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Collecting duct carcinoma, also known as Bellini duct carcinoma (BDC) is a rare type of renal tumor, arising from the distal collecting ducts. The prognosis of this disease is extremely poor due to its rapid progression with widespread metastasis. The present study reported a case of CDC involving the left renal region of a 68-year-old female patient.CT scan showed a huge mass occupying the lower portion of the left kidney. The patient underwent enlarged nephrectomy. Anatomopathological examination showed collecting duct carcinoma of the kidney. Patient's evolution was exceptionally favorable: no recurrence, no locoregional metastasis and no distant metastasis.

Renal cell carcinoma (RCC) is an extremely rare and fatal tumor for women of childbearing age. Consequently, the cases published in the literature are limited and medical experience with therapeutic management of newly diagnosed RCC in pregnant women is poor. We report our clinical experience with a renal tumor diagnosed in first-trimester pregnancy complicated in postoperative by an inferior vena cava thrombosis. Further reporting of such a case should help to collect more data in purpose to establish a clear, systematic and evidence guide-ligne in front of this unique situation.

Testicular ENKTCL is a rare disease. Asia is the most affected. Primary testicular NK/T-cell lymphoma is rare. Metastases are early and the prognosis is poor. Metastases mainly involve the lymph nodes, skin, contralateral testis, bone marrow, spleen and central nervous system. Nasal metastasis giving rise to bifocal presentation is extremely rare. We report the management of a patient initially seen for a nasal swelling with a hidden history of scrotal swelling, in whom nasal biopsies as well as the analysis of the orchidectomy part made it possible to retain the diagnosis of ENKTCL of the testis with a nasal metastasis.

The Common sites for breast cancer metastasis include bones, lungs, brain and liver. Kidney metastases from the breast are rare. We report a case of metastatic kidney cancer. A 33-year-old woman who underwent a left mastectomy at the age of 30 for breast cancer followed by pulmonary and cerebral metastasis under chemotherapy. The CT scan revealed two right kidney lesions. He imitated a primary kidney tumor. Percutaneous kidney tumor biopsy confirmed metastases from breast cancer. Kidney surgery was avoided and treated with systemic chemotherapy.

Small cell carcinoma of the upper urinary tract is very rare. Their aggressiveness and their poor prognosis make it grave. We report the management of a patient who consulted in the emergency room for low back pain and to whom the radiological and endoscopic assessments found a tumor of the upper urinary tract with lung, liver, bone and adrenal damage. Anatomopathological study of biopsies obtained by flexible ureteroscopy and percutaneous liver biopsy confirmed the diagnosis and the metastatic nature of secondary lesions.

The adrenal lipoma is an extremely rare, benign, and non-functional tumor. We present the first case of adrenal lipoma on the African continent and the youngest patient reported to date. computed tomography (CT) scan guided diagnosis and laparoscopic adrenalectomy was performed given symptomatic and large mass. Histological examination confirmed the diagnosis. At 12 months after the surgery, the patient had no evidence of recurrence.

Hydatidosis is a rare parasitic disease that is endemic in many countries of the Mediterranean basin. Among unusual localizations, renal involvement is rarer (2–3% of visceral forms) than splenic and soft tissue localizations but more frequent than cardiac, bony or cerebral localizations.

extracorporeal shock wave (ESLW) is a common and relatively safe procedure, with a high success rate and low side effects.its complications are limited to the kidneys and always disappear spontaneously. Acute pain is the only manifestation of kidney hematoma and should be explored. Conservative treatment is generally the treatment of choice.We reported the case of a 60-year-old man who underwent extracorporeal lithotripsy, 4 h after the procedure, he was presented to the emergency with severe abdominal pain, and a CT scan showed a hematoma of the left kidney. Conservative treatment was performed, and the patient was discharged at home in 48h.

Usual location of metastasis are in renal cell carcinoma (RCC) the lung, liver, bone, adrenal and brain. Here we report on an unusual case of a 76-year-old male with a solitary sternal metastasis as an initial presentation of clear-cell RCC.The management of metastatic kidney cancer has been disrupted over the last decade by the emergence of new treatments and the progress of surgery and ablative techniques.the Carmena study suggests that sunitinib alone is not inferior to the NCR followed by sunitinib, the patient has therefore been transferred to oncology for medical treatment (targeted therapy).

The discovery of a kidney stone in a living kidney donor is rare. The managing technique of this situation and the timing of the treatment of the stone is not well codified.Should it be treated before the removal of the kidney or in ex-vivo after nephrectomy and in cold ischemia ?We report a case of a 60-year-old mom who donates kidney willingly to her son. The decision of the transplant team was for the removal of the left kidney (upper calyx stone of 9 mm) and the treatment of the stone in ex-vivo by flexible ureteroscopy.

