RESUMO: Objetivo: Analisar as circunstâncias, o diagnóstico, o tratamento e a evolução dos pacientes com fratura de pênis. Método: Foram acompanhados 19 pacientes no período de 1999 à 2003 com diagnóstico de fratura de pênis. Resultados: Quinze pacientes submetidos ao procedimento cirúrgico nas primeiras 48 horas evoluiram bem. Os demais quatro pacientes que foram submetidos ao tratamento clínico, por diversos fatores, evoluiram com deformidade peniana. Conclusão: Afecção que ocorre somente quando o pênis encontra-se em ereção, o tratamento cirúrgico precoce é o que demonstra melhores resultados, com preservação da função erétil (Rev. Col. Bras. Cir. 2004; 31(5): 284-286) -ISSN 0100-6991. ABSTRACT Background:To analize the ethiology, diagnosis, treatment and evolution of patients with penile fracture. Method: We analysed 19 pacients with penile fracture diagnosis between 1999 and 2003. Results: Fifteen patients were submitted to surgical therapy within the first 48 hours with good results. Four patients developed penile curvature on follow up. Conclusions: Surgical therapy showed better results with erectile function preserved.

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Introduction: Varicocele disease is well-known cause of infertility in men. The presence of spermatic varices veins create a hostile environment to spermatogenesis. It results in reduced quality of the sperm production and in some cases can determine a total absence of sperm. The varicocelectomy procedure in patients with nonobstructive azoospermia (NOA) can raise the rates of sperm in the semen analysis. A positive rate for sperm, even if very low, may be sufficient to enable the capture of sperm intended for in-vitro fertilization without the use of donor sperm. Objetive: To evaluate the raise of sperm in NOA patients with varicocele disease who were submitted to a bilateral procedure to recovery sperm production. Method: We analized the sperm results of 25 NOA patients who undergone to a bilateral varicocelectomy procedure. Results: From a total of 25 patients, three (12%) recovered sperm count four months after procedure. One year after the procedure, five (20%) patients recovered sperm production. Conclusion: Patients with varicocele disease and azoospermia, without genetic changes or obstruction of the spermatic tract, should undergo surgical procedure to recover sperm.