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Urology Case Reports

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https://www.readbyqxmd.com/read/28417078/local-excision-for-the-treatment-of-penile-verrucous-carcinoma
#1
Dong In Jo, Sang Kyu Choi, Soon Heum Kim, Cheol Keun Kim, Hong Chung, Hong Sup Kim
Penile verrucous carcinoma is known for its favorable biologic behavior and lack of metastatic potential. For preservation of function, treatment has been focused on partial penectomy. Despite partial penectomy for preservation of minimal functional and aesthetic aspects, patients have experienced psychosexual problems. A 73-year-old man had a cauliflower-like verrucous carcinoma on the penile glans and coronary sulcus diagnosed by using excisional biopsy. He underwent degloving excision to save the penile shaft and glans penis...
July 2017: Urology Case Reports
https://www.readbyqxmd.com/read/28417077/direct-extension-of-prostatic-adenocarcinoma-protruding-through-the-urethral-meatus
#2
Hasan Jhaveri, Kristen Combs, Faiyaaz Jhaveri
Prostate cancer involving the anterior urethra is rare with few cases describing isolated recurrence to the anterior urethra. This case describes a patient with a history of metastatic prostate cancer who subsequently developed advanced prostate cancer involving the entire urethra with extension from the prostatic urethra to the urethral meatus. This will help future healthcare providers recognize this metastatic pattern as a possibility and explore this option when presented with a bleeding mass at the urethral meatus of unknown origin...
July 2017: Urology Case Reports
https://www.readbyqxmd.com/read/28417076/the-case-of-huge-pure-lipoma-of-the-spermatic-cord-misdiagnosed-as-inguinal-hernia
#3
Dong In Jo, Sang Kyu Choi, Soon Heum Kim, Cheol Keun Kim, Hong Chung, Hong Sup Kim
Clinically, pure spermatic-cord lipoma has not been recognized as a disease entity but regarded as an incidental finding at the time of hernia repair, because it presents groin symptoms and clinical findings indistinguishable from those of inguinal hernia. We report the successful treatment of case of huge pure spermatic-cord lipoma originally misdiagnosed as inguinal hernia. The patients had tumor excision without orchiectomy. Symptoms improved without any complication. In patients with inguinal hernia symptoms, pure spermatic-cord lipoma should be recognized as a significant clinical entity, and differential diagnosis should be achieved using ultrasonography and computed tomography to avoid unnecessary hernia repair...
July 2017: Urology Case Reports
https://www.readbyqxmd.com/read/28417075/giant-ureteral-fibroepithelial-polyp-with-intermittent-prolapse-reaching-the-urethral-meatus-a-case-report
#4
Mohamad El-Haress, Wael Ghandour, Marwan Bahmad, Najla Fakhruddin, Hussein Fawaz, Hisham Bahmad
Ureteral fibroepithelial polyps (UFPs) are rare non-epithelial benign tumors of the urinary tract. Treatment of such cases ranges from conservative management to surgical resection of the polyp. Hereby, we present a rare case of a 37-year-old female patient with giant 14 cm UFP of the distal left ureter, successfully resected by ureteroscopic electrocauterization. Several cases of UFPs have been previously reported in world literature describing polyps extending into the bladder; yet, our case is the first to present a giant UFP that extends beyond the bladder cavity protruding outside the urethral meatus as a red fleshy mass...
July 2017: Urology Case Reports
https://www.readbyqxmd.com/read/28417074/renal-leiomyoma-a-case-report-and-review-of-the-literature
#5
Noppadol Larbcharoensub, Vorasit Limprasert, Duangjai Pangpunyakulchai, Suda Sanpaphant, Cholatip Wiratkapun, Kittinut Kijvikai
Leiomyoma is an uncommon tumor of the kidney. The authors report a rare case of renal leiomyoma in a 39-year-old male patient who presented with a right flank mass. Laparoscopic nephrectomy was performed. The histopathology and immunohistochemistry confirm the diagnosis of renal leiomyoma. The review of literature in the clinicoradiopathological correlation was illustrated.
