scholarly journals Percutaneous cystolithotripsy in the reconstructed bladder of cloacal exstrophy: A case report

2021 ◽  
Vol 1 (2) ◽  
Author(s):  
Eiji Hisamatsu ◽  
Kanae Koyama ◽  
Kaoru Yoshino
Keyword(s):  
Case Report ◽  
Urinary Tract ◽  
Bladder Neck ◽  
Bladder Augmentation ◽  
Invasive Treatment ◽  
Cloacal Exstrophy ◽  
Case Presentation ◽  
Bladder Stones ◽  
Urinary Tract Reconstruction ◽  
Bladder Neck Closure

Background: Bladder stones are common after bladder augmentation. The management of bladder stones is challenging, especially in patients who underwent complex urinary tract reconstruction. Case Presentation: We report our experience of percutaneous cystolithotripsy after bladder neck closure, creation of a catheterizable channel, and ileal bladder augmentation in a girl with cloacal exstrophy. Conclusion: Percutaneous cystolithotripsy is a safe, effective, and minimally invasive treatment option for bladder stones after bladder neck closure and the creation of a continent catheterizable channel.

scholarly journals Superior mesenteric artery dissection with prolonged abdominal angina treated by laparotomy, endarterectomy, patch angioplasty, and retrograde open mesenteric stenting: a case report

2019 ◽  
Vol 5 (1) ◽  
Author(s):  
Shinichi Tanaka ◽  
Atsushi Fukuda ◽  
Eisuke Kawakubo ◽  
Takuya Matsumoto
Keyword(s):  
Case Report ◽  
Superior Mesenteric Artery ◽  
Mesenteric Artery ◽  
Artery Dissection ◽  
Surgical Revascularization ◽  
Invasive Treatment ◽  
Case Presentation ◽  
Abdominal Angina ◽  
Patch Angioplasty ◽  
Superior Mesenteric Artery Dissection

Abstract Background Most patients with isolated superior mesenteric artery (SMA) dissection are successfully managed conservatively. However, some patients require more invasive treatment. Case presentation We herein describe a 45-year-old man with isolated SMA dissection. He initially underwent conservative treatment. However, because of persistent abdominal angina, we considered the need for surgical revascularization. He was successfully treated by endarterectomy, patch angioplasty, and retrograde open mesenteric stenting. The abdominal angina was stabilized thereafter. Conclusions The combination of endarterectomy, patch angioplasty, and retrograde open mesenteric stenting is useful for isolated SMA dissection, and long patency can be expected for some patients.

scholarly journals A Rare Case of Urinary Tract Fungal Ball Leading to Fungemia and Bilateral Chorioretinitis

2020 ◽  
Vol 2020 ◽  
pp. 1-4
Author(s):  
Christopher Ferari ◽  
Chad Crigger ◽  
Chad Morley ◽  
David Duchene
Keyword(s):  
Urinary Tract ◽  
Type Ii Diabetes ◽  
Rare Complication ◽  
Obstructive Uropathy ◽  
Treatment Options ◽  
Type Ii ◽  
Invasive Treatment ◽  
Case Presentation ◽  
Fungal Ball

Background. Fungemia due to obstructive urinary tract fungal ball is exceedingly rare. These patients often have multiple predisposing conditions, including diabetes or antimicrobial exposure. While candiduria can be relatively common in this population, urinary tract fungal balls are a rare entity. Hospitalists should be aware of this rare complication in patients presenting with funguria. Case Presentation. We present a case of a 44-year-old male with type II diabetes, chronic hepatitis C secondary to injection drug use, and chronic kidney disease who developed a urinary tract fungal ball leading to fungemia and subsequent bilateral chorioretinitis, additionally complicated by emphysematous cystitis and pyelonephritis. Additional invasive treatment options beyond typical antifungals are often required in the case of urinary tract fungal ball, and in this case, bilateral nephrostomy tubes and micafungin were employed. Hospital course was complicated by C. tropicalis fungemia with subsequent bilateral fungal chorioretinitis on dilated fundus exam. This was effectively treated with cyclogyl and prednisolone drops along with bilateral voriconazole injections. Follow-up imaging and cultures showed resolution of fungemia, urinary tract masses, and chorioretinal infiltrates; however, recurrent polymicrobial UTIs continue to be an issue for this patient. Conclusions. Special multidisciplinary management is required in the treatment of urinary tract fungal balls with subsequent fungemia, including nephrostomy tubes, antifungal irrigation, ureterorenoscopy, and more powerful antifungals such as amphotericin B and 5-flucytosine. This management draws from a myriad of specialties, including urology, infectious disease, and interventional radiology. Additionally, the literature has demonstrated that only approximately half of patients with fungemia receive an ophthalmologic evaluation. Ophthalmologic and urologic cooperation is essential in the case of obstructive uropathy leading to fungemia as the obstructive uropathy must be relieved and these patients should receive a dilated fundus exam.

