Volume 13, Number 2Case ReviewMalignant Priapism Secondary to Metastatic Prostate Cancer: A Case Report and Review of LiteratureYu-Hsiang LinJerry J KimNed B SteinMohit KheraPenile metastasis of cancers from other primary sites is a rare phenomenon that infrequently manifests as malignant priapism. We outline a case of an 84-year-old patient who presented with a 3-month history of painful priapism after radiation therapy for prostate adenocarcinoma. The patient underwent surgical penile exploration and cavernosal biopsy that revealed poorly differentiated cells suggestive of prostate cancer. Postoperative imaging demonstrated extensive regional and distal metastases. A review of the literature on penile metastases returned approximately 400 published cases, with priapism being the initial presentation in 20% to 50% of cases. Regardless of site of origin or subsequent management, most cases have shown very poor prognosis. [Rev Urol. 2011;13(2):90-94 doi: 10.3909/riu0508] © 2011 MedReviews®, LLCProstate cancerMalignant priapismPenile metastasis
Volume 13, Number 2Case ReviewLaparoscopic Nephrectomy for Pyonephrosis During Pregnancy: Case Report and Review of the LiteratureShilpi Singh GuptaSurbhi SahayKutub AliAnand DharaskarOnkar SinghNand Kishore ArvindThe maternal and fetal complications of pyonephrosis during pregnancy can be devastating, thus the call for urgent but safe intervention. Laparoscopic nephrectomy has been used safely and effectively in nonpregnant patients with pyonephrotic kidney. We report on a case of a 28-year-old pregnant woman with pyonephrotic kidney that we believe to be the first such case managed by transperitoneal laparoscopic nephrectomy. A review of the reported cases of laparoscopic nephrectomy for different indications and by different approaches during pregnancy is also presented. [Rev Urol. 2011;13(2):98-103 doi: 10.3909/riu0505] © 2011 MedReviews®, LLCLaparoscopyNephrectomyPregnancyPyonephrosis
Volume 13, Number 2Case ReviewIdiopathic Scrotal Calcinosis: A Non-Elucidated Pathogenesis and Its Surgical TreatmentAbdelhak KhalloukMohamed Jamal El FassiMoulay Hassan FarihOussama El YazamiMohamed Fadl TaziSoufiane MellasScrotal calcinosis (SC) is a rare, benign entity defined as the presence of multiple calcified nodules within the scrotal skin. In most cases, there are no associated symptoms. We report the case of 27-year-old man with a massive SC. Treatment was surgical with complete excision of the affected part of the scrotum wall. Histopathologically, there was no epithelial lining around the calcified nodules and no cystic structure. Therefore, our case was considered idiopathic SC [Rev Urol. 2011;13(2):95-97 doi: 10.3909/riu0481] © 2011 MedReviews®, LLCTreatmentCalcinosisIdiopathicScrotumSurgery
Volume 13, Number 1Case ReviewAppendiceal Abscess Revealed by Right Renal Colic and HydronephrosisCase ReviewMustapha AhsainiAbdelhak KhalloukYounes AhallalMohamed Jamal El FassiMoulay Hassan FarihReported is the case of a patient who had an appendiceal abscess revealed by right renal colic with fever and general fatigue. The abdominal computed tomography scan showed hydronephrosis and an appendiceal abscess surrounding and compressing the ureter. The appendix contained a stercolith and was perforated. [Rev Urol. 2011;13(1):53-55 doi: 10.3909/riu0479]HydronephrosisRenal colicAppendicitisAbscess
Volume 13, Number 1Case ReviewSquamous Cell Carcinoma of the ProstateCase ReviewMatthew E HardeeNicholas SanfilippoAndrew B RosenkrantzGeorge DakwarSamir S TanejaRena D Malik"Squamous cell carcinoma of the prostate is a rare tumor, making up 0.5% to 1% of all prostate carcinomas. It is typically described as an aggressive cancer, with a median postdiagnosis survival of 14 months. Presented here is a case of primary squamous cell carcinoma of the prostate, with a complicated presentation of metastatic disease. Due to the extent of the patientís disease, he was treated with palliative radiation therapy using a four-field technique (AP/PA and left and right lateral fields) with 18 mV photons prescribed to the 100% isodose line. The prescription dose was 4000 cGy in 16 fractions of 250 cGy per fraction. No definitive treatment of squamous cell carcinoma of the prostate exists but varying approaches including surgical intervention, chemotherapy, and radiation therapy have been implemented without durable response. However, multimodal treatments appear to be the most promising with longer durations of survival. [Rev Urol. 2011;13(1):56-60 doi: 10.3909/riu0494]"Squamous cell carcinomaProstate adenocarcinomaLower urinary tractsymptomsMultimodal treatments
