Emphysematous pyelonephritis is an infection of the kidney tissue that is necrotizing and gas-producing and primarily affects individuals with diabetes mellitus. We have reported a 67-year-old female with a history of diabetes mellitus and prior urological procedures who developed emphysematous pyelonephritis due to Candida albicans. She was treated with systemic fluconazole and underwent other urological interventions as necessary. But due to persistent fever, irrigation of amphotericin B via nephrostomy was applied for three days after which her fever resolved. She finally recovered and was discharged in a healthy state. This case presentation underscores the complexity of managing fungal pyelonephritis.
{"title":"Emphysematous pyelonephritis due to Candida albicans in a diabetic patient: A case report","authors":"Avin Mabadi , Effat Davoudi-Monfared , Arash Jafarieh , Pershang Nazemi","doi":"10.1016/j.eucr.2025.102960","DOIUrl":"10.1016/j.eucr.2025.102960","url":null,"abstract":"<div><div>Emphysematous pyelonephritis is an infection of the kidney tissue that is necrotizing and gas-producing and primarily affects individuals with diabetes mellitus. We have reported a 67-year-old female with a history of diabetes mellitus and prior urological procedures who developed emphysematous pyelonephritis due to Candida albicans. She was treated with systemic fluconazole and underwent other urological interventions as necessary. But due to persistent fever, irrigation of amphotericin B via nephrostomy was applied for three days after which her fever resolved. She finally recovered and was discharged in a healthy state. This case presentation underscores the complexity of managing fungal pyelonephritis.</div></div>","PeriodicalId":38188,"journal":{"name":"Urology Case Reports","volume":"59 ","pages":"Article 102960"},"PeriodicalIF":0.5,"publicationDate":"2025-01-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143138597","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}
The Penuma implant was approved by the U.S. Food and Drug Administration for use in cosmetic procedures of the penis. Therefore, we present the first reported case of post-operative Penuma implant migration. A patient who underwent Penuma implant surgery presented to us with complaints of penile deformity. Physical examination revealed a swelling extending from the dorsal region of the penis to the mons pubis. Due to the patient's stable condition, surgery was scheduled for the first day following his presentation to our clinic. Implant migration should be discussed with the patient before the operation and considered a potential risk.
{"title":"The first reported case of suprapubic migration of the Penuma penile implant as a post-operative complication: A case report","authors":"Doğukan Sökmen , Ahmet Tevfik Albayrak , Yaşar Başağa , Zülfü Sertkaya","doi":"10.1016/j.eucr.2025.102951","DOIUrl":"10.1016/j.eucr.2025.102951","url":null,"abstract":"<div><div>The Penuma implant was approved by the U.S. Food and Drug Administration for use in cosmetic procedures of the penis. Therefore, we present the first reported case of post-operative Penuma implant migration. A patient who underwent Penuma implant surgery presented to us with complaints of penile deformity. Physical examination revealed a swelling extending from the dorsal region of the penis to the mons pubis. Due to the patient's stable condition, surgery was scheduled for the first day following his presentation to our clinic. Implant migration should be discussed with the patient before the operation and considered a potential risk.</div></div>","PeriodicalId":38188,"journal":{"name":"Urology Case Reports","volume":"59 ","pages":"Article 102951"},"PeriodicalIF":0.5,"publicationDate":"2025-01-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143138137","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 : 2025-01-18DOI: 10.1016/j.eucr.2025.102937
El Abidi Hamza, Ziani Idriss, Tariqi Reda, Mikou Mohamed Ali, Ibrahimi Ahmed, Boualaoui Imad, El Sayegh Hashem, Nouini Yassine
Lower urinary tract symptoms (LUTS) in young adults are uncommon, making diagnosis difficult. This report describes the case of a young adult with no medical history who developed LUTS, which included urgency, nocturia, dysuria, and pelvic pain that lasted six months. The absence of fever or infectious symptoms raised concerns about atypical etiologies. Comprehensive testing, including bacterial urine and sperm screening, ruled out an infectious cause. Imaging indicated that the underlying cause was a prostatic utricle cyst, which is an embryological remnant that goes unnoticed in many cases but may cause symptoms when it is large. The successful endoscopic excision of the cyst resulted in total discomfort relief.
