[Bladder leiomyomas.].

Unlabelled: Bladder leiomyomas are rare benign tumors; their common presentation are irritative and obstructive urinary symptoms. The treatment is complete surgical resection.

Objective: To present our experience in the diagnosis and the treatment of bladder leiomyoma.

Testicular adrenal rest tumors.

We report a case of congenital adrenal hyperplasia in a 29 year old patient, who presented with testicular pain, bilateral testicular masses, and oligospermia. Ultrasonography confirmed, in both testis, the presence of heterogeneous and hypoechoic lesions with irregular borders and internal and peripheral vascularization. Seric tumor markers were negative.

[The second kidney transplantation in Spain].

The first two living donor kidney transplants in our country (isotransplant and homotransplant respectively) were reported in 1961. We reviewed the clinical history of the renal homotransplant performed between father and son, more than half a century ago, by Carlos Younger de la Peña and Ramiro Rivera at "La Paloma' Clinic in Madrid. We comment on the organizational, legal, immunobiological and technical difficulties in those times when the successful future of transplantation was barely in sight.

Multilocular cystic nephroma: A clinical case.

Objective: To describe the clinical presentation, preoperative diagnostic possibilities, and treatment of cystic nephroma.

Methods: We describe a case of cystic nephroma in an adult male and show that, both in our patient and in the literature, a definitive diagnosis can only be obtained postoperatively, even when there is a reasonable clinical suspicion.

Conclusions: Cystic nephroma is rare, and some authors consider it a questionable entity.

Supramesocolic access to the left renal pedicle: anatomical and surgical description.

Objective: To expose and remind the supamesocolic approach to the left renal pedicle, in addition to review its main indications.

Methods/results: We perform a detailed description of the surgical technique showing its indications, the position, the incision and retraction systems employed, detailing the steps followed during dissection.

Conclusions: Adequate vascular control and complete resection of large renal and adrenal masses require an adequate exposition; the knowledge of surgical techniques such as supramesocolic approach to the left renal pedicle is very useful and may ease the course of retroperitoneal operations avoiding complications and giving comfort in a frequently difficult operation.

Paraurethral leiomyoma.

Objective: To describe a case of para-urethral leiomyoma and to review the literature.

Methods: The usual preoperative diagnostic procedures and clinical manifestations are discussed.

Results: The mass was resected and, 6 years later, the patient remains asymptomatic and with no recurrence.

Tubulocystic renal carcinoma (low grade collecting duct carcinoma).

Objective: To report a case of tubulocystic renal carcinoma diagnosed in an adult, after a work up study for hematuria.

Methods/results: 59-year-old male, CT scan was performed during a study for self-limited hematuria showing a 4.2 cm solid mass with areas suspicious of pseudocystic malignancy.

Adrenal ganglioneuroma.

Objective: To present one case of adrenal ganglioneuroma incidentally diagnosed in an adult.

Methods/results: 44-year-old woman with a 2.3 cm incidentaloma in the left adrenal gland diagnosed by CT scan.

Supernumerary testicle: case report and bibliographic review.

Objective: We report a case of supernumerary testis, a rare anomaly with only around 100 cases reported in the literature.

Methods: We describe the case of a 26-year-old man who consulted for a left paratesticular tumor. Physical examination and ultrasound showed a 2-cm nodular lesion over the left epididymis.

Neuroendocrine carcinoma of the urinary bladder. 15-year retrospective analysis.

Objectives: Neuroendocrine tumors (NET) are cancers found in the bronchopulmonary tract, where they were first described in 1926. The tumors are associated with poor prognosis due to their high metastatic potency even after radical treatments associated with other neo- or adjuvant therapies. NET of the urinary bladder is a rare tumor and accounts for 0.

46,XX T testicular disorder of sex development. Case report.

Objective: We present a case of X-Y translocation with male phenotype (46,XX testicular disorder of sex development) and review the literature.

Methods: Disorders of sex development with mismatch of genetic, gonadal and phenotypic sex are quite rare, and some are due to genetic or chromosomal abnormalities. The karyotype was investigated by a cytogenetic study of peripheral blood (phytohemagglutinin-timulated lymphocyte culture over 72 hours).

Vaginal metastasis of a clear renal cell carcinoma.

Objective: Remember that kidney cancer is a disease whose incidence is increasing due to increased use of additional imaging tests, which is changing the way of diagnosis, making the classic clinical syndrome synonymous with advanced illness.

Methods: We report the case of a patient with a right renal tumor with renal vein involvement that in the natural course of the disease showed a vaginal metastasis of clear renal cell carcinoma, which was treated with surgical excision.

Results: This case is a clear example of how unpredictable is the clinical evolution of this disease and how little we know about the way of dissemination.

Tumor inside an inguinoscrotal bladder hernia.

Objective: To describe two cases of urothelial tumors in inguinoscrotal bladder hernias and comment on the low incidence of this condition.

Methods: Two patients were diagnosed and treated by partial cystectomy and hernia repair.

Results: The clinical outcome of both patients was good at two and three years, respectively, and neither patient experienced hernia or tumor recurrence.

Primary retroperitoneal tumors: review of our 10-year case series.

Objectives: To investigate our case series of patients with primary retroperitoneal tumors over the past 10 years, analyzing clinical symptoms, diagnostic tests, tumor pathology, surgical data, concomitant cancer treatments, recurrence and survival rates.

Methods: Retrospective analysis of 37 patients with primary retroperitoneal tumors diagnosed at our hospital over the past 10 years.

Results: Computed tomography (CT) was the imaging technique used most often and the most accurate.

Median raphe cyst. Report of two cases and literature review.

Objectives: To report 2 cases of median raphe cysts, 1 in the penis and the other in the perineum.

Method: Two cases of median raphe cyst are described; the first was treated by surgery and the second required no treatment.

Results: The surgical patient experienced no complications and was asymptomatic with no recurrence at 2 years.