Fahri Sümer

Fibroepithelial polyp originating from the glans penis in a child

Abstract A fibroepithelial polyp is a benign neoplasm that occurs throughout the urinary tract. In this article, we report a pediatric case of a fibroepithelial polyp originating from the glans penis. To our knowledge, this is a previously unreported lesion arising from the glans penis.

Extracorporeal shock wave lithotripsy treatment in paraplegic patients with bladder stones

Background: Spinal cord injury patients are at increased risk of developing urolithiasis and many will require treatment, most commonly with extracorporeal shock wave lithotripsy (ESWL).

Accessory scrotum attached to a perineal lipoma in an adult male

Abstract Accessory scrotum is a condition in which a scrotum is located in the perineal region, in addition to the presence of normally located primary scrotum, testes and penis. The condition is extremely rare and the majority of reported cases have been diagnosed in infants. Herein, we present a case of accessory scrotum attached to a perineal lipoma in a 40‐year‐old man. The perineal mass was present at birth and grew very slowly over the years. There were no other congenital abnormalities or problems related to this anomaly. The case was easily managed by complete excision of the accessory scrotum and perineal lipoma. Gross and microscopic examination of the surgical specimen revealed an accessory scrotum attached to an encapsulated perineal lipoma. The present case demonstrates an adult prognosis of a patient born with this type of abnormality. To our knowledge, it is the first case of its kind to be reported in the literature.

Renal papillae metastasis of sigmoid colon adenocarcinoma

Abstract Colonic carcinoma metastatic to the kidney is very rare. The usual anatomical localization for secondary renal neoplasms is the renal cortex. We report a case of sigmoid colon carcinoma with unilateral kidney metastasis localized only in the renal papillae without obvious metastatic disease.

Intraurethral prostatic cyst: a rare cause of infravesical obstruction.

A case is reported here of symptomatic intraurethral anterior midline prostatic cyst in a 52-year-old man whom transurethral resection of the cyst was performed successfully establishing the resolution of voidingsymptoms.

Retrospective analysis of 74 cases of seminoma treated with radiotherapy

Background:  Standard post‐orchiectomy radiotherapy (RT) is accepted as a standard management option for stage I seminoma.

Nephrogenic adenoma of the bladder in a girl with Turner's syndrome: An unusual association

Abstract We describe a nephrogenic adenoma of the bladder in a 14‐year‐old girl with Turners syndrome. The patient also had a past history of urological surgery for vesicoureteral reflux. In this case, the multifocal lesions were successfully treated by transurethral resection.

Priapism in a Patient Receiving Long-Term Chlorpromazine Therapy

Priapism is an uncommon urologic emergency with a variety of known etiologies including the use of psychotropic medications. We report a priapism case who has taken chlorpromazine for 3 years.

Lithiasis in Varicocele Veins: “Varicolithiasis”

A 20-year-old man presented with chronic left scrotal pain and discomfort, especially in the upright position. On physical examination the testes and epididymes were normal on palpation but were remarkable for a grade III left varicocele. Multiple solid “bead string” lesions were also palpated in the varicocele veins. The lesions were opaque on x-ray (fig. 1). Gray scale and color Doppler sonography using a 5 MHz. linear phased array transducer revealed a 6.5 mm. left spermatic vein with multiple calcifications and acoustic shadowing. Roentgenographic examination and ultrasonography of the kidneys, ureters and bladder were normal. Metabolic evaluation included serum electrolyte, creatinine, calcium, phosphorus and uric acid tests. Hemogram, urinalysis and urine culture were performed, and 24-hour urine samples were collected and analyzed for calcium, uric acid, creatinine, oxalate, sodium and citrate. In addition, urinary pH and volume were measured and were found to be normal. History, clinical examination and colony counts were also obtained to exclude genitourinary infections. Exploration of the left spermatic cord and testis showed a normal vas and testis but mobile solid lesions were palpated in the varicocele veins (fig. 2). The varicocele vein segment was then excised and the solid lesions appeared as stones. Stone analysis demonstrated whitlockite calcium phosphate. However, histolopathological examination of the varicocele veins revealed thrombosed large vessels with perivascular fibrosis and interstitial edema.

PENILE RECONSTRUCTION WITH PROSTHESIS AND FREE SKIN GRAFT IN A PATIENT WITH LAND MINE BLAST INJURY

A 31-year-old man was referred for reconstruction of the penis due to amputation by a land mine blast. The penis was injured with involvement of the corporeal bodies and glans. Clinical evaluation revealed that the patient also had bladder and associated abdominal and vascular injuries. On physical examination the glans, penile shaft and testes were absent. However, the urethral meatus was intact, and the patient was able to void (fig. 1). We did not know the exact extent of corporeal loss, but the corporeal bodies were observed as “buried penis.” The patient was impotent, and bilateral orchiectomy had been performed on an emergent basis elsewhere. He had been receiving testosterone undecanoate daily following orchiectomy, and serum testosterone level was within normal limits (greater than 0.3 g./dl.). However, there was no sign of potency, and the patient reported libido loss despite androgen replacement therapy. We decided to perform surgical exploration. A 10Fr Nelaton catheter was inserted into the urethra, and a circumferential incision was made around the urethra and surrounded by scrotal skin to form a glans. Following the skin incisions dissection proceeded to the radix penis, facilitating establishment of the corporeal bodies (fig. 2, A). The length was measured as 13 cm. After establishing the damaged corporeal bodies that remained a vertical incision was made on the left corporeal body and a 13 cm. malleable penile prosthesis was inserted. Although both corporeal bodies were damaged and fibrotic, the right corpus cavernosum was too damaged for insertion of a prosthesis. Therefore, we decided to insert only 1 prosthesis, into the left corporeal body (fig. 2, B). As there was not enough skin to wrap around the neo-penis a split thickness skin graft was prepared from the anterior face of the leg and sutured around the penis (fig. 2, C). The patient did not require subsequent reconstructive surgery, and after 1 month the appearance of the neo-penis was satisfactory considering the initial lesion, and allowed the patient to achieve penetration during sexual intercourse (fig. 3).