IJU Case Reports最新文献_第8页

Aggressive Bladder Urothelial Carcinoma in an HIV-Positive Male With Neurogenic Bladder Dysfunction due to Spina Bifida: An Autopsy Case 侵袭性膀胱尿路上皮癌的hiv阳性男性与神经源性膀胱功能障碍，由于脊柱裂：一个尸检病例

IJU Case Reports Pub Date : 2025-03-25 DOI: 10.1002/iju5.70020

Masahiro Ueno, Norifumi Sawada, Fumiakira Yano, Koki Shinkai, Yuta Sato, Hiroshi Shimura, Tetsuo Kondo, Takanori Mochizuki, Satoru Kira, Takahiko Mitsui

{"title":"Aggressive Bladder Urothelial Carcinoma in an HIV-Positive Male With Neurogenic Bladder Dysfunction due to Spina Bifida: An Autopsy Case","authors":"Masahiro Ueno, Norifumi Sawada, Fumiakira Yano, Koki Shinkai, Yuta Sato, Hiroshi Shimura, Tetsuo Kondo, Takanori Mochizuki, Satoru Kira, Takahiko Mitsui","doi":"10.1002/iju5.70020","DOIUrl":"https://doi.org/10.1002/iju5.70020","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Patients with neurogenic bladder secondary to spinal cord injury are at increased risk of developing bladder urothelial carcinoma due to urinary tract infections. The contribution of HIV infection is unknown in this group of patients.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Case Presentation</h3>\u0000 \u0000 <p>A spina bifida male patient with macrohematuria and recurrent urinary tract infection was detected with bladder carcinoma covered with soft tissue thickening and was clinically diagnosed cT3N2M1. He was also diagnosed with HIV infection. Despite the treatment with Gemcitabine and Cisplatin, he developed infective endocarditis and a cerebral infarction. He died 3 months after the initiation of chemotherapy.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>This case highlights a rare case of aggressive bladder carcinoma developed in an HIV-positive male with spina bifida, who had never used an indwelling catheter or intermittent catheterization. HIV-positive men tend to have a higher incidence of bladder cancer at a younger age, and neurogenic bladder might accelerate the progression in this case.</p>\u0000 </section>\u0000 </div>","PeriodicalId":52909,"journal":{"name":"IJU Case Reports","volume":"8 3","pages":"261-265"},"PeriodicalIF":0.0,"publicationDate":"2025-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/iju5.70020","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143914700","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}

引用次数: 0

Spontaneous Rupture of Adrenal Myelolipoma: A Case Report With Review of the Literature 肾上腺骨髓瘤自发性破裂1例并文献复习

IJU Case Reports Pub Date : 2025-03-25 DOI: 10.1002/iju5.70018

Yasushi Mochizuki, Kyohei Araki, Kensuke Mitsunari, Takahisa Iwata, Tomohiro Matsuo, Tomoaki Hakariya, Kojiro Ohba, Ryoichi Imamura

{"title":"Spontaneous Rupture of Adrenal Myelolipoma: A Case Report With Review of the Literature","authors":"Yasushi Mochizuki, Kyohei Araki, Kensuke Mitsunari, Takahisa Iwata, Tomohiro Matsuo, Tomoaki Hakariya, Kojiro Ohba, Ryoichi Imamura","doi":"10.1002/iju5.70018","DOIUrl":"https://doi.org/10.1002/iju5.70018","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Adrenal myelolipoma is often asymptomatic and is commonly diagnosed using imaging modalities. Herein, we report a case of adrenal myelolipoma detected through spontaneous rupture and review similar cases from the literature.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Case Presentation</h3>\u0000 \u0000 <p>A 27-year-old man was admitted to our hospital with sudden right flank pain. Abdominal computed tomography revealed right retroperitoneal hemorrhage due to a spontaneous rupture of a retroperitoneal tumor. He underwent emergency transcatheter arterial embolization because of his severe symptoms and poor general condition, which included abdominal pain and progressive anemia. We performed laparoscopic resection of the tumor with the right adrenal gland 3 months after the emergency embolization. Consequently, a definitive diagnosis of adrenal myelolipoma was confirmed.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Adrenal myelolipoma, although scarcely reported, can rupture spontaneously and lead to severe consequences. Treatment options may include percutaneous arterial embolization and subsequent surgery.</p>\u0000 </section>\u0000 </div>","PeriodicalId":52909,"journal":{"name":"IJU Case Reports","volume":"8 3","pages":"253-256"},"PeriodicalIF":0.0,"publicationDate":"2025-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/iju5.70018","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143914699","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}

