Bao Truong Phan , Vinh Vo Anh Trang , Sang Tan Tran , Huan Quang Le , Duy Hoai Nhat Nguyen , Vu Ngoc Anh Pham , Thien Tan Tri Tai Truyen
{"title":"Long-term migration of a bullet to the bladder after 47 years of trauma: A literature review","authors":"Bao Truong Phan , Vinh Vo Anh Trang , Sang Tan Tran , Huan Quang Le , Duy Hoai Nhat Nguyen , Vu Ngoc Anh Pham , Thien Tan Tri Tai Truyen","doi":"10.1016/j.eucr.2025.102952","DOIUrl":"10.1016/j.eucr.2025.102952","url":null,"abstract":"<div><div>Foreign bodies in the urinary tract are uncommon and can arise from self-insertion or migration from other organs. Documented cases include various objects such as intrauterine devices, fragments of Foley catheters, toothpicks, and fish bones. However, the migration of bullet fragments into the urinary tract from another location is extremely rare with only a few cases reported in the current literature. Here, we present a case of a urinary tract stone formed around a foreign body—a bullet fragment—discovered 47 years after the patient experienced trauma.</div></div>","PeriodicalId":38188,"journal":{"name":"Urology Case Reports","volume":"59 ","pages":"Article 102952"},"PeriodicalIF":0.5,"publicationDate":"2025-01-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11787655/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143081593","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}
Isobel A. Bowring , Lotte Bouwman , Kim van Putten , Joris J. Blok
{"title":"Fournier's gangrene after male circumcision: A case report","authors":"Isobel A. Bowring , Lotte Bouwman , Kim van Putten , Joris J. Blok","doi":"10.1016/j.eucr.2025.102950","DOIUrl":"10.1016/j.eucr.2025.102950","url":null,"abstract":"<div><div>Necrotizing soft tissue infection (NSTI) is a rare, life-threatening emergency. Fournier's gangrene (FG), a type of NSTI affecting the perineal, genital, or perianal region, requires prompt and aggressive treatment and has a multifactorial aetiology. However, cases of FG in patients without predisposing factors, as a complication of an elective procedure, are seldom reported. In this report, a 32-year-old patient without prior medical history presented with a NSTI after elective circumcision. Patient was successfully treated with multiple surgical debridement's, antibiotic therapy and hemodynamic support. Healthcare providers must remain vigilant, as FG has significant morbidity and mortality and early intervention is crucial.</div></div>","PeriodicalId":38188,"journal":{"name":"Urology Case Reports","volume":"59 ","pages":"Article 102950"},"PeriodicalIF":0.5,"publicationDate":"2025-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11787695/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143081582","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 case of ureteral orifice obstruction by bladder indwelling catheter","authors":"Kazuma Tsuboi, Kosuke Hino, Shin Kanemoto, Yasuhiro Nishiyama, Ryoji Arata, Noriaki Ono","doi":"10.1016/j.eucr.2025.102945","DOIUrl":"10.1016/j.eucr.2025.102945","url":null,"abstract":"<div><div>A 91-year-old man with a long-term bladder indwelling catheter (BIC) for benign prostatic hyperplasia (BPH) presented to our emergency department with fever.</div><div>Computed tomography (CT) showed the tip of the BIC was located within the left ureterovesical junction, which caused left hydronephrosis and a hydroureter.</div><div>The catheter was replaced, and the hydronephrosis improved quickly.</div><div>The patient was treated with antibiotic therapy and discharged on day 10.</div><div>Catheterization is one of the most common procedures performed by urologists; however, it can lead to unexpected complications.</div></div>","PeriodicalId":38188,"journal":{"name":"Urology Case Reports","volume":"59 ","pages":"Article 102945"},"PeriodicalIF":0.5,"publicationDate":"2025-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11787700/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143081576","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}
Abumelha S , Alkhayal A , Alrabeeah K , Alrashed M , Almasari R , Aloudah N
