FEBU case studies
FEBU · Put your knowledge to work in context.
The FEBU (Fellow of the European Board of Urology) is a title awarded by the European Board of Urology, a regulatory body active since 1992 and linked to the UEMS Section of Urology. The EBU describes the FEBU title as a Mark of Quality, and its mission is to stimulate continuous improvement of standards in urological education, training and professional development in Europe. The FEBU case studies are 5 cases and about 3,956 words.
1Clot retention and a DOAC on day 3 after TURP
A 68-year-old man is on day 3 of an inpatient stay after bipolar transurethral resection of a 60 mL prostate. He takes apixaban 5 mg twice daily for atrial fibrillation (CHA2DS2-VASc 4); the last dose was given 36 hours before surgery and was restarted 24 hours postoperatively.
816 words, about 4 min2A 3 cm renal mass in a solitary kidney with CKD
A 74-year-old man has a 3.1 cm incidentally detected mass in the posterior upper pole of his left kidney. He underwent right radical nephrectomy 15 years ago for a pT1b clear cell carcinoma and has had no recurrence.
811 words, about 4 min3An obstructing stone with sepsis: decompress now, operate later
A 58-year-old woman presents to the emergency department with a 30-hour history of rigors, flank pain and vomiting. CT shows a 1.8 cm stone at the right ureteropelvic junction with moderate hydronephrosis; she has had no previous urological surgery.
748 words, about 4 min4Residual T1 plus CIS after re-resection: BCG or cystectomy?
A 62-year-old man has a 3 cm high-grade papillary urothelial carcinoma with carcinoma in situ on a background of two previous recurrences, treated 8 months ago with complete transurethral resection and a single immediate mitomycin instillation. Restaging resection 4 weeks later shows residual high-grade T1 disease with carcinoma in situ; muscle is present in the specimen, and there is no lymphovascular invasion.
796 words, about 4 min5Thirty hours of scrotal pain with 'normal' Doppler flow
A 16-year-old boy is brought to the emergency department at 02:00 with left scrotal pain that began 30 hours earlier while playing football and woke him from sleep. He vomited once and was given paracetamol by his mother.
785 words, about 4 min