Acta Urologica Japonica最新文献_第2页

[INTRAVESICAL MIGRATED SUTURE AFTER LAPAROSCOPIC SACROCOLPOPEXY SUCCESSFULLY TREATED BY TRANSURETHRAL AND TRANSVESICAL SURGERY : A CASE REPORT]. [经尿道经膀胱手术成功治疗腹腔镜骶colpop固定术后膀胱内移位缝合1例]。

Acta Urologica Japonica Pub Date : 2026-07-01 DOI: 10.82687/actaurojp.72.7_241

Tomonori Kurita, Takuya Takasawa, Chihiro Suzuki, Yoshiaki Kinebuchi

{"title":"[INTRAVESICAL MIGRATED SUTURE AFTER LAPAROSCOPIC SACROCOLPOPEXY SUCCESSFULLY TREATED BY TRANSURETHRAL AND TRANSVESICAL SURGERY : A CASE REPORT].","authors":"Tomonori Kurita, Takuya Takasawa, Chihiro Suzuki, Yoshiaki Kinebuchi","doi":"10.82687/actaurojp.72.7_241","DOIUrl":"https://doi.org/10.82687/actaurojp.72.7_241","url":null,"abstract":"A 68-year-old woman presented to a local physician with lower abdominal pain. Urinary bladder stones were identified, and the patient was referred to our department. She had undergone laparoscopic sacrocolpopexy (LSC) for uterine prolapse 2 years ago. Transurethral cystolithotripsy (TUCL) was performed, and a suture was found in the stone arising from the posterior bladder wall. We speculated that the suture migrated into the urinary bladder after LSC and formed a bladder stone. The sutures could not be removed transurethrally using a laser. A nephroscope was employed to attempt suture division using laparoscopic scissors ; however, the suture remained difficult to grasp or cut. The second surgery was performed using a transurethral nephroscope and a transvaginal laparoscopic trocar. The suture was grasped using forceps inserted through the trocar and excised through a nephroscope using scissors. No postoperative complications or recurrences were observed. Combined transurethral and transvesical approaches are useful for treating foreign bladder bodies that require grasping for removal.","PeriodicalId":39291,"journal":{"name":"Acta Urologica Japonica","volume":"72 7","pages":"241-244"},"PeriodicalIF":0.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148674298","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}

引用次数: 0

[EXTRAMEDULLARY HEMATOPOIESIS PRESENTING AS A RENAL MASS DURING TREATMENT OF CASTLEMAN DISEASE : A CASE REPORT]. [在castleman病治疗期间髓外造血表现为肾肿块1例报告]。

Acta Urologica Japonica Pub Date : 2026-07-01 DOI: 10.82687/actaurojp.72.7_231

Iori Matsuda, Santa Sugihara, Shingo Kitora, Tomoki Ohnishi, Tomoya Okuno, Takuro Sunada, Kaoru Murakami, Noriaki Utsunomiya, Akito Terai, Koji Inoue

引用次数: 0

[A CASE OF PROSTATE CANCER COMPLICATED BY PELVIC INSUFFICIENCY FRACTURES]. [前列腺癌合并盆腔不全骨折1例]。

Acta Urologica Japonica Pub Date : 2026-06-01 DOI: 10.82687/actaurojp.72.6_205

Masato Nozawa, Hiroshi Fujiwara, Yasushi Takashima, Michihito Miyagi, Yusuke Yagihashi, Tetsuya Noguchi

