[Rupture of the superficial dorsal vein of the penis]. / Rotura de la vena dorsal superficial de pene.

Rupture of the superficial dorsal vein of the penis during intercourse is an unfrequented entity that makes the differential diagnosis with other acute penile injuries that may require surgical exploration necessary. We report the case of a 58-year-old male patient with 24-hours evolution painless haematoma after intercourse; its evolution and characteristic physical exploration enable us to adopt a conservative approach that resulted in complete recovery without sequels.

Síndormes de prostatitis y dolor pelviano crónico: revisión / Prostatic syndrome and chronic pelvic pain. A review

La prostatitis es un síndrome que se presenta con inflamación y/o infección de la próstata, disuria, síntomas obstructivos, dolor perineal, polaquiuria y eyaculodinia. Existen formas bacterianas y abacterianas. ES difícil diagnosticarla si no se trata de la forma bacteriana aguda., y resulta complicado diferenciar entre la prostatitis crónica bacteriana, la abacteriana y la prostatodinia, ya que sus síntomas pueden ser similares. Con esta revisión, pretendemos aclarar cuál es la clínica de cada una de estas formas, así como su diagnóstico y tratamiento

Prostatitis is a syndrome that presents with symptoms consistent with inflammation and/or infection of the prostate gland, including terminal dysuria, dysfunctional voiding, perineal pain, increased frequency of urination and pain ejaculation. There is bacterial and nonbacterial prostatitis. It is difficult to diagnose prostatitis unless it is the acute bacterial variety and it is difficult to differentiate among chronic bacterial prostatitis, nonbacterial prostatitis and prostatodynia, because symptoms and physical findings may be similar

Tumor testicular bilateral en paciente con antecedentes de criptorquidia: a propósito de un caso / Bilateral testicular tumor in a patient with previous criptorquidia: a clinical case

La criptorquidia constituye un factor de riesgo para el desarrollo de un tumor testiculat: La bilateralidad sincrónica es un hecho infrecuente en los tumores testiculares. El seminoma con células sincitiotrofoblásticas es una variante de seminoma sin implicaciones pronósticas

Cryptorcbidism is a riskfactor to develop a testicular tumour. Synchronus bilateral testicular tumours are unusuaL Seminoma with syncytiotrophoblastic cells is one variant of seminoma without prognostic implications

[Triple ureter with inverted ureteral branch in "y" with ectopic ending and calculi inside]. / Triple uréter con rama ureteral en "y" invertida con desembocadura ectópica y litiasis en su interior.

OBJECTIVE: To report an uncommon case of ureteral duplication with a single intramural trajectory and a third ureter arising from the medial ureter, corresponding to the inferior pyelon, opening at the level of the bladder neck and containing a calculus measuring 10 mm along its longest axis, lodged in a saccular dilatation. The etiopathogenesis of this rare anomaly is briefly reviewed and discussed. METHODS/RESULTS: Diagnosis was established endoscopically and pyelographically. Endoscopic resolution was not possible, but stone removal was successfully achieved by conventional surgery using the least invasive approach possible. The patient is asymptomatic 24 months postoperatively. CONCLUSION: Although infrequent, this condition should be suspected in those "unclear' cases seen in day-to-day urological practice. Symptoms of the associated pathology are more common than those arising from the anomaly. Treatment should be specific to each case, as least invasive as possible and should aim at symptomatic resolution.

Excision and anastomotic repair for urethral stricture disease: experience with 150 cases.

PURPOSE: To analyze the results of a series of end-to-end urethroplasties performed in our service from 1968 to 1995 and of the factors contributing to failure. MATERIAL AND METHODS: 150 men (mean age 35.9 years) with urethral stricture disease underwent excision of the stricture and end-to-end anastomosis; in 95 it was the first attempt at repair while in 55 it was a secondary attempt. Eighty-two patients (54.6%) had a trauma-related stricture; of them, 56 followed a pelvic ring fracture with posterior urethra distraction defect, 24 (16%) had inflammatory strictures, 26 (17.3%) iatrogenic, 9 (6%) congenital, and 9 (6%) of unknown etiology; 81 (54%) were located in the bulbous urethra, 9 (6%) in the penoscrotal junction and 2 (1.3%) in the penile urethra. Ninety-one (60.6%) of the strictures or obliterative defects measured between 1 and 3 cm, 42 (28%) less than 1 cm and only 16 (10.6%) more than 3 cm. A perineal approach was used in 138 of the cases, while combined abdominoperineal route was necessary in 12; of these, 5 were children. The follow-up has ranged from 6 to 168 months (mean 44.4). The results were classified as good, fair (some re-stricturing, not needing treatment) and poor (recurrence). RESULTS: One hundred and twenty-six (84%) good outcomes, 10 (6.6%) fair, 14 (9.3%) poor. The factors influencing success or failure were: (1) primary or secondary character of the operation; (2) etiology; (3) length, and (4) location. Postoperative early complications consisted of 2 wound infections and 2 hematomas; as late complications, 1 chordee, 2 incontinence, 7 erectile dysfunction (in previously potent patients). The 14 patients considered as failures were operated again, all successfully; in 4 of them, a repeat excision and end-to-end anastomosis was performed, elevating the final success rate of the series to 93.3%. CONCLUSION: Excision and anastomotic repair represent the optimal mode of stricture repair for single lesions located from the penoscrotal junction to the membranous part of the urethra.