scholarly journals Urethral Leiomyoma: A Rare Clinical Entity

2016 ◽  
Vol 2016 ◽  
pp. 1-4 ◽  
Author(s):  
Ng Beng Kwang ◽  
Aruku Naidu ◽  
Azyani Yahaya ◽  
Lim Pei Shan
Keyword(s):  
Lower Urinary Tract ◽  
Rare Case ◽  
Histopathological Examination ◽  
Urethral Meatus ◽  
Diagnostic Dilemma ◽  
Urethral Leiomyoma ◽  
Urinary Tract Symptoms ◽  
Rare Location ◽  
History Of ◽  
Lower Urinary

Extrauterine leiomyomas are encountered occasionally, which can pose a diagnostic dilemma and challenge to the gynaecologist. We report a rare case of urethral leiomyoma. A 31-year-old woman with history of primary subfertility presented with mass at her urethral meatus and lower urinary tract symptoms. She underwent examination under anaesthesia and excision of the urethral mass. Histopathological examination confirmed leiomyoma. Diagnosis and management of this common growth situated at a rare location were reviewed and discussed.

scholarly journals Primary Mature Cystic Teratoma Compressing the Prostate in a 28-Year-Old Male: A Case Report and Literature Review

2019 ◽  
Vol 2019 ◽  
pp. 1-5 ◽  
Author(s):  
Khalil Chalhoub ◽  
Rawad Abou Zahr ◽  
Elias Mansour ◽  
Mona Aoun ◽  
Michel Jabbour
Keyword(s):  
Case Report ◽  
Urinary Tract ◽  
Lower Urinary Tract ◽  
Rare Case ◽  
Cystic Teratoma ◽  
Mature Cystic Teratoma ◽  
Adult Females ◽  
Urinary Tract Symptoms ◽  
History Of ◽  
Lower Urinary

Primary mature retroperitoneal teratomas are rare tumors most commonly occurring in adult females. These tumors are usually asymptomatic since they have no attachments to specific organs. We present a rare case of a 28-year-old male with 2-month history of lower urinary tract symptoms, who was found to have a primary mature cystic teratoma abutting the prostate.

Primary diffuse large B cell lymphoma (DLBCL) of the prostate presenting with lower urinary tract symptoms (LUTS)

2020 ◽  
Vol 13 (12) ◽  
pp. e236280
Author(s):  
Ayesha Nusrat ◽  
Syed Muhammad Nazim
Keyword(s):  
Urinary Tract ◽  
B Cell ◽  
Lower Urinary Tract ◽  
Cell Lymphoma ◽  
B Cell Lymphoma ◽  
Large B Cell Lymphoma ◽  
Urinary Tract Symptoms ◽  
History Of ◽  
Large B Cell ◽  
Lower Urinary

Malignant lymphomas of the prostate are very rare tumours and are generally not considered in the clinical or pathological diagnosis of prostatic enlargement. We report a case of a 56-year-old man who presented with long-standing history of low back pain and a 2-month history of voiding lower urinary tract symptoms. He denied any history of urinary retention, trauma, catheterisation or any constitutional symptoms. Examination revealed no lymphadenopathy and hepatosplenomegaly. Digital rectal examination showed an irregular, moderately enlarged nodular prostate. His prostate-specific antigen was 1.54 ng/mL. MRI of the pelvis did not show any focal lesion apart from abnormal signal intensity in the central zone. Bone scan was negative. Transrectal ultrasound-guided prostate biopsy revealed diffuse large B cell lymphoma. Bone marrow biopsy and whole body positron emission tomography/CT were unremarkable. The patient achieved complete remission after receiving six cycles of R-CHOP chemotherapy.

scholarly journals Laparoscopic removal of a pelvic cyst associated with obstructedmegaureter and dysplastic renal remnant

2013 ◽  
Vol 3 (2) ◽  
pp. 159 ◽  
Author(s):  
Michael L. Pianezza ◽  
Eric P. Estey
Keyword(s):  
Lower Urinary Tract ◽  
Bladder Wall ◽  
Renal Tissue ◽  
Urinary Tract Symptoms ◽  
History Of ◽  
The Right ◽  
Laparoscopic Removal ◽  
Pelvic Cyst ◽  
Surgical Option ◽  
Lower Urinary

We report a case of a 41-year-old man with a solitary functioningleft kidney and history of chronic pelvic discomfort associatedwith lower urinary tract symptoms. Imaging revealed a largecystic structure in the pelvis attached to a dilated tortuous ureteron the right with congenital absence of the right kidney. The patientunderwent laparoscopic removal of the pelvic cyst and dilatedright ureter. Pathological assessment revealed mesonephric remnantsrepresenting dysplastic renal tissue attached to a dilated andobstructed megaureter, extending into the bladder wall and forminga large pelvic cyst. The patient’s symptoms resolved. A laparoscopicapproach represents an excellent surgical option for pelvicpathology.Nous décrivons le cas d’un homme de 41 ans porteur d’un seulrein fonctionnel (gauche) et ayant des antécédents de douleurspelviennes chroniques liées à des symptômes affectant les voiesurinaires inférieures. Les épreuves d’imagerie ont révélé une massekystique volumineuse au niveau du pelvis, une dilatation et unesinuosité urétérales du côté droit et l’absence congénitale derein droit. Le patient a subi une ablation par laparoscopie du kystepelvien et de la section dilatée de l’uretère droit. L’évaluationpathologique a révélé des vestiges mésonéphriques constituésde tissu rénal dysplasique lié à un méga-uretère obstrué avec dilatationkystique se prolongeant dans la paroi vésicale et formant ainsiun kyste pelvien volumineux. Les symptômes du patient ont disparu.Une approche laparoscopique représente une excellenteoption chirurgicale en présence de pathologie pelvienne.

