Volume 19, Number 4Case ReviewIrreversible Electroporation for Prostate Cancer as Salvage Treatment Following Prior Radiation and CryotherapyKatie S MurrayOguz AkinJonathan A ColemanSalvage treatment options after localized primary treatment failure of prostate cancer are limited and associated with risk for serious complications. We report on the management details of a 57-year-old African American man treated with partial-gland ablation using irreversible electroporation following local recurrence after brachytherapy and prior salvage cryoablation. Therapeutic and functional outcomes were assessed by conventional means, including serum prostate-specific antigen values and prostate biopsy results. [Rev Urol. 2017;19(4):268–272 doi: 10.3909/riu0755] © 2018 MedReviews®, LLCProstate cancerFocal therapyIrreversible electroporationSalvage therapy
Volume 19, Number 4Case ReviewCycling Trauma as a Cause of Arterial Priapism in Children and TeenagersIrene ParaboschiAldo Franco De RoseGuglielmo ManticaAlexander SzpytkoHilgard AckermannGiovanni De CaroCarlo TerroneGirolamo MattioliBicycle riding has multiple beneficial cardiovascular effects; however, it is a well-documented source of significant urologic injuries. Priapism is a rare condition in children, and occurs primarily because of congenital hematologic diseases or adverse drug reactions. A pediatric clinical case and literature review of a high-flow priapism secondary to cycling trauma is described here to highlight their etiopathologic correlation. Bicycle riding trauma is a rare but possible cause of high-flow priapism in children, and a high index of suspicion should ensure appropriate management. [Rev Urol. 2017;19(4):273–277 doi: 10.3909/riu0768] © 2018 MedReviews®, LLCPediatricTraumaPriapismCycling
Volume 20, Number 1Case ReviewA Potential Link: Cross-fused Renal Ectopia With Concomitant Absent Left TesticleDavid W DrevnaJoseph DankoffBryant Van LeeuwenCross-fused renal ectopia (CFRE) is a rare congenital anomaly in which both kidneys are located on a unilateral side of the retroperitoneal space. The ureter of the ectopic kidney is seen to pass over the midline to insert in its normal anatomic position. Frequently this anomaly goes undetected until there is radiologic screening for other purposes or when other genitourinary issues are investigated. Although frequently isolated, this condition has been reported to be associated with other congenital anomalies, genetic disorders, and various urogenital anomalies more than 50% of the time. However, we found no cases linking CFRE with a solitary testicle. This is a case of a 30-year-old man with left-to-right CFRE with concomitant absent left testicle and obstructing distal calculus. [Rev Urol. 2018;20(1):49–51 doi: 10.3909/riu0770] © 2018 MedReviews, LLC®Cross-fused renal ectopiaCFRE
Volume 20, Number 2Case ReviewClinical Relevance of Petit’s Triangle: A Forgotten LandmarkScott HalperinJulian SpectorDavid PennBarry ZisholtzThis rare case details a right-sided hydronephrotic kidney herniated through Petit’s triangle. Petit’s triangle is an anatomical landmark that is usually not clinically significant and only alluded to during multiple-choice examinations. This case describes the clinical ramification of this area of weakness and allows us to revisit and relearn the anatomy, and its relevance in clinical practice. [Rev Urol. 2018;20(2):112–114 doi: 10.3909/riu0796] © 2018 MedReviews®, LLCHerniaPetit’s triangleHydronephrotic kidney
Volume 20, Number 4Case ReviewNocturia: Finding an IdentityBenjamin M BruckerNocturia is a condition that has a tremendous impact on a patient’s health and wellbeing. Getting up 2 or more times a night to urinate fragments sleep, preventing deep, restorative stages of the sleep cycle. With safer and more effective therapies, nocturia is a treatable condition that no longer should be overlooked. The simplicity of directly targeting the cause of nocturia, the overproduction of urine (ie, nocturnal polyuria) should be considered. Noctiva™ (desmopressin acetate) nasal spray (Avadel Pharmaceuticals plc, Chesterfield, MO), a novel FDA-approved microdose desmopressin nasal spray, can reduce nighttime urine production and potentially mitigate the potential harm of nocturia. [Rev Urol. 2018;20(4):170–173 doi: 10.3909/riu0822] © 2019 MedReviews®, LLCQuality of lifeBPHLower urinary tract symptoms (LUTS)Desmopressin acetate
