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Pre-hormonal therapy combined with buccal mucosal graft for glans reconstruction in complete penile amputation: A case report and review of literature 激素前治疗联合颊粘膜移植重建阴茎全截除中的龟头:1例报告及文献复习。
IF 0.5 Q4 UROLOGY & NEPHROLOGY Pub Date : 2025-01-01 DOI: 10.1016/j.eucr.2024.102914
Joko Pitoyo , Albert Ciam
Penile amputation following circumcision is a rare but serious complication. Reconstructing the glans poses a complex surgical challenge, and several techniques have been proposed to address this issue. We present the case of a 10-year-old boy who experienced complete glans amputation 14 hours after circumcision. The initial remaining penile length was measured at 2 cm. We performed stump repair and planned for staged surgery. Buccal mucosal grafting for neo-glans reconstruction, combined with testosterone pre-hormonal therapy, proved to be a simple procedure with satisfactory results. This case provides valuable insights into the management of similar cases in the future.
包皮环切术后阴茎截肢是一种罕见但严重的并发症。重建龟头是一个复杂的手术挑战,已经提出了几种技术来解决这个问题。我们提出的情况下,一个10岁的男孩谁经历了完整的阴茎包皮环切术后14小时截肢。初始剩余阴茎长度测量为2厘米。我们进行了残肢修复,并计划分阶段进行手术。颊粘膜移植重建新龟头,结合睾酮激素前治疗,证明是一个简单的程序和令人满意的结果。本案例为今后处理类似案例提供了有价值的见解。
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引用次数: 0
Henoch-Schönlein purpura with epididymo-orchitis: A rare extra-cutaneous manifestation Henoch-Schönlein伴有附睾睾丸炎的紫癜:一种罕见的皮肤外表现。
IF 0.5 Q4 UROLOGY & NEPHROLOGY Pub Date : 2025-01-01 DOI: 10.1016/j.eucr.2024.102919
Majd Oweidat , Islam H. Karajeh , Widad Abu Mayyala , Mohammed Alra'e , Ammar Y. Hmidat
Henoch-Schönlein Purpura (HSP), or IgA vasculitis, is a systemic inflammatory disorder primarily affecting children. While common symptoms include purpura, abdominal pain, and arthritis, testicular involvement is rare. We report a case of a young boy presenting with severe scrotal pain and swelling, later identified as epididymo-orchitis secondary to HSP. Diagnosis was confirmed via Doppler ultrasound, and treatment with corticosteroids and antibiotics resulted in rapid symptom resolution. This case highlights the importance of recognizing rare extra-cutaneous manifestations of HSP and underscores the need for prompt diagnosis and tailored management to achieve favorable outcomes.
Henoch-Schönlein紫癜(HSP),或IgA血管炎,是一种主要影响儿童的系统性炎症性疾病。虽然常见的症状包括紫癜、腹痛和关节炎,但很少累及睾丸。我们报告一个病例的年轻男孩提出严重的阴囊疼痛和肿胀,后来确定为附睾睾丸炎继发于HSP。经多普勒超声确诊,经皮质类固醇和抗生素治疗后症状迅速缓解。该病例强调了认识罕见的皮肤外表现的重要性,并强调了及时诊断和量身定制治疗的必要性,以获得良好的结果。
{"title":"Henoch-Schönlein purpura with epididymo-orchitis: A rare extra-cutaneous manifestation","authors":"Majd Oweidat ,&nbsp;Islam H. Karajeh ,&nbsp;Widad Abu Mayyala ,&nbsp;Mohammed Alra'e ,&nbsp;Ammar Y. Hmidat","doi":"10.1016/j.eucr.2024.102919","DOIUrl":"10.1016/j.eucr.2024.102919","url":null,"abstract":"<div><div>Henoch-Schönlein Purpura (HSP), or IgA vasculitis, is a systemic inflammatory disorder primarily affecting children. While common symptoms include purpura, abdominal pain, and arthritis, testicular involvement is rare. We report a case of a young boy presenting with severe scrotal pain and swelling, later identified as epididymo-orchitis secondary to HSP. Diagnosis was confirmed via Doppler ultrasound, and treatment with corticosteroids and antibiotics resulted in rapid symptom resolution. This case highlights the importance of recognizing rare extra-cutaneous manifestations of HSP and underscores the need for prompt diagnosis and tailored management to achieve favorable outcomes.</div></div>","PeriodicalId":38188,"journal":{"name":"Urology Case Reports","volume":"58 ","pages":"Article 102919"},"PeriodicalIF":0.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11741082/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143013495","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}