引用次数: 0

Perianal Abscess Caused by Urethral Foreign Body: A Case Report 尿道异物致肛周脓肿1例

IJU Case Reports Pub Date : 2025-03-13 DOI: 10.1002/iju5.70017

Sayaka Hoshino, Kenji Obara, Kazutoshi Yamana, Fumio Ishizaki, Masaki Murata, Tatsuhiko Hoshii, Yoshihiko Tomita

{"title":"Perianal Abscess Caused by Urethral Foreign Body: A Case Report","authors":"Sayaka Hoshino, Kenji Obara, Kazutoshi Yamana, Fumio Ishizaki, Masaki Murata, Tatsuhiko Hoshii, Yoshihiko Tomita","doi":"10.1002/iju5.70017","DOIUrl":"https://doi.org/10.1002/iju5.70017","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>We report a case of perianal abscess that developed after the presence of a urethral foreign body for 15 months.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Case Presentation</h3>\u0000 \u0000 <p>A 14-year-old boy with intellectual disability due to agenesis of the corpus callosum presented to our hospital with complaints of perianal erythema, swelling, and pain. The patient admitted to self-inserting an allene fiber broom ear 15 months ago. A few days after the insertion, he was treated with antibiotics for hematuria and micturition pain. The symptoms resolved spontaneously 2 months later, although the foreign body was not removed. Computed tomography and magnetic resonance imaging demonstrated a perineal linear structure running anterior to posterior. The urethral foreign body was removed by cystourethroscopy and grasper.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Medical professionals should be aware of the possibility of underlying cognitive and behavioral problems and should be vigilant in screening and treating individuals with refractory lower urinary tract inflammation or hematuria.</p>\u0000 </section>\u0000 </div>","PeriodicalId":52909,"journal":{"name":"IJU Case Reports","volume":"8 3","pages":"249-252"},"PeriodicalIF":0.0,"publicationDate":"2025-03-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/iju5.70017","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143914490","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}

引用次数: 0

Initial Case Report of Robot-Assisted Radical Cystectomy With Intracorporeal Neobladder Using hinotori Surgical Robot System 应用hinotori手术机器人系统进行体外新膀胱根治性膀胱切除术首例报告

IJU Case Reports Pub Date : 2025-03-12 DOI: 10.1002/iju5.70016

Hiromitsu Watanabe, Kyohei Watanabe, Yuto Matsushita, Keita Tamura, Daisuke Motoyama, Atsushi Otsuka, Teruo Inamoto, Hideaki Miyake

{"title":"Initial Case Report of Robot-Assisted Radical Cystectomy With Intracorporeal Neobladder Using hinotori Surgical Robot System","authors":"Hiromitsu Watanabe, Kyohei Watanabe, Yuto Matsushita, Keita Tamura, Daisuke Motoyama, Atsushi Otsuka, Teruo Inamoto, Hideaki Miyake","doi":"10.1002/iju5.70016","DOIUrl":"https://doi.org/10.1002/iju5.70016","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Robot-assisted radical cystectomy (RARC) is becoming the standard treatment for bladder cancer patients. While this surgery using da Vinci has been widely reported, this report describes the initial experience of RARC with intracorporeal neobladder using the hinotori surgical robot system.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Case Presentation</h3>\u0000 \u0000 <p>The patient was a 73-year-old man with muscle-invasive bladder cancer who underwent neoadjuvant chemotherapy followed by RARC with intracorporeal neobladder using hinotori. Surgery was successfully performed with a total operative time of 430 min, time using the robotic system of 375 min, and no intraoperative complications or need for blood transfusion. Postoperative recovery was favorable, with the patient discharged on day 12, and satisfactory continence was achieved.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>This is the initial case report of RARC with intracorporeal neobladder using hinotori, providing a potentially comparable alternative to conventional surgical systems for RARC.</p>\u0000 </section>\u0000 </div>","PeriodicalId":52909,"journal":{"name":"IJU Case Reports","volume":"8 3","pages":"244-248"},"PeriodicalIF":0.0,"publicationDate":"2025-03-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/iju5.70016","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143914619","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}

