Indrawarman Soerohardjo , Tanaya Ghinorawa , Ahmad Shafwan Natsir , Toni Febriyanto , Patria Putrapratama
{"title":"Immediate page kidney during transplantation: A case report and literature review","authors":"Indrawarman Soerohardjo , Tanaya Ghinorawa , Ahmad Shafwan Natsir , Toni Febriyanto , Patria Putrapratama","doi":"10.1016/j.eucr.2025.103166","DOIUrl":"10.1016/j.eucr.2025.103166","url":null,"abstract":"<div><div>Page kidney is a rare but critical post-transplant complication caused by subcapsular hematoma, leading to graft hypoperfusion and dysfunction. We report a 26-year-old male who developed immediate Page kidney intraoperatively, presenting with elevated resistive indices and reversed diastolic flow. Timely diagnosis using Doppler ultrasound enabled urgent re-exploration and hematoma evacuation, successfully restoring graft function. A literature review of 40 cases highlights that early identification and prompt surgical intervention are critical to favorable outcomes. These findings reinforce the need for heightened clinical vigilance, prompt imaging, and timely surgical management to preserve graft viability and patient outcomes.</div></div>","PeriodicalId":38188,"journal":{"name":"Urology Case Reports","volume":"62 ","pages":"Article 103166"},"PeriodicalIF":0.4,"publicationDate":"2025-08-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144895091","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}
Léon Groenhoff , Gaetano Federico Fortuna , Pietro Costantini , Anna Colarieti , Silvia Attanasio , Alessandro Carriero
{"title":"Unveiling rare metastasis in prostate cancer: The role of PSMA-PET and MRI in detecting penile involvement – A case report and literature review","authors":"Léon Groenhoff , Gaetano Federico Fortuna , Pietro Costantini , Anna Colarieti , Silvia Attanasio , Alessandro Carriero","doi":"10.1016/j.eucr.2025.103167","DOIUrl":"10.1016/j.eucr.2025.103167","url":null,"abstract":"<div><div>The aim of this study is to report a case of penile metastasis from prostate carcinoma, as it represents a very rare occurrence that clinicians should be aware of.</div><div>We report a case of a 68-year-old patient affected by prostate cancer who has performed a PSMA-PET after radical prostatectomy for PSA elevation, which revealed a suspected uptake in the corpora cavernosa and corpora spongiosum, followed by multiparametric MRI examination with focus on penile involvement.</div></div>","PeriodicalId":38188,"journal":{"name":"Urology Case Reports","volume":"63 ","pages":"Article 103167"},"PeriodicalIF":0.4,"publicationDate":"2025-08-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144912004","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}
Jan Bociański , Katarzyna Sklinda , Jerzy Walecki , Wojciech Rogowski , Michał Małek , Marek Kasprowicz , Łukasz Michałowski , Weronika Popow
{"title":"A case of high-grade prostate cancer with low PSA levels","authors":"Jan Bociański , Katarzyna Sklinda , Jerzy Walecki , Wojciech Rogowski , Michał Małek , Marek Kasprowicz , Łukasz Michałowski , Weronika Popow","doi":"10.1016/j.eucr.2025.103161","DOIUrl":"10.1016/j.eucr.2025.103161","url":null,"abstract":"<div><div>Prostate-specific antigen (PSA) levels typically correlate with the risk of prostate cancer. However, it is uncommon for an extensive malignant infiltration to occur with persistently low PSA levels. We present a case of a young male with a large tumor originating from the transition zone of the prostate and with low PSA levels This case underscores the biological heterogeneity of prostate cancer and suggests that tumors arising in the transition zone may differ significantly in behavior from those originating in the peripheral zone.