{"title":"Penopubic epispadias with intact prepuce presenting as phimosis in an infant: A case report","authors":"Gebrehiwet Aregay Brhane , Yirgalem Teklebrhan Gebreziher","doi":"10.1016/j.eucr.2025.103329","DOIUrl":"10.1016/j.eucr.2025.103329","url":null,"abstract":"<div><div>Isolated epispadia is uncommon anamoly, occurring in approximately 1 out of 120,000 male births. To date, only 22 cases of epispadia have been reported with an intact prepuce and 8 cases with a phimotic intact prepuce. This paper presents the case of a 6-month-old male infant, who had been circumcised at three weeks of age, and was subsequently diagnosed with penopubic epispadias during a standard medical examination. His condition was successfully corrected using the Modified Cantwell-Ransley technique, leading to a favorable post-operative recovery. This case underscores the importance of thorough evaluation during circumcision to avoid overlooking potential diagnoses.</div></div>","PeriodicalId":38188,"journal":{"name":"Urology Case Reports","volume":"65 ","pages":"Article 103329"},"PeriodicalIF":0.4,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145898039","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}
Urology Case ReportsPub Date : 2026-03-01Epub Date: 2026-02-19DOI: 10.1016/j.eucr.2026.103385
Austin Erickson , Audra Garrigan , Trushar Patel
{"title":"Metanephric adenofibroma of the left kidney in an adult patient","authors":"Austin Erickson , Audra Garrigan , Trushar Patel","doi":"10.1016/j.eucr.2026.103385","DOIUrl":"10.1016/j.eucr.2026.103385","url":null,"abstract":"<div><div>Metanephric adenofibroma is a rare, benign renal neoplasm arising from the embryonic metanephric tissue, which would typically give rise to normal kidney parenchyma. Despite classical presentation in pediatric patients, we present a case of a 29-year-old female with 6 months of intermittent left upper quadrant pain found to have a 3.8cm left renal mass, partially extending into the collecting system of the superior pole. The patient underwent robotic partial nephrectomy, and histopathology confirmed a diagnosis of metanephric adenofibroma with negative surgical margins. The patient had an uneventful recovery, and requires no acute follow-up, given the benign nature of her diagnosis.</div></div>","PeriodicalId":38188,"journal":{"name":"Urology Case Reports","volume":"65 ","pages":"Article 103385"},"PeriodicalIF":0.4,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147327081","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}
Urology Case ReportsPub Date : 2026-03-01Epub Date: 2026-02-09DOI: 10.1016/j.eucr.2026.103371
Sami Chebbi , Houssem Bel Hadj Alouane , Mohamed Amine Oueslati , Raoueh Hedhli , Ehsen Ben Brahim , Sami Ben Rhouma
{"title":"Pure large-cell neuroendocrine carcinoma of the bladder with pelvic organ invasion: A case report","authors":"Sami Chebbi , Houssem Bel Hadj Alouane , Mohamed Amine Oueslati , Raoueh Hedhli , Ehsen Ben Brahim , Sami Ben Rhouma","doi":"10.1016/j.eucr.2026.103371","DOIUrl":"10.1016/j.eucr.2026.103371","url":null,"abstract":"<div><div>Large-cell neuroendocrine carcinoma (LCNEC) of the bladder is a rare, high-grade malignancy with aggressive behavior. We report a 69-year-old woman presenting with recurrent macroscopic hematuria. Imaging revealed a large tumor of the bladder floor involving the right ureterovesical junction, with local extension to adjacent pelvic organs but no nodal or distant metastases. Histology and immunohistochemistry confirmed pure LCNEC. She received four cycles of carboplatin–etoposide, followed by anterior pelvic exenteration with ileal conduit diversion. Postoperative recovery was uneventful, and early follow-up showed no recurrence. The case illustrates the complexity of managing locally advanced bladder LCNEC and supports individualized multimodal therapy.</div></div>","PeriodicalId":38188,"journal":{"name":"Urology Case Reports","volume":"65 ","pages":"Article 103371"},"PeriodicalIF":0.4,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146188678","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}
Urology Case ReportsPub Date : 2026-03-01Epub Date: 2026-02-10DOI: 10.1016/j.eucr.2026.103373
Mohammed Salah E. Khalifa Salem , Alain Mwamba Mukendi , Zakithi Cele-Mbuthweni
