Pub Date : 2024-11-01DOI: 10.1016/j.eucr.2024.102874
Peter Galloway , Berni Frost , Avi Raman
As worldwide obesity rates increase the number of patients with an elevated BMI requiring urological surgery will increase. Although obesity has previously been considered a relative contra-indication to laparoscopic surgery, here we present a case of successful laparoscopic nephrectomy performed due to renal cancer in a patient with a BMI >60 kg/m2 together with a review of the associated challenges.
{"title":"Challenges of laparoscopic radical nephrectomy at the upper limits of obesity","authors":"Peter Galloway , Berni Frost , Avi Raman","doi":"10.1016/j.eucr.2024.102874","DOIUrl":"10.1016/j.eucr.2024.102874","url":null,"abstract":"<div><div>As worldwide obesity rates increase the number of patients with an elevated BMI requiring urological surgery will increase. Although obesity has previously been considered a relative contra-indication to laparoscopic surgery, here we present a case of successful laparoscopic nephrectomy performed due to renal cancer in a patient with a BMI >60 kg/m<sup>2</sup> together with a review of the associated challenges.</div></div>","PeriodicalId":38188,"journal":{"name":"Urology Case Reports","volume":"57 ","pages":"Article 102874"},"PeriodicalIF":0.5,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142552723","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}
Reports of hydronephrosis-induced hypertension in pediatric patients are rare. A 7-year-old girl with hypertension was referred to our hospital with left hydronephrosis caused by ureteropelvic junction obstruction of the lower moiety in a partial duplex system. Because the lower moiety was almost nonfunctional, a laparoscopic heminephrectomy was performed. Antihypertensive drugs were unnecessary on the day after surgery. This is the first report of a Page kidney in a patient with ureteropelvic junction obstruction of the lower moiety. The cause of hypertension was evaluated based on the plasma renin activity and pathological findings of the lower moiety.
{"title":"Page kidney in a child with ureteropelvic junction obstruction of lower moiety in a partial duplex system","authors":"Hidenori Nishio , Kentaro Mizuno , Takuya Sakata , Daisuke Matsumoto , Hideyuki Kamisawa , Satoshi Kurokawa , Akihiro Nakane , Tetsuji Maruyama , Takahiro Yasui , Yutaro Hayashi","doi":"10.1016/j.eucr.2024.102880","DOIUrl":"10.1016/j.eucr.2024.102880","url":null,"abstract":"<div><div>Reports of hydronephrosis-induced hypertension in pediatric patients are rare. A 7-year-old girl with hypertension was referred to our hospital with left hydronephrosis caused by ureteropelvic junction obstruction of the lower moiety in a partial duplex system. Because the lower moiety was almost nonfunctional, a laparoscopic heminephrectomy was performed. Antihypertensive drugs were unnecessary on the day after surgery. This is the first report of a Page kidney in a patient with ureteropelvic junction obstruction of the lower moiety. The cause of hypertension was evaluated based on the plasma renin activity and pathological findings of the lower moiety.</div></div>","PeriodicalId":38188,"journal":{"name":"Urology Case Reports","volume":"57 ","pages":"Article 102880"},"PeriodicalIF":0.5,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142663289","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}
Pub Date : 2024-11-01DOI: 10.1016/j.eucr.2024.102742
Hua Jiang
Basal cell carcinoma (BCC) of the prostate is a rare and enigmatic tumor with uncertain biological behavior and treatment modalities. Some studies suggest that BCC exhibits invasive characteristics and a high degree of malignancy, necessitating proactive management and vigilant monitoring. Notably, there is a lack of reported effective treatment utilizing programmed cell death protein-1 (PD-1) inhibitors for advanced BCC of the prostate. This study explores the efficacy of tislelizumab, as a single-agent therapy, in the successful treatment of advanced prostate BCC.
