[Transitional carcinoma and malignant priapism]. / Carcinoma transicional y priapismo metastático.

Malignant priapism is rare and usually secondary to genitourinary tumors. The prognosis is poor since it generally indicates the presence of multiorgan metastasis. A case of malignant priapism or priapism secondary to penile metastasis from transitional carcinoma is presented and the literature is reviewed.

[Urethral prolapse following physical effort. Surgical repair]. / Prolapso uretral tras esfuerzo físico. Corrección quirúrgica.

We want to present an urethral prolapse, in an elderly woman, after a physical effort. This situation is rarely reported in the literature, being a more common situation in children and premenarchal girls. The most common presentation is genital mass and bleedding. If it is a large one can become strangulated and urinary symptoms are present as acute urine retention. We want to describe the surgical treatment.

[Laparoscopic diagnosis of Hodgkin's disease. Report of a case]. / Diagnóstico mediante laparoscopia de enfermedad de Hodgkin. A propósito de un caso.

Laparoscopic Surgery with diagnosis objectives in Urology, has many others indications related with different medical specialties, apart from the ones for the urologic area (ectopic test, linfadenectomy, etc...). In our case, the Services of Urology and Hematology, diagnosed a Hodgkin's disease case. The Service of Hematology realized treatment and evolution. Sometimes, the unspecific clinical presentations of the Hodgkin's disease, shows adenopatics masses, detected by Ecografy or TAC. Treatment and prognosis of the Hodgkin's disease, are related with the histological subtype and its spreading.

[Urethral amyloidosis]. / Amiloidosis localizada de la uretra.

Localized amyloidosis of the urethra is a rare pathological entity. Biopsy is required to make the appropriate diagnosis. Although localized therapy is available for obstructing, symptomatic lesions, asymptomatic lesions may be followed with conservative management and spontaneous regression has been reported. An appropriate medical evaluation should be performed to determine the presence of systemic amyloidosis.

[Appendix mucinous cystadenoma]. / Cistoadenoma mucinoso apendicular.

Mucous cystadenomas are benign epithelial tumours with great mucous content inside. Despite being non-malignant, they acquired great size, compressing and displacing important structures and organs of the zone, with theirs unlucky outcomes. Surgical exeresis is very difficult, being almost impossible its total exeresis, showing great frequency of relapse. We present an appendix mucous cystadenoma case in a 54 years old patient.

[Endoscopic ureteral resection in radical nephroureterectomy: report of our experience]. / Desinserción ureteral endoscópica en la nefroureterectomía radical: presentación de nuestra experiencia.

We want to present our clinic and chirurgical experience in eight patients, using the radical nephroureterectomy with endoscopical resection of the ureter, as a safe and valid technique, in urothelial tumours localized in the upper urinary tract.

[Secondary prostatic lymphoma in a kidney transplant patient]. / Linfoma de próstata secundario en paciente trasplantado renal.

Lymphoma involving the prostate is rare, both as a primary and as a secondary presenting. Usually the prognosis remains poor. The clinical presentation is similar to that of other lower urinary tract obstructions, in fact prostatic lymphoma must be considered in patients with these symptoms, particularly in patients with prior history of systemic lymphoma. We report a case of a kidney transplantation in a male patient, diagnosis of lymphoma non Hodgkin, with later recurrence in prostate.

[Thrombosis of the renal artery secondary to closed abdominal trauma]. / Trombosis de la arteria renal secundaria a traumatismo abdominal cerrado.

We report a case of female 24 years old who had a blunt abdominal trauma. The immediate consequence was the radiological evidence of a left kidney abolition, secondary to a renal artery thrombosis. The treatment was conservative, and there was not a surgical procedure.

[Urethral nephrogenic adenoma in a young male. Report of a case]. / Adenoma nefrogénico uretral en varón joven. Aportación de un caso.

Nephrogenic adenoma is a rare urothelial neoformation. It is well known the association to infective diseases and stones; the most common localization is in the bladder. We report the case of a young male without previous disease who showed a nephrogenic adenoma in the urethra, it was managed with transurethral resection and surveillance.

[Pelvic recurrence of urothelial tumor, after radical cysto-prostatectomy with orthotopic neo-bladder]. / Recidiva pélvica de tumor urotelial, tras cistoprostatectomía radical con neovejiga ortotópica.

We present a case of an urothelial tumor pelvic recurrence, five months after radical cystoprostatectomy. No fat infiltration was demonstrated in the pathological study of the transurethral resection pieces. The treatment was a radical cystoprostatectomy with an ileal ortothopic Hautmann type neo-bladder. The pathological study of the surgical piece demonstrated fat infiltration in some points but urethra and lymphatic nodes free.

[Idiopathic superinfected giant hematocele]. / Hematocele gigante sobreinfectado idiopático.

