Pub Date : 2025-02-17DOI: 10.1016/j.eucr.2025.102986
Alejandro Acuña-Pacheco, Eduardo González-Rojas, Pedro Iván Aguilar-Ordaz, Joel Porfirio Rodelo-López, Benjamin Bueno-Mendoza, Israel Hernández-Rivera, Jose Rene Jungfermann-Guzman, Jesús Rodolfo Favela-Camacho
Zinner Syndrome is a rare congenital anomaly of the urogenital tract, characterized by unilateral renal agenesis, ejaculatory duct obstruction and ipsilateral seminal vesicle cyst. Here, we present a case of a 54-year-old-male with anejaculation and frequent nocturnal emissions, denies fever, scrotal or perineal pain, hematospermia, hematuria, or lower urinary tract symptoms. Imaging studies revealed atypical findings of this syndrome. This study highlights the importance of recognizing atypical symptoms and appropriate management to relieve symptoms and improve quality of life.
{"title":"Zinner Syndrome: Case report of atypical symptoms and literature","authors":"Alejandro Acuña-Pacheco, Eduardo González-Rojas, Pedro Iván Aguilar-Ordaz, Joel Porfirio Rodelo-López, Benjamin Bueno-Mendoza, Israel Hernández-Rivera, Jose Rene Jungfermann-Guzman, Jesús Rodolfo Favela-Camacho","doi":"10.1016/j.eucr.2025.102986","DOIUrl":"10.1016/j.eucr.2025.102986","url":null,"abstract":"<div><div>Zinner Syndrome is a rare congenital anomaly of the urogenital tract, characterized by unilateral renal agenesis, ejaculatory duct obstruction and ipsilateral seminal vesicle cyst. Here, we present a case of a 54-year-old-male with anejaculation and frequent nocturnal emissions, denies fever, scrotal or perineal pain, hematospermia, hematuria, or lower urinary tract symptoms. Imaging studies revealed atypical findings of this syndrome. This study highlights the importance of recognizing atypical symptoms and appropriate management to relieve symptoms and improve quality of life.</div></div>","PeriodicalId":38188,"journal":{"name":"Urology Case Reports","volume":"60 ","pages":"Article 102986"},"PeriodicalIF":0.5,"publicationDate":"2025-02-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143552477","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 : 2025-02-12DOI: 10.1016/j.eucr.2025.102985
Hannah S. Thomas , Noah Stern , Sarah Neu , Sender Herschorn
Drug-coated balloon dilation (DCB) has demonstrated long-term efficacy for male patients with urethral stricture disease (USD); however, the role of DCB for female USD remains unknown. We present the second published case report utilizing DCB for female USD, describing our perioperative experience as well as six-month outcomes. This report calls for multi-site collaboration to further investigate the potential benefits of DCB for female USD.
{"title":"Drug-coated balloon dilation for female urethral stricture","authors":"Hannah S. Thomas , Noah Stern , Sarah Neu , Sender Herschorn","doi":"10.1016/j.eucr.2025.102985","DOIUrl":"10.1016/j.eucr.2025.102985","url":null,"abstract":"<div><div>Drug-coated balloon dilation (DCB) has demonstrated long-term efficacy for male patients with urethral stricture disease (USD); however, the role of DCB for female USD remains unknown. We present the second published case report utilizing DCB for female USD, describing our perioperative experience as well as six-month outcomes. This report calls for multi-site collaboration to further investigate the potential benefits of DCB for female USD.</div></div>","PeriodicalId":38188,"journal":{"name":"Urology Case Reports","volume":"59 ","pages":"Article 102985"},"PeriodicalIF":0.5,"publicationDate":"2025-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143421682","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 : 2025-02-10DOI: 10.1016/j.eucr.2025.102981
Anton Cuypers, Meike Fransen, Olivier Wegelin, Raoul Richardson
Leiomyosarcoma is a mesenchymal tumour and rarely occurs as a primary bladder tumour. It is considered as a rare and aggressive tumour with a poor prognosis. To this date, there is no clear and precise therapeutic approach for the treatment of bladder leiomyosarcoma and little is known about the long term survival. The consensus in the current literature is that surgical intervention is the preferred initial treatment option and that prognosis is mainly determined by tumour differentiation. Organ-sparing surgery might be a feasible therapeutic option in selected patients.
