We report the case of a 29 years old patient who presented, in the last three moths, four episodes of priapism without any other symptoms and any previous traumatism. An hemogram reveled that the repeted episodes of priapism were caused by a chronic myeloid leukaemia.

No abstract

RESUMEN CARCINOMA TRANSICIONAL PRIMARIO PURO DE PRÓSTATA. REVISIÓN DE NUESTRA SERIEEl carcinoma transicional primario de próstata es un tumor raro que ocupa alrededor del 1% de los tumores de próstata.Presentamos seis casos diagnosticados en nuestro hospital hasta finales del año 2002. En todos ellos se descartó el origen vesical de la neoplasia.Nuestro objetivo es estudiar los datos de progresión y supervivencia en los carcinomas primarios puros (sin componente de adenocarcinoma) tratados en nuestro centro en los últimos años.En nuestra experiencia se trata de una neoplasia de pronóstico ominoso con una mediana de supervivencia de 4,6 meses. Con tendencia precoz a metastatizar a distancia. Por tanto, sugerimos la realización de cirugía radical prostática (sin cistectomía) en aquellos casos en los cuales no se evidencia enfermedad en la vejiga.PALABRAS CLAVE: Carcinoma transicional. Próstata. Pronóstico. ABSTRACTPURE PRIMARY PROSTATE TRANSITIONAL CELL CARCINOMA. A REVIEW OF OUR SERIE Primary prostate transitional cell carcinoma is a very uncommon tumor, that represents about 1% of all prostate tumours. In our institution, only six patients have been diagnosed with pure transitional cell prostate carcinoma until 2002. Bladder origin of the neplasic was ruled out in all cases.We report a study about the progression and survival of prostate transitional cell carcinoma. These prostatic tumours carry a poor prognostic (median survival is 4.6 months) with a strong tendency to metastatic spread. Therefore, we suggest a radical prostatectomy (without cystectomy) when it rules out bladder origin tumour. O OR RI IG GI IN NA AL L E l carcinoma primario puro de próstata es una neoplasia muy poco frecuente, con un comportamiento biológico diferente al carcinoma acinar, con gran capacidad de metastatizar precozmente a distancia y por tanto con muy mal pronóstico 1 . Respecto al tratamiento son pocas las directrices terapéuticas disponibles en la literatura, motivo que nos lleva a la revisión de nuestra serie y a un planteamiento terapéutico.

We want to make a literature review about the bladder foreign bodies. This clinical situation is not an usual emergency, but there are a lot of references in urological articles about it. In this article review we want to make a compilation about the symtoms, the different origins of the foreign bodies, and ways of diagnosis and treatment of this pathology. We also want to add our personal experience in a recent case.

A case of unilateral cavernosal body abscess appears after fifteen days of 40 degrees C fever, without urological symptoms. The diagnosis started from a big scrotum aedema, related of a local septic focus in the left cavernosal body. ECO and TAC confirmed the diagnosis, and a surgical treatment was required. After a successful evolution, the patient presents a left penile incurvation with pain and difficulties during the sexual relations, but he did not accept any treatment.