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Urology Case Reports

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https://www.readbyqxmd.com/read/28815168/retro-ureteral-small-bowel-herniation-after-radical-cystectomy
#1
Abbey L Cole-Clark, Dane W Cole-Clark, Matthew Winter, Venu Chalasani, Philip Bergersen
Small bowel obstruction caused by internal herniation under ureteric bands is a rare occurrence. Only 6 previous cases have been documented. This case report reviews the case of a 79-year-old male who presented to emergency with abdominal pain requiring subsequent laparotomy and release of internal herniation of bowel under ureter.
November 2017: Urology Case Reports
https://www.readbyqxmd.com/read/28808621/von-brunn-s-nests-and-follicular-cystitis-following-intradetrusor-onabotulinumtoxina-injections-for-overactive-bladder
#2
Silpa Nekkanti, Andrew Doering, Debra L Zynger, Andrew F Hundley
A 67-year-old female with refractory OAB was treated with intradetrusor Botox. She subsequently developed multiple papillary bladder lesions with tissue biopsy showing Von Brunn's nests. Von Brunn's nests are benign bladder lesions similar in appearance to a rare urothelial tumor called Nested Variant of Urothelial Carcinoma (NVUC). It is critical that patients with these findings undergo evaluation to rule out the presence of carcinoma. This finding suggests the possibility of a previously unreported adverse reaction in association with intradetrusor Botox...
September 2017: Urology Case Reports
https://www.readbyqxmd.com/read/28791220/failure-of-the-inflatable-penile-prosthesis-due-to-abnormal-folding-of-a-low-profile-reservoir-a-selected-case-from-an-overall-series-and-systematic-review
#3
Roberto Alejandro Navarrete, Tao Cui, Culley Carson, Ryan Terlecki
We present a case from a running series of inflatable penile prosthesis failure due to improper folding of the Conceal™ reservoir. The Conceal™ Low-Profile reservoir gained popularity due to claims of improved cosmesis and ease of implantation. As the number of patients receiving this and other low-profile reservoirs increases, it is imperative to review and document any novel complications. While the Conceal™ reservoir may be preferred in ectopic placement, it may be more prone to fluid lockout facilitated by conformational change...
September 2017: Urology Case Reports
https://www.readbyqxmd.com/read/28791219/bilateral-malignant-mesothelioma-of-tunica-vaginalis-a-case-report-on-rare-presentation
#4
Ashhad A Shaikh, Kishor V Naik, Shisir N Shetty, Noor N Ansari, Pallavi S Babhale
Malignant mesothelioma involving the para-testicular tunica is extremely rare and an aggressive tumor. Bilateral malignant mesothelioma of the tunica vaginalis is not reported previously in the literature. Rarity of the disease, absence of any specific clinical and radiological findings makes the preoperative diagnosis difficult. Aggressive surgical approach is the key to successful management with high inguinal orchiectomy and scrotectomy appears to be optimal treatment in patients with localized disease.
September 2017: Urology Case Reports
https://www.readbyqxmd.com/read/28752069/hemangioendothelioma-of-the-bladder-the-youngest-case-report-in-a-child
#5
Jupiter Sibarani, Dedi Rachmadi, Tjahjodjati, Nur Atik, Safendra Siregar, Laurina Armella, Sawkar Vijay
Hemangioendothelioma is a vascular tumor that commonly found in soft tissue, lungs, heart, liver, and bones, but it is very rare in bladder. We report a case of pediatric hemangioendothelioma of the bladder in a 2 years 7 months-old boy that treated with total excision of the bladder and bilateral ureterocutaneoustomy. This case is the second case in pediatric patients, and the youngest case that reported in a child. Our patient is doing well post operatively. But unfortunately interferon a-2b is not available in our hospital...
September 2017: Urology Case Reports
https://www.readbyqxmd.com/read/28752068/management-in-neonatal-priapism-case-and-review
#6
Andre Yoichi Kuwano, Alexandre Cavalcante, André Costa-Matos, Ezequiel Fabiane Spanholi, Frederico Mota Mascarenhas de Souza
Neonatal priapism is uncommon and its cause is usually unknown, but it can generate anxiety for the parents and the pediatric team. The treatment in most cases is conservative and no sequelae are described.
September 2017: Urology Case Reports
https://www.readbyqxmd.com/read/28752067/two-stage-urethroplasty-with-buccal-mucosa-for-penoscrotal-hypospadias-reconstruction-in-a-male-with-a-46-xx-karyotype
#7
Pieter D'hulst, Jochen Darras, Steven Joniau, Pieter Mattelaer, Linsey Winne, Diederik Ponette
We present a case regarding a 32-year old African male with penoscrotal hypospadias, left cryptorchidism and a left inguinal hernia. There were moderate masculinization characteristics. He underwent a Lichtenstein hernia repair with perioperative biopsies of the left inguinal testis and epididymis. Microscopic examination showed a Sertoli-only left testis with Leydig-cell hyperplasia and the left epididymis consisted of ovarian tissue with corpora albicantia and maturing follicles. Endocrinological evaluation showed a sex-determining region Y (SRY) negative 46,XX karyotype...