{"title":"A rare bladder tumour: A case presentation of primary low-grade leiomyosarcoma of the urinary bladder in a female patient","authors":"Anton Cuypers, Meike Fransen, Olivier Wegelin, Raoul Richardson","doi":"10.1016/j.eucr.2025.102981","DOIUrl":"10.1016/j.eucr.2025.102981","url":null,"abstract":"<div><div>Leiomyosarcoma is a mesenchymal tumour and rarely occurs as a primary bladder tumour. It is considered as a rare and aggressive tumour with a poor prognosis. To this date, there is no clear and precise therapeutic approach for the treatment of bladder leiomyosarcoma and little is known about the long term survival. The consensus in the current literature is that surgical intervention is the preferred initial treatment option and that prognosis is mainly determined by tumour differentiation. Organ-sparing surgery might be a feasible therapeutic option in selected patients.</div></div>","PeriodicalId":38188,"journal":{"name":"Urology Case Reports","volume":"59 ","pages":"Article 102981"},"PeriodicalIF":0.5,"publicationDate":"2025-02-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143428854","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 : 2025-02-10DOI: 10.1016/j.eucr.2025.102984
Emanuele Cappa , Demetra Fuligni , Leonard Perpepaj , Alberto Rebonato , Edoardo Beatrici , Valerio Beatrici
Urinary fistulas are a known complication that can occur after partial nephrectomy, potentially causing considerable morbidity if not properly treated. The present study examines the case of a 71-year-old male patient who developed a urinary fistula six months following a robot-assisted partial nephrectomy. Initial efforts to address the fistula through the placement of a double pigtail ureteral stent proved ineffective. Subsequent interventional radiology procedures successfully achieved fistula closure by administering adhesive fibrin directly within the fistulous tract. This case highlights the importance of a multidisciplinary approach in handling post-surgical complications like urinary fistulas.
{"title":"Minimally invasive management of urinary fistula following robot-assisted partial nephrectomy: Case report","authors":"Emanuele Cappa , Demetra Fuligni , Leonard Perpepaj , Alberto Rebonato , Edoardo Beatrici , Valerio Beatrici","doi":"10.1016/j.eucr.2025.102984","DOIUrl":"10.1016/j.eucr.2025.102984","url":null,"abstract":"<div><div>Urinary fistulas are a known complication that can occur after partial nephrectomy, potentially causing considerable morbidity if not properly treated. The present study examines the case of a 71-year-old male patient who developed a urinary fistula six months following a robot-assisted partial nephrectomy. Initial efforts to address the fistula through the placement of a double pigtail ureteral stent proved ineffective. Subsequent interventional radiology procedures successfully achieved fistula closure by administering adhesive fibrin directly within the fistulous tract. This case highlights the importance of a multidisciplinary approach in handling post-surgical complications like urinary fistulas.</div></div>","PeriodicalId":38188,"journal":{"name":"Urology Case Reports","volume":"59 ","pages":"Article 102984"},"PeriodicalIF":0.5,"publicationDate":"2025-02-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143421680","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}
We preoperatively evaluated the tumor thrombus of right renal cell carcinoma cT3cN0M0 extending close to the right atrium using abdominal ultrasound. We found that invasion of the inferior vena cava (IVC) by the tumor thrombus was limited to the caudal side of the hepatic vein. We clamped the caudal IVC, left renal, and hepatic veins but not the cranial IVC. Incising the IVC in this situation caused retrograde flow, moving the floating tumor thrombus caudally. This enabled rapid extraction of the tumor thrombus and cranial IVC clamping below the hepatic vein. Consequently, tumor thrombectomy was successfully performed without cardiopulmonary bypass.
{"title":"A case of right renal cell carcinoma with an inferior vena cava tumor thrombus extending above the diaphragm resected without cardiopulmonary bypass","authors":"Haruto Honda, Norichika Ueda, Kentaro Takezawa, Taigo Kato, Koji Hatano, Shinichiro Fukuhara, Norio Nonomura, Atsunari Kawashima","doi":"10.1016/j.eucr.2025.102982","DOIUrl":"10.1016/j.eucr.2025.102982","url":null,"abstract":"<div><div>We preoperatively evaluated the tumor thrombus of right renal cell carcinoma cT3cN0M0 extending close to the right atrium using abdominal ultrasound. We found that invasion of the inferior vena cava (IVC) by the tumor thrombus was limited to the caudal side of the hepatic vein. We clamped the caudal IVC, left renal, and hepatic veins but not the cranial IVC. Incising the IVC in this situation caused retrograde flow, moving the floating tumor thrombus caudally. This enabled rapid extraction of the tumor thrombus and cranial IVC clamping below the hepatic vein. Consequently, tumor thrombectomy was successfully performed without cardiopulmonary bypass.</div></div>","PeriodicalId":38188,"journal":{"name":"Urology Case Reports","volume":"59 ","pages":"Article 102982"},"PeriodicalIF":0.5,"publicationDate":"2025-02-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143428853","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 : 2025-02-10DOI: 10.1016/j.eucr.2025.102983
Hongyu Wang, Surong Hua
Inguinal lymph node metastasis in urothelial carcinoma is exceptionally rare. Here, We report a case of bladder cancer with inguinal lymph node metastasis and, through searching our hospital's database, identified two additional similar patients managed at our center since 1990. All patients underwent PET/CT scans, and in two cases, inguinal lymph node biopsies confirmed metastatic urothelial carcinoma. One elderly female presented with inguinal lymph node metastasis as the initial sign of recurrence. This report underscores the increased risk of distant metastasis and highlights the critical need for vigilant monitoring of patients with recurrent bladder cancer following repeated TURBT procedures.