scholarly journals 646 A Review of The Urodynamic Referral Pathway and The Accuracy of Urodynamic Study Requests

2021 ◽  
Vol 108 (Supplement_6) ◽  
Author(s):  
M Breish ◽  
C Harding ◽  
S Biswas
Keyword(s):  
Urinary Tract ◽  
Lower Urinary Tract ◽  
Great Majority ◽  
Detrusor Underactivity ◽  
Dysfunctional Voiding ◽  
Urinary Tract Symptoms ◽  
History Of ◽  
And Storage ◽  
Current Pathway ◽  
Lower Urinary

Abstract Aim Urodynamic studies (UDS) are physiological measurements of voiding and storage function of the lower urinary tract that are commonly performed in clinical practice to investigate bothersome lower urinary tract symptoms. Despite considerable efforts to improve UDS, standardisation of the practice remains to be challenging. This audit thus, presents a review the current UDS referral process and analysis of the clinical details included on urodynamic requests. Method This audit included retrospective data from 112 patients between March and Oct 2020, 98 of which had UDS performed. Patient electronic records, referral forms and clinic letters were all used for data collection. Results Data shows that 47% of patients were females with average age of 56 years, range (16-86) years. The reason of UDS was clearly stated in 8 referrals only and the clinical examination findings were clearly mentioned in 31% only. More than three quarters of patients (i.e., 77%) had assessment of post void residual prior to UDS, but half of the proportion had no history of relevant medications. In 98 patients who had UDS done, the main findings showed that 4 patients had normal studies, 3 with dysfunctional voiding, 7 had bladder outflow obstruction, 32 patients were diagnosed with detrusor overactivity, 12 had stress incontinence and 7 showed detrusor underactivity. Conclusions Finding of this audit clearly suggest a level of unclarity in the great majority of referrals. Evidently, key history of relevant medication is overlooked in half of the referrals. Improvements to the current pathway to UDS is therefore pivotal.

scholarly journals Rare case of bladder chondroma causing lower urinary tract symptoms

2019 ◽  
Vol 12 (1) ◽  
pp. bcr-2018-227006
Author(s):  
Simeon Ngweso ◽  
Saheel Mukhtar ◽  
Cindy Forrest ◽  
Julian Mander
Keyword(s):  
Urinary Tract ◽  
Soft Tissue ◽  
Lower Urinary Tract Symptoms ◽  
Lower Urinary Tract ◽  
Rare Case ◽  
Hyaline Cartilage ◽  
Medullary Cavity ◽  
Long Bones ◽  
Urinary Tract Symptoms ◽  
Lower Urinary

An extraosseous or soft tissue chondroma is a rare, benign cartilaginous tumour characterised by the formation of mature hyaline cartilage. The majority of osseous chondromas are located within the medullary cavity of long bones. Soft tissue chondromas are extremely rare with only five cases affecting the bladder being reported in the literature. Soft tissue chondroma of the bladder is a rare cause of lower urinary tract symptoms and abdominopelvic pain. All reported cases of soft tissue chondromas of the bladder have occurred in women in their fifth to seventh decades of life. We describe the case of a 65-year-old woman diagnosed with a soft tissue chondroma of her bladder while being investigated for lower urinary tract symptoms.

scholarly journals An Enlarged and Infected Prostatic Utricle as a Rare Cause of Lower Urinary Tract Symptoms in Adolescent Males

2021 ◽  
Vol 2021 ◽  
pp. 1-3
Author(s):  
Rashida Shakir ◽  
Michael G. Packer ◽  
Zarine R. Balsara
Keyword(s):  
Urinary Tract ◽  
Lower Urinary Tract Symptoms ◽  
Lower Urinary Tract ◽  
Urine Culture ◽  
Lower Abdominal Pain ◽  
Proximal Hypospadias ◽  
Prostatic Utricle ◽  
Urinary Tract Symptoms ◽  
History Of ◽  
Lower Urinary

Dysuria with lower abdominal pain is a common presentation for a urinary tract infection (UTI), and diagnosis is based on symptoms together with a urinalysis and urine culture suggestive of infection. UTI is uncommon in circumcised males who are not sexually active. When urine culture is negative, alternate diagnoses including, but not limited to, gastroenteritis, severe constipation, appendicitis, or epididymitis need to be considered. In patients with a known urologic history of proximal hypospadias and/or disorders of sexual development, rarer diagnoses also need to be considered. This paper reports the case of a 13-year-old male with a remote history of proximal hypospadias repair, who presented with nonspecific lower urinary tract symptoms. Initially he was treated for UTI. However, urine cultures remained negative despite persistent urinary tract symptoms. On further workup, he was found to have an enlarged and infected prostatic utricle. This report illustrates the importance of considering an enlarged prostatic utricle in the differential diagnoses of patients with chronic lower urinary tract symptoms and a history of hypospadias. Additionally, this case highlights the utility of magnetic resonance imaging (MRI) in clarifying lower urinary tract anatomy in cases where ultrasound is inconclusive.

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