July 2017: Urology Case Reports
https://www.readbyqxmd.com/read/28417073/primary-amyloidosis-of-the-urinary-bladder-a-case-report
#6
Liwen Zhao, Lu Jin, Jing Quan, Xiang Pan, Lijun Zhou, Jian Peng, Zebo Chen, Shangqi Yang, Xiangming Mao, Yongqing Lai
Primary amyloidosis of the urinary bladder is a rare disease, with only approximately 200 cases reported in the literature. We herein present a case of amyloidosis of the urinary bladder with painful gross hematuria. Pelvic Computed Tomography showed uneven thickening of the bladder wall suspicious of neoplastic lesion. Cystoscopy and transurethral resection were performed. Congo-red staining confirmed amyloidosis it was. Postoperative recovery was good and close follow-up was recommended after discharged. Amyloidosis is usually benign, while it can masquerade as a malignancy...
July 2017: Urology Case Reports
https://www.readbyqxmd.com/read/28409121/penile-preservation-with-subcutaneous-transposition-during-fournier-s-gangrene
#7
Matthew T Smith, John N Graham, Eric B Levy, Kola Olugbade, Viktor Flores, Curran Emeruwa, Shachar Shimonovich, Valery Roudnitsky, Andrew G Winer
A 50-year-old male with past medical history of diabetes mellitus presented with extensive Fournier's Gangrene. He had a wide-spread area of involvement and the wound vacuum placement involved the entirety of the phallus. We describe a surgical technique where the penis can be diverted from the site of the wound to allow for more secure wound vacuum placement and future reconstructive options.
May 2017: Urology Case Reports
https://www.readbyqxmd.com/read/28409120/sunitinib-enables-a-clinical-and-pathological-complete-remission-of-metastatic-renal-cell-carcinoma-mrcc
#8
Bo Peng, Jin Gong
Renal cell carcinoma (RCC) is the most common renal cancer, and has a poor prognosis in individuals with metastases (mRCC). In this report, we describe a 48-year-old woman with unresectable multiple liver metastases and a colonic metastasis of RCC who was treated with sunitinib in combination with hepatic microwave ablation and obtained a clinical and pathological complete remission. We consider that sunitinib combined with microwave ablation can prevent unresectable hepatic metastases of RCC from evolving, and that sunitinib alone can achieve clinical and pathological remission in patients with colonic metastasis of RCC...
May 2017: Urology Case Reports
https://www.readbyqxmd.com/read/28377892/innumerable-condyloma-acuminatum-tumors-of-the-bladder
#9
Alexandra J Murray, Trinity J Bivalacqua, Nikolai A Sopko
Condylomata acuminata caused by human papillomavirus (HPV), a sexually transmitted virus, are rarely seen beyond the external genitalia and anal region. Here, a patient with innumerable condyloma acuminatum of the bladder is presented. Attempted surgical resection was performed and intraoperative photographs are presented.
May 2017: Urology Case Reports
https://www.readbyqxmd.com/read/28377891/spontaneous-bladder-rupture-masquerading-as-pseudo-diverticulum
#10
M Raghavendran, Kiran G Kumar, A Venugopal, Shiva Prasad, H A Venkatesh
Spontaneous bladder rupture is rare. Presentation is non-specific and in absence of history of trauma, radiation, inflammatory conditions and other leading causes, there is considerable diagnostic delay. Absence of clear cut diagnostic signs leads to increased morbidity and mortality. In many patients, omentum seals perforation, giving diverticular appearance in Cystogram. The objective of this case report is to highlight important specific diagnostic points in history and radiology which will help in clear, early diagnosis and treatment causing immense benefit to the patient...
