Highlights Concurrent giant bladder stones and bladder squamous cell carcinoma (SCC) is rare. Recurrent urinary tract infections should be suspected as bladder stones. The giant size of bladder stone makes open surgery the only therapeutic modality. Chronic inflammation due to bladder stones may contribute to the development of SCC. In a limited situation, bladder preservative therapy may be considered for MIBC.

Objective: In this report, we describe the case of urethral injuries after circumcision. Case(s) Presentation: A 5-year-old male came to the urology clinic complaining of urine seeping through the gauze-covered wound. The patient had undergone circumcision. Before the procedure, the patient could generally urinate through the external urethral orifice. His parent realized that the urine was flowing out through the circumcision scar instead of the external orifice. Even though the wound was open and wet, he felt painless when urinating. After cleaning the wound, it appeared that there was a sizeable chromic catgut thread knotted on the right corpus cavernosum. The pendular urethra was cut widely; therefore, the urine came out of this spot. A six French Foley catheter was inserted over the external urethral orifice, the cut urethra towards the bladder. The injured urethra was expected to be attached to simplify the next six-month operation by inserting this urinary catheter. Discussion: Urethral injury post circumcision is rarely reported, but this complication is dangerous due to its morbidity and long-term impact. The paradigm shift from two-stage repair to one-stage repair has developed. Mathieu’s modified technique and the Snodgrass technique are recommended. Conclusion: Urethral injury during circumcision can be devastating. The repair technique for urethral trauma depends on the involvement and condition of the surrounding soft tissue, also the size of the tissue damage.

Highlights Pathological tumors originating purely from the pineal gland are very rare, which mainly found in children and adolescents. Clinical manifestations of pineal tumor mosty: visual impairment, headaches, and a decrease of cognitive and consciousness. It is recommended to install VP-shunt several days before definitive tumor surgery for ventricular decompression. The choice of technique is determined by the tumor location, pathological findings, and risk of complications. The OTA technique allows excellent views of pineal region, and access to the midline, superior vermis, and ventricle III.

The kidney continues to be the most commonly injured organ in the genitourinary system, with the vast majority of cases being caused by blunt trauma. The majority of individuals with renal trauma are managed conservatively. However, hemodynamic instability, such as shock induced by renal hemorrhage or developing retroperitoneal hematoma (showing grade v renal trauma), renal pelvis or ureteral injury, as well as other renovascular pathologies, may signal the necessity for surgical intervention, which may include renorrhapy. Renorrhaphy in the setting of grade V renal trauma is very uncommon and has only been documented in a few cases in the preceding literature. We discuss a unique and complex case that was successfully managed, and we examine the relevant literature to give useful information for the management of blunt renal trauma patients.