</div></div>","PeriodicalId":38188,"journal":{"name":"Urology Case Reports","volume":"62 ","pages":"Article 103161"},"PeriodicalIF":0.4,"publicationDate":"2025-08-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144885918","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":"Metastatic renal cell carcinoma presenting as penile pain – A case report","authors":"Paul Gibson Murphy , Brett P. Bell","doi":"10.1016/j.eucr.2025.103163","DOIUrl":"10.1016/j.eucr.2025.103163","url":null,"abstract":"<div><div>Metastasis of a primary malignancy to the penis is rare with a limited number of reported cases this century. Of those cases, a small percentage are secondary to renal cell carcinoma, with most of these cases being caused by local invasion of prostate and bladder cancer. This report is that of a 70-year-old male who presented with penile swelling and pain, which was later determined to be secondary to metastatic renal cell carcinoma of the penis. Given the rarity of this disease process, the exact mechanism of invasion is still unknown and best treatment practices are based on symptomatic control.</div></div>","PeriodicalId":38188,"journal":{"name":"Urology Case Reports","volume":"62 ","pages":"Article 103163"},"PeriodicalIF":0.4,"publicationDate":"2025-08-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144867291","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":"A case of inflammatory-related urethral tumor in a child","authors":"Hongjia He, Meng Gui, Kaisheng Li","doi":"10.1016/j.eucr.2025.103156","DOIUrl":"10.1016/j.eucr.2025.103156","url":null,"abstract":"<div><div>A rare pediatric urethral mass presented with penile root pain, urinary stream narrowing, and acute urinary retention without trauma or infection history. Examination revealed abdominal distension and a tender penile base mass. Laboratory and imaging findings indicated inflammation and a cystic lesion. After catheterization and antibiotics, symptoms resolved completely, and no recurrence was noted. Although cystoscopic resection is commonly advised, this case highlights that conservative management may be effective in selected patients, potentially sparing children from invasive procedures.</div></div>","PeriodicalId":38188,"journal":{"name":"Urology Case Reports","volume":"62 ","pages":"Article 103156"},"PeriodicalIF":0.4,"publicationDate":"2025-08-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144888910","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}
Victoria Gonzalez , Edward Linton , Timothy Boyce , Laila Dahmoush , Helen Y. Hougen
{"title":"Novel use of carboplatin, etoposide and durvalumab as neoadjuvant therapy in treatment of small cell bladder cancer","authors":"Victoria Gonzalez , Edward Linton , Timothy Boyce , Laila Dahmoush , Helen Y. Hougen","doi":"10.1016/j.eucr.2025.103165","DOIUrl":"10.1016/j.eucr.2025.103165","url":null,"abstract":"<div><div>Small cell carcinoma of the bladder (SCCB) is a rare and aggressive variant of bladder cancer requiring multimodal treatment. We present a case of an 82-year-old male with SCCB with bulky pelvic adenopathy treated with a novel neoadjuvant combination of carboplatin, etoposide, and durvalumab with complete response of the small cell component. We also describe a rare complication of retinopathy resulting from this treatment. This study presents the potential efficacy and promise of adding immunotherapy to neoadjuvant chemotherapy for SCCB to achieve a long-term cure.</div></div>","PeriodicalId":38188,"journal":{"name":"Urology Case Reports","volume":"62 ","pages":"Article 103165"},"PeriodicalIF":0.4,"publicationDate":"2025-08-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144867290","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":"Ureteral tamponade to prevent catastrophic bleeding from uretero-vascular fistula in a patient with long-term indwelling ureteral stent","authors":"Jung Sik Huh, Kyung Kgi Park","doi":"10.1016/j.eucr.2025.103162","DOIUrl":"10.1016/j.eucr.2025.103162","url":null,"abstract":"<div><div>A 56-year-old female experienced massive pulsatile bleeding from the left ureter during routine ureteral stent exchange. She had a history of radical cystectomy and bilateral stent insertion due to uretero-intestinal strictures. Upon stent removal, sudden bleeding through the urostomy led to hypovolemic shock. Urostomy site compression stabilized the patient, and CT revealed suspected ureteroarterial fistula. Angiography confirmed the diagnosis. Covered stent placement in the external iliac artery resolved the condition. No recurrence was observed during a three-year follow-up. Prompt tamponade followed by endovascular intervention can be life-saving in such cases.