{"title":"Uncommon onset of lower urinary tract symptoms in a young adult: The impact of a large utricle cyst in a young adult","authors":"El Abidi Hamza, Ziani Idriss, Tariqi Reda, Mikou Mohamed Ali, Ibrahimi Ahmed, Boualaoui Imad, El Sayegh Hashem, Nouini Yassine","doi":"10.1016/j.eucr.2025.102937","DOIUrl":"10.1016/j.eucr.2025.102937","url":null,"abstract":"<div><div>Lower urinary tract symptoms (LUTS) in young adults are uncommon, making diagnosis difficult. This report describes the case of a young adult with no medical history who developed LUTS, which included urgency, nocturia, dysuria, and pelvic pain that lasted six months. The absence of fever or infectious symptoms raised concerns about atypical etiologies. Comprehensive testing, including bacterial urine and sperm screening, ruled out an infectious cause. Imaging indicated that the underlying cause was a prostatic utricle cyst, which is an embryological remnant that goes unnoticed in many cases but may cause symptoms when it is large. The successful endoscopic excision of the cyst resulted in total discomfort relief.</div></div>","PeriodicalId":38188,"journal":{"name":"Urology Case Reports","volume":"59 ","pages":"Article 102937"},"PeriodicalIF":0.5,"publicationDate":"2025-01-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143138738","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 : 2025-01-17DOI: 10.1016/j.eucr.2025.102941
Victoria Schulte , Alexandra Carolan , Irina Stanasel , Bruce Schlomer
Low-dose 1:100,000 epinephrine is often injected into the glans penis during hypospadias surgery as a vasoconstrictive agent to reduce bleeding and assist with surgeon visualization. In this case, high-dose 1:1000 epinephrine was inadvertently injected into the glans, resulting in persistent tissue ischemia that did not resolve with conservative measures. Injection of phentolamine, an alpha-adrenergic antagonist, into the glans penis was successful in reversing the ischemia. In addition to demonstrating usefulness of phentolamine in this situation, this case also demonstrates the necessity for good communication in the operating room and the need for processes to ensure safe administration of high-risk medications.
{"title":"Phentolamine rescue for glanular ischemia in the setting of inadvertent administration of high-dose 1:1,000 epinephrine to glans in distal hypospadias surgery","authors":"Victoria Schulte , Alexandra Carolan , Irina Stanasel , Bruce Schlomer","doi":"10.1016/j.eucr.2025.102941","DOIUrl":"10.1016/j.eucr.2025.102941","url":null,"abstract":"<div><div>Low-dose 1:100,000 epinephrine is often injected into the glans penis during hypospadias surgery as a vasoconstrictive agent to reduce bleeding and assist with surgeon visualization. In this case, high-dose 1:1000 epinephrine was inadvertently injected into the glans, resulting in persistent tissue ischemia that did not resolve with conservative measures. Injection of phentolamine, an alpha-adrenergic antagonist, into the glans penis was successful in reversing the ischemia. In addition to demonstrating usefulness of phentolamine in this situation, this case also demonstrates the necessity for good communication in the operating room and the need for processes to ensure safe administration of high-risk medications.</div></div>","PeriodicalId":38188,"journal":{"name":"Urology Case Reports","volume":"59 ","pages":"Article 102941"},"PeriodicalIF":0.5,"publicationDate":"2025-01-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143138602","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 : 2025-01-17DOI: 10.1016/j.eucr.2025.102940
Yalda Obaidy , Ajmal Sherzad , Dunya Moghul
Duplicate bladder exstrophy, a rare variant of the bladder exstrophy-epispadias complex, was diagnosed in a 5-month-old female infant presenting with a 4 × 4 cm lower abdominal mass. Physical examination revealed absent umbilical scar, wide symphysis pubis, and anteriorly displaced genitalia and anus. Imaging ruled out classic bladder exstrophy and vesicoureteral reflux. Surgical exploration confirmed a suprapubic exstrophic mucosal plaque without communication to a functional bladder. Management involved excision of the exstrophic plaque and primary abdominal wall closure. Post-operative course was normal intravenous pyelogram findings. This case emphasizes the importance of accurate diagnosis and tailored surgical approach for rare bladder exstrophy variants.
