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In this Case Study, Subramanian et al. present a patient who underwent orchiectomy for low-stage nonseminomatous germ cell tumor of the testis. The patient opted for management by surveillance, and subsequently developed a recurrent teratoma of the spermatic cord. The case illustrates the importance of combining imaging and tumor marker measurement in surveillance protocols.
In this Case Study, Phipps et al. describe a 33-year-old woman with severe hypertension resulting from iatrogenic ureteric injury. The authors discuss the underlying mechanisms of hypertension caused by ureteric obstruction, and they use the case to illustrate the effective endourological management of short, completely obliterating, distal ureteric strictures.
Primary lymphoma of the bladder is a rare condition, typically presenting as intermittent hematuria, urinary frequency and dysuria. In this Case Study, Horasanli et al. report the management, using transurethral resection, chemotherapy and radiotherapy, of a 65-year-old woman who presented with urinary symptoms and a right hydronephrosis resulting from this tumor.
In this Case Study, Tu et al. report on a 61-year-old man previously treated for prostatic adenocarcinoma who presented with obstructive urinary symptoms and was subsequently found to have ductal carcinoma of the prostate. The authors discuss the difficulty of diagnosing this tumor, and the correct approach to its management.
Radical nephrectomy has traditionally been considered the treatment of choice for localized kidney tumors. In this Case Study, Huang and Russo report a patient with an incidentally discovered small renal cortical tumor who underwent open partial nephrectomy. The authors comment on the advantages of this approach, particularly with regard to the preservation of renal function.
This Case Study describes a 40-year-old man who presented with abdominal pain without lower urinary tract symptoms. Following investigations, including abdominal CT and MAG3 renogram, ureteropelvic junction obstruction was confirmed. In this Case Study the diagnostic work-up in this patient and their management with laparoscopic transperitoneal dismembered Anderson–Hynes pyeloplasty is described.
This Case Study describes a 55-year-old man with a history of coronary artery disease who was diagnosed with pheochromocytoma of the left adrenal gland. The authors discuss the diagnosis of this patient and his treatment with alpha-blockade therapy combined with phenoxybenzamine before open adrenalectomy.
This Case Study describes a 32-year-old pregnant woman who presented with severe pain and a left-sided giant hydronephrosis. Renal ultrasonography, intravenous urography and MAG-3 renography confirmed pelvi-ureteric junction obstruction, so a left retroperitoneoscopic nephrectomy was performed. The authors discuss the risks associated with surgical treatment of the pregnant patient.