An alternative minimally invasive technique for large prostates (>80 mL): transvesical prostatectomy through a 3-cm incision.

Objectives: To assess the efficacy and the simplicity of a modified open transvesical prostatectomy for large prostates (>80 mL).

Methods: A total of 165 patients with benign prostatic hyperplasia were treated with transvesical prostatectomy through a 3-cm incision. Prostate size was 85-144 cm(3) (mean 101 cm(3)).

Bilateral testicular intratubular germ-cell neoplasia, unclassified in an azoospermic patient.

We report the case of a 29-year-old man, who was examined in our hospital for infertility. After complete evaluation, the patient was found to be azoospermic with normal follicle-stimulating hormone levels, whereas his testes were slightly smaller than normal. Thus, there was an indication for testicular biopsy, which showed bilateral testicular intratubular germ-cell neoplasia, unclassified.