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991.
Cambronero Santos J Martín Muñoz M Villacampa Aubá F Hörndler Argárate C Espuela Orgaz R Leiva Galvis O 《Actas urologicas espa?olas》1999,23(9):797-800
Report on one case of prostate leiomyosarcoma, an infrequent and usually highly aggressive urologic neoplasia. Emphasis on the imaging and pathoanatomical diagnosis, highlighting the high value of the later as immunohistochemistry is usually essential to establish its nature. Choice treatment is oncologically radical surgery. Quite often this is impossible to carry out and so chemo- and radiotherapy schedules are commonly associated as neoadjuvant, adjuvant or palliative therapies. The reported case showed aggressive evolution unresponsive to management. Also, during the condition development a rare complication such as occurrence of an exophytic tumoral mass in the perineum appeared. 相似文献
992.
Martín-Marquina Aspiunza A Zudaire Bergera JJ Sánchez Zalabardo D Arocena García-Tapia J Sanz Pérez G Díez-Caballero Alonso F Rosell Costa D Robles García JE Berián Polo JM 《Actas urologicas espa?olas》1999,23(1):5-9
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. 相似文献
993.
994.
Navas Pastor J Ferrero Doria R Guzmán Martínez-Valls PL Morga Egea JP García Ligero J Tomás Ros M Rico Galliano JL Sempere Gutiérrez A Fontana Compiano LO 《Actas urologicas espa?olas》1999,23(1):22-27
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. 相似文献
995.
Machuca Santa Cruz J Julve Villalta E Galacho Bech A Pérez Rodríguez D Quiñonero Díaz A Alonso Dorrego JM Marín Martín JA 《Actas urologicas espa?olas》1999,23(1):43-50
We report 15 cases of spontaneous retroperitoneal haematoma. The etiology and the diagnostic and therapeutic procedures were evaluated. The haematoma source was the adrenal gland in 4 patients and the causes were pheochromocytoma (1), adenoma (1), myelolipoma (1) and idiopathic (1). In 10 patients the source was the kidney and the causes were angiomyolipoma rupture (6), renal cell carcinoma (3) and ureteral calculi (1). In the remaining case, the haematoma was produced by fibrinolytic and anticoagulant therapy in a patient with acute myocardial infarction. The imaging diagnostic techniques employed were abdominal ultrasonography and CT scan, which allowed the diagnosis of haematoma and showed his size and extension in all the cases. With these two techniques, and with the retrograde pyelography in one patient, we obtained the etiologic diagnosis in 12 of the 15 cases. Surgical treatment was performed in 12 patients (adrenalectomy in 2, simple nephrectomy in 3, radical nephrectomy in 5 and partial nephrectomy in 2). 相似文献
996.
997.
998.
999.
Guzmán Martínez-Valls PL Ferrero Doria R Morga Egea JP Navas Pastor J Tomás Ros M Rico Galiano JL Sempere Gutiérrez A Fontana Compiano LO 《Actas urologicas espa?olas》1999,23(8):700-702
Trigonocervicotomy is a barely invasive technique for the treatment of infravesical obstruction, first introduced in the 60's by Turner-Warkic and Orandi. To achieve good results with this procedure, the selection criteria must take into account a series of parameters such as age, sexual activity, PSA, prostate weight (below 30 grams) and others. In addition to its low morbidity, a larger percentage of patients preserve ejaculation than with the use of other techniques, also the neck sclerosis rate being lower as seen in all our series and expertise. The efficacy of this technique was studied on 100 patients. 相似文献
1000.
Queipo Zaragozá JA López Baeza F Budía Alba A Fuster Escrivá A Lloret Martí MT Jiménez Cruz JF 《Actas urologicas espa?olas》1999,23(9):792-796
Lower urinary tract obstruction in women is an uncommon condition resulting from multiple either organic or functional disorders. This paper contributes one case of obstructive uropathy secondary to presence of almost complete vulvar synechia due to extreme genital atrophy, a rare entity that may appear in postmenopausal women. Partial and incomplete vulvar fusion usually occurs in significant postmenopausal atrophies, sometimes associated to urethral meatus stricture; this, however, has no significant repercussion on urination dynamics. No other comparable case was found in the reviewed literature. 相似文献