A school-going child presented with fever and productive cough for a short period, which after laboratory and radiological survey was diagnosed as mediastinal teratoma with lung cavitation. Preoperatively the exact cause of lung pathology could not be established, although more common causes prevalent in this zone such as, tuberculosis and lung abscess were excluded. Surgical treatment was planned and excision of the mediastinal mass with segmentectomy of the right-upper lobe carried out through median sternotomy. Mature teratoma is the most common primary germ cell tumour of the mediastinum accounting for 60–70% of all mediastinal germ cell tumours. On very rare occasions it involves the adjacent lung, usually the left lung, producing secondary changes inviting suspicion of a separate lung pathology. Here we present a rare case of a huge mature mediastinal teratoma with secondary right lung cavitation.

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Introduction: Fractured penis is a well-recognised urological emergency resulting from blunt trauma to the erect penis. The incidence and severity of penile fracture mostly relies on the method of sexual practice adopted by the couple which again depends on their psychosocial behaviour. The aim of this study was to analyse the different circumstances that accompany this injury in relation to severity, such as associated urethral injury, and to address the contribution of the patients' partners in possible aetiologies and prevalences. Methods: A prospective observational study over two years of all patients presenting to our institution with a fractured penis. All patients who were subjected to detailed history and clinical examination, which included educational status, profession and access to internet. The patients' partners were asked the same questions as well as a sexual behaviour questionnaire to grade their level of sexual appetite. Results: Thirteen patients were included; all patients were married with an average age of 37. The coital positions associated with this injury were female on top position (four cases), T position (three cases), knee-elbow coital position (two), male superior coital position (two) and lateral coital position (one); one couple were unable to explain the exact position. Overall, 11/13 (85%) female partners showed moderate to high sexual appetite and only two (15.5%) showed low appetite. Out of the 26 patients and partners, only nine (34.6%) had a profession related to computers, but 16 (61.5%) of them had access to the internet. Conclusions: High aggressive sexual behaviour may be a factor for vigorous sexual activity and increase the chance of penile injury. The exact role of social networking though not well established may precipitate more injury through the learning of different coital positions; 'female on top position' may be related to a higher incidence of fractured penis.

Objectives: Prostate cancer is intensifying globally, including Asian countries also. There are a numerous arguments is still going on in concerning the connection among endogenous testosterone levels and prostate ailments. The present research was performed to recognize the assessment of serum testosterone in identifying the threat and prostate cancer incidences. Methods: Hundred cases were registered in the research, among that, the cases showing low testosterone value (<250 ng/dL) was considered A Group and cases with normal testosterone value (>250 ng/dL) was considered B Group. All cases those went radical prostatectomy were followed for post-operatively with histopathological analysis and variables, namely, Post-operative Gleason grade, pathological tumor status, pathological node status, surgical margin status, extracapsular extension of tumor, seminal vesicle invasion, and matched among groups. Variables were completed with the Student’s t-test; p<0.05 was considered statistically significant. Results: Serum testosterone levels as found to be reduced among 74% and regular among 34% prostate cancer cases. Patients in Group A showed greater complete tumor stage, advanced nodal stage, and widespread metastases on scientific assessment associated with Group B. Conclusion: All the elderly men aged 60 and more should be screened of for serum testosterone levels for timely prostate carcinoma diagnosis and for better prognosis in the management.