Mobilization of Fluids in the Intensive Treatment of Primary and Secondary Lymphedemas.

Background: Lymphedema is a clinical condition resulting from the accumulation of macromolecules in the interstitial space with a consequent buildup of fluids.

Aim: The objective of this study was to compare the therapeutic response to treatment that mobilizes fluids between primary and secondary lymphedemas.

Method: Thirty-three patients with severe leg lymphedema who underwent intensive treatment for five consecutive days in 2013 and 2014 at the Clínica Godoy were evaluated in a prospective clinical trial.

Is hypogonadism the cause of penile self-amputation in a patient with prior testes self-mutilation?

Introduction: This paper presents a rare event of genital self-mutilation and few cases are reported in the literature.

Case Description: We report on a patient who performed partial self-penectomy 18 months after bilateral testicular amputation, as a form of self-mutilation.

Conclusions: The main hypotheses to explain the recurrence of self-mutilation would be hypogonadism.

Clinical Treatment of Penile Fibrosis After Penoscrotal Lymphedema.

Genital lymphedema in men can affect the penis and/or scrotum, causing deformity and causing sexual limitations, social isolation, poor quality of life and recurrent subcutaneous infections due to difficulties in hygiene. There are few studies in the literature emphasizing the treatment of penile fibrosis after penoscrotal lymphedema. The purpose of this report is to describe a case of penile fibrosis treated using a new compression method.

Association of Hypertension With Erectile Function in Chronic Peripheral Arterial Insufficiency Patients.

Background: Risk factors may influence the improvement or worsening of erectile dysfunction (ED). The aim of the current study was to evaluate the effect of systemic hypertension on ED in patients with peripheral arterial disease.

Methods: The effect of hypertension on ED was assessed in 125 consecutive patients in a cross-sectional quantitative study.

Primary Mixed Glandular-endocrine Tumor of the Male Proximal Urethra: A Case Report.

Primary urethral carcinoma is much more common in women than in men due to its association with urethritis. A 65-year-old man presented with a 10-month history of penile induration, obstructive voiding symptoms and hematuria. Urethrocystoscopy showed a solitary mass in the proximal urethra and no bladder involvement.

Incidental Diagnosis of Nonfunctional Bladder Paraganglioma.

Nonfunctional bladder paragangliomas may present clinical, radiology and pathological features similar to bladder cancer, so knowledge of this generally benign neuroendocrine neoplasm is of great importance to avoid misdiagnosis. We present the case of a patient with no clinical symptoms of paraganglioma and with radiological and cystoscopy examination results suggestive of urothelial carcinoma but with pathological diagnosis of paraganglioma.

Incidental Diagnosis of Bladder Cancer in a 17-year-old Patient.

Bladder cancer is the fourth most common type of cancer among males and the ninth most common cause of cancer death. Bladder cancer can occur at any age. This paper reports the incidental diagnosis of bladder cancer in a 17-year-old female patient.

Penile Replantation After Five Hours of Warm Ischemia.

Although a rare occurrence, this event may occur as a result of self-mutilation among individuals with psychiatric disturbances or due to work-related accidents, iatrogenic injuries or the actions of individuals motivated by jealously, rage and feelings of betrayal. In western societies, most penile amputations are the result of self-aggression during a psychotic episode, the treatment of victims involves resuscitation, stabilization and immediate psychiatric support. The amputated tissue must be preserved under hypothermic conditions.

Familial mixed nephrocalcinosis as a cause of chronic kidney failure: two case reports.

Introduction: Nephrocalcinosis consists of the deposition of calcium salts in the renal parenchyma and is considered the mixed form when it involves the renal cortex and medulla. The main etiological agents of this condition are primary hyperparathyroidism, renal tubular acidosis, medullary sponge kidney, hyperoxaluria and taking certain drugs. These factors can lead to hypercalcemia and/or hypercalciuria, which can give rise to nephrocalcinosis.

Penile and sexual rehabilitation in a patient with lymphedema of the penis.

The aim of this study is to report on penile rehabilitation in lymphedema of the penis with a new compression mechanism and the implantation of a penile prosthesis for sexual rehabilitation. The case of a 72-year-old patient with a history of edema of the penis for 6 years is reported. The patient reported that he had had periods of edema and redness and that the swelling had worsened over time.

Premature ejaculation: is there an efficient therapy?

Premature ejaculation is the most frequent male sexual dysfunction, estimated to affect 20 to 30% of men at some time in their life. A Pubmed search from the year 2000 to the present was performed to retrieve publications related to management or treatment of premature ejaculation. Behavioral techniques have been the mainstay of premature ejaculation management for many years, although evidence of their short-term efficacy is limited.

Giant polycystic kidney and acute abdomen in chronic renal failure.

The case of a rare complication is reported of a 53-year-old patient with giant polycystic kidney (4250 g) that evolved with acute small bowel occlusion. The patient was submitted to surgery which identified that the intestinal occlusion was due to external compression of the intestinal loops. Excision of the mass solved the case.

Effect of systemic arterial pressure on erectile dysfunction in the initial stages of chronic arterial insufficiency.

Objective: To report the effect of systemic arterial pressure on erectile dysfunction (ED) in patients in the initial stages of peripheral arterial disease.

Patients And Methods: All patients with a diagnosis of ED in the urology outpatient clinic of the Medicine School in São José do Rio Preto, Brazil were evaluated in a cross-sectional, quantitative study. The patients were assessed using the International Index of Erectile Function, the ankle-brachial index, and measurement of arterial blood pressure.