Fibrous pseudotumors of tunica albuginea, tunica vaginalis and epididymis: Report of two cases

2009 ◽  
Vol 33 (1) ◽  
pp. 69-71 ◽  
Author(s):  
Serdar Ugras ◽  
Cemile Yesil
2013 ◽  
Vol 2013 ◽  
pp. 1-3
Author(s):  
Ersagun Karaguzel ◽  
Metin Gur ◽  
Dogan S. Tok ◽  
İlke O. Kazaz ◽  
Huseyin Eren ◽  
...  

Urethral stricture is a common urological pathology with a high recurrence rate after treatment. Urethral manipulations are among its main causes. In this paper, urethral stricture developed secondary to urethral catheterization and was treated with cold-knife internal urethrotomy and the Otis urethrotomy procedure. During the follow-up period, severe ventral penile curvature preventing sexual intercourse developed due to fibrosis of the corpus spongiosum and tunica albuginea of the penis. This ventral penile curvature was corrected with a separate operation using a tunica vaginalis flap harvested from the left scrotum.


2019 ◽  
Vol 26 ◽  
pp. 100954 ◽  
Author(s):  
Kamiran J. Sadeeq ◽  
Rafil T. Yaqo ◽  
Ayad Ahmad Mohammed

2020 ◽  
Vol 35 (2) ◽  
pp. 141-144
Author(s):  
Md Ayub Ali ◽  
Md Hasanuzzaman ◽  
Paritosh Kumar Palit

Background: Testicular torsion leads to devastating consequences in young boys, about 42% undergo an Orchiectomy resulting in reduced fertility, testicular hormonal dysfunction and psychological trauma. Objective: The aim was to evaluate the testicular salvage rate after detorsion plus tunica albuginea incision with tunica vaginalis flap coverage with orchiopexy. Methods: This was an observational study conducted from January 2016 to December 2017. Data were collected from operation theater and surgery ward register. Data were analyzed using SPSS version 20 statistical software. Continuous data were presented as mean ± SD and categorical data were presented as percentage. Results: Total numbers of patients were 15. Most of the patients presented after 24 hours. Rate of atrophy of testis after orchiopexy was higher in patients presented after 24 hours. Only 4 patients had recognizable testicular atrophy. Surgical site infection was not present in this study. Conclusion: Tunica albuginea incision with tunica vaginalis flap coverage after detorsion with orchiopexy provides more salvage rate in the management of ischemic testis following torsion. DS (Child) H J 2019; 35(2) : 141-144


2019 ◽  
Author(s):  
Mehdi Kardoust Parizi ◽  
Seyed Ali Momeni ◽  
Ghazal Ameli

Abstract- Paratesticular fibrous pseudotumors (PFP) are relatively rare benign spindle cell tumors. These tumors usually are originated from testicularis tunics and grow into the epididymis and spermatic cord. PFP is a consequent of a reactive proliferation of inflammatory tissue. We report a case of PFP with simultaneous multiple tunica albuginea and tunica vaginalis lesions. A 33-year-old man presented with painless right scrotal lump, normal serum tumor markers, and one centimeter paratesticular mass in ultra-sonography that underwent testis-sparing surgery due to a benign microscopic appearance in frozen section evaluation. Testis sparing surgery can be considered as the preferred management because of the lack of obvious evidence of potential malignancy in this tumor


2019 ◽  
Vol 185 (5-6) ◽  
pp. e900-e903
Author(s):  
Clyde Donald Martin ◽  
Eric Sulava ◽  
Adam Bloom

Abstract Testicular pain has a wide differential and the nonspecific presentation should be triaged rapidly for urgent diagnosis and treatment. Scrotal pyoceles are uncommon collections of purulent fluid between the visceral and parietal tunica vaginalis, usually secondary to acute epididymo-orchitis, intra-abdominal infection, or trauma. Epididymitis and epididymo-orchitis are generally secondary to sexually transmitted infections or urinary tract pathogens. Epidymo-orchitis can compromise the testicular blood supply, leading to a microinfarction and rupture through the tunica albuginea; inflammatory and infectious material then translocate into the tunica vaginalis leading to the formation of a pyocele. Ultrasonography is the preferred method of diagnostic imaging, which can show a classic “falling snow” sign, loculations, or gas. The treatment for a scrotal pyocele is pain control, fluid resuscitation, broad-spectrum antibiotics, and early urology/general surgery consultation. In such cases, Fournier gangrene (FG) should be clinically ruled out and the presence of signs of Fournier gangrene should be met with an urgent surgical consult.


2019 ◽  
Vol 35 (6) ◽  
pp. 499-503
Author(s):  
Eric S. Schafer

The traditional sonographic characteristic used to distinguish polyorchidism (PO) has been its homogeneous echotexture, which is similar or identical to the normal testicle. PO is most commonly found in the left hemi-scrotum but can also be identified in the right hemi-scrotum, inguinal canal, or abdominal cavity. The mediastinum of a testicle represents where the tunica vaginalis and tunica albuginea that encases a testicle folded back in on itself. The identification of a mediastinum in a scrotal lesion implies that testicular tissue is present. This series review presents three cases where PO was identified in the left hemi-scrotum. In addition to the classic homogeneous echotexture that is typically identified in an accessory testicle, a mediastinum was also appreciated in two of the cases, which helped to solidify the diagnosis of polyorchidism.


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