Management of penile fracture: Can it wait?

Objectives: To assess the effect of timing of presentation of cases with penile fracture on the long-term outcome of surgical intervention. Patients and methods: Between 2000 and 2015, 42 patients with penile fracture were operated in our centre, immediately after admission. To assess the effect of timing of presentation, patients were classified into 2 groups: group 1 with early presentation (≤24 h) and group 2 with delayed presentation (>24 h). All patients had a routine follow-up visit at 6 months after surgery; during this visit, long-term complications were assessed. Results: Group 1 included 26 patients (62%) and group 2 included 16 (38%). In group 1, patients presented to the emergency department from within 24 h (mean: 3.96 ± 2.47 h) after occurrence of the penile trauma. Patients in group 2 presented from 24 h to 4 days (mean: 79.50 ± 37.62 h). The incidence rate of long-term complications was 7.6% and 68.7% in group 1 and group 2, respectively (OR 26.4, 95% CI 4.41–157.86, p = 0.0001). Concerning erectile dysfunction and penile nodules, there was no significant difference between the two groups (p = 0.67 and 0.06, respectively). However, painful penetration was significantly higher in group 2 (50% vs 3.8% in group 2 and 1, respectively, OR 25, 95% CI 2.69–231.59, p = 0.001). Penile curvature was seen only in the second group (43.8%). Conclusion: Immediate surgical repair has the best prognosis and should remain the recommended treatment modality of penile fracture. Keywords: Penis, Fracture, Surgical timing, Outcom

A juxtaglomerular cell tumor revealed by a hemorrhagic stroke. A case report

With about 110 cases reported in literature, juxtaglomerular cell tumors are rare. We report a 25 years old patient who was admitted in neurology for a hemorrhagic stroke secondary to a cerebral aneurysm rupture due to high blood pressure. Etiological investigations showed a solid mass of the left kidney. A radical nephrectomy was realized and pathological examination and immunohistochemical profile concluded to juxtaglomerular cell tumor. The originality of this observation is based on the mode of presentation of a rare renal tumor by a malignant high blood pressure

Prostate adenocarcinoma metastasis to the testis: A new case report

Prostate cancer (PCa) in the second most common cancer in men worldwide. It commonly metastasizes to the bone, lymph nodes, liver and lungs. Synchronous or metachronous testicular metastasis is a rare finding, generally diagnosed incidentally after bilateral orchidectomy for hormonal management in patients with advanced PCa, or at autopsy. We report a case of a 55-year-old male, presenting a PCa and who developed a single testicular metastasis treated by radical orchidectomy, while he was under hormonotherapy

Retroperitoneal extra-adrenal non-Hodgkin lymphoma: An uncommon presentation

Primary retroperitoneal non Hodgkin lymphoma is extremely rare, its diagnosis is often difficult and it may requires a time consuming and a costly diagnostic workup. We report the case of a 46-year-old patient complaining of abdominal fullness and dorsal pain, who was diagnosed with an extra-nodal non-Hodgkin lymphoma presenting as a unique and large retroperitoneal mass. The suggested diagnosis was a malignant retroperitoneal tumor and the patient underwent an excision of the tumor throw a lombotomy followed by an R-CHOP chemotherapy regimen with good outcome. Keywords: Lymphoma, Large B-cell lymphoma, Diffuse lymphoma, Retroperitoneal extra-adrenal mas