September 2017: Urology Case Reports
https://www.readbyqxmd.com/read/28752066/a-case-of-idiopathic-spontaneous-intratesticular-hemorrhage
#8
Takumi Takeuchi, Yumiko Okuno, Hiroki Tanaka, Koji Mikami
A 21-year-old man presented with acute-onset left lower abdominal pain that had initially developed 8 hours earlier. He was not given any medication including anti-coagulants. He denied trauma. On palpation, the left testis was slightly swollen and showed tenderness. The suspected diagnosis was testicular torsion, and surgical exploration was indicated. On visual inspection, the whole testis was black. The spermatic cord was neither distorted nor black. Testicular torsion could not be completely ruled out; thus, left orchiectomy was performed...
September 2017: Urology Case Reports
https://www.readbyqxmd.com/read/28752065/serous-borderline-tumor-of-the-testis-and-associated-magnetic-resonance-imaging-findings
#9
Alan Hsieh, Mitchell Miller, Wenlei He, David Shin
Serous borderline tumor (SBT) of the testis is a rare, ovarian epithelial-type tumor of the testis. We present a case of SBT after radical orchiectomy in a 59-year-old man who had 3-month progressive enlargement of his right hemi-scrotum, negative testicular tumor markers and scrotal ultrasound equivocal for malignancy. Magnetic resonance imaging (MRI) of the pelvis was obtained to aid with evaluation and showed marked hyperintensity on T2-weighted images with frond-like nodular peripheral enhancement within right testis mass...
September 2017: Urology Case Reports
https://www.readbyqxmd.com/read/28736721/oddities-sporadic-neurofibroma-of-the-urinary-bladder-a-case-report
#10
Ahmed S Zugail, Steeve Benadiba, Sophie Ferlicot, Jacques Irani
Neurofibromas of the urinary bladder are an exceedingly rare entity and are considered mostly in conjunction with the disease of neurofibromatosis type 1. The fortuitous discovery of vesical plexiform neurofibromas without other stigmata of the disease is presented in a 57-year-old male patient. The course of his condition, modalities of investigation and a non-precedent treatment plan are demonstrated.
September 2017: Urology Case Reports
https://www.readbyqxmd.com/read/28721336/post-endovascular-aneurysm-repair-evar-testicular-ischemia-a-rare-complication
#11
Eric Thomas, Brett L Parra, Shonak Patel
Endovascular aneurysm repair (EVAR) is a common modality of treating abdominal aortic aneurysms (AAA). Common complications include endoleak, bleeding, infection, contrast related injuries, and ischemia. We present the case of a patient who experienced a testicular infarction following repair of an infrarenal AAA. We also discuss the implications for this complication and review the available literature for similar cases and treatment options.
September 2017: Urology Case Reports
https://www.readbyqxmd.com/read/28702364/robotic-assisted-common-sheath-ureteroneocystostomy-of-an-injured-ectopic-ureter-diagnosed-in-the-acute-post-operative-setting-after-robotic-assisted-radical-prostatectomy
#12
Matthew Rohloff, Cody Christensen, Thomas Maatman
Radical prostatectomies are one of the most commonly performed operations for the robotic urologist. When a rare anatomic anomaly leads to an unrecognized intraoperative injury, standard postoperative management becomes complicated. We present the case of a patient with an iatrogenic injury to an ectopic ureter that under went a robotic assisted common sheath ureteroneocystostomy three days post robotic assisted radical prostatectomy.
September 2017: Urology Case Reports
https://www.readbyqxmd.com/read/28702363/a-case-of-bacillus-calmette-gu%C3%A3-rin-cystitis-diagnosed-with-a-novel-loop-mediated-isothermal-amplification-method
#13
Kazuyoshi Tachi, Akinori Sato, Yuji Kouzaki, Takuya Maeda, Akihiko Kawana, Tomohiko Asano
Intravesical bacillus Calmette-Guérin (BCG) instillation is broadly used to prevent bladder cancer recurrence or to treat carcinoma in situ. BCG infection is rare but can cause serious problems because this strain has intrinsic resistance to pyrazinamide, a first-line anti-tuberculosis drug. Furthermore, there had been no specific and easy procedure accurately diagnosing BCG infection. In this case report we present the first case of BCG cystitis diagnosed with a newly developed easy-to-use diagnostic procedure using the loop-mediated isothermal amplification method...
September 2017: Urology Case Reports
https://www.readbyqxmd.com/read/28702362/a-unique-case-of-spontaneous-bilateral-renal-subcapsular-urinoma-secondary-to-high-pressure-chronic-retention-of-urine
#14
Neil U Maitra, Ian G Conn
Subcapsular urinomas have been reported in the past as a presenting feature of ureteric or bladder outlet obstruction, generally in children, and often associated with neurogenic bladders. We describe a case of spontaneous asymptomatic bilateral subcapsular urinomas in an adult male with high pressure retention of urine secondary to bladder outlet obstruction. An extensive literature review shows this to be a unique case.