Volume 14, Number 3Case ReviewTwo Separate Synchronous Primary Genitourinary TumorsMatthew T SmithFrederick D TaylorWilliam P GianakopoulusRoy R BrownA 54-year-old man presented to the office with gross painless hematuria, dysuria, and urinary frequency. He was diagnosed with renal cell carcinoma of the kidney and transitional cell carcinoma of the bladder. The article reviews the presentation, radiology, pathology, and intervention of an uncommon case of synchronous primary carcinomas, and aims to show the importance of continued clinical suspicion for multiple genitourinary primary neoplasms. [Rev Urol. 2012;14(3/4):104-107 doi: 10.3909/riu0555] © 2013 MedReviews®, LLCHematuriaGenitourinary tumorDysuriaNeoplasmUrinary frequency
Volume 14, Number 3Case ReviewMultibacterial Growth From a Surgical Renal Stone Culture: A Case Report and Literature ReviewRoss P HolmesJessica N LangeDean G AssimosPatrick W MufarrijMajid MirzazadehUrinary calculi may harbor bacteria, and this may lead to deleterious events during stone fragmentation and removal. The isolation of such bacteria from surgically extracted calculi allows for the specific tailoring of antimicrobial therapy. Here, we describe a case involving percutaneous stone removal from which the stone culture demonstrated growth of five different microorganisms. The results of this culture prompted a change in the antibiotic coverage, resulting in a more targeted treatment and improved patient care. [Rev Urol. 2012;14(3/4):108-114 doi: 10.3909/riu0561] © 2013 MedReviews®, LLCUrinary tract infectionNephrolithiasisStone culture
Volume 14, Number 1Case ReviewAdult Wilms’ Tumor With a Unique Presentation of High-Grade Fever, Photophobia, and HeadacheJay KrishnanJerome PietrasMarcella NachmannWilms’ tumor is the second most common tumor in children, accounting for 6% to 7% of all childhood tumors. However, in adults, it is a rare occurrence. The true incidence of adult Wilms’ tumor is difficult to ascertain because of its rarity in the adult population. A review of literature demonstrates that fewer than 300 cases have been reported worldwide. Treatment guidelines in adults have not been established, although reported prognosis is worse for adults compared with children because the disease is more advanced in adults at the time of diagnosis. Reported here is a case of adult Wilms’ tumor presenting as high-grade fever and abnormal laboratory values. [ Rev Urol. 2012;14(1/2):31-34 doi: 10.3909/riu0541] © 2012 MedReviews®, LLCWilms’ tumorRenal massOpen radical nephrectomyMultimodal therapy
Volume 15, Number 4Case ReviewSplenogonadal Fusion: An Unusual Case of an Acute ScrotumRena D MalikDennis B LiuWe highlight a case on a normal left testicle with a fibrovascular cord with three nodules consistent with splenic tissue. The torsed splenule demonstrated hemorrhage with neutrophilic infiltrate and thrombus consistent with chronic infarction and torsion. Splenogonadal fusion (SGF) is a rather rare entity, with approximately 184 cases reported in the literature. The most comprehensive review was that of 123 cases completed by Carragher in 1990. Since then, an additional 61 cases have been reported in the scientific literature. We have studied these 61 cases in detail and have included a summary of that information here. [Rev Urol. 2013;15(4):197-201 doi: 10.3909/riu0593] © 2014 MedReviews®, LLCSplenogonadal fusionAcute scrotum
Volume 15, Number 4Case Review47,XYY Syndrome and Male InfertilityArjun C KhadilkarEdmund S SabaneghIna W KimEdmund Y KoMen with 47,XYY syndrome present with varying physical attributes and degrees of infertility. A retrospective chart review was performed on a male infertility and genetic anomaly database. Three patients with 47,XYY were found. Each presented with . 2 years of infertility. All were tall with elevated body mass indices. Scrotal findings ranged from normal to atrophic testicles. Semen analyses demonstrated oligospermia and varying endocrine profiles. Because of the diverse phenotype and potential lack of symptoms, identification and diagnosis of men with 47,XYY syndrome may be difficult. We recommend careful screening of 47,XYY patients and referral to primary physicians for long-term follow-up for increased incidence of health-related comorbidities. [Rev Urol. 2013;15(4):188-196 doi: 10.3909/riu0580] © 2014 MedReviews®, LLCXYY syndromeInfertility syndromes