A 45 year old male patient is attended for a marked increase in the size of the left hemiscrotum totally painless. The diagnosis was haematocele, but no cause was found for the bleeding. Orchidectomy and complete exeresis of the tunica vaginalis was carried out.

[Epidermoid carcinoma of the urethra and glans penis: two independent tumors?]. / Carcinoma epidermoide de uretra y glande: dos tumores independientes?

A 64 years-old man is treated in our hospital presenting a big tumor in glans penis. During the surgical act, another neoplasm is detected in the urethra. The microscopic study showed a concomintant epidermoid carcinoma of glans penis and urethra with non-affected tissue between both tumors.

[Retroperitoneal fibrosis caused by pancreatitis in an HIV+ patient]. / Fibrosis retroperitoneal por pancreatitis en paciente VIH+.

Retroperitoneal fibrosis is a rare inflammatory disease, in which the fibrosis plate leads to the compression of the affected structures. There are several causes of retroperitoneal fibrosis like specific and unspecific inflammatory diseases. In the specific group of retroperitoneal fibrosis we find the one due to pancreatitis. We do present a rare case of retroperitoneal fibrosis caused by a pancreatitis in a HIV+ patient.

[Urinary diversions and bladder enlargements]. / Derivaciones urinarias y ampliaciones vesicales.

Overall review that offers an integrated insight of the importance and repercussions of urinary by-pass and bladder replacement. Over the last decades there has been a growing interest in the possibility of reconstructing the urinary system and there are now an almost infinite number of surgical solutions. The history of the development of using the intestine for by-passes and the reconstruction of the urinary system is described. The secondary metabolic alterations, the possibility of secondary intestinal tumours and the rudiments of ureterointestinal anastomosis are dealt with. Bladder substitution techniques are highlighted, and the vast experience of the Urology Department of Hospital Miguel Servet explained, including criteria and conclusions that help to choose from the many urological surgery alternatives headed by urinary by-pass and bladder complications.

[Kidney transplantation. Technique and complications]. / Transplante renal. Técnica y complicaciones.

We want to make in this article, a deep review of our experience in kidney transplantation since the moment we started the technique in 1986 to the end of the year 2000. We also want to make a compilation of the most important points of the surgical technique, patients selection criteria, and the most common and uncommon complications that can appear in kidney transplantation, analizing our results all along this time.

Carcinoma transicional y priapismo metastásico / Transitional carcinoma and malignant priapism

El priapismo metastático es una rara entidad clínica que suele ser secundaria a tumores del aparato genitourinario y que se asocia a un mal pronóstico debido a que su presencia suele indicar diseminación metastática multiorgánica. Presentamos un caso de priapismo secundario a metástasis peneana por carcinoma transicional y realizamos una revisión de la literatura médica

Malignant priapism is rare and usually secondary to genitourinary tumors. The prognosis is poor since it generally indicates the presence of multiorgan metastasis. A case of malignant priapism or priapism secondary to penile metastasis from transitional carcinoma is presented and the literature is reviewed

Carcinoma epidermoide de uretra y glande ¿dos tumores independientes? / Epidermoid carcinoma of the urethra and glans penis two independent tumors?

Un varón de 64 años fue tratado en nuestro hospital por presentar una gran tumoración en el glande peneano. Durante el acto quirúrgico se detectó otra neoformación en la uretra. El estudio microscópico mostró un carcinoma epidermoide concomitante en glande peneano y uretra sin tejido afectado entre ambos tumores

A 64 years-old man is treated in our hospital presenting a big tumor in glans penis. During the surgical act, another neoplasm is detected in the urethra. The microscopic study showed a concomintant epidermoid carcinoma of glans penis and urethra with non-affected tissue between both tumors

Recidiva pélvica de tumor urotelial, tras cistoprostatectomía radicalcon neovejiga ortotópica / Urotelial tumor pelvic recurrence after radical cystoprostatectomy and ortothopic neobladder

Presentamos un caso de recurrencia pelviana de un tumor urotelial, cinco meses después de la cistoprostatectomía radical. El estudio patológico de los fragmentos de resección transuretral no demostró afectación de la grasa. El tratamiento fue cistoprostatectomía radical con neovejiga ileal tipo Hautmann. El estudio patológico de la pieza quirúrgica reveló infiltración de la grasa en varios puntos pero con uretra y ganglios linfáticos sin afectación (AU)

No disponible

Hematocele gigante sobreinfectado idiopático / Infected giant idiopathic haematocele

Varón de 45 años que es atendido por un marcado aumento de tamaño del hemiescroto izquierdo totalmente asintomático. El diagnóstico fue de hematocele aunque no se encontró causa evidente del sangrado. Se llevó a cabo orquiectomía y exéresis completa de la túnica vaginal. (AU)