RESUMO
A 22-year-old African American man with recurrent episodes of gross hematuria for 6 months presented to the clinic for evaluation. A thorough history revealed that the patient emigrated from Mozambique to the United States 12 years ago. Urine culture was negative for a urinary tract infection. Cystoscopy revealed 4 lesions in the bladder. Biopsy of the bladder lesion revealed severe cystitis and Schistosoma haematobium. The patient later confirmed that he used to swim in rivers and streams back in Africa. He completed a course of praziquantel and his gross hematuria resolved.
Assuntos
Cistoscopia/métodos , Hematúria/etiologia , Schistosoma haematobium/isolamento & purificação , Esquistossomose Urinária/complicações , Bexiga Urinária/microbiologia , Infecções Urinárias/complicações , Animais , Seguimentos , Hematúria/diagnóstico , Humanos , Masculino , Esquistossomose Urinária/diagnóstico , Esquistossomose Urinária/microbiologia , Fatores de Tempo , Bexiga Urinária/patologia , Infecções Urinárias/diagnóstico , Infecções Urinárias/microbiologia , Adulto JovemRESUMO
Dermatillomania is a rare disease that seldom affects the genitals. Genital dermatillomania has not yet been recognized as a separate entity within the disease. The purpose of the report is to highlight a new facet of dermatillomania and inform urologists that dermatillomania could be a potential reason for genital ulcers. This report documents 2 cases of genital dermatillomania which vary in severity from mild (case 1), where the patient's ulcers healed after extensive counseling, to extremely dire (case 2), where the patient lost his penis after recurring ulcers and multiple reconstructive surgeries. Clinicians should be aware of the characteristics of dermatillomania to ensure that appropriate therapy can be promptly initiated to prevent morbidity.
RESUMO
A 41-year-old woman with recurrent urinary tract infections presented with right flank pain, fever, and anorexia. Physical examination revealed right-sided flank pain and a right-sided unilateral renal mass. Computed tomography of the abdomen and pelvis revealed xanthogranulomatous pyelonephritis with perinephric extension. The bear's paw sign was visualized. The classic radiology triad (unilateral large kidney, renal pelvis stone, and a nonfunctioning or poorly functioning kidney) was also found on computed tomographic imaging. She completed a course of antimicrobial therapy and underwent a nephrectomy. Her post-operative course was uneventful and she was discharged from the hospital on postoperative day 4.
Assuntos
Pielonefrite Xantogranulomatosa/diagnóstico por imagem , Tomografia Computadorizada por Raios X , Adulto , Feminino , HumanosAssuntos
Antioxidantes/uso terapêutico , Azoospermia/terapia , Terapia de Reposição Hormonal/métodos , Infertilidade Masculina/tratamento farmacológico , Infertilidade Masculina/terapia , Microdissecção/métodos , Análise do Sêmen , Recuperação Espermática , Testosterona/sangue , Ubiquinona/análogos & derivados , Feminino , Humanos , Masculino , Gravidez , Ubiquinona/uso terapêuticoRESUMO
We present the first reported case of a schwannoma of the seminal vesicle that occurred in a 48-year-old man who presented with right lower quadrant abdominal pain. Computed tomography scan and magnetic resonance imaging revealed a mass in the patient's right seminal vesicle. The patient was also found to have a rising prostate-specific antigen level and underwent a transrectal ultrasound-guided biopsy of the prostate and seminal vesicles, which revealed prostate cancer and schwannoma of the seminal vesicle, respectively. Radical prostatectomy with en bloc removal of the seminal vesicle mass was performed and the patient has been free of disease 24 months postoperatively.
