The aim of this work was to study the clinical, therapeutic aspects and a review of the literature of renal leiomyosarcoma. A 64 years woman was referred for a painful large mass deforming the abdomen with constipation. Her medical history was unremarkable. The diagnosis of a renal tumor involving the right kidneywas confirmed by ultrasound and abdominopelvic CT. A radical nephrectomy was performed. Pathological examination was consistent with a renal leiomyosarcoma. The post operative course was simple. The patient was followed for 1 year 6 months without any recurrence.

Une patiente âgée de 55 ans, était vue en consultation pour une douleur hypogastrique associée à des brûlures mictionnelles et une hématurie récidivante, d'abondance variable, terminale parfois totale, évoluant depuis 5 ans environ.Dans les antécédents, on notait un sondage à demeure à répétition, une infection urinaire récidivante et une manoeuvre endoscopique au niveau de la vessie, quelques semaines auparavant, dont la nature précise n'a pas été précisée.L'examen clinique retrouvait une sensibilité pelvienne à la palpation.

Renal cell carcinoma (RCC) in children is rare. This entity has different clinical and biological presentation characteristics from adult RCC. In contrast to Wilms tumor, the efficacy of chemotherapy and radiation therapy in pediatric RCC remains uncertain. Debate continues on the importance of lymph node dissection. The authors present a case of RCC with lymph node involvement in a 12-year-old boy. The treatment was radical nephrectomy and a limited lymphadenectomy. No adjuvant therapy was given. After 13 months of follow-up, there is no evidence of recurrence. This case shows that lymph node involvement (in the absence of distant metastases) is not associated with a poor prognosis in pediatric RCC and that lymphadenectomy in lymph node-positive cases is important.

The authors relate a retrospective study on 30 cases of urethral stenosis and four cases of urethral rupture with a mean follow up of 28 months (8 to 44 months). The mean age of the patients was 47,5 years (6 to 85 years). The main aetiology was inflammatory sclerosis (73,5%). The predilection was bulbar (52,94%). The main symptom was constituted by dysuria (n = 24). The peri-urethral sclerosis was found in 44, 12% of cases. The penile flap as tube or patch. Immediate complications were a loosen of sutures (n = 7), urinary fistula (n = 4). The later complications were essentially recidives (n = 6). The results were good in 73,5% of cases. (C) 2003 Publie par Editions scientifiques et medicales Elsevier SAS.

The authors report five cases of ureterocele during six years. Mean age of the patients was 34.2 +/- 11.1 years. There were four female and one male. Pain (N = 3) and dysuria (N = 3) were the most common symptoms at examination. Diagnosis was made by ultrasound (N = 3), IVU (N = 3) or cystoscopy (N = 1). Ureteroceles were bilateral in four cases, unilateral in one case and were always intravesical with single ureter. Two patients presented lithiasis enclosed in the ureterocele. Only four patients had been operated. Surgical treatment was ureterocelectomy with ureteral reimplantation according to Cohen procedure. With mean follow-up of 10.6 +/- 4.7 months results were stable without complications. (C) 2002 Editions scientifiques et medicales Elsevier SAS.

The authors report a case of transfixing injury of the scrotum while diving. The patient was seen one hour after the accident. The harpoon traversed the right side of the scrotum from below upwards. Emergency surgical exploration only revealed effraction of the sinus of the epididymis and the abdominal muscles. The overall risk for fertility was suggested in view of a possible lesion of the epididymal canal.

The authors report the case of a patient presenting with recurrent urinary tract infection and deterioration of the general status. Ultrasonography, plain x-rays and especially cystoscopy demonstrated the presence in the bladder of an intrauterine contraceptive device inserted 4 years previously. Endoscopic removal combined with antibiotics ensured dire of this patient.

The authors report 5 cases of uterovesical fistula (UVF) and analyse some of the clinical and therapeutic aspects of this disease. The mean age of these 5 patients was 31.2+/-6.9 years. The trauma responsible for the fistula was caesarean section in every case. The presenting complaints were dominated by cyclic haematuria (n=5). Intravenous urography did not contribute to the diagnosis, while hysterosalpingography demonstrated the UVF in 3 out of 4 cases. Treatment was surgical for all patients and consisted of closure of the fistula in 3 cases and hysterectomy in 2 cases. With a mean follow-lip of 2+/-1.2 years, no pregnancies were reported in the 3 patients treated by closure of the fistula. On the other hand, the urinary results were satisfactory with good continence and resolution of the cyclic haematuria. The authors emphasize the importance of prevention of UVF by well conducted caesarean section.

The three main penile emergency situations have been examined so as to better define the clinical and therapeutic aspects. In the present study, a fracture of the penis (n = 12) occurred following a coital accident in 8 cases. In general, a clinical diagnosis was made and emergency surgical treatment appeared to be the most efficient means of preventing possible erectile malfunction. Mutilation of the penis was observed (n = 12) following traditional circumcision or circumcision performed by paramedical staff; or was due to self-inflicted mutilation and pyschiatric disorder (n = 6), and in one case to sexual deviation (n = 1) This category of accidents could be more adequately managed by the psychiatric treatment of certain patients and by better training of the personnel carrying out the circumcision. Priapism (n = 42) was due to sickle cell disease in 50% of cases, and relapse was noted in 10% of patients.

