Acta Urologica Japonica最新文献_第4页

[A Case of Testicular Epidermoid Cyst Treated by Tumor Enucleation]. 肿瘤去核治疗睾丸表皮样囊肿1例。

Acta Urologica Japonica Pub Date : 2026-02-01 DOI: 10.82687/actaurojp.72.2_79

Yuki Hashimoto, Kosuke Shimizu, Kodai Hattahara, Masayuki Uegaki, Toru Yoshida

引用次数: 0

[A Case of Pelvic Organ Prolapse Treated with Laparoscopic Sacrocolpopexy and Bladder Diverticulectomy at the Same Time]. 腹腔镜骶colpop固定术联合膀胱憩室切除术治疗盆腔器官脱垂1例

Acta Urologica Japonica Pub Date : 2026-01-01 DOI: 10.82687/actaurojp.72.1_7

Hiromasa Araki, Takuro Miyagawa, Seiji Moroi, Go Kobori

引用次数: 0

[A Case of Asymptomatic Paraganglioma of the Bladder]. [无症状膀胱副神经节瘤1例]

Acta Urologica Japonica Pub Date : 2026-01-01 DOI: 10.82687/actaurojp.72.1_1

Taito Sato, Naoki Hayata, Takuya Hida, Takayoshi Miura, Mutsuki Mishina, Takuya Kitamura, Kazutaka Nanba, Hiroya Kojima, Gen Nishikawa, Ryo Kuwahara, Seiko Kasahara, Koki Moriyoshi, Toru Kanno

{"title":"[A Case of Asymptomatic Paraganglioma of the Bladder].","authors":"Taito Sato, Naoki Hayata, Takuya Hida, Takayoshi Miura, Mutsuki Mishina, Takuya Kitamura, Kazutaka Nanba, Hiroya Kojima, Gen Nishikawa, Ryo Kuwahara, Seiko Kasahara, Koki Moriyoshi, Toru Kanno","doi":"10.82687/actaurojp.72.1_1","DOIUrl":"10.82687/actaurojp.72.1_1","url":null,"abstract":"Bladder paraganglioma is an extremelyrare tumor, accounting for 0.7% of all paragangliomas and less than 0. 05% of all bladder tumors. While often discovered due to catecholamine-related symptoms or urinary symptoms, preoperative diagnosis in asymptomatic cases is difﬁcult but crucial to avoid intraoperative hypertensive crises. Here, we report a case of asymptomatic paraganglioma of the bladder that was incidentallydiscovered. An 82-year-old woman was referred for evaluation of an incidental bladder tumor. Contrast-enhanced CT and cystoscopy revealed a submucosal tumor in the posterior bladder wall. MRI showed a high signal on T2-weighted imaging and earlyarterial enhancement on fat-suppressed T1-weighted imaging. Endocrinological studies revealed no obvious catecholamine excess, but ¹²³I-MIBG scintigraphy conﬁrmed uptake in the bladder tumor, leading to a preoperative diagnosis of bladder paraganglioma. After preoperative management with an alpha-blocker (doxazosin), laparoscopic partial cystectomyand sigmoid colectomywere performed simultaneously. During tumor resection, the patient's systolic blood pressure rose to 220 mmHg temporarilybut was well controlled, and the surgerywas completed safely. Pathology conﬁrmed bladder paraganglioma. The postoperative course was uneventful, and no recurrence has been observed 13 months after surgery. Even in asymptomatic bladder tumors, bladder paraganglioma should be considered. Appropriate imaging and endocrine evaluation are essential for a safe and effective treatment strategy.","PeriodicalId":39291,"journal":{"name":"Acta Urologica Japonica","volume":"72 1","pages":"1-6"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147575840","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

[Normal Delivery by Intracytoplasmic Sperm Injection with Epididymal Sperm in a Patient with Azoospermia and Kartagener Syndrome]. 【无精子症合并卡塔格纳综合征患者用附睾精子注射胞浆内精子正常分娩一例】。

Acta Urologica Japonica Pub Date : 2026-01-01 DOI: 10.82687/actaurojp.72.1_11

Toshiyasu Amano, Yuki Matsumoto, Akitaka Aoki, Tetsuya Imao, Ai Kusaba, Shota Miyashita, Chizue Nishizawa, Hirohisa Fujita

