[A congenital diverticulum of the bulbar urethra]. / Divertículo de uretra bulbar congénito.

OBJECTIVE: To describe an additional case of congenital bulbous urethra. The incidence, etiopathogenesis, symptoms, diagnosis and treatment of this condition are discussed. METHODS: A 16-year-old male consulted at the emergency services for urinary retention and a perineal lesion. Patient evaluation included ultrasound, retrograde and voiding urethrocystography. Treatment was by open surgery. RESULTS: The patient was evaluated at 3, 6 and 12 months. He remains asymptomatic and control urethrograms are normal. CONCLUSIONS: Open surgery is advocated as the treatment of choice for symptomatic diverticulum of a considerable size.

[Hemangioma of the glans penis]. / Hemangioma de glande.

The haemangiomas are benign vascular tumors of frequent apparition in infant, but not very much described in penis glans in the literature. We present a case with location in penis glans, in a short age male, that it was treated through conventional surgery with good results. We accomplish a review of this pathology and we make reference to the different ways of treatment today.

[Obstructive uropathy secondary to retrovesical hydatid cyst]. / Uropatía obstructiva secundaria a quiste hidatídico retrovesical.

The genitourinary affectation by the hydatidosis, is the third in frequency after the hepatic and pulmonary affectation. The finding of an obstructive uropathy by a retrovesical hydatid cyst is uncommon, but it must be in account in high incidence zones. We present a case of this pathology, accomplishing a review of their etiopathogenic mechanisms, as well as of their arrival way, diagnostic approach and treatment.

[Spontaneous rupture of hydrocele: an unusual complication]. / Rotura espontánea de hidrocele: una complicación inusual.

Description of a case report of a male patient with a long standing pressure hydrocele that underwent spontaneous rupture while doing farm work although there was no previous trauma. The clinical signs were minimal scrotal discomfort, disappearance of turgescence and late ecchymosis and localized edema in penis and scrotum.

[Bilaterally synchronous mixed germ cell testicular tumor]. / Tumor testicular de células germinales mixto de aparición bilateral sincrónico.

OBJECTIVE: To report an uncommon case of bilateral synchronous mixed testicular germ cell tumor. METHODS: A young male had consulted at our urological services for a unilateral enlarged testis. A testicular tumor was suspected; scrotal US was performed, testicular tumor markers were determined and complementary studies to determine tumor extension were performed. RESULTS: The US findings suggested a chronic inflammatory condition with bilateral diffuse infiltration, tuberculosis was discarded and bilateral testicular tumor was suspected, which was confirmed by bilateral intraoperative biopsy. A bilateral radical orchidectomy was performed. Adjuvant chemotherapy with cisplatin, VP-16 and bleomycin was administered after bilateral radical orchidectomy due to the attending risk factors for tumor recurrence. The patient is disease-free one year postoperatively. CONCLUSIONS: Bilateral synchronous testicular germ cell tumors are rare. Scrotal US is a simple, noninvasive and efficient diagnostic imaging method; however, it does not provide pathognomonic images that could indicate the histological nature of the tumor.

[Leydig cell tumor]. / Tumor de células de Leydig.

OBJECTIVE: To describe a case of Leydig cell tumor of the testis, discuss the criteria for determining its benign or malignant nature and the clinical features according to patient age and the hormone profile. METHODS/RESULTS: Scrotal US evaluation for an associated pathology incidentally detected a hypoechoic, homogeneous mass with preserved borders. Biological testicular tumor markers were determined and the suspicion of a Leydig cell tumor prompted a hormone study. The diagnosis of Leydig cell tumor was confirmed by intraoperative biopsy and radical orchidectomy was performed. CONCLUSION: In the case described, the ultrasound findings prompted the etiological diagnosis given the characteristics of the lesion. The definitive diagnosis was based on the pathological findings. Although classified as benign Leydig cell tumor, radical orchidectomy is advocated.