Kyril B. Conger

Malignant Mesenchymoma of the Spermatic Cord

Sarcomas of the spermatic cord are rare, with only approximately 200 such tumors reported in the literature. Of those cases only 3 fit the definition of malignant mesenchymoma: a mesenchymal tumor with 2 or more malignant elements other than fibrosarcoma. We report the fourth such case treated by local excision alone. The patient was free of disease 6 years after treatment.

Obstruction of the bladder neck in the male infant and child. Present concepts of diagnostic methods and management, and a report of 14 cases.

Summary 1. Unrecognized vesical neck obstruction is a frequent cause of renal destruction in male infants and children. 2. This condition should be diagnosed in the postnatal period in the newborn nursery. No newborn infant should be discharged from the hospital until he has been observed to void with a good stream. 3. Temporary treatment consists of catheter or suprapubic drainage. The latter can be continued indefinitely if kidney function is poor. 4. Definitive treatment is by retropubic or transurethral surgery. If not completely successful, suprapublic drainage should be instituted as a kidney-saving measure until the patient is old enough to permit an adequate operative procedure.