Percutanous nephrolithotomy is the gold standard method for large kidney stones currently. It offers high success and low complication rates. Aim There are only a few reports of fractured guidewires inside the pelvicalyceal system, removed with endourology and open surgery techniques, and this is a tour knowledge the first one presenting a broken guidwire in the gerota fat. A 60-year-old man is hospitalized in our department of urology, Mohammed IV university medical center for the management of a PCNL failure in a private clinic.A CT scan showed the presence of a metal device in the gerota fat, we performed an open nephrolithomy, the evolution was favorable. Some equipment used during nlpc can lead to severe issues (broken guidwire and laser fibers) and and open surgery is the only way to resolve the situation.

Patients with lupus anticoagulants are at high risk of systemic arterial and venous thrombosis and arterial stroke. We present an unusual case of a young man presenting inguinal pain. Doppler ultrasound revealed spermatic vein thrombosis on the left side. Hematologic workup revealed positive lupus anticoagulant. The patient was treated with therapeutic heparin.

La tumeur de Buschke-Löwenstein appartient au groupe des carcinomes verruqueux. Plus fréquente chez les hommes et les immunodéprimés, elle se développe au niveau génital ou péri-anal, réalisant une volumineuse lésion bourgeonnante parfois ulcérée ou fistulisée aux organes voisins. L´histologie est proche de celle d´un condylome acuminé, avec cependant une prolifération plus marquée et une pénétration profonde dans les tissus adjacents mais sans rupture de la membrane basale. Une infection par Human papillomavirus (HPV) 6 et 11 est volontiers associée à ces tumeurs. La recherche d´autres infections sexuellement transmissibles associées est nécessaire. Un examen clinique rigoureux et une imagerie complémentaire permettent d´établir un bilan lésionnel précis. Le traitement est avant tout chirurgical, et doit être large du fait du haut potentiel récidivant de la tumeur. Des traitements néoadjuvants à type de chimiothérapie ou immunothérapie mériteraient d´être mieux évalués pour limiter le caractère délabrant de la chirurgie.

This is a descriptive prospective study spread over 2 years, involving 30 patients with symptomatic urogenital prolapse, collected at the urodynamic consultation in the urology department at the CHU Mohammed VI in Oujda. The average age is 57 years, the majority of patients had several risk factors for pelvic floor disorders, all patients had a urinary complaint associated with urge prolapse (66.7%), urinary Incotinence iue (63.3%), mixed urinary incontinence (40%), dysuria (40%), and pollakiuria (70%). Twenty six percent point seven had cystocele stage II and 73.3% had cystocele stage III, 26.7% had a prolapse of more than one floor according to the classification of Baden and Walker. Their mean body mass index (BMI) was 27.5 kg/m2. For the urodynamic assessment (BUD): at the flowmeters: dysuria was found in 11 patients (36.7%), with a significant post-voiding residue in 5 patients (16.7%), the normal flow was found in 63.3% of cases. At cystomanometry: bladder hypersensitivity was found in 8 patients (26.7%), reduced bladder capacity in 4 patients (13.3%) and detrusor overactivity in 9 patients (30%). Profilometry had demonstrated sphincter insufficiency in 17 patients (56.7%), whereas it was normal in 13 patients (43.3%). Urodynamic explorations are part of the diagnostic and prognostic elements in the evaluation of bladder and sphincter disorders associated with urogenital prolapse. They make it possible to objectify the impact of prolapse on the bladder sphincter equilibrium.

Nutcracker syndrome (NCS) results most commonly from the compression of the left renal vein by the aorta and vertebral column. Although NCS had been described in many studies, her prevalence is still not known, usual clinical signs are gross hematuria and flank pain. Diagnosis requires a high index of suspicion and treatment consists of a wide range of vascular surgical options with a more recent focus using an endovascular approach. We present a case of a 23-year-old male with intermittent hematuria and flank pain.

The long-term drainage of the urinary tract of patients with unresectable ureteric stenosis, remains a major challenge for urologists. For decades, researchers experimented with different alternatives to the prosthetic ureter with minimal success. However, these patients are offered a minimally invasive procedure in the form of percutaneous nephrostomy or reconstructive surgery. Percutaneous nephrostomy, although minimally invasive, is far from ideal for long-term use. We report the case of a 43-years-old woman who was followed for obstructive renal failure secondary to locally advanced cervical cancer, for which she has benefited a right JJ stent and left nephrostomy. Renal-bladder bypass was indicated as an alternative to nephrostomy. We report on the established implantation procedure and the experiences collected in our service with the Detour® system in the various application areas.

Urinary incontinence is a disastrous complication in men following definitive treatement of prostate cancer or less commonly prostate surgery for benign conditions. In cases where conserative management fails, surgical intervention is indicated. We report our experience in Morocco with artificial sphincter type ZEPHYR ZSI 375 PF in patient with urinary incontinence after radical prostactemy (RP), with discussion of the factors that affect the response rate.

A 68-year-old man presented with priapism and penile gangrene. The patient had no history of penis trauma or medications for erectile dysfunction. Corpus cavernosa aspiration cytology were positive for malignant cells. Total penectomy was performed. Enhanced chest and abdominal computed tomography showed a left renal tumor with pulmonary and hepatic metastases. Ultrasound-guided renal biopsy showed clear cell renal cell carcinoma.