{"title":"Case report: Comprehensive evaluation and management of male infertility with complete AZFC microdeletion and undescended testicle","authors":"Niyazi Emre Turgut , Mehmet Murad Basar","doi":"10.1016/j.eucr.2025.102934","DOIUrl":"10.1016/j.eucr.2025.102934","url":null,"abstract":"<div><div>This case report presents a 31-year-old male patient with primary infertility, a unilaterally undescended testicle, and a complete AZFc microdeletion. Despite failed attempts at testicular sperm extraction, the patient underwent successful microscopic testicular sperm extraction and subsequent viable sperm extraction, leading to successful fertilization through intracytoplasmic sperm injection (ICSI). The report underscores the potential for successful ICSI in male infertility cases with complex genetic and reproductive issues, highlighting the importance of comprehensive genetic evaluation and individualized reproductive techniques in managing male infertility associated with undescended testicle and genetic anomalies.</div></div>","PeriodicalId":38188,"journal":{"name":"Urology Case Reports","volume":"59 ","pages":"Article 102934"},"PeriodicalIF":0.5,"publicationDate":"2025-01-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11780711/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143068468","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}
Wentao Yu , Wei Gong , Fuhan Zhao , Guan Zhang , Zhenyu Liu , Tiejun Pan
{"title":"A case report of hypospadias combined with polyorchidism","authors":"Wentao Yu , Wei Gong , Fuhan Zhao , Guan Zhang , Zhenyu Liu , Tiejun Pan","doi":"10.1016/j.eucr.2024.102924","DOIUrl":"10.1016/j.eucr.2024.102924","url":null,"abstract":"<div><div>Hypospadias is a common congenital malformation of the reproductive system; however, to date, no cases of hypospadias complicated by polyorchidism have been reported in the literature. This article reports a case of a 1-year-old boy presenting with hypospadias, who was also diagnosed with polyorchidism combined with cryptorchidism. Preoperative Doppler ultrasound revealed two testes on the right side, and an atrophic testis on the left. After surgical treatment, the patient recovered well and was discharged. Hypospadias combined with polyorchidism is highly prone to misdiagnosis or missed diagnoses. This case provides insight into the recognition, diagnosis, and treatment of this condition.</div></div>","PeriodicalId":38188,"journal":{"name":"Urology Case Reports","volume":"58 ","pages":"Article 102924"},"PeriodicalIF":0.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11750287/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143013399","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":"Gigantic retroperitoneal pararenal ancient schwannoma masquerading as a mesenchymal malignancy: A diagnostic conundrum","authors":"Neha Aggarwal, Shaivy Malik, Charanjeet Ahluwalia","doi":"10.1016/j.eucr.2024.102920","DOIUrl":"10.1016/j.eucr.2024.102920","url":null,"abstract":"<div><div>Ancient schwannoma is a rare benign variant of schwannoma with marked degenerative changes, often mimicking malignancies, particularly when retroperitoneal and pararenal. A 34-year-old woman presented with a rapidly growing 15 cm retroperitoneal pararenal mass. Imaging suggested an aggressive malignancy. Surgical resection and histopathology revealed a well-encapsulated tumor with degenerative changes, nuclear atypia, and strong S100 positivity, confirming ancient schwannoma. Complete excision achieved negative margins, and follow-up showed no recurrence. Diagnostic challenges arise from its rarity and atypical features. Histopathology is crucial for differentiation from malignancies. Ancient schwannomas should be considered for large retroperitoneal masses to ensure accurate diagnosis and management.</div></div>","PeriodicalId":38188,"journal":{"name":"Urology Case Reports","volume":"58 ","pages":"Article 102920"},"PeriodicalIF":0.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11741072/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143013494","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}
Zhipeng Yan , Baoqun Xu , Maokun Sun , Heng Zhang , Xiaolu Sun , Lihua Li , Yulan Gao , Yunji Sun
