Editor's Comment

Abstract

, performed on page 802 a interesting basic research about morphologic alterations in the foreskin of patients with phimosis, submitted to topic treatment with betamethasone in association with hyaluronidase. The success rate of the phimosis topic treatment with coerticosteroids is significant, with satisfactory results (67%-95%). In this study the topical treatment of phimosis with betamethasone 0.2% + hyaluronidase was effective with a success rate of 85%. Patients in whon topical steroid treatment failed had fewer elastic fibers, which is a characteristic of the healing processes, as well as an amplification of the collagen type III, a recently found collagen that is associated with muscular retraction. The betamethasone + hyaluronidase cream leads to significant histological alterations in the prepuce. Dr. Gonzaga Silva and collegues from Ceara Cancer Hospital of Ceara Federal University, Brazil, performed on page 750 a elegant study about the testicular-sparing surgery X classic emasculation in patients with penile cancer. The authors studied172 patients with Penile cancer and 16 (9%) underwent emasculation. The authors conclude that the finding of minimal testicle infiltration in only one of 32 testicles, even in the presence of clinically apparent scrotal invasion, suggests that emasculation without bilateral orchiectomy is a safe treatment option for patients with locally advanced PC. Doctor Esmat and collegues from Ain Shams University, Egypt, performed on page 779 a study about the Yang-Monti principle. The authors studied Sixteen patients underwent ileal ureter replacement using the Yang-Monti principle to overcome long ureteric defects. They concluded that the reconfigured ileal segment for ureteric substitution is a safe technique with an excellent outcome. It uses short ileal segments for reconstruction of an ileal tube of adequate length and optimal caliber that permits easy antireflux implantation into the bladder so it not associated with excess mucus production or metabolic abnormalities and offers a durable preservation of renal function without urinary obstruction.