{"title":"A novel ‘wrap-and-patch’ omental flap technique for the repair of uretero-uterine fistula: A case report","authors":"Mohammed Salah E. Khalifa Salem , Alain Mwamba Mukendi , Zakithi Cele-Mbuthweni","doi":"10.1016/j.eucr.2026.103373","DOIUrl":"10.1016/j.eucr.2026.103373","url":null,"abstract":"<div><div>Uretero-uterine fistula (UUF) is an exceedingly rare complication following cesarean section. Due to its scarcity, established management guidelines are lacking, and surgical intervention is typically required for complex or delayed presentations where tissue fibrosis complicates repair. This case report introduces a classification for cyclic hematuria (menouria) and describes a novel surgical approach the ‘Wrap and Patch’ omental flap technique for robust UUF reconstruction. Our findings suggest that this dual-surface strategy provides a vascularized barrier that may reduce recurrence, though further research is warranted to validate its long-term efficacy.</div></div>","PeriodicalId":38188,"journal":{"name":"Urology Case Reports","volume":"65 ","pages":"Article 103373"},"PeriodicalIF":0.4,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146188672","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}
Urology Case ReportsPub Date : 2026-03-01Epub Date: 2026-01-14DOI: 10.1016/j.eucr.2026.103346
Mohammad K. Khan
{"title":"Impending erosion of penile prosthesis pump: Salvage management with pseudo-capsule excision and median raphe repositioning – A case report","authors":"Mohammad K. Khan","doi":"10.1016/j.eucr.2026.103346","DOIUrl":"10.1016/j.eucr.2026.103346","url":null,"abstract":"<div><div>Pump erosion is a rare complication of penile prosthesis implantation that often requires explantation. We present a 43-year-old diabetic male who developed impending pump erosion with scrotal skin thinning over a functional prosthesis pump. Salvage was performed by excision of the fibrotic pseudo-capsule and relocation of the pump into the median raphe, combined with antibiotic and antifungal irrigation. The patient recovered uneventfully with excellent cosmetic and functional outcomes. This case highlights pseudo-capsule excision and median raphe repositioning as a safe, effective salvage option in selected patients without infection.</div></div>","PeriodicalId":38188,"journal":{"name":"Urology Case Reports","volume":"65 ","pages":"Article 103346"},"PeriodicalIF":0.4,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146038744","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":"Traumatic testicular dislocation with pelvic fracture in a 17 year old adolescent: A case report","authors":"Wondwose Mengist Dereje , Misganaw Degu Worku , Desalegn Kefale Aegash , Rahel Wubayehu Kahaliw , Mesafint Eyayu Tegegne , Biruktawit Abebe Assmamaw","doi":"10.1016/j.eucr.2026.103364","DOIUrl":"10.1016/j.eucr.2026.103364","url":null,"abstract":"<div><div>Testicular dislocation is a rare condition in which one or both testes are displaced from the scrotum to an ectopic location and is often overlooked due to associated injuries. A 17-year-old adolescent presented three weeks after a road traffic accident with left inguinal swelling and pain. Initial assessment revealed a pelvic fracture treated conservatively. Examination showed left inguinal tenderness, and ultrasonography confirmed the testis in the inguinal region. Surgical exploration revealed displacement at the inguinal ring. The testis was repositioned and orchidopexy performed. Recovery was uneventful. Trauma patients with inguinal pain or swelling should be evaluated for testicular dislocation.</div></div>","PeriodicalId":38188,"journal":{"name":"Urology Case Reports","volume":"65 ","pages":"Article 103364"},"PeriodicalIF":0.4,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146189474","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}
Urology Case ReportsPub Date : 2026-03-01Epub Date: 2026-01-08DOI: 10.1016/j.eucr.2026.103340
Harpreet Kaur , Talal Alkayali , Nathan Williams , Sarah A. Schmalzle
{"title":"Case report: Radiographic and cystoscopic manifestations of chronic urogenital Schistosomiasis in an asymptomatic Zimbabwean man with HIV","authors":"Harpreet Kaur , Talal Alkayali , Nathan Williams , Sarah A. Schmalzle","doi":"10.1016/j.eucr.2026.103340","DOIUrl":"10.1016/j.eucr.2026.103340","url":null,"abstract":"<div><div>While undergoing evaluation for loss of consciousness and traumatic injuries after a single-vehicle collision, a 55-year-old Zimbabwean man residing in Maryland was incidentally noted to have circumferential bladder wall calcification and thickening on CT imaging. Cystoscopy revealed extensive ‘sandy patches’, confirmed by histopathology to represent calcified eggs of <em>Schistosoma haematobium</em>. Genitourinary symptoms were absent, ova were not identified on urine microscopy, and serum eosinophil level was normal, consistent with the primary infection having occurred at least 20 years prior. While structural and functional genitourinary abnormalities were absent, significant complications can occur even after years of asymptomatic disease.</div></div>","PeriodicalId":38188,"journal":{"name":"Urology Case Reports","volume":"65 ","pages":"Article 103340"},"PeriodicalIF":0.4,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145980329","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}
