Urology case reports

A 54-year-old woman with urinary incontinence and multiple comorbidities was evaluated for a suspected bladder tumor after ultrasonography revealed a posterior bladder wall mass. Cystoscopy showed no intravesical lesion. Further imaging dem…

Uretero-uterine fistula (UUF) is an exceedingly rare complication following cesarean section. Due to its scarcity, established management guidelines are lacking, and surgical intervention is typically required for complex or delayed present…

This case report highlights Youssef Syndrome in a 36-year-old woman presenting with five years of cyclic hematuria and oligomenorrhea following multiple Cesarean sections and uterine rupture. In a resource-limited setting lacking MRI or cys…

Postoperative alterations in peritoneal anatomical planes, unclosed mesenteric defects after reimplanted ureter may pose risk of internal hernia. This case report begins with a typical clinical case to present our team's diagnostic and ther…

Adrenal ectopy is the rare occurrence of adrenal tissue at abnormal locations with hernia sac being particularly infrequent. 2-year-old male child with swelling in right inguinal region was diagnosed as reducible inguinal hernia. Intraopera…

Accurate diagnosis of upper-tract urothelial carcinoma is difficult when urine cytology and ureteroscopy are inconclusive. A 59-year-old woman had undergone total hysterectomy for uterine endometrioid carcinoma 5 years earlier. Follow-up co…

Azoospermia, the absence of sperm in the ejaculate, affects 1 % of men, with non-obstructive azoospermia (NOA) comprising 60 % of cases. We report a 29-year-old male with NOA and primary infertility, initially asymptomatic with history of c…

Schistosomiasis is a parasitic infection that may be difficult to diagnose in non-endemic regions and may manifest with epididymal involvement. Testicular schistosomiasis remains a rare disease. The diagnosis is based on clinical suspicion …

51-year old female with history of hysterectomy for fibroid uterus was diagnosed with an 12.3 cm exophytic leiomyoma arising from the cervix that was growing into the urinary bladder with chronic obstruction of the right ureteral orifice an…

Ureteral endometriosis accounts for about 5 % of urologic endometriosis, with a peak incidence in the age group of 30-35 years, usually with unilateral onset. Because of its insidious onset, often combined with asymptomatic loss of renal fu…

Primary clear cell adenocarcinoma (CCA) of the urinary bladder is a rare and aggressive malignancy. Few reports in the literature describe this presentation, as associated with malignant transformation of endometriosis. This case highlights…

We present the case of a patient with X-Linked Hypophosphatemia (XLH) and an inflammatory myofibroblastic tumor (IMT) of the bladder which prompted further investigation into the possible relationship between XLH and IMT i.e. a case of Occa…

Disorders of sexual development (DSD) are diseases resulting from aberrations in sex chromosomes, gonadal, and internal/external genitalia development resulting in various phenotypes. Ovotesticular DSD represents a rarer entity in this clas…

Urothelial cell carcinomas represent the vast majority of urinary bladder tumors. However, many inflammatory and non-neoplastic conditions can mimic a urinary bladder malignancy. In that matter, diverticulitis can progress into colovesical …

A pessary is a silicone ring placed on the vagina that can improve urinary incontinence. This study reports an 83-year-old patient with a pessary discovered inside her vagina after a prior urinary incontinence treatment. The prolonged prese…

Non-urothelial bladder cancers are rare. We report the case of a 72-year-old who consulted for terminal hematuria evolving for three months. Computed Tomography scan showed a tumor of the anterior wall of the bladder. The patient underwent …

Urinary tract endometriosis (UTE) is a very rare but serious form of infiltrating endometriosis because of the risk of urinary tract obstruction and loss of renal function. We report the case of A 42-year-old female patient admitted for int…

Ureteral injury is a known complication of gynecologic surgery with potential long-term sequelae. Traditional management of significant ureteral injury recognized at the time of transvaginal pelvic organ prolapse repair is a transabdominal …

We report a unique case of a robotic partial nephrectomy performed under continuous spinal anesthesia (CSA). A 63-year-old woman, active smoker with mild obesity and previous right pneumonectomy, was diagnosed with a growing 5.5-cm renal ri…

Implanting of a prophylactic double J stent during ureteroneocystostomy has been adopted as routine procedure for preventing anastomotic complications. In extremely rare events, the coiled distal end of the stent migrates upward through ure…

Duplex collecting systems are common congenital abnormalities of the urinary tract but are infrequently reported in adult populations. This abnormality can present with hydroureteronephrosis secondary to urinary tract obstruction or concomi…

Primary clear cell carcinoma of the urinary bladder is extremely rare reported only in case report or small case series. Due to its rarity, no consensus or recommendations are made on how to manage PCCUB and the pathogenesis of PCCUB is not…

Herlyn-Werner-Wunderlich (HWW) syndrome is difficult to diagnose. We report our first experience of fistula repair in HWW syndrome in Hasan Sadikin General Hospital Indonesia. A 12 years old girl presented with urinary retention, and was co…

Renal artery aneurysms (RAAs) are rare. Diagnosis is typically incidental with most cases asymptomatic and detected on routine imaging. Rarely large saccular RAAs may appear to extend to the neighbouring renal parenchyma. Differentiating th…

Primary mesonephric adenocarcinoma of the bladder is a very rare lesion. Only 9 cases have been reported since 1968, when it was first described. Due to its morphological diversity and variable immunohistochemical profile, mesonephric adeno…