September 2017: Urology Case Reports
https://www.readbyqxmd.com/read/28660133/resolution-of-a-debilitating-paraneoplastic-parkinson-like-neurological-syndrome-following-tyrosine-inhibitor-therapy-and-consolidative-nephrectomy-in-a-patient-with-advanced-clear-cell-renal-cell%C3%A2-carcinoma
#15
Naveed Ali, Alexander Kutikov, Daniel M Geynisman
Paraneoplastic syndromes are commonly encountered in renal cell carcinoma, but neurological manifestations are rare. Herein we report a case of a patient with locally advanced renal cell carcinoma who presented with Parkinson-like symptoms which prohibited surgery due to poor performance status. However, a significant improvement was noted after tyrosine kinase inhibitor therapy, allowing the patient to proceed to curative surgery.
September 2017: Urology Case Reports
https://www.readbyqxmd.com/read/28607879/intravesical-alt-803-for-bcg-unresponsive-bladder-cancer-a-case-report
#16
Jeffrey Huang, John Schisler, Hing C Wong, Charles J Rosser, Joseph Sterbis
The administration of intravesical chemotherapy or BCG often can prolong the progression-free interval after initial transurethral resection in select bladder cancer (BCa) patients. However, 60% of these patients will recur and up to 30% of patients with recurrent BCa will progress and succumb to their disease over a 15 year period, while another 50% will cystectomy in an attempt to control their disease. Thus better therapeutic strategies are needed for patients who have failed intravesical therapy. In this article, we report the treatment of a 91-year-old man with NMIBC with high-risk features that had failed multiple intravesical therapies...
September 2017: Urology Case Reports
https://www.readbyqxmd.com/read/28607878/targeted-prostate-biopsy-using-68-gallium-psma-pet-ct-for-image-guidance
#17
Demetrios N Simopoulos, Shyam Natarajan, Tonye A Jones, Wolfgang P Fendler, Anthony E Sisk, Leonard S Marks
Prostate specific membrane antigen (PSMA) scanning is a sensitive method of prostate cancer detection. In a 71 y.o. man with a PSA of 49 (6%F), 4 negative MRI studies and 6 negative biopsies over an 8 year interval, a (68)Ga-PSMA PET/CT scan showed a PSMA-avid spot in the prostate. Using image fusion technology, the lesion was target-biopsied and Gleason 3 + 4 = 7 (cancer core length of 12 mm) was identified. This case may herald a new application for PSMA scanning and prostate cancer imaging.
September 2017: Urology Case Reports
https://www.readbyqxmd.com/read/28607877/recurrent-kidney-stone-episodes-leading-to-a-diagnosis-of-occult-acromegaly
#18
Julie N Thai, Timothy Y Tran, Oksana Davydov, Mantu Gupta
The association between nephrolithiasis and acromegaly has been previously described. Although the mechanism has been established, the urological literature sparsely discusses clinically suspecting that patients with recurrent nephrolithiasis could have acromegaly and subsequently referring them for accurate diagnosis and treatment. We present a case of occult acromegaly secondary to a pituitary tumor discovered 20 years after the patient's first stone episode.
September 2017: Urology Case Reports
https://www.readbyqxmd.com/read/28607876/chromophobe-renal-cell-carcinoma-and-the-synchronous-presence-of-primary-colon-malignancies-is-there-a-relation
#19
Georgios Sahsamanis, Ilias Katikaridis, Georgios Mikros, Vasileios Tzelepis, Dionysios Pinialidis, Titos Deverakis, Georgios Dimitrakopoulos
While the presence of multiple primary malignancies in the same patient is a well described phenomenon, there is no clear association between various histological subtypes of renal cell carcinoma (RCC) and the synchronous presence of colon malignancies. We present the rare case of an 81-year-old female patient suffering from chromophobe renal cell carcinoma (chRCC) and an angiomyolipoma of her left kidney, synchronous with an adenocarcinoma of the caecum. While there is an established connection between RCC and colon cancer, a literature review is performed to specify this association in regard to chRCC and the synchronous presence of colon malignancies...
September 2017: Urology Case Reports
https://www.readbyqxmd.com/read/28607875/congenital-scaphoid-megalourethra-a-case-report
#20
Kenji Obara, Hiroyuki Yamazaki, Kazutoshi Yamana, Hiroo Kuroki, Yoshihiko Tomita
A congenital megalourethra is an enlargement of the pendulous urethra without evidence of distal obstruction. A 1-month-old boy presented to us with complaint of weak stream, ballooning of the penis before and during voiding and post voiding dribbling, since birth. Physical examination and cystourethroscope confirmed the diagnosis of congenital scaphoid megalourethra. He underwent reduction urethroplasty. During postoperative follow up, he had normal looking penis with good urinary stream.
September 2017: Urology Case Reports
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