引用次数: 0

Rapidly Progressing Renal Cell Carcinoma With Unexpected Inferior Vena Cava Tumor Thrombus 快速进展肾细胞癌伴意外下腔静脉肿瘤血栓

IJU Case Reports Pub Date : 2025-03-12 DOI: 10.1002/iju5.70014

Sohei Iwagami, Masaya Nishihata, Shimpei Yamashita, Isao Hara, Fumiyoshi Kojima, Yasuo Kohjimoto

{"title":"Rapidly Progressing Renal Cell Carcinoma With Unexpected Inferior Vena Cava Tumor Thrombus","authors":"Sohei Iwagami, Masaya Nishihata, Shimpei Yamashita, Isao Hara, Fumiyoshi Kojima, Yasuo Kohjimoto","doi":"10.1002/iju5.70014","DOIUrl":"https://doi.org/10.1002/iju5.70014","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>We report here a case of RCC without preoperative tumor thrombus that had progressed to RCC with IVC tumor thrombus.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Case Presentation</h3>\u0000 \u0000 <p>A 75-year-old man was referred to our hospital. Contrast-enhanced CT showed a 50-mm mass in the right kidney with an indistinct border, contrast in the early phase and washout in the late phase. RARN was attempted for RCC. Intraoperatively, a tumor thrombus was unexpectedly observed. We converted to open surgery, and the right kidney and tumor thrombus were removed. Postoperative lymphorrhea was observed, but the patient recovered without any problems. Lung and bone metastases subsequently appeared, and the patient died 2 months later.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Surgeons should keep in mind that a tumor thrombus can grow rapidly before performing surgery for renal cell carcinoma.</p>\u0000 </section>\u0000 </div>","PeriodicalId":52909,"journal":{"name":"IJU Case Reports","volume":"8 3","pages":"236-239"},"PeriodicalIF":0.0,"publicationDate":"2025-03-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/iju5.70014","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143914631","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}

引用次数: 0

A Case of Penile Cavernosal Abscess Associated With Sigmoid Colovesical Fistula 阴茎海绵体脓肿合并乙状结肠膀胱瘘1例

IJU Case Reports Pub Date : 2025-03-11 DOI: 10.1002/iju5.70015

Kazuto Imai, Kanji Nagahama, Norihiko Masuda, Takashi Ito, Takakazu Matsushita, Toshiya Akao

{"title":"A Case of Penile Cavernosal Abscess Associated With Sigmoid Colovesical Fistula","authors":"Kazuto Imai, Kanji Nagahama, Norihiko Masuda, Takashi Ito, Takakazu Matsushita, Toshiya Akao","doi":"10.1002/iju5.70015","DOIUrl":"https://doi.org/10.1002/iju5.70015","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>A penile cavernosal abscess is rare and typically attributable to sepsis, trauma, or intracavernosal injections.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Case Presentation</h3>\u0000 \u0000 <p>A 65-year-old man with suspicion of non-muscle invasive bladder cancer underwent transurethral resection. Edematous and erythematous mucosa was noted on the posterior wall. The pathological findings showed significant inflammatory cell infiltration, and urothelial carcinoma was ruled out. Abdominal CT post-surgery revealed multiple diverticula in the sigmoid colon and bladder wall thickening, indicating the presence of a fistula. Although colonoscopy and cystography did not show any fistula, the patient developed a penile cavernosal abscess approximately 40 days post-transurethral resection. Emergency penile incision and subcutaneous drainage were performed, followed by laparoscopic sigmoid colectomy after inflammation improved. A complete cure was achieved with continued antibiotic therapy for 5 weeks.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>To our knowledge, this is the first report of a penile cavernous abscess associated with a sigmoid colovesical fistula definitively treated by drainage and colectomy.</p>\u0000 </section>\u0000 </div>","PeriodicalId":52909,"journal":{"name":"IJU Case Reports","volume":"8 3","pages":"240-243"},"PeriodicalIF":0.0,"publicationDate":"2025-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/iju5.70015","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143914712","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}

引用次数: 0

Adverse Outcome of a Solitary Fibrous Tumor Originating in the Bladder 起源于膀胱的单发纤维性肿瘤的不良后果

IJU Case Reports Pub Date : 2025-03-11 DOI: 10.1002/iju5.70013

Takato Nishino, Masaki Shimbo, Eri Fukagawa, Kazutaka Narimoto, Jun Hashimoto, Shin Ogita, Naoki Kanomata, Kazunori Hattori, Fumiyasu Endo

