[Bladder leiomyoma during pregnancy]. / Leiomioma vesical durante el embarazo.

OBJECTIVE: To describe an additional case of rapidly growing leiomyoma of the bladder in a pregnant woman. METHODS: A case of leiomyoma of the bladder in a woman at 8 months of pregnancy is presented. Transurethral resection was performed, but the tumor recurred a few weeks later. The tumor was resected by partial cystectomy after delivery. CONCLUSIONS: Leiomyoma of the bladder is an uncommon benign lesion that is successfully managed by surgical resection. The rapid recurrence of the tumor in our patient can be ascribed to the hormonal changes during pregnancy.

[Intra-diverticular adenocarcinoma of the urethra in women]. / El adenocarcinoma intradiverticular de uretra en la mujer.

We report on a female patient who presented with urethrorrhagia and a palpable urethral mass which was diagnosed as urethral diverticulum, the site of a tumor that proved to be adenocarcinoma of the urethra. The patient underwent radical urethrectomy and pelvic and inguinal lymphadenectomy. Urethral reconstruction was performed using a vesical flap following the technique described by Tanagho. Thereafter, she received 6 courses of M-VAC polychemotherapy. Diverticulum and carcinoma of the female urethra are uncommon. Adenocarcinoma is the most common tumor type encountered in these diverticula. Diagnosis is clinically simple and treatment is by radical surgery and radiotherapy. The foregoing treatment modalities have improved patient survival when the tumor is detected early. This tumor type is particularly aggressive and outcome depends on tumor stage.

[Vesical actinomycosis: rare tumor of the urachus]. / Actinomicosis vesical: excepcional tumor de uraco.

A female patient of child-bearing age using an intrauterine device (IUD) consulted our department for a hypogastric mass which turned out to be actinomycosis of the bladder. Antibiotic treatment resolved the infection and removal of the inflammatory mass was unwarranted since infected fistulous tracts had been observed. There appears to be a causal relationship with IUDs, as in genital actinomycosis. Due to the increasing use of contraceptive devices, we are likely to find this type of infection, which might be difficult to distinguish from malignant disease, increasingly frequent in urologic practice.

[Obstructive uropathy secondary to the periurethral injection of teflon paste]. / Uropatía obstructiva secundaria a la inyección periuretral de pasta de teflón.

A case of obstructive uropathy secondary to a periurethral teflon injection, performed to correct urinary incontinence, is presented. The obstruction of one ureter was caused by an inflammatory reaction followed by fibrosis, which could be explained by the presence of a local infection or of intolerance to the teflon paste. The use of prophylactic antibiotics and routine renal echography are mandatory after periureteral or periurethral injections of large quantity of teflon.