[A case of bilateral kidney tumor combined with staghorn calculi and skin cancer]. / Sluchai na dvustranen tumor na bubreka, suchetan s koralovidna kalkuloza i rak na kozhata.

A rare case of bilateral renal tumor with benign clinical evolution, associated with staghorn calculosis and skin cancer, is reported. Delayed operative treatment was due to difficulties in establishing the diagnosis, controversial results of the sonographic and X-ray examination and lack of cooperation by the patients. The right kidney and regional lymph nodes were removed; metastases were verified on histologic examination of the lymph nodes. After the operation the patient received complex radio-, chemo- and hormonal therapy. Basocellular skin cancer which later developed was cured by contact radiotherapy.

[Granulomatous orchitis]. / Granulomatozen orkhit.

Granulomatous orchitis is a rare inflammatory disease of poorly understood etiology. Its differentiation from testicular tumor is difficult and is resistant to antibiotic therapy. Five cases of this disease are reported. In 3 of them orchiectomy was performed and in 2 the testis was preserved after biopsy specimen examination. Relapses or injury to the contralateral testis were not recorded during the follow-up period. A review of the literature is made and the etiopathogenesis, clinical and therapeutic aspects of this disease are discussed.

[A case of a congenital diverticulum of the urethra combined with calculosis]. / Sluchai na vroden divertikul na uretrata, suchetan s kalkuloza.

A rare case of congenital diverticulum of the urethra of a 14-year-old boy associated with numerous calculi is reported. The clinical symptoms were pain during micturition and dysuria. Physical examination was complemented by instrumental, of which most important for the diagnosis was retrograde urethrography and urethrocystoscopy. Diverticulotomy and suprapubic derivation of urine were made.

[Fracture of the penis]. / Fraktura na penisa.

Fracture of the penis is a rare traumatic lesion with typical clinical symptoms. Six cases treated at the Clinic of Urology in the city of Varna from 1985 through 1989 are presented. Five patients were operated and one patient received conservative treatment. There were no significant complications, except one pseudodiverticulum and one slight deformity of the penis; none of them affected normal sexual activity. A review of the literature is made. Immediate surgical treatment is recommended.