[Scrotal fistula, as clinical manifestation of ureteral ectopy connecting to seminal vesicle]. / Fístula escrotal, como manifestación clínica de una ectopia ureteral a vesícula seminal.

We report on a 33-year-old male with left ureteral ectopia into the seminal vesicle and ipsilateral renal agenesia, whose outstanding clinical manifestation was scrotal fistula directly from the seminal vesicle. This condition was diagnosed correctly by fistulography. The usefulness of the foregoing method is underscored.

[Seminal vesicular cysts associated with renal agenesis, ipsilateral ureter and hemitrigone. Report of a case]. / Quiste de vesícula seminal asociado a agenesia renal, ureter y hemitrigono ipsilaterales. Presentación de un caso.

A case is presented of seminal vesicular cyst associated with kidney agenesia, ipsilateral ureter and hemitrigon; this is the 17th case presented in the world literature reviewed. A study is made of all the cases published and the authors recommend deferento-vesiculography as the best means of diagnosis and total excision of the cyst as the most effective treatment.

[Seminal infection and male sterility]. / Infección seminal e infertilidad masculina.

A study is made of 25 patients suffering from a vesicular prostate pathology causing sterility. We have assessed the age, profession, symptoms, genital exploration and ejaculation study including the amount, pH, visocity, fructose, ascorbic acid, count, motility and morphology of the sperms and the high leukocyte reading. A seminal liquid culture has been carried out on 21 patients, alone or in association with cultures of prostate and urine secretion following prostate massaging with positive results in 16 of them (76%). Treatment was begun on 22 patients, in 13 of whom the results are known. Spermiogram readings became normal in 5 (38%) with one pregnancy; there was an associated pathology in the wife in 3 cases. As antibacterians we have basically used trimetoprim-sulphametoxazol associated with erythromycin or not and sometimes, according to the antibogram, with other antibiotics, as well as drugs to clear the prostate area. The best results were obtained in astenozoospermias. The effectiveness of the treatment was equally due to the use of TMP-SMZ on its own or along with erythromycin. The other drugs have not improved the results, except for minocyclin which megativated a sperm culture. As a preliminary result the author presented three patients with sperm infection produced by E. coli at whom the titer of antibodies in serum was investigated.