A 76-year-old man with a 6-month history of dysuria and frequency had a sessile tumor at the bladder dome containing benign prostatic glandular tissue. The presence of benign prostatic polyps in the prostatic urethra and bladder neck is a common finding. Ectopic prostatic tissue elsewhere is rare, it has been described previously in a few cases in the trigonum and only once in the supratrigonal area. The origin of prostate glands in this unlikely location is not yet fully understood. Prostatic tissue at any ectopic location is benign, although local recurrence has been reported.

No abstract

There has been a controversy for almost 80 years about the usefulness of vasectomy in the prevention of acute epididymo-orchitis (EO) after prostatic adenomectomy (PA). In the last few years, improved surgical equipment and new more effective antibiotics have drastically diminished the incidence of this complication. The purpose of this report is to show that because of the devastating effect of the disease, and in spite of its low incidence there is still a clear indication for vasectomy, and also that infected urine, a preoperative indwelling urethral catheter, duration of postoperative catheterization and postoperative complications do not affect the incidence of post-PA acute EO.