Leiomyoma of the urinary bladder presenting as urinary retention in the female.

A case of leiomyoma of the urinary bladder, a rare benign tumor, in a 56-year-old female first seen with bilateral flank pain radiating to both groins, is reported. Examination showed a well developed female with obesity (260 pounds) and elevated blood pressure (132/90 mmHg). Evaluation with ultrasound, cystoscopy, urodynamics, and cytology contributed to the diagnosis of urinary bladder leiomyoma. Ultrasound detected a mass in the urinary bladder, and it was confirmed by cystoscopy to be a 5 cm to 6 cm bladder mass on the anterior bladder wall. The mass was prolapsing as a ball valve into the urethra at the level of the bladder neck. Frozen section of the mass showed it to be leiomyoma.

Blunt testicular trauma results in rupture of mixed germ cell tumor.

It is extremely rare that a documented case of blunt trauma results in rupture of a testicular tumor. We present the case of a 24-year-old man who was crushed by a tree who developed spontaneous testicular rupture. At surgical exploration, he was found to ultimately have a mixed germ cell tumor of the testicle. This case illustrates the importance of physical examination, patient clinical history, and scrotal ultrasound in the management of scrotal trauma. In this instance, the testicular mass ruptured and lead to significant testicular hemorrhage.

Penile prosthesis pump tubing erosion into urethra appearing as inability to catheterize: a case report.

INTRODUCTION: Erosion of penile prosthesis tubing represents a late complication of penile prosthesis surgery. To our knowledge, this is the first report of isolated erosion of penile implant pump tubing into the urethra in an otherwise asymptomatic patient. The patient had no signs of infection or erosion and no voiding complaints. His only problem was that his urinary catheter was not able to be placed during his vascular surgery procedure. METHODS: Patient with a 5-year history of erectile dysfunction refractory to therapy with PDE5 inhibitors, injection therapy, and vacuum erection device therapy underwent placement of an Alpha-1 Mentor inflatable penile prosthesis. The patient underwent femoral-popliteal bypass at month 21, and during the procedure, the vascular service was unable to place a urinary catheter. Erosion of the tubing from his penile prosthesis was then noted at approximately the junction between the membranous and bulbar urethra. RESULTS: Patient was without signs of infection and had no voiding complaints. These findings were discovered because of the inability to place a urinary catheter for his femoral-popliteal bypass. Diagnosis was made by flexible cystoscopy. CONCLUSIONS: No evidence of infection was noted on examination, and the patient was otherwise asymptomatic. Diagnosis can be made by flexible cystoscopy. Subsequent removal of the penile implant was curative.

Pancreatic pseudocyst masquerading as renal injury on imaging studies.

In a patient with a prior history of pancreatitis or abdominal trauma, radiographic imaging may only show abnormalities in the urinary tract. When these patients are first seen with subcapsular or perinephric fluid collections, percutaneous drainage can be both diagnostic and therapeutic.

Primary synovial sarcoma of the kidney.

Primary renal synovial sarcomas (SS) are rare tumors of the kidney. Faria first described primary renal synovial sarcoma in 1999. Twenty-one cases of primary renal synovial sarcoma have been reported to date. Primary renal synovial sarcomas can exist in either a monophasic or a biphasic pattern. The monophasic variant of primary renal synovial sarcoma is more common and tends to have a better prognosis than the biphasic variant. We present the case of a 61 year-old woman with a monophasic variant of primary renal synovial sarcoma.