{"title":"Incidental finding of polyorchidism during elective orchidopexy in a child: a case report","authors":"Eiman Yassir Musa Hussain , Khadidja Amedjoudj","doi":"10.1016/j.eucr.2025.103197","DOIUrl":"10.1016/j.eucr.2025.103197","url":null,"abstract":"<div><div>Polyorchidism is a rare congenital anomaly characterized by the presence of more than two testes. It is commonly discovered incidentally during surgical exploration. We report a case of a 7-year-old male with Polyorchidism diagnosed during elective surgery for undescended left testis. An intra-scrotal supernumerary testis was found with a cryptorchidic testis located at the inguinal canal. We opted for Orchidectomy of the intrascrotal atrophic testis, and orchidopexy of the healthy testis. Histopathology confirmed the diagnosis. Postoperative recovery and follow-up were uneventful. This case highlights the importance of polyorchidism management based on anatomical and functional findings intraoperatively.</div></div>","PeriodicalId":38188,"journal":{"name":"Urology Case Reports","volume":"63 ","pages":"Article 103197"},"PeriodicalIF":0.4,"publicationDate":"2025-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144926345","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}
Glenn Lamers , Laurence Royakkers , Stijn Schapmans , Katrien De Coster , Natalia Zabegalina , Johan Van Dyck
{"title":"Platelet rich fibrin in treatment of penile skin defects. A case series and review of the literature","authors":"Glenn Lamers , Laurence Royakkers , Stijn Schapmans , Katrien De Coster , Natalia Zabegalina , Johan Van Dyck","doi":"10.1016/j.eucr.2025.103198","DOIUrl":"10.1016/j.eucr.2025.103198","url":null,"abstract":"<div><div>Treatment of complex and chronic wounds often remains a challenge for clinicians, carrying a severe impact on the wellbeing of patients and the health care system. Leukocyte-and Platelet rich fibrin (L-PRF) is an autologous platelet product with regenerative properties that can be used to stimulate and accelerate wound healing. Its usage in oral surgery and dentistry is well established but evidence in urologic surgery is limited. We report two cases with extensive penile cutaneous defects after surgical debridement, treated with L-PRF technology and review the available literature regarding its utilization in the field of urology.</div></div>","PeriodicalId":38188,"journal":{"name":"Urology Case Reports","volume":"63 ","pages":"Article 103198"},"PeriodicalIF":0.4,"publicationDate":"2025-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144997249","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":"First experience with a novel miniaturized paediatric flexible ureteroscope for RIRS: A case report","authors":"Kandarp Parikh , Jaisukh Kalathia , Aditya Parikh","doi":"10.1016/j.eucr.2025.103191","DOIUrl":"10.1016/j.eucr.2025.103191","url":null,"abstract":"<div><div>Paediatric retrograde intrarenal surgery (RIRS) is a safe and effective option for managing renal calculi in children, offering high stone clearance with minimal complications. Technological advances, especially in miniaturized flexible ureteroscopes, have improved its feasibility in paediatric patients. However, challenges remain due to smaller pelvicalyceal systems and shorter urethral lengths. To address this, we conceptualized a novel paediatric flexible ureteroscope with a reduced shaft length, shorter bendable tip, and optimally sized working channel to enhance access and facilitate laser lithotripsy. This report presents the first global clinical experience with this innovative device, which may revolutionize paediatric RIRS for urologists worldwide.</div></div>","PeriodicalId":38188,"journal":{"name":"Urology Case Reports","volume":"63 ","pages":"Article 103191"},"PeriodicalIF":0.4,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144933550","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":"Unexpected consequences: Spontaneous kidney rupture following heavy lifting","authors":"Yousor Al-Qudiemat , Rehan Nasir Khan , Mishari Al-Mutairi , Fahad Alabdulghani , Abdullatif Al-Terki","doi":"10.1016/j.eucr.2025.103193","DOIUrl":"10.1016/j.eucr.2025.103193","url":null,"abstract":"<div><div>Spontaneous kidney rupture (SKR) is a rare, life-threatening condition that can be challenging to diagnose, particularly in individuals without prior renal pathology. We report a case of a 49-year-old male bodybuilder who experienced sudden left flank pain during weightlifting. CT imaging revealed a massive left retroperitoneal hematoma and grade III renal trauma. The patient had no medical history but admitted to anabolic steroid use. He was initially managed conservatively but required selective angioembolization. He fully recovered and was discharged nine days later. This case highlights SKR's rare presentation in a healthy individual, potentially triggered by extreme physical exertion.