{"title":"Tislelizumab: An effective anti-PD-1 antibody for the treatment of advanced basal cell carcinoma of the prostate","authors":"Hua Jiang","doi":"10.1016/j.eucr.2024.102742","DOIUrl":"10.1016/j.eucr.2024.102742","url":null,"abstract":"<div><div>Basal cell carcinoma (BCC) of the prostate is a rare and enigmatic tumor with uncertain biological behavior and treatment modalities. Some studies suggest that BCC exhibits invasive characteristics and a high degree of malignancy, necessitating proactive management and vigilant monitoring. Notably, there is a lack of reported effective treatment utilizing programmed cell death protein-1 (PD-1) inhibitors for advanced BCC of the prostate. This study explores the efficacy of tislelizumab, as a single-agent therapy, in the successful treatment of advanced prostate BCC.</div></div>","PeriodicalId":38188,"journal":{"name":"Urology Case Reports","volume":"57 ","pages":"Article 102742"},"PeriodicalIF":0.5,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141044059","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}
Pub Date : 2024-11-01DOI: 10.1016/j.eucr.2024.102883
Marwin Anandrati , Vidhi Maini , Armand Asarian , Philip Xiao
We present a case demonstrating metastases of malignant melanoma (MM) to the urinary bladder (UB) and descending colon (DC). With review of literature, it was determined that the metastases of MM to both the urinary bladder and descending colon in a single case is rare in occurrence.
{"title":"Metastasis of malignant melanoma to the urinary bladder & descending colon: A case report and literature review","authors":"Marwin Anandrati , Vidhi Maini , Armand Asarian , Philip Xiao","doi":"10.1016/j.eucr.2024.102883","DOIUrl":"10.1016/j.eucr.2024.102883","url":null,"abstract":"<div><div>We present a case demonstrating metastases of malignant melanoma (MM) to the urinary bladder (UB) and descending colon (DC). With review of literature, it was determined that the metastases of MM to both the urinary bladder and descending colon in a single case is rare in occurrence.</div></div>","PeriodicalId":38188,"journal":{"name":"Urology Case Reports","volume":"57 ","pages":"Article 102883"},"PeriodicalIF":0.5,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142663316","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}
In this report, we present a unique and rare case of an intraoperative anaphylactic shock leading to cardiac arrest during the SpaceOAR Vue™ hydrogel procedure in a 70-year-old patient undergoing External Beam Radiation Therapy (EBRT) for advanced localized prostate cancer. To our knowledge, this is the first urologic case report documenting this adverse reaction associated with the placement of the SpaceOAR Vue product. We discuss the possible culprits, including the hydrogel's polyethylene glycol (PEG) and iodine content, perioperative antibiotics, and local lidocaine anesthetic, and propose relevant considerations for clinicians administering rectal hydrogel spacers.
{"title":"Anaphylactic shock during SpaceOAR Vue hydrogel procedure","authors":"Lauren Nesi , Paramjot Gogia , Aishwarya Navalpakam , Nitin Vaishampayan , Conrad Maitland","doi":"10.1016/j.eucr.2024.102870","DOIUrl":"10.1016/j.eucr.2024.102870","url":null,"abstract":"<div><div>In this report, we present a unique and rare case of an intraoperative anaphylactic shock leading to cardiac arrest during the SpaceOAR Vue™ hydrogel procedure in a 70-year-old patient undergoing External Beam Radiation Therapy (EBRT) for advanced localized prostate cancer. To our knowledge, this is the first urologic case report documenting this adverse reaction associated with the placement of the SpaceOAR Vue product. We discuss the possible culprits, including the hydrogel's polyethylene glycol (PEG) and iodine content, perioperative antibiotics, and local lidocaine anesthetic, and propose relevant considerations for clinicians administering rectal hydrogel spacers.</div></div>","PeriodicalId":38188,"journal":{"name":"Urology Case Reports","volume":"57 ","pages":"Article 102870"},"PeriodicalIF":0.5,"publicationDate":"2024-10-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142537269","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}
Pub Date : 2024-10-16DOI: 10.1016/j.eucr.2024.102871
Alan de Jesus Martinez Salas , Alfredo Valero-Gomez , Aldo Daniel Jimenez Garcia , Iñigo Navarro-Ruesga , Daniel Calvo-Mena , Stefan Zilli-Hernandez
Prostate sarcoma is extremely rare, comprising less than 0.1 % of prostate cancers.
A 61-year-old male presented to the emergency department with urinary retention and hematuria. Upon resolution of urinary retention, abdominal computed tomography showed a giant prostatic tumor, of approximately 1700 cubic centimeters, causing bilateral ureteric obstruction, and invasion of rectum and sigmoid colon. Laparotomy due to bowel obstruction showed peritoneal carcinomatosis. Palliative chemotherapy was initiated; however, he died due to hematological toxicity related to doxorubicin.
Radical surgery is the ideal treatment; in cases of advanced or metastatic disease, adjuvant or palliative chemotherapy or radiotherapy withholds little or no benefit.
