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Urinary schistosomiasis is a prevalent parasitic infection in certain areas of Africa and the Middle East. It could present with common as well as unusual urological symptoms, which poses a considerable diagnostic challenge in countries where there is relative low incidence of the disease. We describe three unusual cases of urinary schistosomiasis identified in patients presenting to a London hospital. One patient was found to have schistosomiasis in the seminal vesicles following surgery for prostatic adenocarcinoma. Another was found to have schistosoma-related granulomatous inflammation within a urachal cyst. Thirdly a patient was found to have simultaneous occurrence of transitional cell carcinoma and schistosomiasis of the bladder. We review the literature on the presentations of the parasite and its association with malignancy. In conclusion, awareness of the disease prevalence, clinical and histopathological features will help to avoid missing the diagnosis.

Type

Journal article

Journal

Can J Urol

Publication Date

06/2011

Volume

18

Pages

5757 - 5762

Keywords

Adenocarcinoma, Adult, Animals, Anthelmintics, Carcinoma, Transitional Cell, Combined Modality Therapy, Comorbidity, Cystectomy, Humans, Laparotomy, Male, Middle Aged, Praziquantel, Prostatectomy, Prostatic Neoplasms, Schistosoma haematobium, Schistosomiasis haematobia, Seminal Vesicles, Urachal Cyst, Urinary Bladder Diseases, Urinary Bladder Neoplasms