Espermatocele calcificado en paciente con malformación congénita y litiasis renal / Calcified spermatocele in a patient with a congenital malformation and renal lithiasis

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[Extratesticular intraescrotal neurofibroma: case report]. / Neurofibroma intraescrotal extratesticular: aportación de un caso.

OBJECTIVES: We report a rare case of intrascrotal neurofibroma in an adult patient not affected by neurofibromatosis (NF1). METHODS: Clinical diagnosis of asymptomatic right scrotal lipoma and left symptomatic inguinal hernia carried the patient to the surgical treatment. After the first surgical step of left hernia repair, we proceeded to the excision by an inguinoscrotal approach of a voluminous whitish neoplastic mass occupying the whole left scrotum and not involving homolateral testis. RESULTS/CONCLUSIONS: The histopathologic diagnosis was of neurofibroma, a benign neoplasm of peripheral nerves which rarely occurs at genital level.

Neurofibroma intraescrotal extratesticular: aportación de un caso / Extratesticular intraescrotal neurofibroma: case report

OBJETIVO: Presentamos un caso muy raro de neurofibroma localizado en la región genital a nivel intraescrotal en un paciente mayor que no estaba afectado por neurofibromatosis (NF1). MÉTODOS: El diagnóstico clínico de lipoma escrotal derecho asintomático y de hernia inguinal izquierda sintomática llevó al paciente al quirófano. Tras la primera intervención en la que se hizo la reparación de la hernia, se quitó una masa neoplástica de aspecto blanquecino y brillante que ocupaba el hemiescroto derecho procediendo a través de una incisión inguinoescrotal, sin sacrificar el testículo homolateral. RESULTADOS/CONCLUSIONES: El examen anatomopatológico etiquetó la masa quitada de neurofibroma, una neoplasia benigna de raro hallazgo a nivel genital

OBJECTIVES: We report a rare case of intrascrotal neurofibroma in an adult patient not affected by neurofibromatosis (NF1). METHODS: Clinical diagnosis of asymptomatic right scrotal lipoma and left symptomatic inguinal hernia carried the patient to the surgical treatment. After the first surgical step of left hernia repair, we proceeded to the excision by an inguinoscrotal approach of a voluminous whitish neoplastic mass occupying the whole left scrotum and not involving homolateral testis. RESULTS/CONCLUSIONS: The histopathologic diagnosis was of neurofibroma, a benign neoplasm of peripheral nerves which rarely occurs at genital level

Male bulbourethral sling after radical prostatectomy: intermediate outcomes at 2 to 4-year followup.

PURPOSE: We reviewed our experience with 49 consecutive patients undergoing a male sling procedure. MATERIALS AND METHODS: The 7-item International Prostate Symptom Score and 22-item incontinence quality of life questionnaire (although not validated in Italian) were used to assess the clinical impact of the bulbourethral sling. Surgical outcome was also assessed by videourodynamics at 1 year. Urodynamic success was defined as no leakage during videourodynamic evaluation. RESULTS: Mean followup was 32 months (range 26 to 48). Preoperatively 3 patients used 2 pads daily (mild incontinence), 34 used 3 to 5 (moderate incontinence) and the remaining 12 used more than 5 (severe incontinence). Clinical success was defined as a decrease in pad use to completely dry (no pad) or to social continence (1 pad daily) at followup. Of the 49 patients 38 (77%), 33 (67%) and 63% (31) were considered socially continent at the 3-month, 1-year and 3-year followup, respectively. Only 15 of the 49 patients (30%) were considered completely dry at the 3-year followup. Significant perineal pain was reported in the early postoperative period but it resolved in all patients. Infection occurred in 3 patients, while no erosion was found. CONCLUSIONS: The male perineal sling is a safe surgical option for post-prostatectomy urinary incontinence, especially when strict patient selection is done. Patient satisfaction is superior to urodynamic results and the procedure allows physiological voiding. Patients should be informed of the possibility of progressive failure with time and significant perineal pain in the early postoperative period.