{"title":"Giant sarcoma of the prostate stroma: Clinical, radiological and histopathological analysis of a rare prostatic cancer","authors":"Alan de Jesus Martinez Salas , Alfredo Valero-Gomez , Aldo Daniel Jimenez Garcia , Iñigo Navarro-Ruesga , Daniel Calvo-Mena , Stefan Zilli-Hernandez","doi":"10.1016/j.eucr.2024.102871","DOIUrl":"10.1016/j.eucr.2024.102871","url":null,"abstract":"<div><div>Prostate sarcoma is extremely rare, comprising less than 0.1 % of prostate cancers.</div><div>A 61-year-old male presented to the emergency department with urinary retention and hematuria. Upon resolution of urinary retention, abdominal computed tomography showed a giant prostatic tumor, of approximately 1700 cubic centimeters, causing bilateral ureteric obstruction, and invasion of rectum and sigmoid colon. Laparotomy due to bowel obstruction showed peritoneal carcinomatosis. Palliative chemotherapy was initiated; however, he died due to hematological toxicity related to doxorubicin.</div><div>Radical surgery is the ideal treatment; in cases of advanced or metastatic disease, adjuvant or palliative chemotherapy or radiotherapy withholds little or no benefit.</div></div>","PeriodicalId":38188,"journal":{"name":"Urology Case Reports","volume":"57 ","pages":"Article 102871"},"PeriodicalIF":0.5,"publicationDate":"2024-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142533775","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}
Pub Date : 2024-10-11DOI: 10.1016/j.eucr.2024.102869
Salim Lachkar, Mamoun Diouri, Ahmed Ibrahimi, Imad Boualaoui, Hachem El Sayegh, Yassine Nouini
Genitourinary tuberculosis (GUTB) constitutes 20 % of extrapulmonary TB cases, with isolated testicular involvement being rare (2–4%). This case details a 41-year-old male with chronic left scrotal swelling, fistulization, and purulent discharge, ultimately diagnosed with testicular tuberculosis. Diagnostic imaging and histopathology confirmed caseating granulomas and acid-fast bacilli. The patient underwent high inguinal orchidectomy and was treated with a standard four-drug anti-tuberculosis regimen. Postoperative semen analysis revealed persistent azoospermia, indicating permanent fertility impairment. This case underscores the importance of considering GUTB in differential diagnoses of testicular masses, particularly in TB-endemic regions.
{"title":"Isolated testicular tuberculosis: A case report","authors":"Salim Lachkar, Mamoun Diouri, Ahmed Ibrahimi, Imad Boualaoui, Hachem El Sayegh, Yassine Nouini","doi":"10.1016/j.eucr.2024.102869","DOIUrl":"10.1016/j.eucr.2024.102869","url":null,"abstract":"<div><div>Genitourinary tuberculosis (GUTB) constitutes 20 % of extrapulmonary TB cases, with isolated testicular involvement being rare (2–4%). This case details a 41-year-old male with chronic left scrotal swelling, fistulization, and purulent discharge, ultimately diagnosed with testicular tuberculosis. Diagnostic imaging and histopathology confirmed caseating granulomas and acid-fast bacilli. The patient underwent high inguinal orchidectomy and was treated with a standard four-drug anti-tuberculosis regimen. Postoperative semen analysis revealed persistent azoospermia, indicating permanent fertility impairment. This case underscores the importance of considering GUTB in differential diagnoses of testicular masses, particularly in TB-endemic regions.</div></div>","PeriodicalId":38188,"journal":{"name":"Urology Case Reports","volume":"57 ","pages":"Article 102869"},"PeriodicalIF":0.5,"publicationDate":"2024-10-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142446433","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}
Pub Date : 2024-10-09DOI: 10.1016/j.eucr.2024.102867
B.J. Stewart , S.P. McCombie , D. Hayne
Fistulation following radiotherapy for prostate cancer is a rare occurrence that can have devastating consequences and often occurs after instrumentation. We present a 74-year-old male who underwent cystectomy for bilateral thigh fistulation years after radical prostatectomy and salvage radiotherapy for prostate cancer. MRI and CT cystogram confirmed fistulation from the anterior bladder tracking to bilateral thigh collections. Formal urinary diversion was performed with cystectomy and ileal conduit. Pubic or thigh pain, the inability to walk or evidence of local wound infection in someone who has previously had prostate radiotherapy, should alert the clinician to the possible presence of urethral fistulation.
