scholarly journals Intravesical Migration of Missed Intrauterine Device Associated with Stone Formation: A Case Report and Review of the Literature

2015 ◽  
Vol 2015 ◽  
pp. 1-4 ◽  
Author(s):  
Mücahit Kart ◽  
Turgay Gülecen ◽  
Murat Üstüner ◽  
Seyfettin Çiftçi ◽  
Ufuk Yavuz ◽  
...  
Keyword(s):  
Lower Urinary Tract ◽  
Stone Formation ◽  
Intrauterine Device ◽  
Laboratory Finding ◽  
Bladder Wall ◽  
Abdominal Ultrasound ◽  
Review Of The Literature ◽  
Urinary Tract Symptoms ◽  
Periodic Evaluation ◽  
Lower Urinary

Intrauterine device is the most widely used method of reversible contraception. It may cause various complications including perforation of uterus. In this case, 44-year-old woman was presented with lower urinary tract symptoms after six years of insertion. Patient has no remarkable physical or laboratory finding but abdominal ultrasound revealed a 27 mm hyperechogenicity, suggestive of foreign body or calculus on the posterior bladder wall which was removed endoscopically. This case highlights the need of immediate and periodic evaluation of women with intrauterine device to avoid missing serious complications.

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.

An unusual case of LUTS in an adolescent man: a case report and literature review

2021 ◽  
pp. 205141582110093
Author(s):  
Jacob Wilson ◽  
Jeremy Nettleton ◽  
Biral Patel
Keyword(s):  
Case Report ◽  
Lower Urinary Tract ◽  
Unusual Case ◽  
Good Effect ◽  
Review Of The Literature ◽  
Level Of Evidence ◽  
Genitourinary System ◽  
Urinary Tract Symptoms ◽  
Prostatic Cyst ◽  
Lower Urinary

Congenital prostatic cysts are rare and it is unusual for these patients to present with symptoms. We report the case of a 17-year-old man who presented with obstructive lower urinary tract symptoms and was found to have a prostatic cyst and other abnormalities of the genitourinary system. The patient subsequently underwent transurethral aspiration of the cyst with good effect. A brief review of the embryology behind these lesions along with a review of the literature is provided. Level of evidence: Not applicable for this multicentre audit.

scholarly journals Mechanisms of Delayed Lower Urinary Tract Stone Formation

2021 ◽  
Vol 4 (1) ◽  
pp. e17-e22
Author(s):  
Fawad Arif ◽  
West Alaiyi
Keyword(s):  
Urinary Tract ◽  
Lower Urinary Tract Symptoms ◽  
Lower Urinary Tract ◽  
Stone Formation ◽  
Dystrophic Calcification ◽  
Urinary Tract Symptoms ◽  
Prostatic Fossa ◽  
Urinary Tract Stone ◽  
Tract Infections ◽  
Lower Urinary

Materials and methods:We analysed Holmium Laser Enucleation of Prostate (HOLEP) database consisting of 1300 patients who presented more than 18 months after undergoing the procedure with lower urinary tract symptoms (LUTS-voiding lower urinary tract symptoms, dysuria, haematuria, recurrent urinary tract infections-UTIs) second-ary to delayed lower urinary tract stone formation. Information was gathered from the case notes, imaging modalities, operation notes and pathology reports. Results:Three patients were identified who presented with delayed lower urinary tract stone formation 18 months after undergoing HOLEP. Case 1: A 68-year-old presented with a 4-cm mobile bladder stone on a retained prostatic fragment 29 months after HOLEP.Case 2: A 74-year-old presented with 2.5 cm bulbar urethral stone 18 months after HOLEP.Case 3: A 77-year-old presented with dystrophic calcification of the entire prostatic fossa 60 months after HOLEP. Conclusion:Delayed lower urinary tract stone presentation is unusual after HOLEP. Recurrent urethral pain, recurrent UTI, gross haematuria and voiding lower urinary tract symptoms in the presence of a lower urinary tract stone (bladder, prostate and urethra) with a radiolucent centre on a background of HOLEP should raise the suspicion that this may represent calcification on a prostatic tissue fragment or dystrophic calcification of the residual prostate/prostatic fossa. Careful morcellation, inspection of the prostatic fossa on withdrawing the morcellator  for large residual prostate fragments still attached to the prostatic bed/bladder neck or simply stuck to the fossa (usually in a clot) will reduce the risk of retainment of such a significant prostatic fragment that can potentially cause complications in the future.  

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