortly after birth, prompted by a discrepancy between the karyotype identified through amniocentesis and the phenotype at birth. Early diagnosis allowed for longitudinal evaluation of the gonads from birth through puberty. Although gonadal tumors developed during puberty, histopathological examination revealed benign lesions. These findings suggest that, with careful monitoring, gonadectomy might have been safely deferred until adulthood in this patient.</div></div>","PeriodicalId":38188,"journal":{"name":"Urology Case Reports","volume":"61 ","pages":"Article 103068"},"PeriodicalIF":0.5,"publicationDate":"2025-05-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144099514","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":"Hypertrophic neovaginal granulation tissue after gender affirming vaginoplasty: A cautionary tale and novel treatment option","authors":"Gaia Sartorelli , Marissa Kent","doi":"10.1016/j.eucr.2025.103070","DOIUrl":"10.1016/j.eucr.2025.103070","url":null,"abstract":"<div><div>Approximately 25 million people worldwide, including 1 million in the United States, identify as transgender. Gender affirmation surgery (GAS), including vaginoplasty, improves quality of life but carries a 20–70 % complication rate. Granulation tissue occurs in 26 % of cases, but treatment for severe cases remains unclear. We present one transfeminine individual with extensive neovaginal granulation tissue involving 70 % of the neovagina which was subsequently treated with laser destruction. This case illustrates a novel management strategy and underscores the need for standardized treatment approaches for severe granulation tissue following GAS.</div></div>","PeriodicalId":38188,"journal":{"name":"Urology Case Reports","volume":"61 ","pages":"Article 103070"},"PeriodicalIF":0.5,"publicationDate":"2025-05-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144107937","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}
P.S. Harsha, Jinesh Jayadevan, C.H. Haris, Rajiv Thomas, H. Balabhaskar, Ramkumar Aiyappan, Sharoo Shaneej M
{"title":"Unusual presentation of Stauffer syndrome in post Whipple patient: case report","authors":"P.S. Harsha, Jinesh Jayadevan, C.H. Haris, Rajiv Thomas, H. Balabhaskar, Ramkumar Aiyappan, Sharoo Shaneej M","doi":"10.1016/j.eucr.2025.103065","DOIUrl":"10.1016/j.eucr.2025.103065","url":null,"abstract":"<div><div>Stauffer syndrome is a rare paraneoplastic syndrome associated with <u>Renal Cell Cancer (RCC)</u>, seen in 3 %–20 % of cases characterized by reversible nonmetastatic anicteric, hepatic dysfunction in the absence of direct hepatobiliary obstruction. We report a case of 78-yr old male, post Whipple surgery who presented with progressive and isolated elevation of <u>Aminotransferases</u>. Imaging confirmed the presence of a renal mass without hepatic metastasis. The patient underwent partial nephrectomy. The patient's clinical course, management, and subsequent resolution of hepatic dysfunction after resection underscore the importance of considering Stauffer syndrome in patients with unexplained liver test abnormalities.</div></div>","PeriodicalId":38188,"journal":{"name":"Urology Case Reports","volume":"61 ","pages":"Article 103065"},"PeriodicalIF":0.5,"publicationDate":"2025-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144099513","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}
J. Latham, K. Armstrong, A. Abdelrasheed, M. Shendy, B. Mohamed, T. Ellul
{"title":"Effective management of refractory haematuria using PuraStat: A case report and literature review","authors":"J. Latham, K. Armstrong, A. Abdelrasheed, M. Shendy, B. Mohamed, T. Ellul","doi":"10.1016/j.eucr.2025.103067","DOIUrl":"10.1016/j.eucr.2025.103067","url":null,"abstract":"<div><div>We report a case of refractory haematuria successfully managed using intravesical PuraStat®, a synthetic haemostatic agent primarily used in gastrointestinal bleeding. A 73-year-old male presented repeatedly with haematuria following bladder neck incision, unresponsive to conventional management. Application of PuraStat® via air cystoscopy resulted in complete haemostasis with no recurrence at two months. This case supports the expanding role of PuraStat® in urological bleeding where standard techniques fail.</div></div>","PeriodicalId":38188,"journal":{"name":"Urology Case Reports","volume":"61 ","pages":"Article 103067"},"PeriodicalIF":0.5,"publicationDate":"2025-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144123573","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":"Bochdalek hernia causing ureteric obstruction a rare association: about one case report","authors":"llyass Laaribi , Ikram Zaid , Samia Berrichi , Houssam Bkiyar","doi":"10.1016/j.eucr.2025.103069","DOIUrl":"10.1016/j.eucr.2025.103069","url":null,"abstract":"<div><div>Bochdalek hernias, is rare form of hernia, typically manifesting in neonates. Adult occurrences are unusual and often asymptomatic discovered accidently. Visceral involvement may include stomach, colon, spleen, or kidney, but diaphragmatic herniation of the ureter is exceptionally uncommon, with only a handful of cases published. Timely detection is essential, to avoid irreversible damage, We present a case of a 82-year-old man who presented right Bochdalek hernia involving the right ureter, causing ureterohydronephrosis.</div></div>","PeriodicalId":38188,"journal":{"name":"Urology Case Reports","volume":"61 ","pages":"Article 103069"},"PeriodicalIF":0.5,"publicationDate":"2025-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144089343","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}
