Grand Journal of Urology
E-ISSN : 2757-7163

Articles in Press
Original Article
Pediatric Urology, Online First: 02 June 2025
Grand J Urol 2024; DOI: 10.5505/GJU.2025.26818
Objective: Urothelial carcinomas (UC) of the bladder in the pediatric population are rare and differ from adult papillary neoplasms in terms of clinical, pathological outcomes, and prognoses. Therefore, standardized recommendations have not been clearly defined for their management. In this study, we aimed to report our experience and long-term follow-up data with low-grade urothelial bladder neoplasms in pediatric patients. Materials and Methods: The data of patients treated for bladder tumors in two tertiary centers between December 2018 and December 2024 were analyzed retrospectively. Patients who were younger than 18 years of age at the time of diagnosis and whose pathology was reported as UC were included in the study. Transurethral resection of the bladder tumors was carried out on all patients. Age, gender, presentation symptoms, tobacco use or exposure, imaging method, number of tumors, tumor size, histological findings, hospitalization time, complications, tumor recurrence, and follow-up data were examined. Results: Four female and three male patients were included in the study. The mean age of the patients was 14.8 ± 2.1 (12–17) years. The most common symptom was hematuria. Mean tumor size was 20.5 ± 9.8 (14–40) mm, and all were low-grade. No recurrence was detected at a mean of 58 ± 13.8 (44–76) months after resection. Conclusion: Urothelial carcinoma of the bladder is rare in the pediatric population. These neoplasms are usually low grade, and recurrence is rare. The most common recurrences are seen in the first year. Strict follow-up is essential in this period. Less invasive tools can be used for follow-up after the first year on low-grade neoplasms.
Case Report
Urologic Oncology, Online First: 16 May 2025
Grand J Urol 2024; DOI: 10.5505/GJU.2025.28190
Malakoplakia is a rare chronic inflammatory disease, often affecting the genitourinary system and mimicking malignancy due to tumor-like lesions. This case involves a 40-year-old woman with painful urination after a prior urinary tract infection. Imaging and cystoscopy revealed a necrotic bladder mass, with surrounding omental inflammation and adherence to the ileum. Histopathology identified hyperplastic stratified squamous epithelium with ulceration and reactive atypia, but no evidence of granulomas or malignancy. Laparoscopic partial cystectomy revealed dense inflammatory adhesions, and the bladder mass was successfully resected.
Endourology, Online First: 20 June 2025
Grand J Urol 2024; DOI: 10.5505/GJU.2025.21033
Double-J (DJ) ureteral stents are frequently used in urology to ensure urinary drainage. However, prolonged indwelling time may lead to serious complications such as infection, encrustation, and stent fracture. In this case report, we present the successful endourological management of a severely encrusted and fractured DJ stent in a patient with cerebral palsy.