{"title":"Neurofibroma of bladder: A case report and literature review","authors":"Zhipeng Yan , Baoqun Xu , Maokun Sun , Heng Zhang , Xiaolu Sun , Lihua Li , Yulan Gao , Yunji Sun","doi":"10.1016/j.eucr.2024.102929","DOIUrl":"10.1016/j.eucr.2024.102929","url":null,"abstract":"<div><div>To improve the understanding and treatment level of urogenital nerve fibroma by sharing the clinical manifestations, imaging features, and pathological characteristics of a case of urogenital nerve fibroma.The patient was a middle-aged male with initial symptoms of painless gross hematuria, bladder irritation, and pelvic mass. Imaging examination showed a bladder mass, and transurethral bladder tumor resection was performed to reduce the tumor. Pathology was confirmed to be bladder neurofibroma. After 6 months of surgery, follow-up examination showed a significant reduction in tumor volume and no recurrence. The successful diagnostic and therapeutic experience of this case can be referenced for clinical practice.</div></div>","PeriodicalId":38188,"journal":{"name":"Urology Case Reports","volume":"58 ","pages":"Article 102929"},"PeriodicalIF":0.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11758819/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143048141","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}
Alessandro Vengjer , André Segura da Motta , Matheus Campos Alves Corrêa , Julia Corazza Nitta Yoshisaki , Marcelo Ribeiro de Azevedo , Olavo Napoleão de Araújo Neto
{"title":"Gallbladder perforation in a patient undergoing PCNL: Case report and literature review","authors":"Alessandro Vengjer , André Segura da Motta , Matheus Campos Alves Corrêa , Julia Corazza Nitta Yoshisaki , Marcelo Ribeiro de Azevedo , Olavo Napoleão de Araújo Neto","doi":"10.1016/j.eucr.2024.102925","DOIUrl":"10.1016/j.eucr.2024.102925","url":null,"abstract":"<div><div>Percutaneous nephrolithotripsy (PCNL) is an effective therapeutic approach in cases of lithiasis, which is prone to complications. In this report we present a case of a 52-year-old female patient with recurrent episodes of lithiasis and, after PCNL, evolution with pain and abdominal distension on the 2nd post-operative day due to a perforation of the gallbladder. An exploratory laparotomy was performed, leading to clinical improvement, and the patient was discharged from the hospital on the 7th day after resolving the choleperitoneum. This report addresses a rare, life-threatening complication of PCNL with limited literature available on the subject.</div></div>","PeriodicalId":38188,"journal":{"name":"Urology Case Reports","volume":"58 ","pages":"Article 102925"},"PeriodicalIF":0.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11741040/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143013493","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}
Xuechuan Yan , Kai Zhao , Zongliang Zhang , Xinbao Yin , Guanqun Zhu , Han Yang , Ke Wang
{"title":"Retroperitoneal laparoscopic partial nephrectomy for multiple T1b renal carcinomas in a solitary kidney: A case report","authors":"Xuechuan Yan , Kai Zhao , Zongliang Zhang , Xinbao Yin , Guanqun Zhu , Han Yang , Ke Wang","doi":"10.1016/j.eucr.2024.102922","DOIUrl":"10.1016/j.eucr.2024.102922","url":null,"abstract":"<div><div>This case highlights the effective use of retroperitoneal laparoscopic partial nephrectomy (RLPN) in a 73-year-old female with two large renal carcinomas in her solitary kidney, including a 7 cm deeply infiltrating mass. The RLPN procedure successfully resected both tumors with a thermal ischemia time of 28 minutes, 110 minutes of surgery, and only 30 mL of blood loss. The patient's postoperative recovery was excellent, with no hemorrhage or urine leakage and only a mild increase in serum creatinine levels. Discharged after 10 days without dialysis, this case supports RLPN as a safe, effective method for similar renal tumors.</div></div>","PeriodicalId":38188,"journal":{"name":"Urology Case Reports","volume":"58 ","pages":"Article 102922"},"PeriodicalIF":0.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11741018/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143013496","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}
Fenizia Maffucci, Jessica Clark, Anika Rastogi, Justin Friedlander, Jay Simhan
