Simultaneous inflatable penile prosthesis insertion and corporoplasty for septal chordee attributed to Peyronie's disease.

Impotent patients with Peyronie's disease who qualify for penile prosthesis surgery may pose a reconstructive challenge that can best be resolved at the time of exploration. Restrictive plaques, especially septal chordee, that persist after prosthesis insertion deserve resection. The surgical technique, pathophysiology, and management of postoperative edema facilitated by percutaneous access to the Resipump are described.

Atraumatic color-coded mosquito clamps for inflatable penile prostheses.

Use of atraumatic color-coded mosquito clamps has facilitated surgery involving inflatable prostheses and so far eradicated the complication of fluid loss associated with tubing injury. Instrument tests and clinical experience is reported.

Horseshoe kidney with simultaneous occurrence of calculi, transitional cell and squamous cell carcinoma.

The simultaneous occurrence of invasive renal pelvic carcinoma with hydronephrosis and multiple calculi was noted after resection of the involved left renal unit of a horseshoe kidney. A perirenal lymph node submitted with the specimen was also involved necessitating a "second look" with retroperitoneal lymph node dissection and removal of left lower ureter and cuff of the bladder, all of which were benign. The increased incidence of renal pelvic tumors with horseshoe kidney is discussed. While the occurrence of adenocarcinoma in a horseshoe kidney appears to be no higher than in nonfused kidneys, the incidence of transitional cell carcinoma among horseshoe tumors is higher (24% vs. 7.7% in nonfused kidneys).

Malignant mesenchymoma of kidney and inferior vena cava.

Herein is reported the first known case of malignant mesenchymoma involving the kidney and secondarily the vena cava in an adult. A thirty-nine-year-old woman succumbed to this malignancy within three months after the diagnosis was established, despite multimodal therapy.