title: Fungus ball in the urinary tract: A rare entity.
abstract: A fungal mass in the urinary tract (fungus ball), mainly occurring in compromised patients, is a rare and dangerous complication of candiduria. We report 2 cases of fungus ball associated with hydronephrosis and sepsis. As reported in the literature, we treated the first patient by prompt relief of obstruction by nephrostomy and local and systemic antifungal agent. The second patient failed to respond to this treatment due to a distal ureteral stenosis and required open surgery with fungus ball removal and ureteral reimplantation. Despite a large success in urinary tract drainage with antifungal treatments, some cases need a modified approach due to anatomical modification.
authors.affiliation: Centre Hospitalier Universitaire Vaudois, Service of Urology, Lausanne, Switzerland.
authors.forename: Valentin
authors.initials: V
authors.lastname: Praz
authors.affiliation: Centre Hospitalier Universitaire Vaudois, Service of Urology, Lausanne, Switzerland.
authors.forename: Rodolfo
authors.initials: R
authors.lastname: Burruni
authors.affiliation: Centre Hospitalier Universitaire Vaudois, Service of Urology, Lausanne, Switzerland.
authors.forename: Florian
authors.initials: F
authors.lastname: Meid
authors.affiliation: Centre Hospitalier Universitaire Vaudois, Service of Urology, Lausanne, Switzerland.
authors.forename: Marc
authors.initials: M
authors.lastname: Wisard
authors.affiliation: Centre Hospitalier Universitaire Vaudois, Service of Urology, Lausanne, Switzerland.
authors.forename: Patrice
authors.initials: P
authors.lastname: Jichlinski
authors.affiliation: Centre Hospitalier Universitaire Vaudois, Service of Urology, Lausanne, Switzerland.
authors.forename: Thomas
authors.initials: T
authors.lastname: Tawadros