T HE PROCEDURE first described by Kiiss 4 has become standard technic when a kidney homograft is placed extraperitoneally in the iliac fossa through an inguinal incision.n,lo In most transplantation centers the spermatic cord is divided routinely to facilitate exposure of the iliac vessels and urinary bladder. The prospects for a long postoperative life were so remote in the early years of rena...

INTRODUCTION Testicular microlithiasis (TM) is an infrequent finding in testicular ultrasound and its clinical importance has not been completely defined. We analyzed the ultrasounds of patients with testicular germ cell tumors in order to analyze the correlation between TM, histological findings and clinical variables. METHODS AND MATERIALS Fifty-seven patients with germ cell tumors and radi...

This is a report of bilateral testicular torsion. The objective of the report is to highlight the serious implications of misdiagnosis of testicular torsion. Other than loss of the testis due to necrosis in unilateral torsion, immunological damage of the opposite testis occurs. Early, accurate diagnosis, and institution of the appropriate treatment are desirable to prevent total loss of reprodu...

Vasectomy is the most effective form of sterilization for men. With approximately 500,000 vasectomies performed each year in the United States, 1-2% of these patients will experience chronic testicular pain for greater than three months after the procedure. Post-vasectomy pain syndrome (PVPS) is diagnosis of exclusion, and may be caused by direct damage to spermatic cord structures, compression...

A retrospective study of 46 patients who presented with proved testicular torsion over five years at two Dublin hospitals showed that in 40 cases torsion had occurred when the temperature was under 2 degrees C; the incidence of torsion was higher during the cold months of the year. Both of these findings were statistically significant. These and other results suggest that the ambient temperatur...

Liposarcomas of the spermatic cord are rare and often clinically histologically misdiagnosed, leading to ineffective management poor outcomes. We present a case metastatic dedifferentiated liposarcoma cord, which recurred after excision misdiagnosed well-differentiated 3 years prior. Due its size high-grade metastasis, tumor was unresectable, treatment with systemic chemotherapy. Complications ...

OBJECTIVES To compare the pain during anesthesia and during the no-scalpel vasectomy procedure for local infiltration anesthesia (LIA), LIA supplemented with spermatic cord block (LIA + SCB), and no needle jet anesthesia. METHODS Bilateral no-scalpel vasectomy was performed in 323 patients during 2007. Of the 323 patients, 65 received LIA, 29 received LIA + SCB, and 227 received anesthesia us...