Perineal Hernia Is an Unusual Complication Post Perineal Bladder Neck Closure: A Case Report

Urology ◽  
2017 ◽  
Vol 101 ◽  
pp. 161-162
Author(s):  
Helmy Omar ◽  
Tamer E. Helmy ◽  
Ashraf T. Hafez ◽  
Mohamed E. Dawaba
Keyword(s):  
Case Report ◽  
Bladder Neck ◽  
Perineal Hernia ◽  
Unusual Complication ◽  
Bladder Neck Closure

scholarly journals Giant Urinary Bladder and Bilateral Giant Hydronephrosis due to Bladder Neck Obstruction: One Case Report and Literature Review

2012 ◽  
Vol 2012 ◽  
pp. 1-3 ◽  
Author(s):  
Mohammed Fadl Tazi ◽  
Omar Riyach ◽  
Youness Ahallal ◽  
Soufiane Mellas ◽  
Abdelhak Khallouk ◽  
...  
Keyword(s):  
Renal Function ◽  
Case Report ◽  
Urinary Tract ◽  
Urinary Bladder ◽  
Literature Review ◽  
Bladder Neck ◽  
Back Pressure ◽  
Giant Hydronephrosis ◽  
Bladder Neck Obstruction ◽  
Collecting System

Bilateral hydronephrosis secondary to urinary obstruction leads to a buildup of back pressure in the urinary tract and may lead to impairment of renal function. Cases of giant hydronephrosis are rare and usually contain no more than 1-2 litres of fluid in the collecting system. Here, we report a rarely seen case with giant urinary bladder and bilateral giant hydronephrosis due to bladder neck obstruction which contains 4000 mL fluid in the collecting system of the kidney mimicking an ascites in an adult male.

scholarly journals Unconventional implant strategy for patients with a limited interocclusal space in the posterior region: a case report

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Yi Wang ◽  
Wen Cen ◽  
Jiang-Qin Huang ◽  
Hong-Wu Wei
Keyword(s):  
Case Report ◽  
Minimally Invasive ◽  
Treatment Strategy ◽  
Posterior Region ◽  
Surgical Reconstruction ◽  
Treatment Alternative ◽  
Invasive Treatment ◽  
Present Case Report ◽  
Case Presentation ◽  
Implant Treatment

Abstract Background Implant prostheses require sufficient interocclusal space. In cases of limited interocclusal space, reducing or extracting over-erupted opposing teeth, orthodontic intrusion, or surgical reconstruction of the edentulous space are commonly used to restore the interocclusal space. However, there are disadvantages to these approaches. Case presentation The present case report describes a patient with a limited interocclusal space managed using an unconventional implant strategy. Conclusions The patient presented satisfactory outcomes without any signs of implant failure, suggesting that the unconventional implant treatment strategy is a useful option for patients with a limited interocclusal space in the posterior region. This unconventional implant surgery provides a minimally invasive treatment alternative.

Lower urinary tract reconstruction

2017 ◽  
Author(s):  
Anthony R. Mundy ◽  
Daniela E. Andrich
Keyword(s):  
Prostate Cancer ◽  
Rectal Cancer ◽  
Clinical Practice ◽  
Urinary Tract ◽  
Lower Urinary Tract ◽  
Bladder Augmentation ◽  
Urethral Strictures ◽  
Urinary Tract Reconstruction ◽  
Urological Procedures ◽  
Lower Urinary

In clinical practice, most reconstructive urological procedures performed are for urethral strictures and otherwise on the lower urinary tract. Bladder augmentation and substitution are widely used by urologists and increasingly so in other subspecialties across the spectrum of urology for what used to be reconstructive problems, but new problems have developed to challenge reconstructive urologists, requiring a different approach but based on the same general principles. Thus, as augmentation and substitution cystoplasty become increasingly part of ‘general urology’, so reconstructive urologists are adapting these principles to deal with the complications of the treatment of prostate cancer, gynaecological cancer and rectal cancer.

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