{"title":"Duplicate bladder exstrophy in a female infant: A case report","authors":"Yalda Obaidy , Ajmal Sherzad , Dunya Moghul","doi":"10.1016/j.eucr.2025.102940","DOIUrl":"10.1016/j.eucr.2025.102940","url":null,"abstract":"<div><div>Duplicate bladder exstrophy, a rare variant of the bladder exstrophy-epispadias complex, was diagnosed in a 5-month-old female infant presenting with a 4 × 4 cm lower abdominal mass. Physical examination revealed absent umbilical scar, wide symphysis pubis, and anteriorly displaced genitalia and anus. Imaging ruled out classic bladder exstrophy and vesicoureteral reflux. Surgical exploration confirmed a suprapubic exstrophic mucosal plaque without communication to a functional bladder. Management involved excision of the exstrophic plaque and primary abdominal wall closure. Post-operative course was normal intravenous pyelogram findings. This case emphasizes the importance of accurate diagnosis and tailored surgical approach for rare bladder exstrophy variants.</div></div>","PeriodicalId":38188,"journal":{"name":"Urology Case Reports","volume":"59 ","pages":"Article 102940"},"PeriodicalIF":0.5,"publicationDate":"2025-01-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143138601","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 : 2025-01-17DOI: 10.1016/j.eucr.2025.102938
Simren Jayaraman , Joel Koenig , Kristen M. Meier , Lindsey Fricke , Kevin Campbell
Local control approaches for bladder/prostate rhabdomyosarcoma (RMS) may include surgery and/or radiation after neoadjuvant chemotherapy, with goal of maximizing long term function. We report a case of bladder RMS presenting with acute renal complications in a 2-year-old female necessitating bilateral nephrostomy tube placement before administration of chemotherapy. As local control for RMS is delayed until after 12 weeks of neoadjuvant chemotherapy has been given, management of medical complications prior to surgery is not protocolized, making case reports and discussion helpful to future patients and providers.
{"title":"Nephrostomy tubes for management of a bladder occupying embryonal rhabdomyosarcoma in a 2-year-old: A case report and review of the literature","authors":"Simren Jayaraman , Joel Koenig , Kristen M. Meier , Lindsey Fricke , Kevin Campbell","doi":"10.1016/j.eucr.2025.102938","DOIUrl":"10.1016/j.eucr.2025.102938","url":null,"abstract":"<div><div>Local control approaches for bladder/prostate rhabdomyosarcoma (RMS) may include surgery and/or radiation after neoadjuvant chemotherapy, with goal of maximizing long term function. We report a case of bladder RMS presenting with acute renal complications in a 2-year-old female necessitating bilateral nephrostomy tube placement before administration of chemotherapy. As local control for RMS is delayed until after 12 weeks of neoadjuvant chemotherapy has been given, management of medical complications prior to surgery is not protocolized, making case reports and discussion helpful to future patients and providers.</div></div>","PeriodicalId":38188,"journal":{"name":"Urology Case Reports","volume":"59 ","pages":"Article 102938"},"PeriodicalIF":0.5,"publicationDate":"2025-01-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143138610","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 : 2025-01-16DOI: 10.1016/j.eucr.2025.102953
Xiaodong Zhu , Zhengfei Guo , Fang Wu , An Zheng , Zhengmin Guo , Jing Li
Objective
To investigate the clinnical features for squamous cell carcinoma (SCC) of the renal pelvis.
