Partial priapism is a rare disorder in literature and generally described as a contusion or thrombosis of the cavernous body of the penis secondary to blunt trauma. Because of the rarity of disease, there is not much information about the treatment. Conservative management with nonsteroidal anti‐inflammatory drug is often applied treatment. Here, we presented a proximal partial priapism treated successfully with autologous clot embolisation secondary to pelvic trauma.

Objective: Tumors belonging to the mixed epithelial stromal tumor family (MESTF) are rare; thus clinicopathological experience about them are limited. Each epithelial and stromal component shows different patterns in these tumors. Material and Method: Clinicopathological features of 11 MESTF cases that were diagnosed between 2000 and 2021 at a single center were evaluated. Results: Ten of the 11 patients were female (F:M = 10:1). The mean age of the females was 47 (31-63) years; the male patient was 45 years old. The mean tumor diameter was 6.7 (3.5-19) cm. All tumors had varying proportions of cystic and solid components. Eight cases were well circumscribed, and the others had distinct but irregular borders. Two of the tumors with irregular borders were bulging into the renal sinus. The epithelial component was dominant in most cases. In the epithelial component, macrocyst, microcyst, and tubules were the most common patterns and the most common types of lining epithelium were flat, cuboidal and hobnail. The stromal component was variable in most cases and included hypocellular (mostly collagenous) and cellular areas. In most cases, the cellular stroma had an ovarian-like appearance. Among the other features observed, hyalinization and dystrophic calcification were common. The positivity for estrogen and progesterone receptor in the stromal component was observed in almost all female cases. Conclusion: MESTF, which has distinctive features, should be considered in the differential diagnosis of cystic kidney tumors.

Amaç: Bu çalışmanın amacı obstruktif olmayan azospermisi (OOA) olan hastalarda varikoselektominin spermatogeneze etkisini incelemek ve respermatogenezi öngören klinik faktörlerin varlığını araştırmaktır. Gereç ve Yöntem: Klinik anlamlı varikosel saptanarak infertilite tanısı alan 32 hasta çalışmaya dahil edildi. Bütün hastalara mikrocerrahi inguinal varikoselektomi ve aynı seansta testis biyopsisi uygulandı. Postoperatif 3, 6 ve 12. aylarda hastaların spermiyogram kontrolleri yapıldı. Yaş, testis hacmi, hormon parametreleri ve patolojik bulguların operasyon sonrası sperm üretimini öngörmede etkinliği araştırıldı. Bulgular: Hastaların cerrahi zamanındaki ortalama yaşı 31,4±6,2 idi. Varikoselektomi sonrası hastaların %15,6 (5/32)'sinde spermiyogram ile sperm varlığı tespit edildi. Patolojik değerlendirme sonucunda sırasıyla %34,4, %31,2 ve %34,4 oranlarında hipospermatogenez, matürasyon arresti ve germ hücre aplazisi tespit edildi. Re-spermatogenez saptanan hastaların testis hacimleri daha büyüktü (p=0.01). Re-spermatogenez saptanan ve saptanmayan hastalar arasında araştırılan diğer parametreler açısından istatistiksel anlamlı fark yoktu. Sonuç: Varikoselektomi, klinik olarak anlamlı varikoseli olmayan OOA olan hastalarda kabul edilebilir bir tedavi yöntemidir. Diğer taraftan doğru hasta profilinin seçimi çok önemlidir. Bu çalışmada varikoselektomi sonrası spermatogenezin öngörülmesinde testis hacminin prediktif değeri gösterilmiştir. Anahtar Kelimeler: İnfertilite, Obstruktif olmayan azospermi, Varikoselektomi Öz Objective: The aim of this study was to investigate the effect of varicocelectomy on spermatogenesis in patients with non-obstructive azoospermia (NOA) and the presence of clinical factors for re-spermatogenesis. Materials and Methods: A total of 32 patients with clinically significant varicocele, who received the diagnosis of infertility, were included in this study. Microsurgical inguinal varicocelectomy and testicular biopsy were performed in all patients. After varicocelectomy, control spermiogram samples were collected from patients at 3 rd , 6 th and 12 th months. The role of age, testicular volume, hormone parameters and pathological findings in predicting re-spermatogenesis were investigated. Results: The mean age of the patients who underwent surgery was 31.4±6.2 years. After varicocelectomy, sperm was detected in semen in 15.6% (5/32) of the patients. As a result of pathological evaluation, hypospermatogenesis, maturation arrest and germ cell aplasia were found in 34.4%, 31.2% and 34.4% of patients, respectively. The testicular volume was higher in patients with re-spermatogenesis (p=0,01). There was no statistically significant difference between responders and non-responders in terms of other investigated parameters. Conclusion: Varicocelectomy is an acceptable modality of treatment for patients with NOA with clinically significant varicocele. On the other hand, appropriate patient selection is crucial. In this study, testicular volume was found to be a predictive factor for recovery of sperma...

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