[Surgical treatment of hydrocele with local anesthesia: 10-year experience]. / Tratamiento quirúrgico del hidrocele con anestesia local: 10 años de experiencia.

OBJECTIVE: To review our experience with surgical management of hydrocele under local anesthesia. METHODS: From January 1991 to March 2001, 76 patients with hydrocele (6 bilateral) were treated in our department. Patients were monitored in the OR (EKG, BP and pulseoxymetry); a peripheral line was inserted. Twenty minutes before the procedure, midazolam (5 mg), meperidine (50 mg) and atropine (0.5 mg) were administered i.m. for sedation. The spermatic cord and the area of the scrotal wall to be incised were injected with 2% mepivacaine (10-20 cc). Dissection and excision of the vaginalis sac was performed. RESULTS: Anesthetic tolerance was very good in 71 patients (93%) and unsatisfactory in 5 (7%). The following complications were observed: scrotal hematoma (4 cases; 5%), infection (3 cases; 4%), bradycardia and hypotension (2 cases; 3%). Only 5 patients (7%) required hospitalization for more than 24 hours. CONCLUSIONS: Surgical management of hydrocele can be performed under local anesthesia, thereby avoiding the morbidity of more aggressive anesthetic techniques. This treatment procedure should be considered in the smaller departments with limited resources.

[Primary malignant melanoma of the female urethra. Report of a case]. / Melanoma maligno primario de uretra femenina. A propósito de un caso.

Primary malignant melanoma of the female urethra is a rare tumour with great agressivity and poor prognosis. An early diagnosis may benefit of radical surgery and adjuvant immunotherapy with curative effect. We present a sixty-five years old female with a malignant melanoma of urethra and a secondary additional melanoma in vulva, that was treated with both radical ureterectomy and vulvectomy. A bilateral inguinal lymphadenectomy and immunotherapy with alpha-interferon were added. The patient is free of disease one year postoperatively.

Melanoma maligno primario de uretra femenina. A proposito de un caso / Primary malignant melanoma of the female urethra. A case report

El melanoma maligno primario de uretra femenina es un raro tumor de gran agresividad y pobre pronóstico, que gracias a un diagnóstico temprano puede beneficiarse de la cirugía radical e inmunoterapia adyuvante con efectos curativos. Presentamos a una mujer de 65 años con un melanoma maligno primario en la uretra y con un implante secundario en la vulva, sometida a uretrectomía y vulvectomía radical, linfadenectomía inguinal bilateral, así como inmunoterapia con alfa-interferón, con una supervivencia libre de enfermedad de 1 año (AU)

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[White atrophic vasculitis. Infrequent genital lesion. Review of a case]. / Vasculitis atrófica blanca. Lesión en área genital, poco frecuente. Revisión de un caso.

Case report of a 54-year old patient, calling on the emergency unit with testicular pain and necrotic-looking lesions in the skin and the scrotum. After ruling out a Fournier's gangrene, the diagnosis was reached by scrotal biopsy, the pathoanatomic report confirming the presence of an infrequent vascular disease, segmentary hyalinizing vasculitis, on which we make a review of the literature.

[Epididymal metastasis of cancer of the breast]. / Metástasis epididimaria de un cáncer de mama.

We present one patient suffering from metastasis with an exceptional location of primary neoplasia very unusual in men. Literature is reviewed and primary locations of metastatic tumors in epididymis commented.