引用次数: 0

[Evaluation of Imaging Examination and Urine Cytology before Laparoscopic Radical Nephroureterectomy and Four Cases with Benign Postoperative Pathological Findings]. [腹腔镜肾输尿管根治术前影像学检查及尿细胞学检查及术后病理良性4例的评价]。

Acta Urologica Japonica Pub Date : 2025-12-01 DOI: 10.14989/ActaUrolJap_71_12_409

Toshifumi Takahashi, Kouhei Maruno, Ryota Nakayasu, Yuya Yamada, Masakazu Nakashima, Kazuro Kikkawa, Masahiro Tamaki, Noriyuki Ito

{"title":"[Evaluation of Imaging Examination and Urine Cytology before Laparoscopic Radical Nephroureterectomy and Four Cases with Benign Postoperative Pathological Findings].","authors":"Toshifumi Takahashi, Kouhei Maruno, Ryota Nakayasu, Yuya Yamada, Masakazu Nakashima, Kazuro Kikkawa, Masahiro Tamaki, Noriyuki Ito","doi":"10.14989/ActaUrolJap_71_12_409","DOIUrl":"10.14989/ActaUrolJap_71_12_409","url":null,"abstract":"Diagnosis of upper urinary tract urothelial carcinoma (UTUC), based on imaging findings and urine cytology is often difficult. In this study, we have evaluated the preoperative imaging findings, voided urine cytology, and selective urine cytology in patients with suspected UTUC, who underwent laparoscopic radical nephroureterectomy (LRN). Cases of benign postoperative pathological findings are also reported. Among the 195 patients who underwent LRN between October 2010 and November 2023, 182 patients were included in this study. Simultaneous radical cystectomies and malignant tumors other than urothelial carcinoma were excluded. Most of the cases (137 cases (75.3%)) were classified as class III or less, based on voided urine cytology and 88 cases (48.4%) were classified as class IV or more based on either voided urine cytology or selective urine cytology. Ureteroscopy was performed in 40 cases (22.0%). The four patients who had undergone LRN without malignant findings had not undergone ureteroscopy. Pathological findings indicated normal urothelium in two patients, inflammatory scar in one patient, and amyloidosis in one patient. Accurate preoperative diagnosis requires pathological examinations such as natural urine cytology and selective urine cytology, computed tomographic urography, retrograde pyelography, and ureteroscopy if necessary.","PeriodicalId":39291,"journal":{"name":"Acta Urologica Japonica","volume":"71 12","pages":"409-417"},"PeriodicalIF":0.0,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145901315","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 Renal Cell Carcinoma with Small Bowel Metastasis Accompanied by Invagination]. 【肾细胞癌合并小肠转移伴内陷1例】。

Acta Urologica Japonica Pub Date : 2025-12-01 DOI: 10.14989/ActaUrolJap_71_12_419

Ryo Yamamoto, Yuu Tashiro, Kyohei Sugiyama, Keiyu Matsumoto, Kazunari Tsuchihashi, Satoshi Ishitoya, Osamu Ogawa

引用次数: 0

[A Case Report of a Pregnant Woman who Had Urethral Avulsion during Vacuum Extraction Delivery and Ipsilateral Kidney]. [1例孕妇在真空抽吸分娩时发生尿道撕脱及同侧肾]。

Acta Urologica Japonica Pub Date : 2025-12-01 DOI: 10.14989/ActaUrolJap_71_12_429

Chisato Narita, Takashi Otsuka, Hirotaka Suzuki, Yuichi Hasegawa, Takahiro Kimura

