Spermatic cord liposarcoma in a young boy.

We report on a spermatic cord liposarcoma arising in a 16-year-old boy. Treatment consisted of radical orchiectomy without retroperitoneal lymph node dissection, and adjuvant radiation and chemotherapy. The patient has survived 14 months without evidence of recurrence. Paratesticular localization of liposarcoma in patients less than 20 years old is rare. The tumor has no particular characteristic. Treatment consists of radical orchiectomy and the role of retroperitoneal lymphadenectomy is controversial.

Testicular transposition with right-to-left epididymo deferential anastomosis: a case report.

We report a case of azoospermia due to malformation that was treated successfully by epididymo-deferential anastomosis using only 1 deferens for both testicles.

Left varicocele at puberty.

A study was made of 160 cases of left varicocele treated during 1979-1980; there were 35 patients under sixteen years old. Also 74.3 per cent of patients already had mono- or bilateral testicular hypotrophy. Testicular biopsy revealed 90 per cent had histologic lesions of varying nature and degree. We believe varicocele formation is related to physiologic changes during puberty. These data suggest that early recognition of varicocele and its correction before the appearance of irreversible testicular lesions may prevent male sterility.

Validity of the pre-operatory trans-scrotal venography of the internal spermatic vein in the presence of idiopathic varicocele.

The Authors refer their experiences regarding the use in the preoperatory phase of the trans-scrotal venography of the left internal spermatic vein in the presence of idiopathic varicocele. The use of such a method, described in detail, and the study of radiograms obtained allow to acquire important notions of varicocele. In this way, it is possible to select the proper surgical approach to be employed in the treatment of varicocele syndrome.