引用次数: 0
Zinner syndrome incidentally diagnosed in a man with ureteropelvic junction stone and hydronephrosis: A case report
IF 0.5 Q4 UROLOGY & NEPHROLOGY Pub Date : 2025-01-01 DOI: 10.1016/j.eucr.2025.102930
Tzu-Yu Chiu , Szu-Ju Chen , Chun-Lin Huang , Chi-Ping Huang , Wen-Chi Chen
Zinner syndrome is a congenital anomaly characterized by seminal vesicle cysts, ipsilateral renal agenesis, and ejaculatory duct obstruction possibly associated with infertility. Only 200 cases of Zinner syndrome have been reported since its discovery in 1914. We present the case of a 63-year-old man seeking treatment for a ureteropelvic junction stone causing severe hydronephrosis. After the patient's history and the computed tomography findings were reviewed, the diagnosis of Zinner syndrome was confirmed. The patient has been nearly asymptomatic and has had three children during his lifetime. Our case could serve as a reference for future diagnoses of this rare anomaly.
{"title":"Zinner syndrome incidentally diagnosed in a man with ureteropelvic junction stone and hydronephrosis: A case report","authors":"Tzu-Yu Chiu ,&nbsp;Szu-Ju Chen ,&nbsp;Chun-Lin Huang ,&nbsp;Chi-Ping Huang ,&nbsp;Wen-Chi Chen","doi":"10.1016/j.eucr.2025.102930","DOIUrl":"10.1016/j.eucr.2025.102930","url":null,"abstract":"<div><div>Zinner syndrome is a congenital anomaly characterized by seminal vesicle cysts, ipsilateral renal agenesis, and ejaculatory duct obstruction possibly associated with infertility. Only 200 cases of Zinner syndrome have been reported since its discovery in 1914. We present the case of a 63-year-old man seeking treatment for a ureteropelvic junction stone causing severe hydronephrosis. After the patient's history and the computed tomography findings were reviewed, the diagnosis of Zinner syndrome was confirmed. The patient has been nearly asymptomatic and has had three children during his lifetime. Our case could serve as a reference for future diagnoses of this rare anomaly.</div></div>","PeriodicalId":38188,"journal":{"name":"Urology Case Reports","volume":"58 ","pages":"Article 102930"},"PeriodicalIF":0.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11763558/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143048145","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}
引用次数: 0
Obstruction from Deflux leading to significant kidney function loss and chemotherapeutic challenges in pediatric Ewing sarcoma 小儿尤文氏肉瘤的排尿梗阻导致显著的肾功能丧失和化疗挑战。
IF 0.5 Q4 UROLOGY & NEPHROLOGY Pub Date : 2025-01-01 DOI: 10.1016/j.eucr.2024.102903
Luke Martin , Dipen Mehta , Bradley Morganstern
This report presents the case of an 8-year-old female with a history of vesicoureteral reflux (VUR) treated with Deflux injections, who developed Ewing sarcoma metastasized to the lungs. Despite the initial resolution of VUR following Deflux procedures, recurrent urinary tract infections prompted further evaluation revealing significant ureteral obstruction. Pre-chemotherapy workup included renal ultrasonography, nuclear medicine renal scan, and cystogram, identifying obstructive uropathy necessitating bilateral ureteral stent placement. This discussion encompasses the challenges of managing VUR, Deflux complications, and the importance of tailored follow-up protocols.
