Abstract:
OBJECTIVE:Renal haematomas after extracorporeal shockwave lithotrity are an immediate and potentially serious complication. The incidence of post-ESWL renal haematoma with the new Siemens' Lithostar Multiline lithotripter is analyzed in an attempt to know its occurrence, predisposing factors and presentations signs and symptoms. MATERIAL AND METHODS:Between January and December 1998, a total of 1313 extracorporeal shockwave lithotrity sessions were performed on lithiasis located at any level of the urinary tract in 686 patients. Treatment were performed with a Lithostar Multiline lithotripter (electromagnetic generator). The power used ranged from 4 to 9 units, which are power steps based on load tension in Kv, pressure peaks in bars and energy flow density in mJ/mm2, with an average of 3800 pulses/session. A radiological study (ultrasound-tomography) was conducted when faced with clinical suspicion of complications. RESULTS:A total of 7 clinical renal haematomas (1.02%) were diagnosed. A conservative attitude was taken in most cases. One patient presented hemodynamic instability and required surgery to empty the haematoma and haemostasia of the renal unit, though no nephrectomy was finally required. As predisposing factors: presence of HBP, prior ESWL and hypercholesterolemia are all emphasized. In rare cases several factors concurred simultaneously in the same patient. CONCLUSIONS:Renal haematoma should be suspected in the presence of continuous or unjustified pain after ESWL treatment. Any likely coagulation disorder should be corrected, urinary infections ruled out and pressure figures controlled.
journal_name
Actas Urol Espjournal_title
Actas urologicas espanolasauthors
Gallego Sánchez JA,Ibarlucea González G,Gamarra Quintanilla M,Guisasola J,Bernuy Malfaz Cdoi
10.1016/s0210-4806(00)72399-0subject
Has Abstractpub_date
2000-01-01 00:00:00pages
19-22; discussion 23issue
1eissn
0210-4806issn
1699-7980pii
S0210-4806(00)72399-0journal_volume
24pub_type
杂志文章abstract::Benign prostatic hypertrophy (BPH) is a common urological disease with a standard surgical approach, transurethral resection (TUR) or open adenectomy (OA), but the flowmetric clinical results are controversial. Fifty-five patients were evaluated; in 23 of them TUR was performed and 32 underwent OA. The Boyarsky clinic...
journal_title:Actas urologicas espanolas
pub_type: 临床试验,杂志文章,评审
doi:
更新日期:1994-07-01 00:00:00
abstract::We describe a case of urothelial carcinoma of renal pelvis in a 48 years old woman affected of autosomal dominant polycystic kidney disease (ADPKD). We discuss the difficulty of the radiological diagnostic and we revise the incidence of renal tumors in this entity. Association between urothelial carcinoma and ADPKD is...
journal_title:Actas urologicas espanolas
pub_type: 杂志文章,评审
doi:10.1016/s0210-4806(07)73784-1
更新日期:2007-11-01 00:00:00
abstract:OBJECTIVE:To conduct a critical review of the etiological, clinical and diagnostic aspects of iatrogenic ureteral lesions caused by various surgical disciplines, primarily focused on the different therapeutical options used. PATIENTS AND METHOD:Between January 1985 and December 1995, 31 iatrogenic lesions of the urete...
journal_title:Actas urologicas espanolas
pub_type: 杂志文章
doi:
更新日期:1997-02-01 00:00:00
abstract:OBJECTIVES:Analyze the role of the Computerized Axial Tomography (TAC) like image study of pre-surgery stadification, in the subjected patients to radical cystectomy, for the treatment of muscle infiltrate bladder cancer. METHODS:Retrospective study of cohorts on 63 subjected patients to radical cystectomy for bladder...
journal_title:Actas urologicas espanolas
pub_type: 杂志文章
doi:10.1016/s0210-4806(08)73874-9
更新日期:2008-05-01 00:00:00
abstract:OBJECTIVE:To assess the expectant management superficial recurrent bladder tumours. MATERIAL AND METHODS:Between Jan 1998 and Dec 2003, 112 patients were diagnosed of superficial bladder tumour. 13 patients were observed after the diagnosis of tumour relapse until the decision to perform a transurethral resection. We ...