{"title":"[A Case Report of a Pregnant Woman who Had Urethral Avulsion during Vacuum Extraction Delivery and Ipsilateral Kidney].","authors":"Chisato Narita, Takashi Otsuka, Hirotaka Suzuki, Yuichi Hasegawa, Takahiro Kimura","doi":"10.14989/ActaUrolJap_71_12_429","DOIUrl":"https://doi.org/10.14989/ActaUrolJap_71_12_429","url":null,"abstract":"The incidence of lower urinary tract injuries associated with vaginal delivery is 0.03-0.05%, and reports of urethral injuries related to vacuum delivery are also extremely uncommon. We report a case of urethral injury in a 29-year-old woman during her first pregnancy and delivery due to vacuum extraction. The urethral injury occurred in continuity with a vaginal laceration on the opposite side of the midline episiotomy. A cystoscopy performed after urethral repair did not reveal the left ureteral orifice. Further examination revealed that the left kidney was not identifiable on ultrasound, and no accumulation was observed on DMSA renal scan. Cystoscopy revealed an irregular image of the left anterior vaginal wall, suggesting the presence of a Gartner's duct cyst, while vaginal contrast imaging showed a ureter-like luminal structure emerging from the left vaginal wall. These findings raised the possibility that the ureter from the left kidney opened into the Gartner's duct cyst, rendering it non-functional and that the weakness of the vaginal wall due to the Gartner cyst contributed to the urethral injury.","PeriodicalId":39291,"journal":{"name":"Acta Urologica Japonica","volume":"71 12","pages":"429-432"},"PeriodicalIF":0.0,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145901303","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 Verrucous Carcinoma of the Bladder in a Patient with Cerebral Palsy]. [脑瘫患者膀胱疣状癌1例]。

Acta Urologica Japonica Pub Date : 2025-12-01 DOI: 10.14989/ActaUrolJap_71_12_425

Mao Saito, Narihiko Kakoi, Miyuki Izumi, Hiroshi Aoki

{"title":"[A Case of Verrucous Carcinoma of the Bladder in a Patient with Cerebral Palsy].","authors":"Mao Saito, Narihiko Kakoi, Miyuki Izumi, Hiroshi Aoki","doi":"10.14989/ActaUrolJap_71_12_425","DOIUrl":"https://doi.org/10.14989/ActaUrolJap_71_12_425","url":null,"abstract":"A 50-year-old man with cerebral palsy presented to our department complaining of pollakiuria and macrohematuria. Although urinary cytology revealed no positive findings, computed tomography (CT) showed muscle-invasive bladder carcinoma and right intrapelvic lymphadenopathy (cT3bN1M0). Cystoscopy revealed a large non-papillary bladder tumor. Radical cystectomy and urinary diversion were performed. Verrucous carcinoma (VC) of the bladder without intrapelvic lymph node metastasis (pT3bN0) was diagnosed histopathologically. VC is often locally invasive and is a non-metastasising well-differentiated variant of squamous cell carcinoma. Patients with cerebral palsy have a high incidence of urinary incontinence, dysuria, and urinary tract infections. VC of the bladder is associated with chronic bladder irritation due to various causes, including chronic cystitis, dysuria, and bladder stones. VC is frequently detected as locally invasive disease of stage T3 or higher ; the only effective treatment is radical cystectomy. Therefore, early detection and surgery are necessary to improve prognosis. Clinical evaluation, including urodynamic studies, is recommended for patients with cerebral palsy, and in cases of persistent pollakiuria, dysuria, and macrohematuria, abdominal CT and cystoscopy should be considered for the early detection of squamous cell carcinoma and VC of the bladder.","PeriodicalId":39291,"journal":{"name":"Acta Urologica Japonica","volume":"71 12","pages":"425-428"},"PeriodicalIF":0.0,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145901296","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 Recurrent Localized Amyloidosis of the Bladder Treated with Dymethyl Sulfoxide (DMSO) Occlusive Dressing Technique]. 二甲基亚砜（DMSO）闭塞敷料技术治疗复发性局限性膀胱淀粉样变性1例。

Acta Urologica Japonica Pub Date : 2025-11-01 DOI: 10.14989/ActaUrolJap_71_11_399

Hideto Ota, Rikuri Someya, Naoki Kohei

引用次数: 0

[A Case of Bladder Squamous Cell Carcinoma Following LONG-Term-Indwelling Cystostomy]. 【长期留置膀胱造瘘术后膀胱鳞状细胞癌1例】。

Acta Urologica Japonica Pub Date : 2025-11-01 DOI: 10.14989/ActaUrolJap_71_11_387

Hirohisa Yano, Hiromasa Sakamoto, Masafumi Tsuruta, Daichi Akiba, Sadatoshi Tsuzuki, Teruyoshi Aoyama

引用次数: 0