A rare case of prostate tuberculosis after holmium laser enucleation of the prostate.

Prostatic tuberculosis is considered to be a rare disease. It is usually associated with nonspecific symptoms and is detected incidentally after prostatic histological analysis. We report the case of a 60-year-old man suffering from acute urinary retention with an estimated 90 g prostate who underwent Holmium laser enucleation of the prostate. The diagnosis of prostate tuberculosis was histological based on the analysis of prostate enucleation chips. The clinical course was favourable under anti-tuberculous drugs.

Intrarenal foreign body after PCNL procedure: A rare complication.

The use of LASER for lithotripsy has not only improved PCNL results, but also reported complications related to laser's use. We report a case of severed guide wire after PCNL.

Mitrofanoff external continent urinary diversion in the management of bladder exstrophy-epispadias complex in adolescents.

Despite theadvancements in surgical reconstructive techniques for bladder exstrophy-epispadias complex, urinary incontinence represents a major problem that affects the quality of life. Bladder augmentation associated to Mitrofanoff external continent urinary diversion (ECUD) constitute for some surgeon the best solution for the management of bladder exstrophyallowing to achieve continence and to preserve renal function.

Cystic renal oncocytoma: A rare case report.

Cystic renal lesions are extremely common. The major clinical concern is differentiating simple renal cysts from complex cysts to assess the risk of malignancy. The Bosniak classification of renal cystic tumors is employed to distinguish benign cysts from potential malignant cysts. Benign renal tumors can be rarely encountered in Bosniak type 4 cysts. Herein, we report a case of 56-year-old female with a single right mediorenal solid-cystic mass classified bosniak 4. An open surgery was planned: There was a 2-cm-sized cystic tumor, mediorenal, in contact with the hilum. A lumpectomy was performed. Anatomopathological examination revealed a cystic oncocytoma.

Renal cell carcinoma in children, report of a new case.

Renal cell carcinoma (RCC) is rare in children and is usually found in late children. We present a case of a 14 year-old boy who presented with right lumbar pain. CT-scan showed a tumor in the upper pole of the right kidney measuring 15 cm. He underwent radical nephrectomy and histopathologic examination revealed RCC. No adjuvant therapy was given. After three years and half, there is no evidence of recurrence.

Giant primary hydatid cyst of the adrenal gland: A rare case report.

Hydatid disease (HD) is a parasitic endemic zoononis in Tunisia, caused by the larval stage of Echinococcus Granulosus (EG). Adrenal glands are an uncommon and rare location for hydatid cysts, even in endemic areas, and primary adrenal cysts are exceptional. Herein, we report a rare case of 46-year-old man with primary giant adrenal hydatid cyst complicated by inferior vena cava thrombosis. The patient was successfully treated with an open adrenalectomy, with prophylactic albendazole therapy pre and postoperatively.

Emphysematous prostatitis: A case report.

We report the case of a 48-year-old man with ischemic stroke, diabetes and chronic renal failure admitted for fever with LUTS associated with nausea and vomiting.The physical examination showed a depressible abdomen, painful prostate on digital rectal examination.A biological inflammatory syndrome with diabetic ketoacidosis.The abdominopelvic CT scan confirmed the diagnosis by the presence of gas in the prostate,and the CBUE was positive for Enterobacter cloacae.The patient was treated with appropriate antibiotic therapy with transrectal aspiration of the prostate collection,but the evolution was marked by the worsening of the patient's condition leading to his death after two weeks of treatment.

A case of an isolated hydatid cyst in the right kidney.

Isolated renal hydatid cyst is rare. Preoperative diagnosis may be difficult because clinical, biochemical and radiologic findings can not eliminate the diagnosis of renal cancer in its cystic form. Open surgery is traditionally the gold standard.

[Urolithiasis of the kidney transplanted patient in south Tunisia: A 17-year experience]. / La lithiase urinaire du transplanté rénal dans le sud tunisien : expérience de 17 ans.

INTRODUCTION: Urolithiasis in a kidney transplanted patient is an uncommon but complex urological complication. Its potential severity comes from its occurrence on a solitary kidney and on a field of immunosuppression. The aim of our study is to assess the incidence, characteristics and course of urolithiasis in our series. METHODS: A retrospective study was performed. We included kidney transplanted patients between November 2002 and November 2019 and presenting lithiasis during their follow-up. Clinical, biological and radiological data were collected as well as lithiasis disease related data. The management of and patient's evolution were also specified. RESULTS: Seven of 416 kidney transplanted patients developed lithiasis during their follow-up with an incidence of 1.6 %. The mean age at lithiasis diagnosis was 36.5 years [24-55 years], the sex ratio was 1.3. They developed stones after mean follow-up of 67 months [4-168 months]. The stones' size varied from 2 to 18mm. Treatment was alkalisation in 3 cases, extracorporeal lithotripsy in 2 cases, a double J stent in 3 cases and pyelolithotomy in 2 cases. Four patients had multiple treatments. Three patients had 1 residual stone during evolution (7mm average diameter), 1 microlithiasis, 1 lost to follow-up after treatment and only 2 (out of 7) were "stone free". Furthermore, lithiasis didn't damage the graft survival after a median follow-up of 62 months post-treatment. CONCLUSION: Urolithiasis in the kidney transplanted patient requires an adapted multidisciplinary management. Its skill is a challenge for both the nephrologist and urologist.

Cancer on cryptorchid testis revealing a Persistent Müllerian Duct Syndrome: A rare case.

The persistence of Müllerian derivatives syndrome or PDMS is a rare form of male pseudohermaphrodism. Its association to ectopic testicular cancer is even rarer. Because of its rarity it is difficult to diagnose preoperatively. We present a case of a cancer on cryptorchid testis revealing a persistent Müllerian duct syndrome.

Laparoscopic treatment of a cystic pheochromocytoma of 6cms: A challenging case.

Cystic pheochromocytoma is a very rare entity.Preoperative diagnosis is difficult because clinical, biochemical and radiologic findings are usually not consistent with a pheochromocytoma.Open surgery is traditionally the gold standard to avoid cyst rupture.we present a case of a 6 cm cystic pheochromocytoma treated by laparoscopy.

Brain Metastasis of Pheochromocytoma: Diagnostic and Therapeutic Challenge.

BACKGROUND: Pheochromocytoma brain metastasis is extremely rare. Few cases have been reported in the literature. Therefore, diagnosis and effective treatment of these lesions are difficult. CASE DESCRIPTION: Here, we report the case of 29-year-old woman, who was operated on for a right adrenal pheochromocytoma. Fourteen months later, a posterior fossa tumor was diagnosed. Radiologic findings mimicked an extra-axial lesion. The radiologic differential diagnosis was difficult even using magnetic resonance imaging spectroscopy. The patient was operated on through a retrosigmoid approach. Local recurrence occurred 6 months after first surgery. The patient died 1 month later, despite a second operation. CONCLUSIONS: Although the occurrence of brain metastases in pheochromocytoma is not prevalent, patients presenting with suggestive features need to be carefully considered. Magnetic resonance imaging can help in differential diagnosis with a primary brain tumor. There are no established guidelines for the treatment of pheochromocytoma brain metastasis, for which the prognosis remains dismal, despite effective surgery.