</div></div>","PeriodicalId":38188,"journal":{"name":"Urology Case Reports","volume":"62 ","pages":"Article 103162"},"PeriodicalIF":0.4,"publicationDate":"2025-08-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144851945","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":"Meckel's diverticulum as vaginal replacement for redo surgery in anorectal malformations","authors":"Jayalaxmi Shripati Aihole","doi":"10.1016/j.eucr.2025.103160","DOIUrl":"10.1016/j.eucr.2025.103160","url":null,"abstract":"<div><div>Anorectal malformations (ARM)being the common congenital anomalies occurring in 1 in 4000–5000 newborns. Associated recto urethral fistula being the most common in males and recto vestibular fistula being the common in females. Hence ARMs require staged surgical procedures.</div><div>50–60 % of ARMs have associated systemic anomalies including gastrointestinal tract. Association of ARM with Meckel's diverticulum has not been described in literature so far and its use as a replacement for vagina is altogether a rarity.</div></div>","PeriodicalId":38188,"journal":{"name":"Urology Case Reports","volume":"62 ","pages":"Article 103160"},"PeriodicalIF":0.4,"publicationDate":"2025-08-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144843015","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}
Paulo Victor de Jesus Silva, Leonardo Bernardes de Amaro, Guilherme Vieira Cavalcante, Jefferson Douglas Camargos Moreira, Wagner Eduardo Matheus
{"title":"VON Hippel-Lindau syndrome: A rare case of epididymal cystadenoma associated with hemospermia","authors":"Paulo Victor de Jesus Silva, Leonardo Bernardes de Amaro, Guilherme Vieira Cavalcante, Jefferson Douglas Camargos Moreira, Wagner Eduardo Matheus","doi":"10.1016/j.eucr.2025.103147","DOIUrl":"10.1016/j.eucr.2025.103147","url":null,"abstract":"<div><div>Von Hippel-Lindau (VHL) disease can cause epididymal cystadenomas, typically asymptomatic. We report a 27-year-old male with a VHL history (resected CNS hemangioblastoma) presenting unusually with recurrent hemospermia and bilateral epididymal enlargement. Ultrasound and CT confirmed bilateral epididymal lesions and other VHL-associated findings (pancreatic/renal). Persistent hemospermia prompted bilateral epididymectomy, confirming papillary cystadenomas. This case highlights an atypical, symptomatic presentation of VHL-related epididymal cystadenoma requiring surgical intervention, contrasting with usual conservative management for these benign lesions.</div></div>","PeriodicalId":38188,"journal":{"name":"Urology Case Reports","volume":"62 ","pages":"Article 103147"},"PeriodicalIF":0.4,"publicationDate":"2025-08-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144893555","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 : 2025-08-06eCollection Date: 2025-09-01DOI: 10.1016/j.eucr.2025.103158
Ramazan Uğur, Abdulmuttalip Şimşek
{"title":"Nutcracker syndrome: First case report causing left renal parenchymal varicose veins.","authors":"Ramazan Uğur, Abdulmuttalip Şimşek","doi":"10.1016/j.eucr.2025.103158","DOIUrl":"10.1016/j.eucr.2025.103158","url":null,"abstract":"<p><p>We report a unique case of Nutcracker Syndrome (NCS) in a 30-year-old woman with chronic abdominal and flank pain. Contrast-enhanced CT revealed significant narrowing of the left renal vein between the superior mesenteric artery and abdominal aorta. Uniquely, renal intraparenchymal varices were present-unreported in prior NCS cases. Diagnosis was supported by ultrasound and CT angiography. In the absence of severe hematuria, renal dysfunction, or intractable pain, the patient is managed conservatively. Although surgical and endovascular options are available for NCS, conservative treatment is applied in cases without major complications.</p>","PeriodicalId":38188,"journal":{"name":"Urology Case Reports","volume":"62 ","pages":"103158"},"PeriodicalIF":0.4,"publicationDate":"2025-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12355027/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144875737","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}