Case Reports in Urology

Author Affiliations:

Dr. Baum is Clinical Professor of Urology, Tulane Medical School, New Orleans, LA; and Dr. Heintz is PG2 in Urology, University of Maryland, Baltimore.

Dr. Baum is Clinical Professor of Urology, Tulane Medical School, New Orleans, LA; and Dr. Heintz is PG2 in Urology, University of Maryland, Baltimore.
Case Presentation
A 75-year-old female presents with the chief complaints of fever, chills, and right-flank pain. She also has frequency and urgency and occasional stress incontinence. She has a history of recurrent urinary tract infections (UTIs), all managed successfully with oral antibiotics. The physical examination reveals moderate right costover

CASE PRESENTATION
A 69-year-old male is seen for an annual examination. He reports to his physician that he has a decrease in his libido, a decrease in the rigidity of the penis during sexual intimacy as well as rapid detumescence, a loss of energy, and is falling asleep after meals. The physical exam reveals a 3/4” loss of height since that recorded at his last examination, and decreased hair on his arms and legs. He has a minimally enlarged benign prostate gland. The serum testosterone was 220 ng/dL. The luteinizing hormone (LH) and prolactin levels were normal. Prostate-specific ...

CASE PRESENTATION
A 68-year-old African-American woman with hypertension controlled with thiazide diuretics presents for her annual examination. She has had four previous vaginal deliveries and a hysterectomy 22 years before. On the genitourinary review of systems, she reports occasional involuntarily losses of urine 4-8 times per day when she coughs, lifts, bends over, or laughs, requiring the use of perineal pads. She also has daytime urinary frequency and nocturia 3-4 times per night, which was stated in a voiding diary. The physical examination reveals atrophic vaginitis and a sma...

CASE PRESENTATION
A 72-year-old woman presents with frequency (12-15 times per day), urgency, urge incontinence, and nocturia (four times per evening). She has had symptoms for more than five years and has not discussed this with her primary care physician. She had a hysterectomy more than 20 years ago. She is not sexually active because of the embarrassment of incontinence. Physical exam reveals a minimal cysto- urethrocele with pale-appearing atrophic vaginal mucosa. Her urinalysis is negative.

DISCUSSION
Overactive bladder (OAB) describes a range of lower urinary tra...

CASE PRESENTATION
A 60-year-old man had a screening prostate-specific antigen that was 7.0 ng/mL. The digital rectal exam was normal. A transrectal ultrasound and prostate biopsy revealed moderately well differentiated adenocarcinoma of the prostate, with a Gleason score of 7 (3 + 4). The bone scan and computed tomography (CT) scan of the abdomen and pelvis were negative for metastatic disease. The patient had a radical retropubic prostatectomy. The regional lymph nodes were negative, and the surgical margins were clear of prostate cancer, T1c disease. The postoperative PSA was undete...