{"title":"Cystectomy for bilateral thigh fistulation after salvage radiotherapy for prostate cancer: A case report","authors":"B.J. Stewart , S.P. McCombie , D. Hayne","doi":"10.1016/j.eucr.2024.102867","DOIUrl":"10.1016/j.eucr.2024.102867","url":null,"abstract":"<div><div>Fistulation following radiotherapy for prostate cancer is a rare occurrence that can have devastating consequences and often occurs after instrumentation. We present a 74-year-old male who underwent cystectomy for bilateral thigh fistulation years after radical prostatectomy and salvage radiotherapy for prostate cancer. MRI and CT cystogram confirmed fistulation from the anterior bladder tracking to bilateral thigh collections. Formal urinary diversion was performed with cystectomy and ileal conduit. Pubic or thigh pain, the inability to walk or evidence of local wound infection in someone who has previously had prostate radiotherapy, should alert the clinician to the possible presence of urethral fistulation.</div></div>","PeriodicalId":38188,"journal":{"name":"Urology Case Reports","volume":"57 ","pages":"Article 102867"},"PeriodicalIF":0.5,"publicationDate":"2024-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142432320","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}
Pub Date : 2024-10-05DOI: 10.1016/j.eucr.2024.102865
Quanlei Wang , Xiyin Ye , Xiaohui Feng , Ting Lin , JingJing Liu , Yongdong Zhu , Yuanzan Zhu , Eddie Cheung , Jingxing Dai , Wanhong Liang , Yuan Liang , Sangui Wang
Renal calculi weighing over 200 g are relative rare in modern urological practice since most stones might cause renal dysfunction before reaching such size. We here reported an extremely rare case of giant stones in single kidney of a 72-year-old Chinese male patient who had 30 years long-term history of lithiasis in the right kidney. These huge kidney stones, total weight 832.6 g were successfully removed with multiple sessions of surgery. Kidney function was relatively stable after long-term medical care in primary care centers. Timely treatment of kidney stones early should arouse more attention worldwide.
{"title":"Successful preservation of functional right kidney with giant stones: A rare Chinese case report with literature review","authors":"Quanlei Wang , Xiyin Ye , Xiaohui Feng , Ting Lin , JingJing Liu , Yongdong Zhu , Yuanzan Zhu , Eddie Cheung , Jingxing Dai , Wanhong Liang , Yuan Liang , Sangui Wang","doi":"10.1016/j.eucr.2024.102865","DOIUrl":"10.1016/j.eucr.2024.102865","url":null,"abstract":"<div><div>Renal calculi weighing over 200 g are relative rare in modern urological practice since most stones might cause renal dysfunction before reaching such size. We here reported an extremely rare case of giant stones in single kidney of a 72-year-old Chinese male patient who had 30 years long-term history of lithiasis in the right kidney. These huge kidney stones, total weight 832.6 g were successfully removed with multiple sessions of surgery. Kidney function was relatively stable after long-term medical care in primary care centers. Timely treatment of kidney stones early should arouse more attention worldwide.</div></div>","PeriodicalId":38188,"journal":{"name":"Urology Case Reports","volume":"57 ","pages":"Article 102865"},"PeriodicalIF":0.5,"publicationDate":"2024-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142424195","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}
Uterine prolapse in virgin females is extremely rare. In this case study, we present a 65-year-old virgin female patient who experienced voiding difficulties and uterine prolapse. She did not have any preexisting medical conditions, and all laboratory tests came back normal. We will discuss the surgical procedure performed, the patient's follow-up course and provide a brief review of the existing literature.
{"title":"Uterine procidentia in a virgin woman: A rare case","authors":"Nastaran Mahmoudnejad , Alvand Naserghandi , Qumars Kasnavi , Mohammad Amin Tofighi Zavareh","doi":"10.1016/j.eucr.2024.102862","DOIUrl":"10.1016/j.eucr.2024.102862","url":null,"abstract":"<div><div>Uterine prolapse in virgin females is extremely rare. In this case study, we present a 65-year-old virgin female patient who experienced voiding difficulties and uterine prolapse. She did not have any preexisting medical conditions, and all laboratory tests came back normal. We will discuss the surgical procedure performed, the patient's follow-up course and provide a brief review of the existing literature.</div></div>","PeriodicalId":38188,"journal":{"name":"Urology Case Reports","volume":"57 ","pages":"Article 102862"},"PeriodicalIF":0.5,"publicationDate":"2024-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142416221","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}
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