A Vesicocutaneous Fistula Treated With Urinary Diversion, Negative Pressure Wound Therapy, and Time.

A 38-year-old motor vehicle accident victim presented for acute urinary retention due to a clogged Foley catheter, which was inserted two weeks prior during surgery for pelvic and spine fixation and extra-peritoneal bladder rupture. Imaging studies revealed persistent bladder leaks despite primary and, later, secondary surgical repair. A combination of novel non-surgical techniques, that is, urinary diversion, negative pressure dressings, and waiting proved beneficial in our case, and led ultimately to complete clinical and radiological resolution of the fistula.

Pneumoscrotum Caused by a Bronchopleural Fistula.

Pneumoscrotum is the term used to indicate the presence of air in the scrotum and comprises scrotal emphysema and pneumatocele. It is an uncommon medical condition and encompasses multiple etiologies, some of which may be life-threatening. We present the case of a 45-year-old male who developed a pneumoscrotum seven days after undergoing a thoracoscopy with decortication, pleural biopsy, and chest tube insertion, for a loculated pleural effusion not amenable to drainage by a pigtail catheter.

Glans penis augmentation using hyaluronic acid for the treatment of premature ejaculation: a narrative review.

Premature ejaculation (PE) is the most common self-reported male sexual disorder estimated to occur in approximately 5% of men in the general community. Penile hypersensitivity is thought to be an etiologic factor of lifelong PE. The role of glans penis augmentation using injectable hyaluronic acid (HA) for the treatment of PE is debatable and remains to be confirmed.

Emphysematous Pyelonephritis Caused by a Giant Fecaloma.

Emphysematous pyelonephritis (EPN) is a gas-producing necrotizing bacterial infection that involves the renal parenchyma and perirenal tissue. It is a life-threatening condition that requires a high index of suspicion, an early diagnosis and an aggressive treatment. Rapid progression to septic shock may occur.

[Intracavernous injections].

Virag's paper concerning erection induced by intracavernous injection of papaverine was published 10 years ago, in 1982. Since this time, several substances have been tested; some have been abandoned, while others have demonstrated their efficacy and relative safety. After briefly recalling the physiology of erection and the principal substances used (papaverine, phentolamine, moxisylyte, PGE1, ceritine and VIP), the indications for intracavernous injection are reviewed in the context of investigation and treatment of certain forms of impotence.