Case report: infected solitary renal cyst.

The case of a patient with a solitary infected renal cyst is described. Although solitary renal cysts appear frequently, it seems that they rarely become infected, as is demonstrated by the fact that from a search of the world literature up to 1978l, only 21 such cases were described. With the current techniques such as arteriography, CT scanning and echography, diagnosis represents no problem. As far as therapy is concerned, it would seem that resection of the cyst wall and drainage is to be preferred over nephrectomy.

Conservative surgical management of urological complications after cadaveric renal transplantation.

Review of a consecutive series of 85 cadaveric renal transplants revealed urinary fistulas in 7 cases. Bladder fistulas originated from the anterior cystostomy suture line in 3 patients and required secondary closure in every case. Ureteral fistulas from the donor ureter often required a multistaged operation. In every case the end result has been satisfactory, with closure of the fistula and preservation of renal function.

The external shunt in the treatment of idiopathic priapism.

A new surgical procedure for idiopathic priapism has been used successfully in patients. In 2 of these patients the procedure was done after 5 days of persistent or recurrent erections. The method consists of a combination of external polyethylene shunts between the corpora cavernosa and the venous systems of the underarms drip infusion of a heparin-saline solution into the corpora and prompt systematic anticoagulant therapy. All 3 patients were cured of the priapism and recovered normal sexual powers.