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Urology Case Reports

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https://www.readbyqxmd.com/read/28932694/bladder-melanosis-with-concurrent-urothelial-carcinoma
#1
Susanna E Yau, Eric J Singer, Yue Sun, Michael H Johnson
No abstract text is available yet for this article.
November 2017: Urology Case Reports
https://www.readbyqxmd.com/read/28932693/primary-malignant-urethral-melanoma-resembling-a-urethral-caruncle
#2
Ali Safadi, Sergio Schwalb, Inbar Ben-Shachar, Ran Katz
No abstract text is available yet for this article.
November 2017: Urology Case Reports
https://www.readbyqxmd.com/read/28932692/patient-with-antiphospholipid-syndrome-presenting-with-testicular-torsion-like-symptoms
#3
Arnav Srivastava, Joan Ko, Joy Ogunsile, Alison Moliterno, William H Westra, Alice Semerjian
Testicular torsion, a urological emergency, occurs due to absence of testicular blood supply secondary to a mechanical twist of the spermatic cord. The authors describe a 28-year-old male who presented with torsion symptoms, first in the left testicle and four months later in the right testicle. Doppler ultrasound and surgical exploration revealed disruption of blood flow but no evidence of spermatic cord twisting. Additionally, physical examination findings at the time of presentation were inconsistent with testicular torsion...
November 2017: Urology Case Reports
https://www.readbyqxmd.com/read/28932691/percutaneous-nephrolithotomy-ileal-conduit-lithotripsy-and-litholapaxy-for-a-neglected-encrusted-ureteral-stent
#4
Andrés Gutierrez, Julián Chavarriaga, María A Ocampo, Carlos Hernandez
Urolithiasis can result as a complication of urinary diversión, favored by urinary stasis, intestinal mucus, urinary tract bacteriuria, the metabolic derangements and the presence of foreign bodies. We present a 52- year-old male who underwent radical cystectomy with construction of a Bricker uretero-ileostomy. 5 years later he was found with a forgotten ureteral stent, a 6 cm calculi occupying the whole ileal conduit and a 13 mm calculi in the left renal pelvis. We present our experience in the successful endourological management of an encrusted neglected ureteral stent in an ileal conduit, achieving a stone-free status without complications...
November 2017: Urology Case Reports
https://www.readbyqxmd.com/read/28932690/a-case-of-metastatic-collecting-duct-carcinoma-whose-massive-skull-bone-metastasis-was-prominently-reossified-by-gemcitabine-plus-cisplatin-chemotherapy-combined-with-zoledronic-acid
#5
Makoto Kawaguchi, Keiichi Ito, Hideyuki Shimazaki, Tomohiko Asano
The present case underwent right laparoscopic radical nephrectomy for collecting duct carcinoma (CDC). Recurrence occurred in the lung and the bone (skull and lumber vertebra) in 2011. Gemcitabine plus cisplatin (GC) chemotherapy and monthly zoledronic acid (ZA) was then started. The massive skull bone metastases were prominently reossified after several courses of the therapy. The patient received 16 courses of GC chemotherapy and monthly ZA, and pulmonary metastases and reossified skull bone metastases were stable for 23 months...
November 2017: Urology Case Reports
https://www.readbyqxmd.com/read/28932689/successful-treatment-with-paclitaxel-carboplatin-and-gemcitabine-as-second-line-chemotherapy-for-recurrent-urothelial-carcinoma-of-the-bladder-with-glandular-differentiation-after-radical-cystectomy-a-case-report
#6
Hiroki Fukuhara, Hiroshi Kakizaki, Hisashi Kaneko, Takuya Yamanobe, Masaki Ushijima, Yuya Kuboki, Norihiko Tsuchiya
Urothelial carcinoma of the bladder (UCB) with glandular differentiation is a histological variant (HV) that is more likely to have positive extravesical tumors or nodes than those in pure UCB. Cisplatin-based neoadjuvant chemotherapy (NAC) prior to radical cystectomy (RC) is more effective for pure UCB; however, few reports are available on second-line chemotherapy for recurrence of UCB with HV. Here we report a 65-year-old Japanese male diagnosed with local recurrence UCB with HV after NAC + RC who safely achieved complete response with paclitaxel, carboplatin, and gemcitabine combination chemotherapy...
