Radical prostatectomy. The surgical complications

Study of 165 patients with prostate adenocarcinoma who underwent radical prostatectomy using a retropubic approach. Mean PSA is 19 ng/ml, mean age 63 years and median follow-up 26 months. 22 patients (13.2%) reported complications during the first month post-surgery, primarily urinary fistula of more than 5 days long in 5 patients and rectal injury in 3.49 patients (29%) reported complications after the first month, mainly urinary incontinence in 26 cases and stenosis of the urethrovesical juncture in 15. The group with early complications showed no significant differences compared to those who had none, neither in PSA (p = 0.3) or a worse pathological stage (p = 0.1), and no evidence is shown in terms of biochemical progression or in disease free progression (p = 1). Patients with urethrovesical juncture stenosis have higher mean PSA (p = 0.01), greater biochemical progression (p = 0.006), worse Gleason (p = 0.03 = and worse progression free survival (p = 0.01). Patients with stress incontinence showed no differences compared to the other groups relative to the studied factors.     

The management of urinary candidiasis in cystectomized patients

Presentation of eight cases of urinary candidiasis in patients who underwent radical cystectomy and were managed using by-pass of the urinary tract, oral antifungal therapy and solutions in the way of intermittent instillation through nephrostomy catheters.     

Obstetric sciatic paralysis: a 29-year experience in a tertiary hospital

Obstetrical sciatic palsy have been frequently seen in our hospital, but bibliography about this subject is rare, not only in Spanish but also in other languages. We review our experience about this pathology, and if it is possible, to contribute to prevent its occurrence.     

Early diagnosis of stress fracture of the lumbar spine in athletes

Thirty-three athletes complaining of back pain of more than 1 months’ duration and with normal radiography of the lower spine were all studied by scintigraphy and in 24 of them with single photon emission computerized tomography. A stress fracture was considered present if localized increased uptake was seen at a vertebral level. Scintigraphy showed increased uptake in 17 of 33 patients and single photon emission computerized tomography in 16 of 24 patients.

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Résumé 33 athlèes se plaignant de lombalgies depuis plus d’un mois avec des radiographies normales de la colonne lombaire ont étéétudiés. Tous ont eu une scintigraphie, et 24 un scanner. A été retenu comme signe de fracture de fatigue, l’existence d’une augmentation de densitéà un niveau vertébral. La scintigraphie montrait une telle augmentation chez 17 des 33 patients et le scanner chez 16 des 24 patients. On conclut que même si la scintigraphie est normale, on ne peut pas rejeter le diagnostic de fracture de fatigue.

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Accepted: 22 October 1997