本报告报告了一例8岁的女性,有膀胱输尿管反流(VUR)的病史,接受了排流剂注射,并发展为转移到肺部的尤文氏肉瘤。尽管排尿术后VUR得到初步解决,但尿路感染复发提示进一步评估显示明显的输尿管梗阻。化疗前检查包括肾脏超声检查、核医学肾脏扫描和膀胱造影,以确定需要放置双侧输尿管支架的梗阻性尿路病变。本讨论包括处理VUR的挑战、引流并发症以及量身定制随访方案的重要性。
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引用次数: 0
Successful management of Leydig Cell Tumor in a 65-year-Old patient: A rare case report
IF 0.5 Q4 UROLOGY & NEPHROLOGY Pub Date : 2025-01-01 DOI: 10.1016/j.eucr.2024.102927
Hasan Haydar , Ayham Qatza , Saja Karaja , Anagheem Alkhleef , Mohamad Yasin Lutfi , Habib Jarbouh
Leydig cell tumors (LCTs) are rare testicular neoplasms, representing 1–3% of all testicular tumors. A 65-year-old male presented with a painless left scrotal mass. Ultrasound revealed a 61 × 53 × 35 mm tumor with heterogeneous echogenicity and abundant blood supply. Radical orchidectomy was performed, and immunohistochemistry confirmed LCT with positivity for Inhibin A and calretinin, and negativity for CK, chromogranin, LCA, and low Ki67. Postoperative follow-up at 6 months showed improved condition, no scrotal masses, and normal tumor markers. Finally, LCTs in older males require differential diagnosis; hormonal activity impacts presentation. Conservative management and monitoring are crucial.
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引用次数: 0
A successful case of vascular hitch procedure in adulthood: A simpler alternative for the vascular obstruction of the pyelo-ureteral junction 一例成人血管结扎手术的成功案例:肾盂输尿管连接处血管阻塞的一种更简单的替代方法。
IF 0.5 Q4 UROLOGY & NEPHROLOGY Pub Date : 2025-01-01 DOI: 10.1016/j.eucr.2024.102898
El Abidi Hamza, Ibrahimi Ahmed, Lakssir Jihad, Tariqi Reda, Mikou Mohamed Ali, Boualaoui Imad, El Sayegh Hashem, Nouini Yassine
Congenital obstruction of the upper urinary tract is often caused by the pyeloureteral junction syndrome, the lower polar vessel being the most common extrinsic etiology.
We report on a case that was successfully treated using the Vascular HITCH, an alternative method with lower morbidity than Anderson and Hynes pyeloplasty considered the gold standard procedure.
Our objective is to outline the aforementioned method and illustrate its ease of use and possible efficacy in carefully chosen adult patients.
A very specific set of patients who meet pre- and post-operative criteria are required for vascular HITCH. The outcomes of this method are encouraging.
先天性上尿路梗阻常由肾盂输尿管连接处综合征引起,下极血管是最常见的外源性病因。我们报告了一个使用血管HITCH成功治疗的病例,这是一种比安德森和海因斯肾盂成形术低发病率的替代方法,被认为是金标准程序。我们的目标是概述上述方法,并说明其易于使用和可能的疗效在精心挑选的成人患者。血管HITCH需要满足术前和术后标准的一组非常特殊的患者。这种方法的结果令人鼓舞。
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引用次数: 0
A case report of renal hydatid cyst
IF 0.5 Q4 UROLOGY & NEPHROLOGY Pub Date : 2024-12-31 DOI: 10.1016/j.eucr.2024.102928
Farhad Ahmadi , Hormoz Karami
Hydatidosis (hydatic cyst) is one of the most important common infectious diseases between humans and animals, which is transmitted through parasite eggs (worms).
A band (of the Echinococcus family) is caused by Echinococcus granulosus larvae, which randomly infects a person with one or more cysts.
Hydatid cyst affects all organs. The most common sites of involvement include the liver, lung, and rarely in the kidney, brain.
It can also cause heart, bone and spleen.
Considering the rarity of hydatid cyst in the kidney, this article introduced a 14-year-old patient with hydatid cyst of the kidney.
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引用次数: 0
A case of lead migration after sacral neuromodulation with erosion into the rectum 骶神经调节后铅迁移伴直肠糜烂1例
IF 0.5 Q4 UROLOGY & NEPHROLOGY Pub Date : 2024-11-27 DOI: 10.1016/j.eucr.2024.102894
Bridget S. Kastelberg , Madeline C. Donnelly , George B. Smallfield III , Stephen P. Sharp , Laura R. Carucci , Adam P. Klausner
We present a case of a 73-year-old female with medication refractory overactive bladder treated with the InterStim® sacral neuromodulation device. Five months post implantation she developed drainage over the lead site and rectal bleeding. Evaluation identified lead migration with rectal perforation requiring surgical removal of the battery and lead. Post removal, the patient returned to baseline urinary symptoms with the development of de novo fecal incontinence. This is the third reported case of sacral neuromodulation lead migration causing rectal perforation in the literature, and the only case managed with endoscopic closure of the rectal defect.
