[Priapism: our experience in 9 cases]. / Priapismo: nostra esperienza in 9 casi.

We report our experience with 9 cases of priapism treated with decompressive puncture of the corpora cavernosa or with spongiosum-cavernosum shunt. No significant difference in result between these two surgical approaches was found: we conclude that early treatment is decisive for the preservation of potency.

[2 cases of unexpected anatomopathological discovery of a leiomyoma of the urogenital system]. / Due casi di inaspettato riscontro anatomopatologico di leiomioma dell'apparato urogenitale.

The authors report their recent experience in two cases of leiomyoma of the genitourinary tract not only because of relatively low incidence of this neoplasm in such sites, but especially since in the first case a previous urothelial lesion had led to the performance of a cystectomy and bilateral uretero-ileo-cutaneostomy, which led us to attribute the later urethral lesion also to a transitional-type neoplastic site; in the second case, symptomatologic evolution, palpation and scrotal echography aroused suspicion of testicular neoplasm and only the observation during surgical operation made it possible to decide for a testis-preserving therapy enabled by the reassuring extemporaneous histological report.

[Treatment of prostatic carcinoma in an advanced stage. Our experience]. / Il trattamento del carcinoma prostatico in stadio avanzato. Nostra esperienza.

The authors report the results of a retrospective study regarding 214 patients (mean age 73, smallest follow-up 6 months, greatest 70 months, average 42 months) affected by advanced prostatic cancer histologically demonstrated, observed from January 1983 to December 1990 and subject to hormonal treatment. They particular compared so-called "total androgenic suppression" (Gn-RH analogous or orchiectomy plus antiandrogen) with the "partial androgenic suppression" (Gn-RH analogous or orchiectomy). The authors report the results of the treatment regarding the subjective and the objective response, evaluated with NPCP criteria. Moreover the actuarial aspects of response and survival curves of two groups of patients are compared. The authors conclude that total compared to partial androgenic suppression does not offer significant advantages as regards to objective response and present their current treatment of advanced prostatic cancer.

[Conservative surgical therapy in the treatment of renal carcinoma]. / Terapia chirurgica conservativa nel trattameno del carcinoma renale.

The authors report results in 10 patients (5 with renal neoplasms in a single kidney, 4 with healthy contralateral kidney, and one with a pathological opposite kidney following conservative surgery: 4 surgical enucleations and 6 partial nephrectomies.

Fiberendoscopic evaluation of ureterosigmoidostomies.

Sixteen patients having undergone ureterosigmoidostomy have been examined using fiberoptic coloscopes. Morphology and function of both the colonic mucosa and the ureteral stumps have been evaluated by direct observation, biopsy brush cytology and i.v. injection of methylen blue. The obtained encouraging results point to this fiberendoscopic diagnostic approach as an easy and useful follow-up examination of patients with intestinal urinary diversions.