ABSTRACT
Fracture of the penis during intercourse is a relatively uncommon condition. We report a rare case with laceration of bilateral corpora cavernosa and associated complete urethral rupture. The patient underwent immediate surgical repair of the penile fracture with primary urethroplasty. After 1 year follow-up he presents excellent results with normal sexual function and normal postoperative urethrogram with no voiding problems.
Subject(s)
Penis/injuries , Urethra/injuries , Coitus , Humans , Male , Middle Aged , Penis/surgery , Rupture , Urethra/surgeryABSTRACT
Bladder myofibroblastic inflammatory tumors are rare benign proliferative lesions that can simulate both urothelial and connective tissue malign neoplasms, making a preoperative diagnosis nearly impossible. Conservative treatment appears to be curative, even though local recurrences have been reported, and so malignancy should be ruled out above all by means of an accurate follow-up. Two cases are described, 1 of which with the longest follow-up period reported so far (8 years).
Subject(s)
Neoplasms, Muscle Tissue , Urinary Bladder Neoplasms , Adult , Female , Follow-Up Studies , Humans , Neoplasms, Muscle Tissue/therapy , Urinary Bladder Neoplasms/therapyABSTRACT
PURPOSE: A retrospective study was done to analyze late urological complications following curative radiotherapy of primary gynecological carcinomas. METHODS: From 1990 to 2000, 167 patients with primary gynecological cancer treated with external radiotherapy or intracavitary applications were observed. During the follow-up, all signs, symptoms and therapy of late treatment complications were recorded. RESULTS: Most patients with ureteral stenosis or obstruction required surgical correction. Most patients with bladder fistulas were best served by creation of a cutaneous urinary diversion. CONCLUSION: Ureteral complications after radiotherapy of the pelvis are rare but severe. Surgical therapy of irradiated tissues has a higher complication rate compared to surgery on non irradiated tissue. A cutaneous urinary diversion may be an acceptable and safe procedure when the bladder is definitely compromised.