May 2017: Urology Case Reports
https://www.readbyqxmd.com/read/28377890/a-case-report-of-priapism-with-unusual-presentation-and-clinical-course
#11
Wenjie Zhong, Hamesh Jina, Prem Rathore, Eddy Lee Hao Wong, Pascal Mancuso, Nestor Lalak, Lawrence Hayden, Kayvan Haghighi
This is a case report on a patient with an unusual presentation and clinical course of priapism. It further discusses treatment options with reflection on current literatures and guidelines. 48 year old patient presented with a history of more than 50 episodes of priapism, each lasting for five minutes. Patient had history of brain tumor that was resected and had since been in remission. On examination and further biochemistry assessment revealed conflicting clinical findings, making it difficult to ascertain the type of priapism in this case...
May 2017: Urology Case Reports
https://www.readbyqxmd.com/read/28373961/pancake-kidney-with-obstructed-moiety-a-rare-renal-fusion-anomaly
#12
Julio Slongo, Lucas R Wiegand
Renal fusion abnormalities are rare. Even more rare is pancake kidney. We present a case of a 28-year-old male with symptomatic obstruction of a non-functioning moiety of a pancake kidney. He underwent ureterectomy with a finding of only atretic renal parenchyma at exploration. He recovered well and had resolution of his pain at 3-month follow-up.
May 2017: Urology Case Reports
https://www.readbyqxmd.com/read/28373960/three-dimensional-volume-rendering-of-entrapped-malecot-nephrostomy-catheter-by-granulation-tissue
#13
Toru Sugihara, Akira Ishikawa, Takeshi Takamoto, Yoshitaka Kinoshita, Tetsuji Minami, Yukio Yamada, Yukio Homma, Masatoshi Makuuchi
An 87-year-old man undergoing radical cystectomy and bilateral nephrostomy visited our hospital 19 days postoperatively because of a lack of urine flow from the left 14-Fr Malecot nephrostomy catheter. The catheter was apparently firmly anchored to the kidney, and an attempt to reposition the catheter failed. Three-dimensional computed tomography volume rendering indicated a deformity of the left catheter compared with the right, implying that something was lodged in the Malecot flanges. Surgical removal of the catheter 2 days later revealed granulation tissue overbridging the Malecot wings...
May 2017: Urology Case Reports
https://www.readbyqxmd.com/read/28373959/penile-erosion-in-a-paraplegic-man-with-indwelling-urinary-catheter-and-scrotal-edema
#14
Ashley Young, Ryan Mitacek
The chronic use of urinary indwelling catheters is a common practice in the setting of long-term patient care and is associated with numerous complications. More awareness about urogenital trauma from urinary catheterization is needed, as it is as common as symptomatic urinary tract infections. There are a number of preventable measures that can be taken to decrease the risk of mechanical trauma to the urethra and glans penis caused by chronic catheterization. We present a case of a 27-year old paraplegic male needing a chronic indwelling catheter that acquired ventral penile erosion while being cared for in the ICU setting...
May 2017: Urology Case Reports
https://www.readbyqxmd.com/read/28367409/angiomyolipoma-of-the-adrenal-gland-a-case-presentation-and-a-review-of-adrenal-lipomatous-tumors
#15
Ali Antar, Alexander Boyle, Trushar Patel
Angiomyolipoma (AML) is a typically benign renal tumor derived from mesenchymal tissue. Extrarenal occurrences of AML are possible, but the adrenals are an exceedingly rare site. To date, a total of 4 cases of adrenal AML have been documented in the English literature.(1-3) We present a case of right-sided adrenal AML found in a patient who initially presented with right-sided flank pain. Differential diagnosis of adrenal masses should include lipomatous tumors, as operative considerations and prognoses can be drastically altered...
