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Foreign bodies of the urethra and bladder are seen with iatrogenic injury, self-insertioand, rarely, migration from adjacent sites. The most frequent complications of foreign bodies are urethritis, urethral tear with periurethral abscess and or fistula, haemorrhage, and urethral diverticuli. Fournier's gangrene is the result of a highly lethal and rapidly progressive necrotizing infection of the perineal and genital fascia. Anorectal, genitourinary, and traumatic infections are the most common causes of Fournier's gangrene. In this case report, we present a 57 year old patient with mental retardation who was admitted with scrotal swelling, fever, anuria and treated by emergency surgery with the diagnosis of Fournier's Gangrene. [ABSTRACT FROM AUTHOR]

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Adenocarcinomas constitute less than 2% of primary bladder cancers. Seventy-five year-old female patient presented to the urology clinic with the complaint of urinary flow from suprapubic region which has been continuing for the last 1 month. Endoscopy revealed a vesicocutaneous fistula and a vesicointestinal fistula of approximately 2cm diameter. Lower abdominal midline incision was applied for laparotomy. Bladder was observed to show an advanced level of adherence to adjacent tissues. Ovaries were of cystic appearance and uterus was adhered to bladder. Frozen sections were obtained from the portions where uterus showed adherence to bladder and ovaries. Results of the frozen section analysis suggested malignant invasion. Thus eventually; cystectomy, bilateral salpingooophorectomy, hysterectomy, sigmoidectomy, Hartmann colostomy, and ureterocutaneostomy were carried out on the patient. She was deceased on the 10th postoperative day due to cardiopulmonary arrest. Definitive pathological result was reported as bladder adenocarcinoma and invasion. [ABSTRACT FROM AUTHOR]

A 60-year-old man had experienced bilateral flank pain for two months. Bilateral hydronephrosis, bilateral kidney stones and a right distal ureteral stone were determined. He was diabetic. A JJ stent was placed into the right renal unit and emphysematous pyelonephritis consequently emerged one week later. Right renal abscess drainage was performed by laparoscopy. Based on computed tomography scans six weeks later, the abscess had completely disappeared. To our knowledge, this is the first report of an emphysematous pyelonephritis case being treated by performing laparoscopic drainage along with renal capsule incision. Laparoscopic drainage and renal capsule incision may be chosen as a minimally invasive procedure for select patients. [ABSTRACT FROM AUTHOR]