Male circumcision (MC) seems to be practiced since ancient times by Muslims and Jewish, and it is considered as commandment. Attempts at self-circumcision for any reason are very rare in our country. This article aims to highlight another case of self-circumcision in a 30 year-old male, using a sharp vegetable knife. The reasons behind this act are various and the most common complications, especially in the use of sharp tools, in addition to bleeding or laceration of the penis, are infection, penile curvature, urethral injury or necrosis of the foreskin and penile tissues. To our knowledge, this is the first case report with necrotic foreskin as complication.

Introduction Traumatic lesions of the anterior urethra during coitus strikes are essentially described as lesions associated with 20 percent of corpus cavernosum fractures. However, no cases of isolated lesions of the urethra and corpus spongiosum in the context of sexual trauma seem to be reported in the literature. Thus, we report the observation of a patient who was diagnosed with a corpus spongiosum fracture associated with a penile urethra injury during a coitus lapse. Presentation of case Patient aged 36 years with no particular pathological history, other than unprotected sexual intercourse, who has been admitted to the urology service for urethrorrhagia due to a sexual traumatism. A forced angulation and then a cracking followed by an instantaneous detumescence was described by the patient. On examination we noted a normal-looking penis without angulation or eggplant haematoma, with the presence on palpation of a small infra-centimetric hematoma on the ventral surface of the middle part of the penis. Surgical exploration was therefore indicated in front of the isolated urethrorrhagia, and which objectified a fracture of the corpus spongiosum measuring 1 cm at the level of the distal part of the penis. A linear lesion of the urethra was associated at the same level. The patient was therefore sutured with these two lesions. The postoperative course was simple with removal of the bladder catheter three weeks later with satisfactory urination and urinary stream. Discussion sexual trauma is described as a rupture of the corpora cavernosa, resulting from forced flexion or twisting of the erect penis that can be associated in about 20 % of cases with ruptures of the urethra. We described a trauma occurrence that is similar to the one in the definition responsible of a lesion of the anterior urethra but no lesions of the corpora cavernosa have been objectified. Conclusion the absence of similar cases reported in the literature leaves this type of lesion subject to ambiguous behaviour. Indeed, this brings us back to questions about the pathophysiological mechanisms of sexual lesions of the urethra in order to better codify the indication for surgical exploration, even in front of a normal looking penis.

Introduction: Spermatic cord twisting (SCT) is a life-threatening emergency of the testis, causing testicular ischemic lesions by vascular constriction. Neglected SCT is an atypical variant of torsion with a late diagnostic delay. It is characterized by the presence of testicular necrosis, requiring an orchiectomy. The objective of our study is to investigate possible factors that may be responsible for the delayed diagnosis of TCS, and thus favor the occurrence of the neglected form. In order to act on these factors and prevent the harmful consequences of SCT, in particular testicular necrosis. Material and methods: This is a retrospective and descriptive study, conducted over a period of 7 years (January 2013-December 2019). Interesting 34 patients admitted to the urology department of the CHU Ibn Rochd of Casablanca, in a neglected SCT picture. The collection of information was carried out from the patients' files through an exhaustive exploitation sheet. Results: A total of 34 cases of neglected SCT were collected. The mean age was 17.97 years (extremes: 14-37 years). 94% of the subjects were less than 25 years old. 15% of the subjects were from rural areas. 77% of cases occurred during the cold season. The absence of employment characterized 61.5% of the major subjects and 42.8% of the guardians of the minor patients. Only 26.5% of subjects had health coverage. Non-education characterized 62% of adult patients and 65% of guardians of minor patients. The occurrence of neglected SCT was on an ectopic testicle in 1 case (3%) and on an oscillating testicle in 1 case (3%). The involvement was on the left side in 70.6% of cases. The average time to visit the emergency room at the CHU was 86 hours with extremes of 12 hours and 12 days. 38% of the patients had consulted directly at the CHU, while 62% were referred from other health structures. All patients were admitted to the emergency room after the pain had disappeared (scrotal in 94% and inguinal with vacuity of the homolateral bursa in 6%). Echodoppler allowed the dg to be applied in 100% of cases. Delayed consultation of the patient was present in 82.4% of cases. A diagnostic delay due to anaberration in medical management was found in 17.6%. Therapeutic management was orchidectomy in 100% of the cases, and orchidopexy of the contralateral testis was immediate in 24% of the cases and delayed in 76% of the cases. 24% of the cases and delayed in 76% of the cases. Only 29.4% of patients presented for medical check-up at 6 months postoperatively. 80% of these patients had testicular atrophy on clinical and ultrasound examination, and frank oligospermia with asthenospermia on spermogram. Conclusion: Multiple factors are likely to act on the prolongation of the diagnostic delay of SCT and may be at the origin of the occurrence of its neglected form. The delay in the diagnosis of SCT may be related to a delay in patient consultation or to an aberration in medical management, thus favoring the development of testicular necrosis and consequently requiring an orchiectomy. Hence the interest in knowing these factors in order to act on them by raising public awareness of the importance of emergency consultation in the face of acute scrotal pain, as well as continuing education of physicians and medical staff to prevent the occurrence of neglected SCT.

The most frequent primary lymphomas of the bladder are the low-grade B-cell- derived non-Hodgkin’s lymphomas of the MALT type, including Burkitt’s lymphoma. Primary genitourinary localization of lymphomas is uncommon and, in particular supra vesical development of Burkitt lymphoma. The continuous progress of treatment by chemotherapy has changed the pejorative prognosis of this disease into a good one.