Essentially, when is $\dfrac{x^2 +y^2+1}{xy}$ a positive integer?
I've tried many approaches such as considering the above equation as a quadratic in $x$ or $y$ but I haven't had much success. The only solutions I could find were $x=1$, $y=1$ and $z=3$.
A similar problem: I know that the only solutions to $\dfrac{x^2+y^2}{xy}$ to equal a positive integer is for $x$ and $y$ to both be one. This is pretty much considering when a number, not necessarily an integer, and it's inverse sum to make a positive whole number. However, the problem is a slight variation, it asks when a number $\frac{p}{q}$ summed with it's inverse $\frac{q}{p}$ plus $\frac{1}{pq}$ is a whole number.