Paolo Rosi

Xanthogranulomatous pyelonephritis: clinical experience with 62 cases.

A review of 62 patients who underwent surgical treatment for xanthogranulomatous pyelonephritis is presented. Polar resection was performed in 3 cases with localized disease, while the remaining 59 patients were treated by nephrectomy. Preoperative diagnosis is still tentative, but the recent advances in imaging techniques and urinary cytology will provide greater accuracy in the future.

Surgical Treatment of Renovascular Hypertension Secondary to Renal Trauma

AbstractWe report 4 cases of renovascular hypertension secondary to renal trauma. Selective samples of plasma renin activity from the renal veins were obtained in all patients and demonstrated lateralization in 3. Surgery consisted of partial resection in 3 cases and nephrectomy in 1. Three patients were cured and 1 was improved by the surgical treatment.

Myxoid Liposarcoma of the Bladder

We report a case of myxoid liposarcoma of the bladder dome. Treatment consisted of partial cystectomy and pelvic lymphadenectomy. The patient had no evidence of recurrence 30 months postoperatively. This is the first reported case of primary bladder localization of liposarcoma.

Rhabdomyosarcoma of spermatic cord in adult

Abstract We report on an embryonal rhabdomyosarcoma of the spermatic cord occurring in a forty-eight-year-old man. A review of the literature revealed that occurrence of this tumor in adults is rare. Diagnosis and treatment are discussed, stressing the importance of aggressive therapy.

Granulomatous orchitis: clinical and pathologic aspects.

3 cases of granulomatous orchitis are described. Treatment consisted of radical inguinal orchiectomy in 2 cases, and biopsy followed by steroid therapy in the 3. The clinical and pathologic aspects of this rare inflammatory disease of the testis are reviewed.

Autologous Arterial Reconstruction in the Treatment of Renal Artery Stenosis

Renal revascularization was performed using the internal iliac artery in 25 patients. The causes for arterial damage were fibrodysplasia in 19 cases, athero sclerosis in 5 and aneurysm in one. Simple autotransplantation was performed in 10 cases, and ex-situ repair with subsequent autotransplantation in 15. Mean postoperative followup was 5.2 years; renal volume, evaluated with planimetry in IVP, was improved in 65% of the cases. Sixty-eight percent of the patients were cured from hypertension, 28% improved and 8% remained unchanged.