November 2017: Urology Case Reports
https://www.readbyqxmd.com/read/28924559/fire-in-the-operating-room-during-hypospadias-repair
#7
Alessandro Boscarelli, Simone Frediani, Silvia Ceccanti, Alice Cervellone, Maria Vittoria Pesce, Denis A Cozzi
Fire in the operating room (OR) is a very distressful and shocking occurrence with potential dramatic consequences. Despite safety rules and rigorous recommendations, such unintentional events do occur every so often. Notably, the vast majority of cases have been reported in the adult population, with very few pediatric cases described to date. Herein, we report on a 16-month-old boy undergoing reconstructive surgery for penoscrotal hypospadias, who experienced an OR fire most likely related to the use of alcohol-based solution ignited by monopolar electrocautery...
November 2017: Urology Case Reports
https://www.readbyqxmd.com/read/28879095/unilateral-complete-agenesis-of-mesonephric-duct-derivatives-in-an-82-year-old-male-cadaver-embryology-anatomy-and-clinical-considerations
#8
David G Darcy, Morgen Yao-Cohen, Todd R Olson, Sherry A Downie
Development of urogenital anatomy in the human fetus is the result of a complex interplay between multiple different tissues. The time course of development is well documented and the morphologic outcomes of insults at various time points during development are predictable. We present a cadaveric case of unilateral agenesis of the left kidney, ureter, bladder hemitrigone, ureteric opening, seminal vesicle, vas deferens, and epididymis. Failure of development of the mesonephric duct early during embryogenesis, likely between the third and fifth week, caused ipsilateral urogenital organ agenesis...
November 2017: Urology Case Reports
https://www.readbyqxmd.com/read/28856106/management-and-excision-of-a-15%C3%A2-cm-paratesticular-angiolipoma
#9
Arnav Srivastava, Natasha Gupta, Gregory A Joice, E James Wright
Paratesticular tumors are rare and often benign causes of scrotal masses. Intrascrotal angiolipomas are an uncommon paratesticular tumor that has seldom been reported in the literature. This report describes a 77 year old man who presented with a 15 cm extratesticular mass. The mass was removed due to increasing discomfort and specimen pathology confirmed it as an angiolipoma. This case highlights the feasibility of conservative management for slow growing masses, such as angiolipomas.
November 2017: Urology Case Reports
https://www.readbyqxmd.com/read/28856105/a-case-of-compartment-syndrome-in-the-scrotum-and-inguinal-area-complicating-idiopathic-nephrotic-syndrome-of-childhood
#10
Rola S Saqan, Rami S Alazab, Mohammed Allouh
Idiopathic nephrotic syndrome (INS) is a kidney disease characterized by massive proteinuria. Protein loss leads to decreased oncotic pressure shifting the fluids into the interstitial space causing edema, complications such as infections and thromboembolism occur. We report a 7-year-old, diagnosed with NS presenting with a relapse. He developed ascites and scrotal edema followed by severe scrotal pain and redness, progressing rapidly to ecchymosis in the inguinal areas not in continuity with the scrotum. Ultrasound with color Doppler was inconclusive, scrotal exploration was done along with skin incision in the inguinal areas and scrotum, which appeared to relieve the condition rapidly...
November 2017: Urology Case Reports
https://www.readbyqxmd.com/read/28856104/development-of-a-large-pelvic-sperm-granuloma-status-post-radical-prostatectomy-a-case-report
#11
Christopher Miller, R Caleb Kovell
A 72 year old male developed severe obstructive voiding symptoms status post radical prostatectomy. Imaging showed a large pelvic mass causing mass effect on the bladder that ultimately proved to be a sperm granuloma. To the best of our knowledge the development of sperm granuloma post-prostatectomy has not been previously reported.
November 2017: Urology Case Reports
https://www.readbyqxmd.com/read/28815168/retro-ureteral-small-bowel-herniation-after-radical-cystectomy
#12
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
#13
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
#14
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
#15
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
#16
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
#17
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
#18
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
#19
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
#20
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
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