Congenital cyst of the seminal vesicle.

A case of congenital cyst of the seminal vesicle in association with an ectopic ureter is presented. The clinical, diagnostic and therapeutic aspects are discussed with special emphasis on the role played by ultrasound and computerized tomography in the evaluation of pelvic pain and painful ejaculation.

[Female urethral leiomyoma (author's transl)].

Literature registers 18 cases of female urethral leiomyoma. Three new cases of such pathology are herein described, with symptoms generally recorded in the literature : obstruction. The three patients were successfully treated by transvaginal resection of the tumor.

Primary vaginal calculus in a patient with meningomyelocele.

The development of a rare vaginal calculus in a 12-year-old girl with meningomyelocele since birth is attributed to urinary stasis resulting from prolonged urinary incontinence, decubiti of long duration and almost complete lack of medical or rehabilitation care. After surgical removal of the calculus without complications, a series of elective orthopedic procedures has been gradually undertaken and a program of intermittent catheterization has been started.

[Persistence of Muller's ducts in the male. A family observation (author's transl)].

The authors report two cases (in brothers) of the persistence of Muller's ducts (uterus and uterine tubes), whilst both individuals led a normal though infertile sex life. They presented with a bilateral inguinal hernia and a cryptorchidism. The precise diagnosis was made at surgery in the first, whilst the family history led to the diagnosis in the second.

Bladder training and surgical correction of vesicoureteral reflux: useful association.

18 children, from 1 year of age to 15, presenting lower motor neuron bladder (myelomeningocele) were studied. All had overflow incontinence and urinary infection resistant to all trials of treatment, attributed to severe vesicoureteral reflux. The failure of training on bladder emptying for urinary infection control and/or the severity of reflux and its consequences over upper urinary tract, motivated the reflux surgical correction associated to bladder training as a first step alternative treatment to urinary diversion.

Cavernospongiosum shunt in management of priapism: is it a reliable method?

The efficiency of cavernospongiosum shunt in the management of priapism was evaluated in 10 patients. Technical details such as the "Z" perineal incision and the opening followed by closure of the contralateral corpus cavernosum, at the time of corpora evacuation, can improve the local exposure and permits a more complete drainage of the corpus cavernosum, but did not improve our results when they were compared with other techniques for treatment of priapism. Penile flaccidity and preservation of sexual potency occurred in 6 (60%) and 5 (50%) patients, respectively, and no surgical complications were observed.