{"title":"Adverse Outcome of a Solitary Fibrous Tumor Originating in the Bladder","authors":"Takato Nishino, Masaki Shimbo, Eri Fukagawa, Kazutaka Narimoto, Jun Hashimoto, Shin Ogita, Naoki Kanomata, Kazunori Hattori, Fumiyasu Endo","doi":"10.1002/iju5.70013","DOIUrl":"https://doi.org/10.1002/iju5.70013","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Solitary fibrous tumors originating in the bladder are extremely rare. While generally associated with favorable outcomes, some show invasive behavior. We report a case of a solitary fibrous tumor originating in the bladder that was treated with multimodal therapy.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Case Presentation</h3>\u0000 \u0000 <p>A 68-year-old male presented with urinary retention. Imaging revealed a well-defined 6.0 cm mass compressing the prostate. A biopsy suggested stromal sarcoma. Robot-assisted cystoprostatectomy was performed. Pathological examination revealed a solitary fibrous tumor originating from the bladder invading the prostate. Despite negative margins, lung nodules and a pelvic mass appeared 43 months postoperatively. Initially, these were treated with pazopanib, followed by doxorubicin and eribulin due to disease progression. The patient eventually transitioned to palliative care and passed away 69 months after diagnosis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>There are no effective systemic treatments for solitary fibrous tumors, which can lead to poor outcomes. Individualized treatment approaches are necessary.</p>\u0000 </section>\u0000 </div>","PeriodicalId":52909,"journal":{"name":"IJU Case Reports","volume":"8 3","pages":"231-235"},"PeriodicalIF":0.0,"publicationDate":"2025-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/iju5.70013","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143914685","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}

引用次数: 0

Pembrolizumab Plus Lenvatinib for Metastatic Renal Cell Carcinoma in a Patient on Hemodialysis Pembrolizumab联合Lenvatinib治疗血液透析患者的转移性肾细胞癌

IJU Case Reports Pub Date : 2025-03-09 DOI: 10.1002/iju5.70011

Shimpei Yamashita, Hiroki Kawabata, Yuya Iwahashi, Satoshi Muraoka, Takahito Wakamiya, Fumiyoshi Kojima, Yasuo Kohjimoto, Shin-ichi Murata, Isao Hara

{"title":"Pembrolizumab Plus Lenvatinib for Metastatic Renal Cell Carcinoma in a Patient on Hemodialysis","authors":"Shimpei Yamashita, Hiroki Kawabata, Yuya Iwahashi, Satoshi Muraoka, Takahito Wakamiya, Fumiyoshi Kojima, Yasuo Kohjimoto, Shin-ichi Murata, Isao Hara","doi":"10.1002/iju5.70011","DOIUrl":"https://doi.org/10.1002/iju5.70011","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>There is no clear evidence of the safety and efficacy of pembrolizumab plus lenvatinib combination therapy in patients on hemodialysis. This is the first report of a patient on hemodialysis to receive this combination therapy for metastatic renal cell carcinoma.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Case Presentation</h3>\u0000 \u0000 <p>A 60-year-old man on hemodialysis had cT3bN1M0 unclassified renal cell carcinoma. He received the combination therapy of pembrolizumab plus lenvatinib. Although the dose of lenvatinib was halved to 10 mg/day due to Grade 3 thrombocytopenia, 6 months later, the volumes of the primary lesion and lymph node metastasis were remarkably reduced.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Our case report suggests the feasibility of the combination therapy of pembrolizumab plus lenvatinib for patients with metastatic renal cell carcinoma who are undergoing hemodialysis.</p>\u0000 </section>\u0000 </div>","PeriodicalId":52909,"journal":{"name":"IJU Case Reports","volume":"8 3","pages":"223-226"},"PeriodicalIF":0.0,"publicationDate":"2025-03-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/iju5.70011","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143914645","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}

引用次数: 0

Efficacy of prostatectomy using a Retzius-sparing approach as an additional excision in anal canal carcinoma after brachytherapy for prostate adenocarcinoma 前列腺腺癌近距离放射治疗后，采用保留 Retzius 的前列腺切除术作为肛管癌的附加切除术的疗效