{"title":"Synovial sarcoma: A case report of first presentation at penoscrotal junction","authors":"Abumelha S , Alkhayal A , Alrabeeah K , Alrashed M , Almasari R , Aloudah N","doi":"10.1016/j.eucr.2025.102946","DOIUrl":"10.1016/j.eucr.2025.102946","url":null,"abstract":"<div><div>Synovial sarcoma is a rare malignant tumour that arises from mesenchymal origin. This case is about <u>synovial</u> sarcoma in unusual place, the scrotum and penile shaft. A 36-year-old man presented with a tender penoscrotal mass for 5 years. The patient underwent surgical resection of the mass. Histopathology revealed cellular spindle cell tumour arranged into interlacing fascicle, Immunohistochemistry analysis revealed a positive TLE-1, CD99, B-cell lymphoma 2 (BLC2), Focal cytokeratin and focal epithelial membrane antigen (EMA). In our case, the patient was aggressively treated with two surgical resections and still progressed and metastasized and continued progressing even after different chemotherapy regimens.</div></div>","PeriodicalId":38188,"journal":{"name":"Urology Case Reports","volume":"59 ","pages":"Article 102946"},"PeriodicalIF":0.5,"publicationDate":"2025-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143138605","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}
Sachin J. Joshi , William J. Yaxley , Devang J. Desai
{"title":"Distant ureteric metastasis of prostate cancer four years post radical prostatectomy","authors":"Sachin J. Joshi , William J. Yaxley , Devang J. Desai","doi":"10.1016/j.eucr.2025.102949","DOIUrl":"10.1016/j.eucr.2025.102949","url":null,"abstract":"<div><div>We describe a case of a 78-year-old male with a history of Gleason score 9 prostate cancer treated with a robotic-assisted radical prostatectomy, who developed symptoms of right ureteric obstruction four years later.</div><div>Diagnostic evaluation revealed right sided hydroureteronephrosis on imaging. Further correlation with prostate specific antigen (PSA) and histopathology from a distal ureterectomy with reimplantation revealed metastatic prostate cancer as the cause of obstruction with incidental focal carcinoma in situ (CIS) also identified.</div><div>This case highlights the diagnostic challenges and management strategies for ureteric metastasis of prostate cancer and contributes to the limited body of literature on such cases.</div></div>","PeriodicalId":38188,"journal":{"name":"Urology Case Reports","volume":"59 ","pages":"Article 102949"},"PeriodicalIF":0.5,"publicationDate":"2025-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143138606","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":"Pudendal nerve block approach for children undergoing urethroplasty","authors":"Annemarie Chrysantia Melati, Andi Ade Wijaya","doi":"10.1016/j.eucr.2025.102948","DOIUrl":"10.1016/j.eucr.2025.102948","url":null,"abstract":"<div><div>This case presents the perioperative management of a 6-year-old male patient undergoing penoscrotal urethroplasty. General anesthesia was administered along with Fentanyl (1–2 mcg/kgBW) during induction Bilateral pudendal nerve blocks were performed using Bupivacaine 0.25 % with no additional opioids required during the surgery, and hemodynamic stability was maintained. Postoperative pain was effectively managed with paracetamol, and the patient was discharged on the second postoperative day without any complications. This case highlight the use of pudendal nerve block as a safe and effective analgesic thecnique for pediatric urethroplasty.</div></div>","PeriodicalId":38188,"journal":{"name":"Urology Case Reports","volume":"59 ","pages":"Article 102948"},"PeriodicalIF":0.5,"publicationDate":"2025-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143138195","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}
Sikai Song, Martin Hofmann, Herbert Ruckle, Forrest Jellison, Muhannad Alsyouf
{"title":"Tuberculous pseudoaneurysm of the renal artery: A rare manifestation of extra-pulmonary tuberculosis","authors":"Sikai Song, Martin Hofmann, Herbert Ruckle, Forrest Jellison, Muhannad Alsyouf","doi":"10.1016/j.eucr.2025.102939","DOIUrl":"10.1016/j.eucr.2025.102939","url":null,"abstract":"<div><div>Mycotic pseudoaneurysms are rare dilations of the arterial wall caused by infection. We present a case of a 62-year old man with disseminated tuberculosis and a large mycotic pseudoaneurysm involving the main renal artery and vein. Despite being on appropriate rifampin, isoniazid, pyrazinamide, and ethambutol (RIPE) therapy, the pseudoaneurysm grew with increasing concern for potential rupture. The patient subsequently underwent an open right simple nephrectomy with resection of the pseudoaneurysm, partial resection of the inferior vena cava, and reconstruction.</div></div>","PeriodicalId":38188,"journal":{"name":"Urology Case Reports","volume":"59 ","pages":"Article 102939"},"PeriodicalIF":0.5,"publicationDate":"2025-01-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11787410/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143081614","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}