{"title":"[A CASE OF PROSTATE CANCER COMPLICATED BY PELVIC INSUFFICIENCY FRACTURES].","authors":"Masato Nozawa, Hiroshi Fujiwara, Yasushi Takashima, Michihito Miyagi, Yusuke Yagihashi, Tetsuya Noguchi","doi":"10.82687/actaurojp.72.6_205","DOIUrl":"https://doi.org/10.82687/actaurojp.72.6_205","url":null,"abstract":"We report a case of high-risk prostate cancer (pT3bN1Gleason score 4＋5), in a 63-year-old male who underwent robot-assisted radical prostatectomy with extended pelvic lymph node dissection in May 2019, followed by adjuvant combined androgen blockade (CAB) therapy. In June 2022, the case progressed to castration-resistant prostate cancer (CRPC), and enzalutamide was initiated. Bone metastases to the sacrum and seventh thoracic vertebra were identified concurrently and treated with radiotherapy. In January 2024, the patient presented with lower back pain and left thigh pain. Computed tomography revealed a right iliac fracture and multiple fractures of the left sacroiliac joint, consistent with radiotherapy-related pelvic insufficiency fractures (PIFs). While PIFs are well-documented in patients with gynecologic malignancies, reports on prostate cancer patients remain limited. We analyzed cases of pelvic fractures following pelvic radiotherapy for prostate cancer at our institution, including the present case, and discussed them in the context of the existing literature.","PeriodicalId":39291,"journal":{"name":"Acta Urologica Japonica","volume":"72 6","pages":"205-209"},"PeriodicalIF":0.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148353982","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}

引用次数: 0

[A QUESTIONNAIRE SURVEYON TREATMENT SELECTION FOR PATIENTS WITH ADVANCED PROSTATE CANCER IN JAPAN]. [日本晚期前列腺癌患者治疗选择的问卷调查]。

Acta Urologica Japonica Pub Date : 2026-06-01 DOI: 10.82687/actaurojp.72.6_187

Kohei Hashimoto, Masaki Shiota, Masaki Yoshida, Takahiro Kimura, Hiroyoshi Suzuki, Toshiyuki Kamoto, Mikio Sugimoto

{"title":"[A QUESTIONNAIRE SURVEYON TREATMENT SELECTION FOR PATIENTS WITH ADVANCED PROSTATE CANCER IN JAPAN].","authors":"Kohei Hashimoto, Masaki Shiota, Masaki Yoshida, Takahiro Kimura, Hiroyoshi Suzuki, Toshiyuki Kamoto, Mikio Sugimoto","doi":"10.82687/actaurojp.72.6_187","DOIUrl":"https://doi.org/10.82687/actaurojp.72.6_187","url":null,"abstract":"We conducted a web-based questionnaire survey targeting urologists in Japan on the real-world treatment selection for patients with advanced prostate cancer. The results were stratified by medical institution category and compared with those reported in the Advanced Prostate Cancer Consensus Conference 2024 (APCCC24). The survey included 124 urologists working at cancer centers/university hospitals (n＝48), public hospitals (n＝32), and general hospitals (n＝44). The proportion of respondents who selected triplet therapy for the majority of patients with metastatic hormone-sensitive prostate cancer (mHSPC) was higher among doctors at cancer centers/university hospitals or public hospitals, as was reported in the APCCC24, when compared with that among doctors at general hospitals. There are differences in opinions regarding the discontinuation of systemic therapy after achieving a deep prostate-specific antigen response. For cases which had progressed to metastatic castration-resistant prostate cancer after androgen receptor signaling inhibitor (ARSI) therapy and had mutations in the BRCA2 gene, the most commonly selected first line treatment was combination therapy of a poly ADP-ribose polymerase (PARP) inhibitor and an ARSI among doctors at cancer centers/university hospitals, and PARP inhibitor monotherapy among doctors at public and general hospitals. Opinions vary within the APCCC24 on whether to choose combination therapy or monotherapy. The survey results suggest that treatment selection of Japanese doctors may differ from those of the APCCC24. More extensive surveys are needed for further discussion on the treatment selection for patients with advanced prostate cancer in Japan.","PeriodicalId":39291,"journal":{"name":"Acta Urologica Japonica","volume":"72 6","pages":"187-203"},"PeriodicalIF":0.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148353977","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}

引用次数: 0

[A CASE OF PREGNANCY POST VASECTOMY]. [输精管结扎后妊娠一例]。

Acta Urologica Japonica Pub Date : 2026-06-01 DOI: 10.82687/actaurojp.72.6_217

Akiou Okumura, Hiroshi Kitamura

引用次数: 0

[A CASE OF PENILE PYODERMA GANGRENOSUM WITH STERILE ABSCESS SUCCESSFULLY TREATED WITH CORTICOSTEROIDS]. [1例阴茎脓皮坏疽伴无菌脓肿经皮质类固醇成功治疗]。