Volume 21, Number 1Case ReviewSymptomatic Rosai-Dorfman Disease Presenting as Isolated Bilateral Perinephric InfiltrationDaniel J KmetzDennis BentleyBryant Van LeeuwenThis case explores a rare initial presentation of Rosai-Dorfman disease isolated to the peri-renal space. Also described as sinus histiocytosis with massive lymphadenopathy, Rosai-Dorfman disease is non-neoplastic and most often presents with massive cervical lymphadenopathy, but the disease can affect any organ system. Not often considered by those in the urology community or found in urology journals, this report reviews a clinical presentation of Rosai-Dorfman disease affecting bilateral kidneys and the fundamental histopathology needed for its diagnosis. [Rev Urol. 2019;21(1):41–44] © 2019 MedReviews®, LLCRosai-Dorfman diseaseSinus histiocytosis with massive lymphadenopathy
Volume 21, Number 1Case ReviewUreteral Polyp Managed by Endoscopic TechniquesTal CohenMark MemoJohn GraffShyam PatnaikFibroepithelial polyps (FEPs) are rare benign tumors of mesodermal origin. They are found in the ureters 85% of the time, with the remainder located in the renal pelvis and occasionally the bladder. FEPs can present as flank pain, lower abdominal pain, and/or gross hematuria. Previous literature reports management of these benign lesions using open surgical techniques, laparoscopic techniques, and endoscopic management. In this article, the authors present their pure endoscopic management of a large ureteral polyp and a review of the current literature outlining the etiology, clinical presentations, and management techniques for FEP of the ureter. [Rev Urol. 2019;21(1):45–48] © 2019 MedReviews®, LLCUreteral polypEndoscopic managementUreteral filling defect
Volume 21, Number 1Case ReviewUse of Spermatic Cord Block Systematically Identifies a Paraspinal Tumor as Source of OrchialgiaMason HoltelRobert J Baranello JrAllyson HalePatrick SpringhartOrchialgia is a common urologic complaint with a myriad of etiologies. Workup for orchialgia requires a broad differential diagnosis and a thorough understanding of relevant anatomy. We report the case of a 43-year-old man who presented to a urologist with right testicular pain. Following a negative workup, the patient received a spermatic cord block for therapeutic and diagnostic purposes. Two months after the block, the patient returned with new complaints of ipsilateral inner thigh paresthesias, suggesting a pathologic process proximal to the genital branch of the genitofemoral nerve. A subsequent MRI of the lumbosacral spine revealed a paraspinal mass involving nerve roots at L1-2. We highlight the utility of the spermatic cord block and its role in the diagnosis of a paraspinal tumor as an uncommon cause of orchialgia. [Rev Urol. 2019;21(1):49–52] © 2019 MedReviews®, LLCOrchialgiaNeuropathic painTesticular painSpermatic cord blockGenitofemoral nerveParaspinal tumor
Volume 21, Number 2Case ReviewA Case of Squamous Cell Carcinoma of the Anterior Urethra in a ManNavin ShahThomas HuebnerShannon CheroneSquamous cell carcinoma (SCC) of the anterior urethra in men is rare, comprising less than 1% of all urologic cancers. The mean age at diagnosis is 60 years and it is nearly twice as common in black men compared with white men. We detail a case of SCC of the anterior urethra in a man presenting with an inguinal mass, meatal stenosis, and balanitis. [Rev Urol. 2019;21(2/3):133–135] © 2019 MedReviews®, LLCUrethraSquamous cell carcinomaanteriorHPV p16
Volume 21, Number 2Case ReviewIntraperitoneal Rupture of a Synovial Sarcoma of the KidneyAndrew StammPaul KozlowskiNeal ContiSemra OlgacJohn Paul FloresMichael J WagnerPrimary renal synovial sarcoma is an aggressive, extremely rare disease. Nearly all reported cases are characterized by SYT-SSX gene translocation (X;18)(p11;q11). We describe the case of a 43-year-old woman who presented with an intraperitoneal rupture of this rare sarcoma followed by a right radical nephrectomy. Follow-up imaging 1 month after surgery revealed peritoneal carcinomatosis. She began systemic chemotherapy with doxorubicin and dacarbazine, progressed after 3 months, and is currently receiving single-agent ifosfamide. Only one instance of intraperitoneal rupture has been reported previously. This case report contributes to the characterization of this rare disease. [Rev Urol. 2019;21(2/3):141–143] © 2019 MedReviews®, LLCKidney cancerOncologyRenal synovial sarcoma