{"title":"Transurethral unroofing of a Cowper's syringocele","authors":"Fenizia Maffucci, Jessica Clark, Anika Rastogi, Justin Friedlander, Jay Simhan","doi":"10.1016/j.eucr.2024.102866","DOIUrl":"10.1016/j.eucr.2024.102866","url":null,"abstract":"<div><div>Syringoceles are cystic dilations of the bulbourethral gland, also known as Cowper's gland. Syringoceles are a rare pathology with no standard treatment. Herein, we report the diagnosis and endoscopic management of an imperforate syringocele causing bothersome urinary symptoms in an adult male patient. We present our technique for transurethral holmium laser unroofing of a syringocele as a feasible treatment option.</div></div>","PeriodicalId":38188,"journal":{"name":"Urology Case Reports","volume":"58 ","pages":"Article 102866"},"PeriodicalIF":0.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11699801/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142932964","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":"Long segment ureteral reconstruction using the prepuce: A case report","authors":"Xiaoyong Zeng, Zhenliang Qin, Xing Li, Jun Zhou, Shuai Lu, Weiwu Liu, Ying Zhan, Ruibao Chen","doi":"10.1016/j.eucr.2024.102912","DOIUrl":"10.1016/j.eucr.2024.102912","url":null,"abstract":"<div><div>Long segment ureteral reconstruction has always posed a challenge for surgeons. We report the case of a 49 years male patient with a right ureteral obstruction between the ileal orthotopic bladder and the ureter. The patient underwent a 12cm ureteral reconstruction with the prepuce. One month after the surgery, anterograde angiography through the nephrostomy tube showed ureteral patency. After one year of postoperative follow-up, the patient's ureteral stricture did not recur. Using the prepuce as a free graft for ureteral reconstruction is one of the available options.</div></div>","PeriodicalId":38188,"journal":{"name":"Urology Case Reports","volume":"58 ","pages":"Article 102912"},"PeriodicalIF":0.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11732469/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142984523","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}
Venetia A. Florou, Diane K. Reyes, Kenneth J. Pienta
{"title":"Incidental discovery of gastrointestinal stromal tumor via PSMA-PET/CT imaging: Insights from a case report","authors":"Venetia A. Florou, Diane K. Reyes, Kenneth J. Pienta","doi":"10.1016/j.eucr.2024.102926","DOIUrl":"10.1016/j.eucr.2024.102926","url":null,"abstract":"<div><div>PSMA-PET/CT has emerged as a superior diagnostic tool for prostate cancer, demonstrating enhanced accuracy over conventional imaging methods. Although sensitive for detecting local and metastatic prostate tumors, it can also identify other non-prostate PSMA positive lesions. Here, we report a rare case of a 67-year-old patient with metastatic prostate adenocarcinoma who was found to have an incidental Gastrointestinal Stromal Tumor (GIST), during restaging with 68Ga-PSMA-11 PET/CT. Given the broad application of PSMA PET/CT in prostate cancer, its role in diagnosing other non-prostate PSMA tumors remains uncertain, highlighting the need for further research into its application in cancer management.</div></div>","PeriodicalId":38188,"journal":{"name":"Urology Case Reports","volume":"58 ","pages":"Article 102926"},"PeriodicalIF":0.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11758568/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143048238","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}
Omar Safar , Adel Elatreisy , Saad Thamer , Saeed A. Asiri , Mahmoud Z. El Madawie , Abdulrahman Al-Aown
{"title":"Unforeseen encounter: After liver abscess drainage, a foreign body was found in the renal pelvis","authors":"Omar Safar , Adel Elatreisy , Saad Thamer , Saeed A. Asiri , Mahmoud Z. El Madawie , Abdulrahman Al-Aown","doi":"10.1016/j.eucr.2024.102896","DOIUrl":"10.1016/j.eucr.2024.102896","url":null,"abstract":"<div><div>Intrarenal foreign bodies are rare and could be iatrogenic through direct penetration, penetration through the gastrointestinal tract (GIT), or retrograde migration from the lower urinary tract. We present Intraoperatively incidental findings of an intrarenal foreign body during percutaneous nephrolithotomy (PCNL) with no previous urological intervention. However, there is a significant multiple percutaneous liver abscess drainage and endoscopic procedures. This case report of a pigtail thread rupture, likely resulting from recent hepatic abscess drainage. In conclusion, Intrarenal foreign bodies are rare, and there is no standard protocol for retrieving them. However, Treatment can be challenging by retrograde intrarenal surgery and PCNL.</div></div>","PeriodicalId":38188,"journal":{"name":"Urology Case Reports","volume":"58 ","pages":"Article 102896"},"PeriodicalIF":0.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11652751/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142855956","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}