Fractura de pene. Revisión de la literatura y presentación de dos casos / Fracture of the penis. Literature review and contribution of two cases

Presentamos dos casos de una patología poco frecuente como es la rotura de cuerpo cavernoso de pene, sometidos a tratamiento quirúrgico precoz con buenos resultados. Revisamos así mismo, los aspectos etiológicos, clínicos, diagnósticos y el tratamiento más apropiado (AU)

[Cystic ureteritis: importance of chronic infection-inflammation as etiologic factor. Report of a clinical case]. / Ureteritis quística: importancia de la infección-inflamación crónica como factor etiológico. Aportación de un caso clínico.

Cystic Ureteritis is a very rare disease. It is more commun in elderly patients. This pathology is characterized by the formation of several submucous cystic in ureter, pelvis and/or bladder. We project the importance of the infectious and inflammatory factors as the disease etiology. We report a case of a woman with recurrent urinary tract infection, coral lithiasis and left ureteritis cystica. It is included a literature review and we explain the main clinical, diagnostic and therapeutic aspects.

[Giant inguinoscrotal bladder hernia]. / Hernia vesical inguinoescrotal gigante.

Inguinoscrotal bladder hernia occur in 0.4 to 3% of general poblation, though massive hernia are much rare. We present a new case of a giant inguinoscrotal bladder hernia, which was solved by surgery. It includes a clinical, diagnostic and therapeutic aspects, and a review of the relative literature.

Ureteritis quística: importancia de la infección-inflamación crónica como factor etiológico. Aportación de un caso clínico / Cystiic ureteritis: the importance of the cronic infection-inflammation as an etiologic factor. A case is reported

La Ureteritis Quística es una enfermedad poco frecuente, característica de la edad adulta, en la que se producen múltiples quistes en el interior del uréter, pelvis y/o vejiga, recubiertos por el urotelio. Resaltamos la importancia del factor infeccioso-inflamatorio como causa de la enfermedad. Presentamos un caso clínico de una mujer con infecciones urinarias de repetición, litiasis coraliforme y ureteritis quística izquierdas. Realizamos una revisión de la literatura, comentando los principales aspectos clínicos, diagnósticos y terapéuticos (AU)

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Hernia vesical inguinoescrotal gigante / Giant inguinoscrotal bladder hernia

La hernia vesical inguinoescrotal acontece con una frecuencia de 0,4-3 por ciento, aunque la hernia vesical masiva sí es una entidad muy rara.Presentamos un caso de hernia vesical inguinoescrotal gigante que fue resuelto mediante tratamiento quirúrgico.Se realiza una revisión de los aspectos clínicos, diagnósticos y terapéuticos, y una revisión de la literatura al respecto. (AU)

[Fracture of the penis. Review of the literature and presentation of 2 cases]. / Fractura de pene. Revisión de la literatura y presentación de dos casos.

We report two cases of a very uncommon pathology as is the rupture of the corpus cavernosum of the penis, undergoing early surgical management with good results. We also review the diagnostic, clinical and etiological aspects, and the most appropriate treatment.

[A congenital diverticulum of the bulbar urethra]. / Divertículo de uretra bulbar congénito.

OBJECTIVE: To describe an additional case of congenital bulbous urethra. The incidence, etiopathogenesis, symptoms, diagnosis and treatment of this condition are discussed. METHODS: A 16-year-old male consulted at the emergency services for urinary retention and a perineal lesion. Patient evaluation included ultrasound, retrograde and voiding urethrocystography. Treatment was by open surgery. RESULTS: The patient was evaluated at 3, 6 and 12 months. He remains asymptomatic and control urethrograms are normal. CONCLUSIONS: Open surgery is advocated as the treatment of choice for symptomatic diverticulum of a considerable size.

[Obstructive uropathy secondary to retrovesical hydatid cyst]. / Uropatía obstructiva secundaria a quiste hidatídico retrovesical.

The genitourinary affectation by the hydatidosis, is the third in frequency after the hepatic and pulmonary affectation. The finding of an obstructive uropathy by a retrovesical hydatid cyst is uncommon, but it must be in account in high incidence zones. We present a case of this pathology, accomplishing a review of their etiopathogenic mechanisms, as well as of their arrival way, diagnostic approach and treatment.

[Bladder leiomyoma: review of the literature and report of 3 clinical cases]. / Leiomioma vesical: revisión de la literatura y presentación de tres casos clínicos.

