Ultrasonically guided percutaneous nephrostomy was planned in 98 patients with a total of 128 nephrostomies. The success rate was over 90%. The catheters were maintained from a 1/2 day to 150 days with a median duration of 13 days. 26% of the patients had the catheter replaced, mainly because of displacement. Two major complications were seen, one perforation of the gallbladder and one case of major haemorrhage resulting in a nephrectomy. Two of the 26 patients infected at the puncture died from sepsis. Among cases with low ureteral obstruction untreated prostatic carcinoma and ureteral tumors were the two only categories in which a palliative nephrostomy was beneficial.

Objective To identify prognostic factors for penile cancer (OR=1.88) and age (OR=1.04) as independent prognostic variables for survival. Penile amputation and to evaluate the treatment strategy for early-stage disease, proposed recently by the European Board of in tumours <4 cm in diameter improved local control but not survival. Regional control and survival Urology (EBU). Patient and methods The records of 82 patients consecu-were not significantly improved by prophylactic adenectomy. tively referred to the uro-oncological centre at Aarhus University Hospital between 1965 and 1993 wereConclusion Differentiation, T-stage and age were prognostic factors for survival. The results support the EBU reviewed. The importance of tumour stage, differentiation, patient age, local control and regional lymph treatment strategy involving penis-conserving therapy and watchful waiting for early-stage disease. node control were assessed using univariate and multivariate analyses.

In a randomized, double-blind investigation 36 men undergoing sterilization had irrigation of the vas deferens with either sterile water or the spermicide, euflavine, to reduce the lag to sterility. Semen samples were vital stained by the patients shortly after ejaculation and the smears were mailed to the laboratory. Irrigation with the spermicide was significantly more effective than sterile water. However, even in the group irrigated with euflavine 6 to 35 days elapsed before the semen samples were without potentially fertile spermatozoa.

A group of 74 men who underwent carbon dioxide laser treatment of meatal condylomata were observed for an average of 18 months. The cure rate after 1 treatment of isolated meatal lesions was 78%; the presence of external lesions lowered the rate to 32% and additional external and urethral warts to 25%. Following multiple treatments all but 6 patients were cured; 83% of the recurrences developed within 3 months. One urethral and 6 meatal strictures occurred more than 3 months after treatment; 9 patients had a spraying stream many years after treatment and 2 complained of frequency.

An unusual case of metastasis of neoplasm to a benign neoplasm is reported. The initial malignancy, a small-cell bronchogenic carcinoma, was found to have metastasis to a renal oncocytoma. A review of the literature indicates, according to our knowledge, no similar case.