</div></div>","PeriodicalId":38188,"journal":{"name":"Urology Case Reports","volume":"63 ","pages":"Article 103193"},"PeriodicalIF":0.4,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145004628","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}
Elizabeth M. Welsh , Joseph Park , Joseph Y. Clark
{"title":"Equivocal penile fracture clarified by MRI","authors":"Elizabeth M. Welsh , Joseph Park , Joseph Y. Clark","doi":"10.1016/j.eucr.2025.103196","DOIUrl":"10.1016/j.eucr.2025.103196","url":null,"abstract":"<div><div>Blunt penile trauma is a common occurrence that infrequently results in penile fracture, a surgical emergency. Ultrasound has historically been used as a modality to rule out fracture in cases whose histories are equivocal. However, in recent years, MRI has shown to be superior to ultrasound in ruling out penile fractures. We present a patient who had blunt penile trauma and the diagnosis of penile fracture was equivocal based on history and physical exam, who underwent an MRI to rule out fracture, revealing a hematoma under the bulbospongiosus muscle.</div></div>","PeriodicalId":38188,"journal":{"name":"Urology Case Reports","volume":"63 ","pages":"Article 103196"},"PeriodicalIF":0.4,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144997248","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":"Excision of urethral caruncle using a sealing device (LigaSure™): A case report","authors":"Pin-Yu Chen , Hui-Kung Ting , En Meng","doi":"10.1016/j.eucr.2025.103192","DOIUrl":"10.1016/j.eucr.2025.103192","url":null,"abstract":"<div><div>We report a case of a 74-year-old postmenopausal woman with <u>stage III cystocele and a non-circumferential urethral caruncle presenting with bulge, voiding difficulty, occasional bleeding, and meatal discomfort.</u> She underwent anterior colporrhaphy followed by excision of the urethral caruncle using the LigaSure™ device. The procedure was completed within 1 min, with minimal blood loss and no suturing. Postoperative follow-ups showed good wound healing without recurrence or urethral stricture. This case suggests that LigaSure™ may <u>enable rapid, sutureless excision in selected non-circumferential lesions.</u></div></div>","PeriodicalId":38188,"journal":{"name":"Urology Case Reports","volume":"63 ","pages":"Article 103192"},"PeriodicalIF":0.4,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144926346","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}
Ryan Antar , Brij Kathuria , Michael Wynne , Megan Clyne , Andrew Hall , Daniel Stein , Michael Whalen
{"title":"Metachronous nodal metastases from HPV-associated penile carcinoma in situ","authors":"Ryan Antar , Brij Kathuria , Michael Wynne , Megan Clyne , Andrew Hall , Daniel Stein , Michael Whalen","doi":"10.1016/j.eucr.2025.103183","DOIUrl":"10.1016/j.eucr.2025.103183","url":null,"abstract":"<div><div>Penile intraepithelial neoplasia (PeIN) is a premalignant precursor of squamous cell carcinoma (SCC) with a 5–15 % risk of progression. Nodal metastasis without histologic invasion is exceedingly rare. We describe a 40-year-old man with recurrent, HPV-positive basaloid PeIN of the glans and distal urethra who developed right inguinal and pelvic nodal metastases despite serial resections consistently showing carcinoma in situ. Genomic profiling revealed EGFR and JUN amplifications with NCOR1 and PRKAR1A losses, alterations linked to aggressive tumor biology. This case highlights the paradoxical metastatic potential of high-grade PeIN and underscores the need for molecular risk stratification in surveillance and management.