[Pelvic solid masses of uncertain etiology. A clinical case]. / Masas sólidas pelvianas de etiología incierta. Caso clínico.

We report the case of a 73 year old male with a bulky endovesical mass infiltrating near organs at the radiologic studies and urinary obstruction. We specify the diagnostic tests which end in the diagnosis of giant benign prostatic hyperplasia. Regarding the case, we consider the causes of solic pelvic masses and the diagnostic methods available, making a stand on the paramount importance of the hystologic exam.

[Wilm's tumor: review and up-date based on our experience]. / Tumor de Wilms: revisión y actualización a propósito de nuestra experiencia.

Wilms' tumour represents 8% of tumours appearing during childhood, and it is the more frequent malignant tumour of the urinary tract in children. A review of 7 tumours occurring in our Hospital Area over the last 11 years is made, evaluating their incidence, clinical presentation, diagnosis as well as therapeutical approaches and complications. We also conducted a review of the most recent related literature, paying special attention to the new lines of research in the field of the genetics. Likewise, we contribute the latest guidelines and suggestions by the NWTS with regard to diagnosis and treatment of Wilms' tumour.

[Priapism secondary to a bilateral abscess of the corpora cavernosa]. / Priapismo secundario a absceso bilateral de cuerpos cavernosos.

Presentation of an exceptional case of priapism in an 82-year-old male, secondary to primary bilateral abscess corpus cavernosum. Diagnosis was reached through aspiration puncture and pus drainage, which also allowed the resolution of the condition. After a literature review, no similar case was found. This was a painful, long-lasting erection that resulted from corpus cavernosum repletion with purulent material instead of blood.

[Bladder endometriosis: a new case and review of the literature]. / Endometriosis vesical: un nuevo caso y revisión de la literatura.

OBJECTIVES: The diagnostic and therapeutic aspects of endometriosis of the bladder is reviewed. Although it is relatively uncommon, it should be taken into account when making the differential diagnosis in young females presenting with dysuria. METHODS/RESULTS: A young female patient with dysuria and hypogastric pain caused by endometriosis of the bladder is described. CONCLUSIONS: Diagnosis is basically by cystoscopic exploration and histological analyses of the specimens obtained by electrofulguration. Hormone therapy with Danazol may be effective in some cases. The most effective treatment is excision of the lesion by TUR or conventional surgery. Furthermore, laser could be useful in the treatment of this pathology.

Masas sólidas pelvianas de etiología incierta. Caso clínico / Solid pelvic masses of uncertain origin. A case report

Presentamos el caso de un varón de 73 años con una gran masa endovesical infiltrante de estructuras vecinas en los estudios radiológicos y uropatía obstructiva secundaria. Se detalla la batería diagnóstica realizada que concluye con el diagnóstico de H.B.P. masiva. A propósito del caso, comentamos las posibles causas de masas pelvianas sólidas (endo y retrovesicales) y los mecanismos diagnósticos disponibles, haciendo hincapié en la importancia capital de un estudio anatomopatológico (AU)

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