Methods
We analyzed the medical records of a patient diagnosed with SCC of the renal pelvis and performed a literature review.
Results
SCC of the renal pelvis is a rare pathological type of upper urinary tract malignancy with nonspecific clinical features. Its diagnosis relies on postoperative pathology and immunohistochemistry. Radical resection is the gold standard for treatment.
Conclusion
Patients with long-term urothelial irritation should be regularly screened, pathogenic factors should be proactively addressed, and vigilance should be maintained to prevent the development of SCC.
{"title":"Special pathological type of upper urinary tract malignancy—squamous cell carcinoma of the renal pelvis: A case report and literature review","authors":"Xiaodong Zhu , Zhengfei Guo , Fang Wu , An Zheng , Zhengmin Guo , Jing Li","doi":"10.1016/j.eucr.2025.102953","DOIUrl":"10.1016/j.eucr.2025.102953","url":null,"abstract":"<div><h3>Objective</h3><div>To investigate the clinnical features for squamous cell carcinoma (SCC) of the renal pelvis.</div></div><div><h3>Methods</h3><div>We analyzed the medical records of a patient diagnosed with SCC of the renal pelvis and performed a literature review.</div></div><div><h3>Results</h3><div>SCC of the renal pelvis is a rare pathological type of upper urinary tract malignancy with nonspecific clinical features. Its diagnosis relies on postoperative pathology and immunohistochemistry. Radical resection is the gold standard for treatment.</div></div><div><h3>Conclusion</h3><div>Patients with long-term urothelial irritation should be regularly screened, pathogenic factors should be proactively addressed, and vigilance should be maintained to prevent the development of SCC.</div></div>","PeriodicalId":38188,"journal":{"name":"Urology Case Reports","volume":"59 ","pages":"Article 102953"},"PeriodicalIF":0.5,"publicationDate":"2025-01-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143138607","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 : 2025-01-16DOI: 10.1016/j.eucr.2025.102954
Lauren Nesi , Jordan Sarver , Paramjot Gogia , Ali Baydoun , Barrett Anderson , Dongping Shi , Mazen Abdelhady
Melanosis of the bladder is an exceedingly rare benign condition that can mimic more serious urothelial pathologies. Here, we analyze the clinical presentation, associated symptomatology, and follow-up of a patient presenting with melanosis and associated urinary tract infection. This patient is a 72-year-old male undergoing workup for gross hematuria, lower urinary tract symptoms, and recurrent urinary infections. We subsequently discuss two additional incidental findings of melanosis and associated urinary tract infection at our institution, and introduce novel context for this condition that currently lacks a standardized management protocol. To our knowledge, this is the first case series on melanosis vesicae.
{"title":"Melanosis of the urinary bladder with associated urinary tract infection","authors":"Lauren Nesi , Jordan Sarver , Paramjot Gogia , Ali Baydoun , Barrett Anderson , Dongping Shi , Mazen Abdelhady","doi":"10.1016/j.eucr.2025.102954","DOIUrl":"10.1016/j.eucr.2025.102954","url":null,"abstract":"<div><div>Melanosis of the bladder is an exceedingly rare benign condition that can mimic more serious urothelial pathologies. Here, we analyze the clinical presentation, associated symptomatology, and follow-up of a patient presenting with melanosis and associated urinary tract infection. This patient is a 72-year-old male undergoing workup for gross hematuria, lower urinary tract symptoms, and recurrent urinary infections. We subsequently discuss two additional incidental findings of melanosis and associated urinary tract infection at our institution, and introduce novel context for this condition that currently lacks a standardized management protocol. To our knowledge, this is the first case series on melanosis vesicae.</div></div>","PeriodicalId":38188,"journal":{"name":"Urology Case Reports","volume":"59 ","pages":"Article 102954"},"PeriodicalIF":0.5,"publicationDate":"2025-01-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143138596","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 : 2025-01-16DOI: 10.1016/j.eucr.2025.102952
Bao Truong Phan , Vinh Vo Anh Trang , Sang Tan Tran , Huan Quang Le , Duy Hoai Nhat Nguyen , Vu Ngoc Anh Pham , Thien Tan Tri Tai Truyen
Foreign bodies in the urinary tract are uncommon and can arise from self-insertion or migration from other organs. Documented cases include various objects such as intrauterine devices, fragments of Foley catheters, toothpicks, and fish bones. However, the migration of bullet fragments into the urinary tract from another location is extremely rare with only a few cases reported in the current literature. Here, we present a case of a urinary tract stone formed around a foreign body—a bullet fragment—discovered 47 years after the patient experienced trauma.