Acta Urologica Japonica Pub Date : 2026-06-01 DOI: 10.82687/actaurojp.72.6_211

Tomoki Ohnishi, Takuro Sunada, Shingo Kitora, Iori Matsuda, Kyohei Sugiyama, Noriaki Utsunomiya, Akito Terai, Koji Inoue

{"title":"[A CASE OF PENILE PYODERMA GANGRENOSUM WITH STERILE ABSCESS SUCCESSFULLY TREATED WITH CORTICOSTEROIDS].","authors":"Tomoki Ohnishi, Takuro Sunada, Shingo Kitora, Iori Matsuda, Kyohei Sugiyama, Noriaki Utsunomiya, Akito Terai, Koji Inoue","doi":"10.82687/actaurojp.72.6_211","DOIUrl":"10.82687/actaurojp.72.6_211","url":null,"abstract":"Pyoderma gangrenosum is a non-bacterial inflammatory disease that forms ulcers and abscesses and can be exacerbated by mechanical stimulation. Surgical intervention for abscesses in the corpora cavernosa may exacerbate penile pyoderma gangrenosum. We report a case of penile pyoderma gangrenosum that was diagnosed minimally invasively by biopsy alone and treated with steroids. A 77-year-old man with penile swelling and pain was referred to our institution by his primary care physician for suspected penile cancer. Both infectious diseases and penile cancer were ruled out based on physical examination and laboratory test results. Magnetic resonance imaging revealed fluid accumulation in the corpora cavernosa, leading to the decision to perform a penile biopsy. The biopsy revealed no malignancy, but an abscess was identified. Based on the clinical presentation, penile pyoderma gangrenosum was suspected and steroid therapy was initiated, resulting in rapid symptomatic improvement. The steroid dose was gradually tapered, and after 18 months of treatment, the steroids were discontinued. The patient has remained asymptomatic with no recurrence of the abscess or other subjective complaints.","PeriodicalId":39291,"journal":{"name":"Acta Urologica Japonica","volume":"72 6","pages":"211-215"},"PeriodicalIF":0.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148354012","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}

引用次数: 0

[LYMPH NODE TUBERCULOSIS AFTER INTRAVESICAL BACILLUS CALMETTE-GUÉRIN THERAPY FOR BLADDER CARCINOMA IN SITU : A CASE REPORT]. [膀胱内芽孢杆菌calmette-guÉrin治疗原位膀胱癌后淋巴结结核1例]。

Acta Urologica Japonica Pub Date : 2026-05-01 DOI: 10.82687/actaurojp.72.5_171

Tatsuya Sakai, Toyofumi Abe, Ryoya Mizuno, Haruka Izumi, Jiro Sakamoto, Go Tanikawa, Michio Shigematsu, Takemasa Takii, Toshiaki Yoshioka, Yasushi Miyagawa

引用次数: 0

[DEVELOPMENT OF FATAL IMMUNE CHECKPOINT INHIBITOR-ASSOCIATED ENCEPHALITIS FOLLOWING COMBINATION THERAPY WITH PEMBROLIZUMAB AND LENVATINIB IN A PATIENT WITH CLEAR CELL RENAL CELL CARCINOMA]. 【一名透明细胞肾细胞癌患者联合使用派姆单抗和lenvatinib治疗后发生致命性免疫检查点抑制剂相关脑炎】。

Acta Urologica Japonica Pub Date : 2026-05-01 DOI: 10.82687/actaurojp.72.5_165

Daisuke Takahashi, Kimihiko Masui, Hajime Takamori, Takuro Sunada, Kaoru Murakami, Jin Kono, Takayuki Sumiyoshi, Yuki Kita, Takayuki Goto, Ryoichi Saito, Takuya Okada, Yuki Teramoto, Takashi Kobayashi

