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Rationale The current standard surgical treatment for the cervix and uterine cancer is the radical hysterectomy (lymphadenohysterocolpectomy). This has the risk of intraoperative accidents and postoperative associated morbidity. Objective The purpose of this article is the evaluation and quantification of the associated complications in comparison to the postoperative morbidity which resulted after different types of radical hysterectomy. Methods and results Patients were divided according to the type of surgery performed as follows: for cervical cancer - group A- 37 classic radical hysterectomies Class III Piver - Rutledge -Smith ( PRS), group B -208 modified radical hysterectomies Class II PRS and for uterine cancer- group C -79 extended hysterectomies with pelvic lymphadenectomy from which 17 patients with paraaortic lymphnode biopsy. All patients performed preoperative radiotherapy and 88 of them associated radiosensitization. Discussion Early complications were intra-abdominal bleeding ( 2.7% Class III PRS vs 0.48% Class II PRS), supra-aponeurotic hematoma ( 5.4% III vs 2.4% II) , dynamic ileus (2.7% III vs 0.96% II) and uro - genital fistulas (5.4% III vs 0.96% ll).The late complications were the bladder dysfunction (21.6% III vs 16.35% II) , lower limb lymphedema (13.5% III vs 11.5% II), urethral strictures (10.8% III vs 4.8% li) , incisional hernias ( 8.1% III vs 7.2% II), persistent pelvic pain (18.91% III vs 7.7% II), bowel obstruction (5.4% III vs 1.4% II) and deterioration of sexual function (83.3% III vs 53.8% II). PRS class II radical hysterectomy is associated with fewer complications than PRS class III radical hysterectomy , except for the complications of lymphadenectomy . A new method that might reduce these complications is a selective lymphadenectomy represented by sentinel node biopsy . In conclusion PRS class II radical hysterectomy associated with neoadjuvant radiotherapy is a therapeutic option for the incipient stages of cervical cancer. [ABSTRACT FROM AUTHOR]

Introduction and aim Cryptorchidism or undescendent testis is a very common anomaly of the male genitalia, affecting 2% - 4% of male infants and about 30% in premature infants. The choice between orhiectomy and orhidopexy for uni/bilateral cryptorchidism in adolescents and young adults is still a debate in the urological practice. The aim of the study was to report a case of a young adult with bilateral cryptorchidism. Method and patients A case of 21 years old male with bilateral cryptorchidism is presented. The sperm analysis shown azoospermia and the level of plasma testosterone was at the lower border - 10.96 nmol/L (normal range 9.9 - 27.8 nmol/L). Contrast enhanced abdominopelvin computed tomography located left testicle in the upper third of inguinal canal and right testicle in the abdomen. The testicles were about the same size (3.8/2.2 cm on the left and 3.4/2 on the right). A standard orhidopexy on left side and, after 2 weeks, testicular autotransplantation on the right side was performed. Result 2 weeks postoperative check-up revealed the left and right testicle at the upper and, respectively, at the base of the scrotum. Doppler ultrasound detected peek systolic speed of 7.62 cm/sec and 31.64 cm/sec in the left, respectively, right testicle. Conclusion For a high level undescendet testis (into the abdomen or in the upper part of inguinal canal) the best aproach in order to achieve a good cosmetical aapearance of the genitalia and a good prezervation of testicular function is testicular autotransplantation. [ABSTRACT FROM AUTHOR]

Background. Paraganglioma develop from embryological neural crest cells from the base of the skull, mediastinum, retroperitoneum, urinary bladder and scrotum. The most common location of the retroperitoneal form is situated between the aorta and vena cava, at the level of left renal vein, or more distally, to the aortic bifurcation. The care of patients with paraganglioma is a challenge for many physicians and surgeons because of its clinical features and therapeutic implications. Case presentation. We report the case of a 22-years old female patient with symptomatic retroperitoneal paraganglioma who was successfully treated with complete surgical excision. The pathological report confirmed the presence of chromaffin tumours. Postoperative care was uneventful, the patient being discharged after 10 days. Follow-up evaluation showed no recurrence after 4 years. Conclusion. Although a very rare condition, retroperitoneal paraganglioma has to be considered in the differential diagnosis of retroperitoneal tumours. Complete surgical resection is crucial for treatment and histological assessment as these tumours are potentially curable if they are diagnosed correctly. In our experience, the best surgical approach is open surgical excision for large masses located in the interaortocaval region, with a clear operatory field and good control over the major blood vessels. Follow-up is strongly recommended. [ABSTRACT FROM AUTHOR]