Viliam Kubas , Terézia Hrubá , Vladimír Baláž , Jozef Babeľa , Natália Farraová , Boris Hudec , Jana Poláková Mištinová
{"title":"A rare case of urosymphyseal fistula following robot-assisted radical prostatectomy","authors":"Viliam Kubas , Terézia Hrubá , Vladimír Baláž , Jozef Babeľa , Natália Farraová , Boris Hudec , Jana Poláková Mištinová","doi":"10.1016/j.eucr.2025.103066","DOIUrl":"10.1016/j.eucr.2025.103066","url":null,"abstract":"<div><div>Urosymphyseal fistula (USF) is a rare but serious complication following robot-assisted radical prostatectomy (RARP), frequently associated with osteomyelitis of the pubic symphysis and causing significant morbidity. We present a case of a 66-year-old patient who developed USF with osteomyelitis after RARP, characterized by persistent pelvic pain and urinary symptoms. MRI was crucial in diagnosing the fistula and osteomyelitis, guiding a successful multidisciplinary intervention, including robotic-assisted surgery. Early diagnosis, advanced imaging modalities, and collaborative surgical management remain essential for optimal patient outcomes. Continued advancements in diagnostic and therapeutic strategies are necessary for effective management of USF.</div></div>","PeriodicalId":38188,"journal":{"name":"Urology Case Reports","volume":"61 ","pages":"Article 103066"},"PeriodicalIF":0.5,"publicationDate":"2025-05-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144069712","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}
Ibrahim A. Khalil , Eiman Musa , Sali Alatasi , Khalid Aawad , Khalid Al-Rumaihi
{"title":"Metastatic renal cell carcinoma to the glans penis: A case report of rare presentation","authors":"Ibrahim A. Khalil , Eiman Musa , Sali Alatasi , Khalid Aawad , Khalid Al-Rumaihi","doi":"10.1016/j.eucr.2025.103064","DOIUrl":"10.1016/j.eucr.2025.103064","url":null,"abstract":"<div><div>Renal cell carcinoma (RCC) accounts for 85 % of kidney tumors, with clear cell histology being the most common subtype. While metastases commonly involve the lungs, bones, liver, and brain, penile metastasis is exceedingly rare. We report a case of a 51-year-old male with clear cell RCC who developed biopsy-confirmed metastasis to the glans penis four months after robotic-assisted radical nephrectomy. Despite adjuvant pembrolizumab, a penile lesion emerged, indicating disease progression. This case highlights the need for vigilant surveillance in high-risk RCC and underscores the importance of imaging and pathology in diagnosing and managing rare metastatic sites.</div></div>","PeriodicalId":38188,"journal":{"name":"Urology Case Reports","volume":"61 ","pages":"Article 103064"},"PeriodicalIF":0.5,"publicationDate":"2025-05-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144138432","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 management of rare complete duplicated urethra with epispadias (Effmann Type Ⅱ A1): A novel approach","authors":"Ming-kuan Zhou , Xin Feng , Wen-wei Wang, Ming-xuan Chen, Jin-tao Zhuang","doi":"10.1016/j.eucr.2025.103063","DOIUrl":"10.1016/j.eucr.2025.103063","url":null,"abstract":"<div><div>Urethral duplication is an infrequent anomaly classified by the Effmann system into three main types: incomplete (Type I), complete (Type II), and those with a duplicated bladder (Type III). Types I and II have further subcategories. Type I A and Type II A2 are most common, while Type II A1 (complete urethral duplication with epispadias) is rare. Due to its rarity and heterogeneity, there is no standardized surgical treatment. This article presents a surgical case of Type II A1, detailing a straightforward, minimally invasive technique with favorable outcomes and no complications compared to previously reported techniques.</div></div>","PeriodicalId":38188,"journal":{"name":"Urology Case Reports","volume":"61 ","pages":"Article 103063"},"PeriodicalIF":0.5,"publicationDate":"2025-05-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144089344","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":"Delayed formation of intercostal artery pseudoaneurysm following trocar injury in laparoscopic radical nephrectomy","authors":"Atsushi Wanifuchi , Ippei Muranaka , Kohei Hashimoto , Naoya Masumori","doi":"10.1016/j.eucr.2025.103060","DOIUrl":"10.1016/j.eucr.2025.103060","url":null,"abstract":"<div><div>Pseudoaneurysm of intercostal artery following laparoscopic nephrectomy is rare. We report a 69-year-old man who developed pseudoaneurysm of intercostal artery 2 months after undergoing laparoscopic right radical nephrectomy. On follow-up, patient presented with an expanding palpable mass under 5-mm trocar wound. Color Doppler ultrasound showed bidirectional blood flow in sac, and dynamic contrast-enhanced CT confirmed the pseudoaneurysm. Aneurysmectomy was performed after ligating proximal feeding artery and confirming the disruption of blood supply into sac on color Doppler ultrasound.</div></div>","PeriodicalId":38188,"journal":{"name":"Urology Case Reports","volume":"61 ","pages":"Article 103060"},"PeriodicalIF":0.5,"publicationDate":"2025-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143917932","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}