{"title":"[DEVELOPMENT OF FATAL IMMUNE CHECKPOINT INHIBITOR-ASSOCIATED ENCEPHALITIS FOLLOWING COMBINATION THERAPY WITH PEMBROLIZUMAB AND LENVATINIB IN A PATIENT WITH CLEAR CELL RENAL CELL CARCINOMA].","authors":"Daisuke Takahashi, Kimihiko Masui, Hajime Takamori, Takuro Sunada, Kaoru Murakami, Jin Kono, Takayuki Sumiyoshi, Yuki Kita, Takayuki Goto, Ryoichi Saito, Takuya Okada, Yuki Teramoto, Takashi Kobayashi","doi":"10.82687/actaurojp.72.5_165","DOIUrl":"10.82687/actaurojp.72.5_165","url":null,"abstract":"Immune checkpoint inhibitors (ICIs), a widely adopted therapeutic option for metastatic renal cell carcinoma, are also associated with a range of immune-related adverse events, some of which can be severe and life-threatening. Here, we describe the case of a 70-year-old man with renal cell carcinoma and brain, lung, and bone metastases who developed ICI-associated encephalitis, which was fatal. Initial computed tomography imaging revealed a 9.8 cm mass in the right kidney, multiple pulmonary nodules, and an osteolytic lesion in the left fifth rib. Brain magnetic resonance imaging revealed metastatic lesions in the right parietal lobe and left lateral ventricle. The patient underwent therapy with pembrolizumab and lenvatinib in combination with stereotactic radiotherapy targeting the brain metastases. On day 20 of treatment, the patient developed a generalized seizure, followed by a rapid deterioration in consciousness. He died the following day. Post-mortem examination revealed widespread lymphocytic infiltration of the brain parenchyma, which was consistent with the diagnosis of ICI-associated encephalitis.","PeriodicalId":39291,"journal":{"name":"Acta Urologica Japonica","volume":"72 5","pages":"165-170"},"PeriodicalIF":0.0,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148158558","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}

引用次数: 0

[COMBINED SURGERY FOR RECTAL CANCER WITH PROSTATIC INVASION : A CASE REPORT]. [直肠癌合并前列腺浸润联合手术一例报道]。

Acta Urologica Japonica Pub Date : 2026-05-01 DOI: 10.82687/actaurojp.72.5_177

Takaaki Takuma, Syuma Genjo, Hitoshi Yokozeki, Tomohiro Fukui, Yuichi Uemura, Akira Miki, Jun Watanabe

{"title":"[COMBINED SURGERY FOR RECTAL CANCER WITH PROSTATIC INVASION : A CASE REPORT].","authors":"Takaaki Takuma, Syuma Genjo, Hitoshi Yokozeki, Tomohiro Fukui, Yuichi Uemura, Akira Miki, Jun Watanabe","doi":"10.82687/actaurojp.72.5_177","DOIUrl":"10.82687/actaurojp.72.5_177","url":null,"abstract":"A 58-year-old man presented with anal pain and fecal incontinence. He was diagnosed with locally advanced rectal cancer (cT4bN3M0) with prostate invasion and referred for combined surgery. Robotic abdominoperineal resection and retzius-sparing robot-assisted radical prostatectomy (RS-RARP) were performed. On postoperative day 14, cystography showed no evidence of vesicourethral anastomotic leakage, and the urethral catheter was removed. The postoperative course was uneventful without urinary incontinence. Pathological findings confirmed prostate invasion with negative surgical margins. Adjuvant chemotherapy was administered, and no recurrence has been observed at one year. In cases of rectal cancer with prostate invasion, concomitant prostate and seminal vesicle resection is often required, which carries a high risk of vesicourethral leakage and incontinence. RS-RARP preserves the anterior structures of the prostate and may reduce the risk of anastomotic failure while maintaining continence and sexual function. This case suggests that RS-RARP combined with APR could be a feasible surgical option for achieving curative resection and functional preservation in selected patients with locally advanced rectal cancer invading the prostate.","PeriodicalId":39291,"journal":{"name":"Acta Urologica Japonica","volume":"72 5","pages":"177-181"},"PeriodicalIF":0.0,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148158564","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}

引用次数: 0

[A CASE REPORT OF A METACHRONOUS BILATERAL TESTICULAR TUMOR AFTER LEFT UNDESCENDED TESTIS SURGERY]. [左睾丸隐睾手术后双侧异时性睾丸肿瘤1例报告]。

Acta Urologica Japonica Pub Date : 2026-04-01 DOI: 10.82687/actaurojp.72.4_137

Tomoharu Iwao, Nobutaka Nishimura, Tomonori Nakahama, Syuya Hirao, Hitoshi Momose

引用次数: 0