May 2017: Urology Case Reports
https://www.readbyqxmd.com/read/28367408/robotic-assisted-laparoscopic-partial-cystectomy-as-treatment-for-pseudosarcomatous-fibromyxoid-tumor-of-the-bladder
#16
Ali Antar, Alexander Boyle, Jorge L Lockhart, Trushar Patel
This case is of a 26 year old female evaluated for gross hematuria and suprapubic pain found to have a large bladder tumor. She subsequently underwent successful robotic assisted laparoscopic partial cystectomy. Pathology revealed pseudosarcomatous fibromyxoid tumor, an uncommon lesion that occurs most frequently among young females and must be distinguished from other malignant lesions, as treatment may differ. Partial cystectomy via robotic approach has never been described in the literature as a treatment option for this type of bladder lesion...
May 2017: Urology Case Reports
https://www.readbyqxmd.com/read/28352517/hidden-renal-artery-pseudoaneurysm-the-need-for-repeat-angiographic-intervention-in-a-symptomatic-patient
#17
Ankur Doshi, Madeleine G Manka, Christian Pavlovich, Martin Auster
Renal artery pseudoaneurysm (RAP) is a well-known and life-threatening complication of partial nephrectomies. Angioembolization is the preferred intervention, allowing for visualization, diagnosis, and treatment in 96% of cases. We report a case of a pseudoaneurysm that was difficult to diagnose even with optimal technique, requiring repeat imaging and additional angiographic intervention. Our case shows that RAP after partial nephrectomies may be difficult to diagnose even with high suspicion and appropriate technique...
May 2017: Urology Case Reports
https://www.readbyqxmd.com/read/28337414/pheochromocytoma-with-negative-metanephrines-a-rarity-and-the-significance-of-dopamine-secreting-tumors
#18
Michael Bozin, Alastair Lamb, Lydia Johns Putra
We describe a case of a 25-year-old female with a dopamine secreting PPGL diagnosed retrospectively with biochemical analysis. This finding resulted in change in approach to investigation and management, given their important clinical implications. There are important differences in management of dopamine secreting PPGL compared to classical noradrenaline and adrenaline-secreting PPGL. This includes the risk of peri-operative cardiovascular collapse peri-operatively with alpha/beta blockade, risk of malignancy/recurrence, and associated genetic abnormalities...
May 2017: Urology Case Reports
https://www.readbyqxmd.com/read/28331810/juvenile-granulosa-cell-tumor-of-the-testicle-report-of-a-neonatal-case-with-positive-alpha-fetoprotein-immunohistochemical-staining
#19
Melissa Dundas, Mark Horowitz, Richard Sidlow
We report on a case of juvenile granulosa cell tumor of the testicle in a neonate, a rare testicular tumor in children. No genital ambiguity, anatomic abnormalities, nor sex chromosome aneuploidy was noted in this patient. In our case, despite positive staining for alpha-fetoprotein which is most consistent with yolk sac tumors, all clinical, gross anatomic, histologic, and other immunohistologic characteristics of the tumor remained consistent with the diagnosis of juvenile granulosa cell tumor. The alpha-fetoprotein positivity of the tumor remains unexplained...
May 2017: Urology Case Reports
https://www.readbyqxmd.com/read/28331809/persistent-mullerian-duct-syndrome-presenting-in-an-incarcerated-recurrent-inguinal-hernia-with-hydrocele
#20
Lauren Pulido, Gosta Iwasiuk, Michael Sparkuhl, Dang Bui, Haley Springs
Hernia uteri inguinalis (HUI) is one of the rarest causes of male pseudo-hermaphroditism worldwide. We report the case of a 49-year-old male with discovery of this anomaly during inguinal hernia repair. A 49-year-old man presented to the clinic for recurrent inguinal hernia with enlarging left scrotum consistent with hydrocele on imaging. Upon exploration of the left groin, the left testis was pulled up into the abdomen, revealing a uterus, fallopian tube, and a second atrophic testis. Despite the rarity of HUI, the differential diagnosis for inguinal hernia with associated cryptorchidism and/or hydrocele should include this rare form of pseudohermaphroditism...
May 2017: Urology Case Reports
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