Peranzoni Francesca , Birraux Jacques , Sommer Christelle , Sanchez Oliver
{"title":"Retroperitoneoscopic surgical resection of a crossed ectopic non-functioning multicystic kidney associated with a severe ureteral dilation. A new surgical approach and literature review","authors":"Peranzoni Francesca , Birraux Jacques , Sommer Christelle , Sanchez Oliver","doi":"10.1016/j.eucr.2025.102943","DOIUrl":"10.1016/j.eucr.2025.102943","url":null,"abstract":"<div><div>After horseshoe kidney, crossed renal ectopia (CRE) is the most common fusion anomaly of the kidney, with an incidence of 1:7000 autopsies. Most frequently the left kidney is the crossed ectopic component. In this article we present the first case of retroperitoneoscopic resection of a CRE and left ectopic multicystic dysplastic kidney with severely dilated ureter.</div></div>","PeriodicalId":38188,"journal":{"name":"Urology Case Reports","volume":"59 ","pages":"Article 102943"},"PeriodicalIF":0.5,"publicationDate":"2025-01-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11787659/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143081609","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}
Mustafa I. Al-Shalah , Zaid F. Altawallbeh , Rashed Yousef Al Sharqi , Mohammad kh Alzawahreh , Raed Bassam Abulawi , Mohab Alsaid Saad , Yousif Ahmad Hanafi , Laith Alnajada , Ala' Mohammad Yaser Alfreahat
{"title":"Right retrocaval ureter type 2 with left atrophied kidney: A rare case report","authors":"Mustafa I. Al-Shalah , Zaid F. Altawallbeh , Rashed Yousef Al Sharqi , Mohammad kh Alzawahreh , Raed Bassam Abulawi , Mohab Alsaid Saad , Yousif Ahmad Hanafi , Laith Alnajada , Ala' Mohammad Yaser Alfreahat","doi":"10.1016/j.eucr.2025.102936","DOIUrl":"10.1016/j.eucr.2025.102936","url":null,"abstract":"<div><h3>Case</h3><div>A 22-year-old male smoker presented with intermittent right flank pain lasting over a year. He had a history of atrophied left kidney and gout. Physical exam revealed mild right renal angle tenderness.</div></div><div><h3>Outcome</h3><div>Initial imaging, pointed to a diagnosis of ureteropelvic junction stenosis. During surgery, a type two retrocaval ureter was discovered. Transposition pyelo-pyelostomy was performed to repair the ureter, and a double-J stent was inserted.</div></div><div><h3>Conclusion</h3><div>This case highlights the challenge of accurately diagnosing retrocaval ureter, especially type, based on initial radiological images.</div></div>","PeriodicalId":38188,"journal":{"name":"Urology Case Reports","volume":"59 ","pages":"Article 102936"},"PeriodicalIF":0.5,"publicationDate":"2025-01-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11782891/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143081612","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}
Miguel Fernandes, Miguel Miranda, Filipe Lopes, Sérgio Pereira, José Palma Reis, Francisco Martins
{"title":"Neobladder-to-vagina fistula management: Case report and short literature review","authors":"Miguel Fernandes, Miguel Miranda, Filipe Lopes, Sérgio Pereira, José Palma Reis, Francisco Martins","doi":"10.1016/j.eucr.2025.102932","DOIUrl":"10.1016/j.eucr.2025.102932","url":null,"abstract":"<div><div>Neobladder-vaginal fistula (NVF) is a rare complication after radical cystectomy with orthotopic neobladder, impacting patient quality of life. This case report describes successful transvaginal, multilayered closure of NVF in a 59-year-old woman with urinary incontinence post-surgery. Despite prior intraoperative repair, an 8mm fistula was detected and repaired transvaginally. A watertight test confirmed closure, and the patient remained continent at 22 months follow-up. NVF rates range from 3 to 6%, with risk factors including poor vaginal vascularity and intraoperative injury. This case supports transvaginal repair as an initial approach, with further research needed to refine NVF management strategies.</div></div>","PeriodicalId":38188,"journal":{"name":"Urology Case Reports","volume":"59 ","pages":"Article 102932"},"PeriodicalIF":0.5,"publicationDate":"2025-01-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11780709/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143068469","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}