A technique based on the Heineke-Mikulicz principle was used to straighten penile curvature instead of Nesbit corporoplasty. By horizontally closing the longitudinal incisions the longer portion of the tunica albuginea is made equal in length to the shorter side. This technique achieves the same results as Nesbit corporoplasty in a simpler manner. Because of the distance between the longitudinal incision and the neurovascular bundle or corpus spongiosum these structures become less susceptible to injuries during an operation and need not be mobilized. Our experience with 10 cases treated with this technique is presented.
We report a case of primary leiomyosarcoma of the testis, which was believed to originate from normal testicular structures containing smooth muscle cells, such as blood vessels and contractile cells of the seminiferous tubules. No evidence of tumor spread was found. Treatment consisted of orchiectomy with high ligation of the spermatic cord. The patient received no adjuvant therapy. There was no evidence of tumor after 2 years. The literature is reviewed and the therapeutic approach is discussed.
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