[A new solution to the retained Foley catheter]. / Nueva solución frente al catéter Foley retenido.

OBJECTIVE: To describe a new, effective and simple method to remove Foley catheters retained in the bladder. METHODS: After stretching the ureter, it is held close to the meatus with Kocher clamps. The catheter is cut transversely and disobstructed. The liquid utilized to inflate the balloon is removed and the catheter withdrawn. RESULTS: The method is easy, fast, indolent, low-cost, non traumatic, does not impede subsequent maneuvers and effective. CONCLUSION: This method is suitable after eliminating the valve mechanism and before recurring to balloon puncture or invasive methods.

[Torsion and seminoma in a cryptorchid testis]. / Torsión y seminoma en testículo criptorquídico.

Presentation of one case of seminoma on cryptorchid testicle which presented with torsion of spermatic cord clinically mimicking an inguinal incarcerated hernia. Despite the infrequency of the picture, the high association rate of neoplastic disease in cryptorchid testis which become twisted and force the adoption of oncological criteria for their treatment is highlighted.

[Leydig cell tumor associated with gynecomastia]. / Tumor de células de Leydig acompañado de ginecomastia.

Presentation of one case of testicular Leydig's cells tumour in a young adult who presented with gynaecomastia. The clinical and diagnostic aspects of this entity in which, in the absence of confirmed metastasis, we lack the criteria to sustain a definite prognostic judgement are commented. Finally, the different therapeutic attitudes revealed in the literature are assembled.

[Synergistic necrotizing fasciitis of genitalia and perineum. Our experience]. / Fascitis necrosante sinérgica de genitales y periné. Nuestra experiencia.

Presentation of 9 cases of synergistic genitalia and perineum necrosing fascitis treated in our service over the last 5 years. The contents of the disease and its terminology has been reviewed by the light of the existing literature. In our series, patients mean age was 65 years. Three of our 9 patients had diabetes mellitus, and also 3 had liver disease due to alcohol. The initial septic focus was found in 8 cases, and in 4 it was urological, basically urethra's stricture. The most frequently involved germs were aerobe-anaerobe associations. Mortality was 11%.

[Calcified bladder lesions secondary to the instillation of mitomycin C]. / Lesiones vesicales calcificadas secundarias a instilación de mitomicina C.

We report on 10 cases of bladder wall calcification after mitomycin C instillation. The cystoscopic and microscopic features of these lesions are described. In our view, these lesions can be ascribed to the use of mitomycin C instillation therapy immediately after TUR. Because they are asymptomatic and occasionally present features of tumor recurrence, biopsy is advocated to determine the true nature of these lesions.

[Bladder tumors in patients under 40 yr of age. Our experience and review of the literature]. / Tumores vesicales en pacientes menores de cuarenta años. Nuestra experiencia y revisión de la literatura.

During a period spanning 11 years, 392 patients diagnosed as having tumor of the bladder were treated at our department. Of these, 9 were patients under age 40. We compared the anatomopathological features and course of the disease. The foregoing condition was suspected on the basis of the urographic findings. We emphasize the need to perform endoscopic inspection and urinary cytology before discarding the presence of a bladder tumor. The anatomopathologic conditions of anaplasia and infiltration are frequently more favourable in this younger patient group, indicating a better prognosis. However, the natural history of tumors with histopathologically similar features is not influenced by age.

[Exophthalmos caused by orbital metastasis of prostatic carcinoma]. / Exoftalmos por metástasis orbitaria de carcinoma prostático.

A case of orbital metastasis from Whitmore stage D adenocarcinoma of the prostate is described. Clinically, it presented as rapidly progressing exophthalmos of the right eye with elevation (ptosis) and abduction paralysis. The associated clinical picture of a one-year history of prostatism prompted patient referral to our department. When a patient presents with an orbital tumor and a history of cancer localized to another site, the metastatic origin of the condition should be suspected and metastasis to other sites sought. A negative finding warrants performing orbital biopsy to confirm the diagnosis. Although excision of single metastatic tumors in this site has been described, coexisting metastasis to bone and lymph nodes, the hormone dependence that these present and prostatic cancer contraindicate resection of the orbital metastatic tumor. Following bilateral orchiectomy and hormone therapy with antiandrogens micturitional symptomatology improved, tumor size was reduced, and exophthalmos disappeared. The case described herein is not the first case of this type of metastatic lesion reported in the literature; 28 cases have been reported to date. This uncommon clinical presentation with extraurological manifestations gives us an idea of the broad clinical spectrum the biological behaviour of this tumor type can adopt.

[Partial parietal cystectomy and cystoplasty using a lyophilized human dura mater patch as an alternative in palliative surgery for bladder cancer]. / Cistectomía parcial parietal y cistoplastia con parche de duramadre humana liofilizada como alternativa en cirugía oncológica vesical paliativa.

Fifteen patients with infiltrating bladder carcinoma underwent partial cystectomy and cystoplasty with lyophilized human dura at our hospital from 1983 to 1988. The 5-year survival rate was 75% for stage B1, 60% for B2, 40% for C and 0% for D1. There were no intra- or post-operative deaths and the post-operative complications were few. This procedure may be useful in selected patients with bladder tumors who cannot be submitted to more radical procedures due to a coexisting pathological condition representing a high surgical risk or in elderly patients.

[Partial parietal cystectomy and cystoplasty with a lyophilized human dura mater patch as and alternative in palliative oncological bladder surgery]. / Cistectomía parcial parietal y cistoplastia con parche de duramadre humana liofilizada como alternativa en cirugía oncológica vesical paliativa.

Fifteen patients with infiltrating bladder carcinoma underwent partial cystectomy and cystoplasty with lyophilized human dura at our hospital from 1983 to 1988. The 5-year survival rate was 75% for stage B1, 60% for B2, 40% for C and 0% for D1. There were no intra- or post-operative deaths and the post-operative complications were few. This procedure may be useful in selected patients with bladder tumors who cannot be submitted to more radical procedures due to a coexisting pathological condition representing a high surgical risk or in elderly patients.