</div></div>","PeriodicalId":38188,"journal":{"name":"Urology Case Reports","volume":"63 ","pages":"Article 103183"},"PeriodicalIF":0.4,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144933549","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":"Metastasis of uterine endometrioid carcinoma mimicking upper tract urothelial carcinoma","authors":"Yuji Fujizuka , Shugo Harashima , Yoshiyuki Miyazawa , Seiji Arai , Nozomi Nakajima , Mai Onose , Sho Watanuki , Takanori Shimizu , Yoshitaka Sekine , Hidekazu Koike , Hayato Ikota , Kazuhiro Suzuki","doi":"10.1016/j.eucr.2025.103195","DOIUrl":"10.1016/j.eucr.2025.103195","url":null,"abstract":"<div><div>Accurate diagnosis of upper-tract urothelial carcinoma is difficult when urine cytology and ureteroscopy are inconclusive. A 59-year-old woman had undergone total hysterectomy for uterine endometrioid carcinoma 5 years earlier. Follow-up computed tomography demonstrated left hydronephrosis and an enhancing mass in the ureter. Urine cytology was negative, but ureteroscopic biopsies revealed malignant cells that were potentially urothelial carcinoma. The patient received left nephroureterectomy, but histopathology unexpectedly showed metastatic uterine endometrioid carcinoma. This case highlights that metastatic relapse of uterine carcinoma can mimic ureteral cancer on imaging. When cytology and biopsy are inconclusive, prior malignancies should remain in the differential diagnosis.</div></div>","PeriodicalId":38188,"journal":{"name":"Urology Case Reports","volume":"63 ","pages":"Article 103195"},"PeriodicalIF":0.4,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144997251","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}
Silvia Clauser , Christian Ladurner , Matteo Bonatti , Giovanni Mazzucato , Riccardo Valletta , Esther Hanspeter , Emanuela Trenti , Salvatore Palermo , Armin Pycha
{"title":"Complete Duplication of the Bladder and Prostate with Bifid Urethra but a single Urethral Meatus : A unique case report","authors":"Silvia Clauser , Christian Ladurner , Matteo Bonatti , Giovanni Mazzucato , Riccardo Valletta , Esther Hanspeter , Emanuela Trenti , Salvatore Palermo , Armin Pycha","doi":"10.1016/j.eucr.2025.103189","DOIUrl":"10.1016/j.eucr.2025.103189","url":null,"abstract":"<div><div>The presence of a duplicated urinary bladder and prostate has not been described. We report the case of a complete duplication of the urinary bladder and prostate, associated with one urethral meatus and a bifid urethra.</div><div>A 68-year-old male presented with chronic lower urinary tract symptoms (LUTS), recurrent urinary tract infections, bladder stone removal and epispadias repair. Bladder duplication was incidentally found during imaging. Cystoscopy confirmed one meatus with two bladders and urethras, each with its own prostate. Transurethral resection of both prostates (TURP) was performed.</div><div>This is the first reported case of complete duplication of both bladder and prostate.</div></div>","PeriodicalId":38188,"journal":{"name":"Urology Case Reports","volume":"63 ","pages":"Article 103189"},"PeriodicalIF":0.4,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144997250","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}
Renandha Septaryan Yustira , Sean Peter Haruman , Renaningtyas Tambun , Gerhard Reinaldi Situmorang
{"title":"Cystic wilms tumor, cystic partially differentiated nephroblastoma, or cystic nephroma? A case report and review of the literature","authors":"Renandha Septaryan Yustira , Sean Peter Haruman , Renaningtyas Tambun , Gerhard Reinaldi Situmorang","doi":"10.1016/j.eucr.2025.103186","DOIUrl":"10.1016/j.eucr.2025.103186","url":null,"abstract":"<div><div>Wilms tumor, typically a solid pediatric kidney cancer, can rarely appear cystic, mimicking cystic nephroma or cystic partially differentiated nephroblastoma. We report a 20-month-old boy presented with a right abdominal mass, hypertension, and poor appetite. MRI showed a cystic renal tumor, requiring primary nephrectomy without chemotherapy. Postoperative histology revealed a cystic Wilms tumor, necessitating further treatment. This case highlights the diagnostic challenge of cystic renal tumors and emphasizes the importance of histopathology in guiding management. Surgical and chemotherapeutic strategies must be carefully individualized based on clinical and imaging findings.</div></div>","PeriodicalId":38188,"journal":{"name":"Urology Case Reports","volume":"63 ","pages":"Article 103186"},"PeriodicalIF":0.4,"publicationDate":"2025-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144989019","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}