{"title":"Long-term migration of a bullet to the bladder after 47 years of trauma: A literature review","authors":"Bao Truong Phan , Vinh Vo Anh Trang , Sang Tan Tran , Huan Quang Le , Duy Hoai Nhat Nguyen , Vu Ngoc Anh Pham , Thien Tan Tri Tai Truyen","doi":"10.1016/j.eucr.2025.102952","DOIUrl":"10.1016/j.eucr.2025.102952","url":null,"abstract":"<div><div>Foreign bodies in the urinary tract are uncommon and can arise from self-insertion or migration from other organs. Documented cases include various objects such as intrauterine devices, fragments of Foley catheters, toothpicks, and fish bones. However, the migration of bullet fragments into the urinary tract from another location is extremely rare with only a few cases reported in the current literature. Here, we present a case of a urinary tract stone formed around a foreign body—a bullet fragment—discovered 47 years after the patient experienced trauma.</div></div>","PeriodicalId":38188,"journal":{"name":"Urology Case Reports","volume":"59 ","pages":"Article 102952"},"PeriodicalIF":0.5,"publicationDate":"2025-01-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11787655/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143081593","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 : 2025-01-15DOI: 10.1016/j.eucr.2025.102950
Isobel A. Bowring , Lotte Bouwman , Kim van Putten , Joris J. Blok
Necrotizing soft tissue infection (NSTI) is a rare, life-threatening emergency. Fournier's gangrene (FG), a type of NSTI affecting the perineal, genital, or perianal region, requires prompt and aggressive treatment and has a multifactorial aetiology. However, cases of FG in patients without predisposing factors, as a complication of an elective procedure, are seldom reported. In this report, a 32-year-old patient without prior medical history presented with a NSTI after elective circumcision. Patient was successfully treated with multiple surgical debridement's, antibiotic therapy and hemodynamic support. Healthcare providers must remain vigilant, as FG has significant morbidity and mortality and early intervention is crucial.
{"title":"Fournier's gangrene after male circumcision: A case report","authors":"Isobel A. Bowring , Lotte Bouwman , Kim van Putten , Joris J. Blok","doi":"10.1016/j.eucr.2025.102950","DOIUrl":"10.1016/j.eucr.2025.102950","url":null,"abstract":"<div><div>Necrotizing soft tissue infection (NSTI) is a rare, life-threatening emergency. Fournier's gangrene (FG), a type of NSTI affecting the perineal, genital, or perianal region, requires prompt and aggressive treatment and has a multifactorial aetiology. However, cases of FG in patients without predisposing factors, as a complication of an elective procedure, are seldom reported. In this report, a 32-year-old patient without prior medical history presented with a NSTI after elective circumcision. Patient was successfully treated with multiple surgical debridement's, antibiotic therapy and hemodynamic support. Healthcare providers must remain vigilant, as FG has significant morbidity and mortality and early intervention is crucial.</div></div>","PeriodicalId":38188,"journal":{"name":"Urology Case Reports","volume":"59 ","pages":"Article 102950"},"PeriodicalIF":0.5,"publicationDate":"2025-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11787695/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143081582","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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