{"title":"Urothelial carcinoma of the bladder presenting with abnormal inguinal metastasis","authors":"Hongyu Wang, Surong Hua","doi":"10.1016/j.eucr.2025.102983","DOIUrl":"10.1016/j.eucr.2025.102983","url":null,"abstract":"<div><div>Inguinal lymph node metastasis in urothelial carcinoma is exceptionally rare. Here, We report a case of bladder cancer with inguinal lymph node metastasis and, through searching our hospital's database, identified two additional similar patients managed at our center since 1990. All patients underwent PET/CT scans, and in two cases, inguinal lymph node biopsies confirmed metastatic urothelial carcinoma. One elderly female presented with inguinal lymph node metastasis as the initial sign of recurrence. This report underscores the increased risk of distant metastasis and highlights the critical need for vigilant monitoring of patients with recurrent bladder cancer following repeated TURBT procedures.</div></div>","PeriodicalId":38188,"journal":{"name":"Urology Case Reports","volume":"59 ","pages":"Article 102983"},"PeriodicalIF":0.5,"publicationDate":"2025-02-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143421677","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 : 2025-02-09DOI: 10.1016/j.eucr.2025.102979
Frincia Bunga Rante Allo, Ahmad Zulfan Hendri, Prahara Yuri, Zico Yusuf Alfarizi
A 12-year-old female presented with lower abdominal pain and hematuria following the self-insertion of a pencil into her bladder. Imaging revealed a 10.2 cm radiopaque object, which was removed intact via cystoscopy. Postoperative recovery was uneventful, and psychiatric evaluation diagnosed mild depression, highlighting the need for integrated psychosocial intervention. This case underscores the critical importance of a multidisciplinary approach that combines medical and psychosocial care in the management of intravesical foreign bodies, particularly in pediatric populations. Proactive measures, including mental health education and early psychosocial support, are essential for prevention and recurrence mitigation.
{"title":"Intravesical foreign bodies in pediatric: A case report highlighting the critical role of psychosocial assessment and intervention","authors":"Frincia Bunga Rante Allo, Ahmad Zulfan Hendri, Prahara Yuri, Zico Yusuf Alfarizi","doi":"10.1016/j.eucr.2025.102979","DOIUrl":"10.1016/j.eucr.2025.102979","url":null,"abstract":"<div><div>A 12-year-old female presented with lower abdominal pain and hematuria following the self-insertion of a pencil into her bladder. Imaging revealed a 10.2 cm radiopaque object, which was removed intact via cystoscopy. Postoperative recovery was uneventful, and psychiatric evaluation diagnosed mild depression, highlighting the need for integrated psychosocial intervention. This case underscores the critical importance of a multidisciplinary approach that combines medical and psychosocial care in the management of intravesical foreign bodies, particularly in pediatric populations. Proactive measures, including mental health education and early psychosocial support, are essential for prevention and recurrence mitigation.</div></div>","PeriodicalId":38188,"journal":{"name":"Urology Case Reports","volume":"59 ","pages":"Article 102979"},"PeriodicalIF":0.5,"publicationDate":"2025-02-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143421681","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}
Most multicystic dysplastic kidneys (MCDKs) are detected prenatally, yet there is no clear consensus on initial evaluation and follow-up. We report the case of a 4-year-old male diagnosed with right pyelocalyceal dilation in utero, confirmed postnatally as MCDK. Follow-up ultrasounds revealed rapid growth of three upper pole cysts, reaching 8 cm. A right upper pole nephrectomy was performed, and histopathology revealed a renal dermoid cyst within segmental multicystic renal dysplasia. This case highlights the critical role of postnatal imaging and follow-up in detecting atypical features, including rare entities like intrarenal teratomas, enabling timely surgical intervention and improved outcomes.