我们报告了一例73岁的女性用药难治性膀胱过动症患者,采用InterStim®骶骨神经调节装置治疗。植入5个月后,她出现铅部位引流和直肠出血。评估确定铅迁移与直肠穿孔需要手术切除电池和铅。移除后,患者恢复到基线泌尿症状,并出现新发大便失禁。这是文献中报道的第三例骶神经调节铅迁移引起直肠穿孔的病例,也是唯一一例内镜下直肠缺损闭合的病例。
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引用次数: 0
Minimally invasive intervention of forniceal rupture in a solitary functioning kidney: A case report 微创介入治疗功能性孤立肾肾孔破裂1例
IF 0.5 Q4 UROLOGY & NEPHROLOGY Pub Date : 2024-11-26 DOI: 10.1016/j.eucr.2024.102897
Abdulrahman Alharbi, Talha Saleem, Rehan Nasir Khan, Ahmed Farag, Abdullatif Al-Terki
Renal Forniceal rupture is a common urological emergency, most commonly due to an underlying ureteral obstruction. There is no standardized management for forniceal rupture. We report a 70-year-old female who presented with vague abdominal symptoms, and acute on Chronic Kidney Disease. Plain Computed Tomography scan of the abdomen/pelvis revealed grossly disturbed renal anatomy, with a large perinephric collection, and an obstructing pelvic-ureteric junction stone. She was initially managed with intravenous antibiotics, percutaneous drain and percutaneous nephrostomy placement. She subsequently underwent right flexible ureteroscopy and double-J stenting. Prompt, early intervention resulted in return of renal anatomy and facilitated early recovery.
肾穹孔破裂是一种常见的泌尿外科急症,最常见的原因是输尿管梗阻。对于穹窿破裂没有规范的处理方法。我们报告一位70岁的女性,她表现出模糊的腹部症状,急性慢性肾脏疾病。腹部/骨盆计算机断层扫描显示肾脏解剖结构严重紊乱,有大量肾周积物,骨盆-输尿管连接处梗阻结石。她最初接受静脉注射抗生素、经皮引流和经皮肾造口术。随后行右输尿管镜及双j型支架置入。及时、早期的干预导致肾脏解剖恢复并促进早期恢复。
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引用次数: 0
Renal PEComa in a young male: A case report and insights from the literature 年轻男性肾脏PEComa: 1例报告及文献见解
IF 0.5 Q4 UROLOGY & NEPHROLOGY Pub Date : 2024-11-23 DOI: 10.1016/j.eucr.2024.102890
Rashad Sholan , Rufat Aliyev , Malahat Sultan , Anar Almazkhanli , Savalan Karim , Jalal Gasimov
Perivascular epithelioid cell tumors (PEComas) are rare mesenchymal neoplasms, commonly found in the uterus and retroperitoneum. Renal PEComas are exceedingly rare, often posing diagnostic challenges due to their resemblance to renal cell carcinoma (RCC) on imaging. We present the case of an 18-year-old male who presented with non-specific symptoms of fever, chills, and shivering. Imaging revealed a renal mass, initially suspected to be RCC. However, following a right radical nephrectomy, histopathological examination confirmed the diagnosis of malignant PEComa. This case highlights the rarity of renal PEComa and underscores the importance of early diagnosis and appropriate surgical management to prevent complications.
血管周围上皮样细胞瘤(PEComas)是一种罕见的间质肿瘤,常见于子宫和腹膜后。肾PEComas是非常罕见的,经常提出诊断挑战,由于其相似肾细胞癌(RCC)的影像学。我们提出的情况下,一个18岁的男性谁提出了发热,寒战和颤抖的非特异性症状。影像学显示肾脏肿块,最初怀疑为肾细胞癌。然而,在右侧根治性肾切除术后,组织病理学检查证实了恶性PEComa的诊断。本病例强调了肾PEComa的罕见性,并强调了早期诊断和适当的手术治疗以预防并发症的重要性。
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引用次数: 0
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Urology Case Reports
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