Rare secondary carcinoma from bladder to testis.
Metastatic carcinoma to the testis is very unusual in daily urologic practice. We report a case of metastatic cancer to the testis detected as incidental findings in a squamous bladder tumor.
Aged↗
Biomedical subjects
P Manasia
Publications and source records attributed to P Manasia.
Small bladder and multiple urethral recurrences after intravesical instillation of bacillus Calmette-Guerin for superficial transitional cell carcinoma of the bladder.
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Adjuvants, Immunologic↗
[TESE-ICSI in the treatment of secretory azoospermia secondary to cryptorchism. Report of a clinical case].
The pathogenic role of cryptorchism in male infertility is still controversial. To report a case of a 34-year-old patient consulted for primary infertility with a history of 2 years associated with prepubertal bilateral orchidopexy for cryptorchidism. The fertility studies demonstrated azoospermia and normal sperm volume. Testicular sperm extraction (TESE) and intracytoplasmic sperm injection (ICSI) were performed with success. Cryptorchism can cause primary obstructive infertility. Testicular sperm aspiration (TESA) is an alternative when spermatogenesis is preserved. In this patient TESE-ICSI was performed with success.
Adult↗
[Patient response to and assessment of intracavernous drug injection and vacuum].
One of the various therapeutic options currently used in erectile dysfunction (ED), vacuum is a procedure that should not be ruled out as it can benefit certain types of patient. To understand each patient's response and usage readiness, a vacuum test is routinely performed by the andrology service as part of the diagnostic study. The present study conducted on 200 patients with ED of different etiologies, included the vacuum test and the intracavernous injection of vasoactive drugs. The assessment included the response to each methodology; which of the two systems offered better response; and initial usage readiness to each system. Positive response was 93% in the vacuum test, and 40% in the intracavernous injection. Improved erection was reported by 73% with vacuum and only 13% with the intracavernous injection. With regard to usage readiness 60.5% favoured vacuum and only 14.5% the intracavernous injection. It was apparent that vacuum is a highly effective methodology with very high initial usage readiness, although ultimate use may be limited for different reasons.
Adult↗
Unilateral testicular microlithiasis.
Testicular microlithiasis is a rare pathology which usually affects both testicles (less than 100 cases have been described in the literature), histologically characterized by numerous calcified deposits situated inside the seminiferous tubules, the diameter of which does not usually exceed 2 mm. The pathogenesis of the phenomenon is not completely clear; it has however been noted that there is a higher incidence in patients affected by cryptorchidism, subfertility, Klinefelter's syndrome and in particular those with testicular neoplasms, although the reason for this remains obscure. The case reported seems atypical in that there is no association with the conditions mentioned above and the finding is monolateral, something which is unusual in the literature reviewed.
Adult↗