Archivio Italiano di Urologia e Andrologia 2020-04-08T20:47:45+00:00 Emanuela Fusinato Open Journal Systems <p>The <strong>Archives of Italian Urology and Andrology</strong> publishes papers dealing with the urological, nephrological and andrological sciences. <em>Original Articles</em> on both clinical and research fields, <em>Reviews</em>, <em>Editorials</em>, <em>Case Reports</em>, <em>Abstracts </em>from papers published elsewhere, <em>Book Reviews</em>, <em>Congress Proceedings</em> can be published.</p> Case reports of benign intrascrotal tumors: Two epidermoid cysts and one scrotal calcinosis 2020-04-08T20:47:44+00:00 Tuncay Toprak Cagri Akin Sekerci <p>Background: The aim this study was to explain the underlying etiology of unknown scrotal masses. <br>Case presentation: This study included 3 patients with a intrascrotal mass. One patient was over 50 years. The remaining patients were between the ages of 30-50. Patients had no serious complaints (two complained about having 3 testicles and one complained of swelling in the scrotum for the last 6 months). All patients underwent scrotal exploration under general anesthesia and the specimen was sent for pathological examination. All masses were mobile and encapsulated. The masses were not associated with the testicle. Two cases had classical histologic features of epidermoid cyst and one had scrotal calcinosis in the pathological report. Physical examination, operation, magnetic resonance and histological images of scrotal masses were shown in the figures. <br>Conclusions: This study is important in terms of showing the underlying etiology of the rare scrotal masses.</p> 2020-04-07T07:44:34+00:00 ##submission.copyrightStatement## Be cautious of “complex hydrocele” on ultrasound in young men 2020-04-08T20:47:45+00:00 Evangelos N. Symeonidis Petros Sountoulides Irene Asouhidou Chrysovalantis Gkekas Ioannis Tsifountoudis Ioanna Tsantila Asterios Symeonidis Christos Georgiadis Apostolos Malioris Michail Papathanasiou <p>Hydrocele is the most common benign cause of painless scrotal enlargement and only very rarely can be reactive to an underlying testicular tumor. We present the case of a healthy young man, complaining of mild left scrotal discomfort and swelling. Physical examination revealed a non-tender fluctuant left scrotum and serum tumor markers were normal. Scrotal ultrasonography (US) showed a normal right hemiscrotum and testicle and a fluid collection among thickened irregular septations in the left hemiscrotum, a finding which was considered as a complex hydrocele. Intraoperatively the presumed “complex hydrocele” was in fact a multicystic testicular tumor. We proceeded with orchiectomy through the scrotal incision and pathology revealed a mixed germ cell tumor of the testis consisting of cystic teratoma, in situ germ cell neoplasia unclassified (IGCNU) and Sertoli cell tumor. This is the first reported case of this type of testis tumor presenting as complex hydrocele. The aim of this case presentation is to underline the need for an accurate preoperative diagnosis in cases of suspected scrotal pathology in young males.</p> 2020-04-07T07:17:34+00:00 ##submission.copyrightStatement## A surgical approach to squamous cell carcinoma of penis that also resolved the psychological dysfunction of the patient 2020-04-08T20:47:45+00:00 Napoleon Moulavasilis Konstantina Yiannopoulou Marios Frangoulis Ioannis Katafigiotis Georgios Liapis Aikaterini Anastasiou Ioannis Anastasiou <p>In this case study, we present an unusual case with squamous cell carcinoma surrounding the penis involving foreskin and glans of penis. In addition, multiple satellite nodules were noted in the pubis. A 57-year-old circumcised heterosexual male patient presented with a penile lesion existing for 10 years. At the same time, he was referred to an outpatient memory clinic because of persistent subjective memory complaints associated with depression and anxiety. The patient was operated under general anaesthesia. The lesion was resected circumferentially with macroscopic clearance, resulting in complete degloving of the penile shaft. Neurovascular bundles were preserved. Histopathological analysis of the lesion revealed an invasive and poorly differentiated squamous cell carcinoma, and the surgical margins were free from tumour. The patient was followed for 18 months. He did not have voiding difficulty. Pelvic tomographic and physical examination findings did not reveal any episode of recurrence or metastasis. Treatment of carcinoma resulted in a simultaneous full recovery of his memory decline and he remained free of depression and anxiety symptoms over time.</p> 2020-04-07T07:03:59+00:00 ##submission.copyrightStatement##