Histologic diagnosis is important to exclude main bladder malignancy. We present a case of a bladder tumor identified during maternity. The size ended up being managed endoscopically and found become DRBE, an unusual harmless check details entity. Case Presentation We present a 31 year-old 15 months woodchuck hepatitis virus pregnant nonsmoker lady with a rapidly enlarging kidney size regarding for primary bladder malignancy. Mass verified on formal renal/bladder ultrasound and in-office cystoscopy. After informed consent was acquired, the individual was taken to the working room. A 5.5 cm kidney size, with an atypical nodular appearance and small calcifications, had been identified. Transurethral resection for the size was carried out. Final pathology report showed florid endometriosis with stromal decidualization. Last analysis pregnancy induced vesical decidualized endometriosis simulating a bladder tumefaction. Individual proceeded routine obstetrics follow-up, and contains skilled no pregnancy-related complications. 90 days after delivery the individual will observe up with external urology provider for cystoscopy, and subsequent surgical management should it is essential. Conclusion DRBE is an uncommon benign bladder mass that displays in maternity. It could develop quickly increasing concern for an aggressive major kidney malignancy. Any kidney mass identified in pregnancy should undergo early, appropriate work-up given the prospective risk for kidney disease. After analysis, DRBE is frequently handled conservatively. After delivery, should the in-patient experience ongoing urinary signs, medical and medical procedures choices are available. Overall, DRBE is recognized as unusual, but should be considered within the differential diagnosis for almost any bladder mass providing during pregnancy.Ureteral hemangioma is an unusual entity and few situations have-been reported into the literary works. Almost all instances are identified on pathologic evaluation postoperatively. In this study we report a 22 many years youthful biosourced materials male client given left-sided flank pain and hematuria. He underwent calculated tomography, cystoscopy, left retrograde pyelogram, left part ureteroscopy, and urine cytology. Ureteroscopy showed a left upper ureteral narrowing with bulging mass above it. Robot-assisted segmental ureterectomy with end-to-end anastomosis over 6/26 Double-J stent was done and histopathologic examination of excised ureter reported ureteral hemangioma.Background Delayed bleeding after percutaneous nephrolithotomy (PCNL), which may take place within the first 3 weeks postoperatively, is a life-threatening complication which could be a consequence of arteriovenous fistula and arterial pseudoaneurysm. Angioembolization could be the standard treatment when these patients develop hemodynamic instability despite traditional measures. Contrast hypersensitivity and renal insufficiency, however, contraindicate angiogram and subsequent embolization; within these customers, alternative methods including the one described in this research can help in solving the renal hemorrhage. Case Presentation In this case series, we report the effective handling of post-PCNL hemorrhage with nephroscopy and nephrostomy and drainage and tamponade because angioembolization wasn’t feasible. Conclusion Delayed hemorrhaging after PCNL might be handled conservatively with nephrostomy drainage and tamponade when angioembolization just isn’t feasible.Mini-percutaneous nephrolithotomy (mini-PCNL) is referred to as a secure and efficient technique to expel stones in customers in whom a less-invasive strategy is desired. It was originally created to take care of stones within the pediatric population, but has because been adjusted to serve a task into the adult urologic community. This approach is reported to bring about less loss of blood and postoperative pain in comparison with traditional PCNL. Herein, we provide an instance in which a recurrent caliceal diverticulum containing stones ended up being handled using a mini-PCNL method in someone which previously failed several other retrograde endoscopic techniques.Background Multiple large kidney calculi tend to be traditionally handled through open cystolithotomy or transurethrally in patients who possess an open kidney neck. Open treatments are technically challenging in patients whom could have had multiple previous open surgeries, and may also be connected with significant morbidity in patients with a top comorbid burden. Therefore, a percutaneous way of such stones has been used especially when discover a closed kidney throat, and it has been proven to work. There are certain readily available products for breaking stones within these methods, the most recent of that is the LithoClast Trilogy™ (EMS, Nyon, Switzerland) product, a probe that delivers ultrasonic and technical calculi fragmentation and suction in one single tool. Case Presentation We describe the first stated case of percutaneous cystolitholapaxy using the LithoClast Trilogy unit in a 41-year-old lady with spina bifida, and several large bladder calculi with a brief history of ileocystoplasty and Mitrofanoff development, and a bladder neck closing for neuropathic bladder. The calculi measured 31 and 25 mm, together with a volume of 19.6 and 7.9 cm3 and average HU of 408 and 462, respectively. The calculi had been consists of 37% calcium phosphate and 63% magnesium ammonium phosphate. Conclusion We illustrate that this approach can be utilized as a viable replacement for open surgery, which can be of specific relevance for complex customers that have withstood several past available businesses, and who may have a high comorbid burden.Background CT has become the gold standard for radiographic analysis of urolithiasis. CT is highly sensitive and painful for finding kidney rocks and provides valuable information about rock dimensions, structure, location, and total rock burden. Although CT can provide reliable estimations of rock size, we now have experienced a case for which it could be deceiving. Movement artifact in CT images may cause a warping distortion impact which makes renal stones appear bigger than they actually are.