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Objective: To report a clinical case of bladder exstrophy adenocarcinoma., Methods: 57-year-old female presenting with a hypogastric mass. The biopsy of the mass revealed bladder adenocarcinoma. We performed radical cystectomy., Results: Pathologic study was compatible with moderately differentiated adenocarcinoma., Conclusions: After six months of follow-up patient is disease-free.

Objectives: Since the first published report in 1992, laparoscopic adrenalectomy has been widespread and it is now accepted as the standard treatment option in most of benign diseases of the adrenal gland. Aim of the present study is to describe our initial experience with laparoscopic adrenalectomy., Methods: Between May 2001 and December 2005, 15 patients were submitted to laparoscopic adrenalectomy for benign diseases of the adrenal gland. We analyzed patients characteristics (sex, age, initial diagnosis), operative and perioperative results (operative time, blood loss, time to first oral intake) and complications., Results: Mean operative time was 143 minutes. Blood loss was minimal. Mean hospital stay was 90 hours. There was no need for open conversion and complication rate was low., Conclusions: Laparoscopic surgery of the adrenal gland is a safe and effective option which offers quality of life benefits to the patients.

Objective: To present a case of tubulovillous renal pelvis adenocarcinoma., Methods/results: An 81 year-old patient presented at Emergency Department with sepsis. CT scan showed a staghorn calculus with signs suggestive of pyonefrosis. A nephrectomy was performed and pathological exam revealed tubulovillous renal pelvis adenocarcinoma., Conclusions: Renal pelvis adenocarcinoma is a rare disease. It is usually accompanied by chronic urinary infections, on inflammatory state and staghorn calculi. The best therapeutic option is nephrectomy and the prognosis is poor.

Objective: To report one case of penile abscess, with special reference to diagnostic and therapeutic aspects., Methods: One case of penile abscess is presented in a patient referred for penile swelling., Results: During surgical exploration it showed to be a corpora cavernosum rupture with drainage of a small volume of purulent fluid., Conclusions: Penile abscess is uncommon. High frequency ultrasonography is a reliable diagnostic imaging method. We were able to incise the affected area of the corpus cavernosum and glans safely, and with appropriate antibiotics this patient was treated successfully.