IJU Case Reports Pub Date : 2025-03-02 DOI: 10.1002/iju5.70003

Takahiro Yanase, Taku Naiki, Aya Naiki-Ito, Ryosei Okawa, Sosuke Niwa, Nobuhiko Shimizu, Shuzo Hamamoto, Yoshiaki Fujii, Hiroki Takahashi, Takahiro Yasui

{"title":"Efficacy of prostatectomy using a Retzius-sparing approach as an additional excision in anal canal carcinoma after brachytherapy for prostate adenocarcinoma","authors":"Takahiro Yanase, Taku Naiki, Aya Naiki-Ito, Ryosei Okawa, Sosuke Niwa, Nobuhiko Shimizu, Shuzo Hamamoto, Yoshiaki Fujii, Hiroki Takahashi, Takahiro Yasui","doi":"10.1002/iju5.70003","DOIUrl":"https://doi.org/10.1002/iju5.70003","url":null,"abstract":"<div>\u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Standard treatments for squamous cell carcinoma of the anal canal include chemoradiotherapy and surgical resection. We report a rare case of squamous cell carcinoma of the anal canal with prostate invasion treated with curative surgical methods using a Retzius-sparing robot-assisted approach.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Case presentation</h3>\u0000 \u0000 <p>A 76-year-old male had undergone brachytherapy for prostate adenocarcinoma (cT2aN0M0). Nine years later, the patient was diagnosed with anal canal carcinoma (cT2N0M0) following the onset of anal pain. During a robot-assisted abdominoperineal resection, prostate invasion was suspected and a prostatectomy was performed as an additional excision of the prostate using a Retzius-sparing approach. Although an anastomotic leak was observed postoperatively, it was conservatively managed with bilateral ureteral stent placement. The patient remained recurrence-free after surgery.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>A Retzius-sparing robot-assisted approach in radical prostatectomy may be a safe and feasible option for cases of anal canal carcinoma with suspected prostate invasion.</p>\u0000 </section>\u0000 </div>","PeriodicalId":52909,"journal":{"name":"IJU Case Reports","volume":"8 2","pages":"174-178"},"PeriodicalIF":0.0,"publicationDate":"2025-03-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/iju5.70003","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143530341","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}

引用次数: 0

Bladder Pain Syndrome With Repeated Bladder Hydrodistention—A Case of Functional Somatic Syndrome Considered in Relation to Alexithymia 膀胱疼痛综合征伴反复膀胱水肿-与述情障碍相关的功能性躯体综合征1例

IJU Case Reports Pub Date : 2025-02-24 DOI: 10.1002/iju5.70007

Naoki Wada, Tsubasa Hatakeyama, Taichiro Ishimaru, Ryoken Tsunekawa, Kotona Miyauchi, Daiki Kikuchi, Takeya Kitta, Masaki Watanabe

{"title":"Bladder Pain Syndrome With Repeated Bladder Hydrodistention—A Case of Functional Somatic Syndrome Considered in Relation to Alexithymia","authors":"Naoki Wada, Tsubasa Hatakeyama, Taichiro Ishimaru, Ryoken Tsunekawa, Kotona Miyauchi, Daiki Kikuchi, Takeya Kitta, Masaki Watanabe","doi":"10.1002/iju5.70007","DOIUrl":"https://doi.org/10.1002/iju5.70007","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>We present a patient with bladder pain syndrome (BPS) who underwent repeated bladder hydrodistentions.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Case Presentation</h3>\u0000 \u0000 <p>A female patient visited our department because of refractory bladder pain. She was diagnosed with BPS; she had only mucosal bleeding after distention. Her bladder pain improved after hydrodistention; however, the symptoms flared up within a few months. She also consulted with the palliative care department and was diagnosed with chronic pain associated with alexithymia. Various drugs were administered; however, none were effective or continued because of side effects. It was also challenging for her to embrace introspective counseling. Ultimately, along with her strong desire, the hydrodistention continued every few months. Her bladder capacity was approximately 200 mL.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>BPS with uncontrolled bladder pain may be a functional somatic syndrome associated with alexithymia, and interventions such as psychosomatic medicine could be necessary from the early stage.</p>\u0000 </section>\u0000 </div>","PeriodicalId":52909,"journal":{"name":"IJU Case Reports","volume":"8 3","pages":"210-213"},"PeriodicalIF":0.0,"publicationDate":"2025-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/iju5.70007","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143914753","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}

引用次数: 0