Urinary complications following pelvic injury require the appropriate initial treatment. The present study involves 27 patients who presented with the following lesions: bladder contusion (n = 5), bladder rupture (n = 2), partial rupture of the urethra (n = 4), and complete rupture of the urethra (n = 18). We have reported on two cases of bifocal rupture of the urethra, and three cases of urethral rupture, in the case of urethral lesions that were detected early on, treatment was by urethrography (n = 13), and in the cases detected at a later date, by internal urethrotomy (n = 3). A sub-peritoneal bladder rupture was treated in one case by breach suture. The morbidity rate amounted to 18%, and the mortality rate totalled 14% as a result of polytraumatism. It is considered that a precise diagnosis, a detailed assessment of urinary lesions, and carefully performed procedures during intensive care are the best means of guaranteeing good recovery of urinary or genital function in the lower urinary tract. (C) 2000 Editions scientifiques et medicales Elsevier SAS.

BJU InternationalVolume 84, Issue 3 p. 362-364 Management of penile and scrotal elephantiasis Ndoye, Ndoye Department of Urology, Cheikh Anta Diop University, Dakar, SenegalSearch for more papers by this author Sylla, Sylla Department of Urology, Cheikh Anta Diop University, Dakar, SenegalSearch for more papers by this author Ba, Ba Department of Urology, Cheikh Anta Diop University, Dakar, SenegalSearch for more papers by this author Guèye, Guèye Department of Urology, Cheikh Anta Diop University, Dakar, SenegalSearch for more papers by this author Diagne, Diagne Department of Urology, Cheikh Anta Diop University, Dakar, SenegalSearch for more papers by this author Ndoye, Ndoye Department of Urology, Cheikh Anta Diop University, Dakar, SenegalSearch for more papers by this author Sylla, Sylla Department of Urology, Cheikh Anta Diop University, Dakar, SenegalSearch for more papers by this author Ba, Ba Department of Urology, Cheikh Anta Diop University, Dakar, SenegalSearch for more papers by this author Guèye, Guèye Department of Urology, Cheikh Anta Diop University, Dakar, SenegalSearch for more papers by this author Diagne, Diagne Department of Urology, Cheikh Anta Diop University, Dakar, SenegalSearch for more papers by this author First published: 25 December 2001 https://doi.org/10.1046/j.1464-410x.1999.00223.xCitations: 7 Dr Ndoye BP 15650 Dakar-Fann, Senegal. Read the full textAboutPDF ToolsRequest permissionExport citationAdd to favoritesTrack citation ShareShare Give accessShare full text accessShare full-text accessPlease review our Terms and Conditions of Use and check box below to share full-text version of article.I have read and accept the Wiley Online Library Terms and Conditions of UseShareable LinkUse the link below to share a full-text version of this article with your friends and colleagues. Learn more.Copy URL Share a linkShare onFacebookTwitterLinked InRedditWechat Citing Literature Volume84, Issue3August 1999Pages 362-364 RelatedInformation

Medical experts are responsible for evaluation of the urinary and sexual sequelae following traumatic rupture of the posterior urethra, Only definite and direct damage is compensated by the courts, which demands a methodical and meticulous examination by the expert, Sexual damage can be evaluated by certain criteria including the results of intracavernous injections.

The management of posterior urethral injuries is still a matter of controversies. Some authors recommend a primary or delayed emergency repair procedure, while others prefer late repair. The analysis of our series of fifteen cases showed that when patients are treated by delayed emergency operation, the results are usually good. However, when repair is performed later, results are less satisfactory, and the rate of impotence is higher. We conclude that delayed emergency repair operation is the procedure of choice in the management of ruptured posterior urethra.

Obstetrical vesico-vaginal fistulas are still very common in developing countries, because of to the difficulties of medical facilities. From a series of 123 cases recorded during 6 years, we analyse their epidemiological, anatomo-clinical, and therapeutic aspects. A simplified classification is purposed.

Maldescended testis is a common congenital abnormalitie. The main complications are infertility and venue of malignant testicular tumor. If early orchiopexy can prevent infertility, it remains a high risk of venue of a malignant tumor. So, the best technique of orchiopexy is that which allows and easy clinical follow-up of the maldescended testis after surgical treatment, and does'nt involve hematoseminal barrear. From the analysis of fourty cases of scrotal pouch orchiopexy and a review of the litterature, it appears that this procedure is efficient and gives more than 90 % of good results.

Fourteen pediatric cases of posterior urethral valves in patients aged 6 months to 14 years (with four infants and ten older children) are reported. The main symptoms were vesical, including dysuria, acute urinary retention and dribbling. One patient presented with diarrhea, vomiting and dribbling. Urethral valves were looked for as part of the evaluation for urinary lithiasis in one patient, and in another urinary lithiasis developed following the diagnosis of urethral valves. In half the cases, onset of symptoms occurred within one year of birth. Urethrocystography allowed to evidence the valves and to evaluate repercussions on the bladder including hyperplasia (7 cases) and diverticula (2 cases). The intravenous urogram disclosed bilateral ureterohydronephrosis in eight cases. Pathogens recovered from the urine included Klebsiella (3 patients), Pseudomonas (4 patients), Proteus (one patient), and E. coli (one patient). Most patients were treated by catheter lamination under antimicrobial therapy. Two patients died from renal failure. Results were considered satisfactory in nine cases with follow-ups ranging from 1 month to 4 years. Three patients were lost to follow-up. Early diagnosis is essential and management should rely mainly on endoscopic resection which reduces the length of the hospital stay and the risk of infection.

Penile carcinoma is rare in Senegal representing 0,35 % of all cancers and 0,97 % of cancers in the male adult. Neonate circumcision widely used in this country seems to prevent this disease. With this series of 11 cases, clinical and therapeutical aspects are reviewed.