Hinyokika kiyo. Acta urologica Japonica
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We performed transurethral incision and fulguration of the bladder diverticulum (TUIFBD) for 8 diverticula in 6 patients. In combination with TUIFBD, one patient received transurethral resection of the prostate and another one transurethral lithotripsy of bladder stones. TUIFBD has been easily performed without any operative complications. ⋯ Symptoms related to the bladder diverticulum had disappeared postoperatively in all cases. In conclusion, TUIFBD can be easily and safely performed in combination with other transurethral surgical procedures. TUIFBD may be insufficient for radicality, but is clinically effective.
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A 54-year-old man underwent right transfemoral angiography because of left renal hematuria. During angiography, dissection of abdominal aorta and thoracic aorta was encountered. It was initiated by intramural catheter passage at the bifurcation of the internal and external iliac artery. ⋯ Surrounding abdominal aorta and common iliac artery were wrapped near orifices with a dacron graft. A follow-up CT obtained 3 months postoperatively showed that the dissecting space in the abdominal aorta had disappeared. Wrapping was very useful to promote organization of the dissecting space.
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Dislocation of the testis is a rare injury, with only 73 cases having been reported in Japan. We herein add 6 cases. ⋯ Closed reduction is recommended, but it was successful only 5 of 73 cases. The results of testicular biopsies suggest that early surgical management is required when closed reduction is unsuccessful.
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A 71-year-old man had pollakisuria, macrohematuria and sense of urinary retention. His urethrogram showed a giant bladder stone with a small urethral stone. ⋯ The giant bladder stone was removed. It weighed 310 g and is the 32nd reported in Japan.
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We report a rare case of vasitis nodosa. A 54-year-old man was found to have a right spermatic cord mass during the herniorrhaphy operation. ⋯ Histological examination revealed disruption of the ductal lumen, granulomas with the sperm-like necrotic tissue and proliferation of the lymphocytes and plasma cells in the smooth muscle bundles. Pathological diagnosis was vasitis nodosa.