Cutaneous metastatic implantation of ureteric urothelial carcinoma to the glans and prepuce.

Cutaneous deposition of urothelial carcinoma spread through urine is extremely rare, with only four cases described in the literature. It is well known the urothelial carcinoma can spread by implantation via urine into other urothelial lined surfaces, however the phenomena occurring to squamous surfaces is not well described. Herein we describe the only known case of cutaneous implantation of urothelial carcinoma into the prepuce and glans from a ureteric lesion.

Case report: Retrieval of knotted ureteric stent causing obstructive urosepsis.

Knotting of ureteric stents is a rare complication, with only 30 cases being described and can be vexing to manage. A few strategies have been described in the literature in a very limited collection of case reports. Currently there are no reports of successful percutaneous removal in the setting of obstructive urosepsis. Herein we discuss our approach to this case, where a ureteric stent was placed for elective ureteric identification for an Abdominal Aortic Aneurysm repair and removed successfully with an antegrade approach without the use of nephroscopy.