Presentation of three cases of bladder leiomyoma in women. All cases were characterized for the unspecific clinical presentation and a difficult pre-operative diagnosis, where ultrasound, cystoscopies, CAT and PAAF were used as complementary methods. The certainty diagnosis was only obtained after the histological study of the surgical piece. Treatment was in all three cases surgical, and the pathoanatomical diagnosis was bladder leiomyoma.

[Bilaterally synchronous mixed germ cell testicular tumor]. / Tumor testicular de células germinales mixto de aparición bilateral sincrónico.

OBJECTIVE: To report an uncommon case of bilateral synchronous mixed testicular germ cell tumor. METHODS: A young male had consulted at our urological services for a unilateral enlarged testis. A testicular tumor was suspected; scrotal US was performed, testicular tumor markers were determined and complementary studies to determine tumor extension were performed. RESULTS: The US findings suggested a chronic inflammatory condition with bilateral diffuse infiltration, tuberculosis was discarded and bilateral testicular tumor was suspected, which was confirmed by bilateral intraoperative biopsy. A bilateral radical orchidectomy was performed. Adjuvant chemotherapy with cisplatin, VP-16 and bleomycin was administered after bilateral radical orchidectomy due to the attending risk factors for tumor recurrence. The patient is disease-free one year postoperatively. CONCLUSIONS: Bilateral synchronous testicular germ cell tumors are rare. Scrotal US is a simple, noninvasive and efficient diagnostic imaging method; however, it does not provide pathognomonic images that could indicate the histological nature of the tumor.

[Retrocaval ureter: report of a case]. / Ureter retrocavo: aportación de un caso.

OBJECTIVES: An additional case of retrocaval ureter is described, with special reference to the diagnosis and treatment of this uncommon condition. METHODS/RESULTS: We report a case of retrocaval ureter in a patient who had consulted for urological infection. Patient data and clinical history are presented and discussed. CONCLUSIONS: The clinical and pathological significance of retrocval ureter depend on the degree of urinary flow obstruction and the associated complications. CT with iv contrast medium is useful in confirming the diagnosis in most of the cases. When indicated, treatment by surgery and urinary tract maneuvers generally achieve good results.

[Sarcoma of the bladder. Report of 2 cases]. / Sarcomas de vejiga. A propósito de dos observaciones.

Discussion of a retrospective study in our unit of two cases of vesical tumours of mesenchymal origin, in adult patients and with different maturation behaviour. The first patient started with haematuria and after an extensive follow-up period is now free from the disease. The second patient was an accidental finding causing death in the course of the immediate postoperative.

[Renal arteriovenous fistula, up-date and presentation of a new case]. / Fístulas arteriovenosas renales, actualizacíon y presentación de un nuevo caso.

Renal arteriovenous fistulae (AVF) conform a pathology the urologist is not used to see. The basic purpose of this paper is to collect and update the current knowledge of this renal-vascular disorder, quite frequently forgotten when establishing the likely causes of haematuria. The paper describes the etiology of renal AVF and their generation mechanisms, as well as clinical presentations they can have. A most appropriate diagnostic method is still selective renal arteriography, which usually evidences the anomaly through indirect arteriographic signs. However, when the lesion is small it can be difficult to detect it. Finally, a discussion of therapeutical possibilities, both conservative and radical, and a case recently treated in out unit are presented.

[Bladder metastasis of a renal cell carcinoma]. / Metástasis vesical de un carcinoma de células renales.

We report on a patient with renal adenocarcinoma that subsequently metastasized to the bladder. Although involvement of any organ in this area can lead to secondary invasion of the bladder wall, hematuria presenting in a patient previously submitted to nephrectomy due to hypernephroma should prompt us to strongly suspect tumor spread to the bladder. The forms of metastatic spread and treatment are discussed. Good results were achieved in our patient who, with a follow-up of 1.5 years, has had no tumor recurrence.

[Pleomorphic bladder rhabdomyosarcoma in an adult male. Apropos of a case]. / Rabdomiosarcoma pleomórfico vesical en un varón adulto. A propósito de un caso.

We report on a 45-year-old male patient with a mesodermal tumor localized in the striated muscle of the bladder wall. The histopathologic analysis revealed a stage I pleomorphic tumor. The clinical and histologic features of this uncommon tumor type are described. Treatment by partial surgery and adjuvant chemo- and radiotherapy (CMT + XRT) have achieved good results. The patient is asymptomatic 44 months thereafter.