journal_title:Actas urologicas espanolas
pub_type: 杂志文章
doi:10.1016/s0210-4806(05)73298-8
更新日期:2005-06-01 00:00:00
abstract::The purpose of this retrospective study is to evaluate the incidence of prostate cancer in symptomatic patients with non-suspect rectal examination and its correlation to PSA, PSAD levels and ultrasound findings. A total of 235 patients with non-suspect rectal examination underwent transrectal ultrasound and echo-guid...
journal_title:Actas urologicas espanolas
pub_type: 杂志文章
doi:
更新日期:1997-06-01 00:00:00
abstract::Schwannoma or neurilemmoma designate a tumour that originates in the Schwann cells of peripheral nerves, therefore occurring anywhere in the body. They are very rare in the penis. In the literature are reported twenty seven cases of penile schwannoma. We report a case of multiple schwannoma of the penis and make a bri...
journal_title:Actas urologicas espanolas
pub_type: 杂志文章,评审
doi:10.1016/s0210-4806(06)73540-9
更新日期:2006-09-01 00:00:00
abstract::Presentation of one case of bacterial acute focal nephritis (acute lobe nephrosis) in a parenterally drug-abuser, HIV-infected male. From the clinical point of view, the picture was interpreted as acute hepatitis, and the lesion was detected by ultrasound techniques. A right side location, relative lack of urological ...
journal_title:Actas urologicas espanolas
pub_type: 杂志文章
doi:
更新日期:1993-01-01 00:00:00
abstract:OBJECTIVE:To analyse the differences in the postoperative period between bipolar and monopolar resection of the prostate in the endoscopic surgery of the benign prostatic hyperplasia. METHODS:45 patients were prospectively randomized. Twenty-one underwent monopolar resection (Storz Ch 26, 30 degrees) and 24 underwent ...
journal_title:Actas urologicas espanolas
pub_type: 杂志文章,随机对照试验
doi:10.1016/s0210-4806(06)73515-x
更新日期:2006-07-01 00:00:00
abstract:INTRODUCTION AND OBJECTIVES:hemorrhagic cystitis (HC) after pelvic radiotherapy occurs in 2-8% of patients. A variety of treatments have been described, most of them with uncertain results. We assessed the efficacy of hyperbaric oxygen therapy (HBOT) in HC cases. PATIENTS AND METHODS:retrospective analysis of patients...
journal_title:Actas urologicas espanolas
pub_type: 杂志文章
doi:10.1016/j.acuro.2010.09.006
更新日期:2011-03-01 00:00:00
abstract::The stromal component of the urethral caruncle (UC) comprises a mixture of inflammatory, vascular, and fibrotic phenomena. Although mastocytes are cell elements known to appear in relation with chronic inflammation, there is no data in the literature explaining their significance in UCs or their ultrastructure relatio...
journal_title:Actas urologicas espanolas
pub_type: 杂志文章
doi:
更新日期:1993-07-01 00:00:00
abstract::Presentation of one case of penis-located multiple skin metastasis from prostate adenocarcinoma after hormonal blockade for 11 years. Revision and update of the topic, corroborating the poor prognosis of these patients. ...
journal_title:Actas urologicas espanolas
pub_type: 杂志文章
doi:
更新日期:1999-02-01 00:00:00
abstract::Photodynamic therapy is based on the administration of an energy source in form of light of a specific wavelength, on a previously photosensitized tissue by a chemical compound, in the presence of oxygen, so that the great deal of free radicals and oxygen derivatives generated (hydroxyl compounds) produces necrosis of...
journal_title:Actas urologicas espanolas
pub_type: 杂志文章,评审
doi:10.1016/s0210-4806(07)73700-2
更新日期:2007-06-01 00:00:00
abstract:INTRODUCTION:The association between testosterone and prostate cancer badly is understood. The testosterone levels are not conclusive to distinguish benign prostate processes of malignant. The objective of our work is to determine the relation between levels of serum testosterone and prostate cancer. MATERIAL AND METH...