{"title":"Dermoid cyst associated with segmental multicystic renal dysplasia: A rare case","authors":"Syrine Laribi , Marwa Messaoud , Manel Njima , Mabrouk Abdelali , Samia Belhassen , Afef Toumi , Mongi Mekki , Lassaad Sahnoun","doi":"10.1016/j.eucr.2025.102980","DOIUrl":"10.1016/j.eucr.2025.102980","url":null,"abstract":"<div><div>Most multicystic dysplastic kidneys (MCDKs) are detected prenatally, yet there is no clear consensus on initial evaluation and follow-up. We report the case of a 4-year-old male diagnosed with right pyelocalyceal dilation in utero, confirmed postnatally as MCDK. Follow-up ultrasounds revealed rapid growth of three upper pole cysts, reaching 8 cm. A right upper pole nephrectomy was performed, and histopathology revealed a renal dermoid cyst within segmental multicystic renal dysplasia. This case highlights the critical role of postnatal imaging and follow-up in detecting atypical features, including rare entities like intrarenal teratomas, enabling timely surgical intervention and improved outcomes.</div></div>","PeriodicalId":38188,"journal":{"name":"Urology Case Reports","volume":"59 ","pages":"Article 102980"},"PeriodicalIF":0.5,"publicationDate":"2025-02-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143428855","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}
Penile metastases are rare, and metastasis of a gastrointestinal stromal tumor (GIST) to the penis is exceedingly uncommon. An 81-year-old man with a history of duodenal GIST, initially treated with curative resection and tyrosine kinase inhibitor therapy for liver metastasis, presented with an enlarging penile mass. A biopsy confirmed penile metastasis from GIST. To relieve his symptoms, a total penectomy was performed. Molecular testing revealed a KIT exon 9 mutation and CDKN2A/B gene alterations, indicating aggressive tumor behavior and resistance to standard treatment. This case underscores the importance of recognizing atypical metastatic sites in GIST.
{"title":"Penile metastasis from a duodenal gastrointestinal stromal tumor: A rare case report","authors":"Fumiya Yoneyama, Teppei Okamoto, Tomoko Hamaya, Hirotake Kodama, Naoki Fujita, Hayato Yamamoto, Atushi Imai, Shingo Hatakeyama","doi":"10.1016/j.eucr.2025.102978","DOIUrl":"10.1016/j.eucr.2025.102978","url":null,"abstract":"<div><div>Penile metastases are rare, and metastasis of a gastrointestinal stromal tumor (GIST) to the penis is exceedingly uncommon. An 81-year-old man with a history of duodenal GIST, initially treated with curative resection and tyrosine kinase inhibitor therapy for liver metastasis, presented with an enlarging penile mass. A biopsy confirmed penile metastasis from GIST. To relieve his symptoms, a total penectomy was performed. Molecular testing revealed a KIT exon 9 mutation and CDKN2A/B gene alterations, indicating aggressive tumor behavior and resistance to standard treatment. This case underscores the importance of recognizing atypical metastatic sites in GIST.</div></div>","PeriodicalId":38188,"journal":{"name":"Urology Case Reports","volume":"59 ","pages":"Article 102978"},"PeriodicalIF":0.5,"publicationDate":"2025-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143421679","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}
Humanitarian surgical caravans for urogenital fistula cures are a godsend for patients with limited financial resources. Some patients with urogenital conditions other than fistulas sometimes take advantage of this opportunity to have their condition optimally managed.
We report the case of a 21-year-old woman. She had a history of genital mutilation in childhood.
Since childhood she had had an involuntary flow of urine through the vulval orifice.
She became one of the patients selected for the caravan of humanitarian surgery. Clinical examination revealed infibulation of the external genital organs. A labioplasty was successfully performed.
{"title":"Management of infibulation during a humanitarian surgical caravan for urogenital fistula in Bouake (Cote D'IVOIRE): Case report","authors":"Evrard Kouame Yao , Yaya Samaké , Tawakaltu Bolasade Adebayo , Brice Romuald Aguia , Donafologo Daouda Yeo , Noel Coulibaly","doi":"10.1016/j.eucr.2025.102973","DOIUrl":"10.1016/j.eucr.2025.102973","url":null,"abstract":"<div><div>Humanitarian surgical caravans for urogenital fistula cures are a godsend for patients with limited financial resources. Some patients with urogenital conditions other than fistulas sometimes take advantage of this opportunity to have their condition optimally managed.</div><div>We report the case of a 21-year-old woman. She had a history of genital mutilation in childhood.</div><div>Since childhood she had had an involuntary flow of urine through the vulval orifice.</div><div>She became one of the patients selected for the caravan of humanitarian surgery. Clinical examination revealed infibulation of the external genital organs. A labioplasty was successfully performed.</div></div>","PeriodicalId":38188,"journal":{"name":"Urology Case Reports","volume":"59 ","pages":"Article 102973"},"PeriodicalIF":0.5,"publicationDate":"2025-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143403224","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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