ABSTRACT
OBJECTIVE: To describe a case of rupture of the deep dorsal vein of the penis during sexual intercourse. METHODS: A 21-year-old patient consulted at the emergency services for acute penis after vigorous sexual intercourse, with clinical features suggestive of rupture of the corpora cavernosa. RESULTS: Surgery demonstrated complete rupture of the deep dorsal vein of the penis, which was repaired. Examination showed no injury to the corpora cavernosa. CONCLUSIONS: Early surgical management is advocated in acute penis, since it will permit us to make the correct diagnosis and treat the underlying cause to avoid future sequelae. Rupture of the deep dorsal vein of the penis is another condition that should be considered in the differential diagnosis of acute penis. Its clinical features are similar to those of cavernosal rupture. Ultrasound and cavernosography are not diagnostic.
Subject(s)
Hematoma/etiology , Penile Diseases/etiology , Penis/blood supply , Penis/injuries , Adult , Coitus , Humans , Male , Rupture , Veins/injuriesABSTRACT
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 The liquid utilized to inflate the balloon is removed and the catheter withdrawn.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.
Subject(s)
Foreign Bodies/therapy , Urinary Bladder , Urinary Catheterization/adverse effects , Humans , MaleABSTRACT
Urological emergencies, except those occurring in children, seen in a General Hospital were studied for one year. The retrospective study, both descriptive and comparative, conducted has allowed to know that there had been 3,244 emergencies (4.2% of total cases) though the urologist acted only in 1,410 (43.4%). A predominance of males (76.10%) in their sixth and seventh decade (33% of total) was seen. Presentation increased slightly (2%) above average during the summer months. 80.9% came to the Emergency Ward of their own accord and 70% were discharged soon after assistance. Nephritic colic (19.08%), haematuria (14.04%) and U.T.I. (13.83%) were the most common causes for presentation. A total of 284 patients (20.14%) required hospitalization. 96.6% were given medical and/or instrumental treatment, versus 3.4% (49) who underwent surgery basically due to testicular disease (34.69%), sepsis (24.50%), traumatic injury of male genitalia (20.3%), etc. The most frequent conditions were analyzed by age, sex, and seasonal distribution. Also, an analysis was made on the concept of "Urological Emergency" to evaluate incidence and types in our environment.
Subject(s)
Urologic Diseases/epidemiology , Adult , Age Distribution , Aged , Aged, 80 and over , Emergencies , Female , Humans , Male , Middle Aged , Retrospective Studies , Sex Distribution , Urologic Diseases/therapyABSTRACT
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.
Subject(s)
Cryptorchidism/diagnosis , Seminoma/diagnosis , Spermatic Cord Torsion/diagnosis , Testicular Neoplasms/diagnosis , Cryptorchidism/complications , Cryptorchidism/surgery , Diagnosis, Differential , Emergencies , Hernia, Inguinal/diagnosis , Humans , Male , Middle Aged , Orchiectomy , Seminoma/etiology , Seminoma/surgery , Spermatic Cord Torsion/etiology , Spermatic Cord Torsion/surgery , Testicular Neoplasms/etiology , Testicular Neoplasms/surgeryABSTRACT
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.
Subject(s)
Gynecomastia/etiology , Leydig Cell Tumor/complications , Testicular Neoplasms/complications , Adult , Humans , MaleABSTRACT
Presentation of one case of mixed testicular tumour in a 31-year-old male patient. Since this is the association in the same organ of an "organoid" teratoma plus a seminoma, the histological diversity, frequency, as well as the analysis of the controversies and criteria for its therapeutical approach are all discussed. Also, several histological theories on the genesis of mixed testicular tumours are explained. Prognosis and evolution after treatment of the present case is included.
Subject(s)
Neoplasms, Germ Cell and Embryonal , Testicular Neoplasms , Adult , Humans , Male , Neoplasms, Germ Cell and Embryonal/pathology , Testicular Neoplasms/pathologyABSTRACT
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%.
Subject(s)
Fasciitis , Genital Diseases, Male , Perineum/pathology , Adult , Aged , Aged, 80 and over , Fasciitis/diagnosis , Fasciitis/microbiology , Fasciitis/pathology , Fasciitis/therapy , Genital Diseases, Male/diagnosis , Genital Diseases, Male/microbiology , Genital Diseases, Male/pathology , Genital Diseases, Male/therapy , Humans , Male , Middle Aged , NecrosisABSTRACT
This article reports our case series of testicle germinal cell tumours, consisting of 14 cases, between 1974-1991. 42.85% (6 cases) were seminomas, 4 (66.6%) in Stage I. There was one case (16.6%) in Stage III and another one in Stage IV. 14.29% (2 cases) were embryonic carcinomas, one in Stage I and one in Stage II. Teratomas represented 14.29% (2 cases), in Stages I and IV respectively. There were 4 cases of mixed tumours (2 cases) in which teratomatous components (3 out of 4) were predominant. 50% were in Stage I and 50% in Stage III. Inguinal orchiectomy was performed in all cases, and three received radiotherapy (seminomas in Stages I (2 cases) and III), with survival ranging from 1 to 7 years. Two cases (seminoma and embryonic carcinoma) received chemotherapy under different regimes depending on the time of diagnosis. One patient has survived 11 years following rescue lymphadenectomy while the other one died 14 months later from pulmonary metastasis. Among the mixed tumours, 50% (2 cases in Stages II and III) died 5 and 11 months afterwards without further treatment due to overall affectation at diagnosis. An abstentionist approach in Stage I (seminomas and non-seminomas), which was "strictly" applied in 5 cases showing disease-free survival ranging from 1 to 5 years, is defended. Follow-up was not feasible in 2 cases (14.2%). Both the diagnostic means and a review of treatment by Stages, reflecting the evolution of chemotherapy and the results obtained, are analyzed. Also the most widely accepted approaches in the management of these tumours.