Urology Case ReportsPub Date : 2026-03-01Epub Date: 2026-02-16DOI: 10.1016/j.eucr.2026.103382
Sami Chebbi, Houssem Bel Hadj Alouane, Mohamed Amine Oueslati, Sami Ben Rhouma
{"title":"Rare isolated anterior urethral ischemic necrosis following prolonged local cryotherapy in scrotal infection: A case report","authors":"Sami Chebbi, Houssem Bel Hadj Alouane, Mohamed Amine Oueslati, Sami Ben Rhouma","doi":"10.1016/j.eucr.2026.103382","DOIUrl":"10.1016/j.eucr.2026.103382","url":null,"abstract":"<div><div>We report a unique case of isolated anterior urethral ischemic necrosis in a 71-year-old man after prolonged local cryotherapy for orchitis. Persistent orchitis unresponsive to antibiotics led to repeated ice-pack application. Surgical exploration revealed edematous but viable scrotal and testicular tissues; unexpectedly, the anterior urethra was completely necrotic. Anterior urethrectomy with perineal urethrostomy and suprapubic diversion was performed. Histopathology confirmed ischemic necrosis with surrounding abscess. Initial recovery was favourable. The patient later died from postoperative peritonitis, unrelated to urological care. This case shows that anterior urethral necrosis can occur without classic risk factors and urethrectomy with perineal urethrostomy is effective.</div></div>","PeriodicalId":38188,"journal":{"name":"Urology Case Reports","volume":"65 ","pages":"Article 103382"},"PeriodicalIF":0.4,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147285319","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}
Urology Case ReportsPub Date : 2026-03-01Epub Date: 2026-02-09DOI: 10.1016/j.eucr.2026.103372
Resul Çi̇çek , İbrahim Topçu , Bulut Dural , Serhat Toprak , Ömer Faruk Yıldırım , Yasin Karaçor
{"title":"Paratesticular sarcoma of the spermatic cord: A rare case of dedifferentiated leiomyosarcoma","authors":"Resul Çi̇çek , İbrahim Topçu , Bulut Dural , Serhat Toprak , Ömer Faruk Yıldırım , Yasin Karaçor","doi":"10.1016/j.eucr.2026.103372","DOIUrl":"10.1016/j.eucr.2026.103372","url":null,"abstract":"<div><div>Paratesticular sarcomas are extremely rare tumors characterized by aggressive biological behavior and a significant risk of recurrence and metastasis. We present a rare case of paratesticular sarcoma ultimately diagnosed as dedifferentiated liposarcoma following comprehensive histopathological and immunohistochemical evaluation. The patient presented with complaints of scrotal edema and discomfort, and radical inguinal orchiectomy was performed. The definitive diagnosis was established through comprehensive histological and immunohistochemical evaluation and was defined as dedifferentiated liposarcoma. This report emphasizes the critical importance of comprehensive pathological evaluation and highlights total surgical excision as the primary approach in the treatment of paratesticular sarcomas due to their rarity and complex diagnosis</div></div>","PeriodicalId":38188,"journal":{"name":"Urology Case Reports","volume":"65 ","pages":"Article 103372"},"PeriodicalIF":0.4,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146188676","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}
Urology Case ReportsPub Date : 2026-03-01Epub Date: 2025-12-23DOI: 10.1016/j.eucr.2025.103330
Joshua Bruinsma , Nisanthan Rajathurai , Hugo C. Temperley , Benjamin Mac Curtain , Mikhail Lozinskiy
{"title":"Bilateral idiopathic synchronous testicular infarction mimicking malignancy: a case report","authors":"Joshua Bruinsma , Nisanthan Rajathurai , Hugo C. Temperley , Benjamin Mac Curtain , Mikhail Lozinskiy","doi":"10.1016/j.eucr.2025.103330","DOIUrl":"10.1016/j.eucr.2025.103330","url":null,"abstract":"<div><div>Synchronous idiopathic bilateral testicular infarction is exceedingly rare and may mimic malignancy on clinical and radiological assessment. We report a 40-year-old male with bilateral avascular testicular lesions suspicious for germ cell tumour. Intraoperative frozen section during unilateral orchidectomy revealed necrosis without malignancy, avoiding unnecessary bilateral surgery. Final histopathology confirmed infarction with no systemic cause identified. This case highlights the diagnostic challenge of bilateral testicular masses and the value of intraoperative pathology in guiding management.</div></div>","PeriodicalId":38188,"journal":{"name":"Urology Case Reports","volume":"65 ","pages":"Article 103330"},"PeriodicalIF":0.4,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145897993","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}