journal_title:Actas urologicas espanolas
pub_type: 杂志文章
doi:
更新日期:2003-11-01 00:00:00
abstract::Some feasibility problems were detected during the evaluation of the IPSS questionnaire in Spanish that might limit its application. Our initial experience with the IPSS in patients undergoing surgery had 3 aims: 1) assess if changes in format and wording will improve feasibility; 2) evaluate symptoms before and after...
journal_title:Actas urologicas espanolas
pub_type: 杂志文章
doi:
更新日期:1995-03-01 00:00:00
abstract::Pseudoaneurism in renal grafts is a well known complication of the percutaneous biopsy. Colour Doppler has been shown to be the choice technique for their diagnosis and subsequent control, the most effective treatment being embolization. This paper presents an unusual form of pseudoaneurism in terms of its size (up to...
journal_title:Actas urologicas espanolas
pub_type: 杂志文章,评审
doi:
更新日期:1998-03-01 00:00:00
abstract:OBJECTIVE:Analysis of the results of patients who had been operated of renal cell carcinoma with vascular invasion in our institution, evaluation of prognostic factors and complications. METHODS:Retrospective observational study of 37 patients diagnosed of renal cell carcinoma with vascular invasion operated between M...
journal_title:Actas urologicas espanolas
pub_type: 杂志文章
doi:10.1016/j.acuro.2016.06.007
更新日期:2017-03-01 00:00:00
abstract::The microscopic patterns adopted by prostate carcinomas are extraordinarily variable making its histopathological classification and grading extremely complicated. There are numerous systems for prostatic tumours' grading, but many of them lack a truly reproducible character and an acceptable degree of reliability; fo...
journal_title:Actas urologicas espanolas
pub_type: 杂志文章
doi:
更新日期:1992-09-01 00:00:00
abstract::Presentation of one case of ammonium-magnesium phosphate calculi breakdown using systemic medical treatment with oral Acetohydroxamine acid dosed at 125 mg/8 h and antibiotic therapy based on the antibiogram results. This type of treatment is generally used in an attempt to eradicate the infection, and as prophylaxis ...
journal_title:Actas urologicas espanolas
pub_type: 杂志文章
doi:
更新日期:1999-04-01 00:00:00
abstract:OBJECTIVE:To present our medium-to-long term results for the use of TVT in female stress urinary incontinence (SUI) employed concomitantly with surgical correction of pelvic floor prolapse for an integral solution. MATERIAL AND METHODS:Between January 2000 and May 2008, 171 women with pelvic floor disorders underwent ...
journal_title:Actas urologicas espanolas
pub_type: 杂志文章
doi:10.1016/s0210-4806(09)73187-0
更新日期:2009-11-01 00:00:00
abstract::In Spain, based on the IIEF, 19% of males between 25 and 70 years old present some degree of erectile dysfunction (ED). Therefore, around 2,000,000 Spanish men present this condition and could require medical attention for it. Here, we present an up-date of the most important aspects of erectile dysfunction (pathophys...
journal_title:Actas urologicas espanolas
pub_type: 杂志文章,评审
doi:10.1016/s0210-4806(02)72844-1
更新日期:2002-10-01 00:00:00
abstract:INTRODUCTION:The Bladder neck cerclage diminishes the risk of bleeding after transvesical prostatectomy, but it increases the risk of suffering postoperative bladder neck sclerosis. Our objective is to value the effectiveness and therapeutic security of the temporary bladder neck cerclage after transvesical prostatecto...
journal_title:Actas urologicas espanolas
pub_type: 杂志文章
doi:10.1016/s0210-4806(06)73396-4
更新日期:2006-01-01 00:00:00
abstract:OBJECTIVES:To create a relational database for monitoring lithiasic patients. We describe the architectural details and the initial results of the statistical analysis. METHODS AND MATERIALS:Microsoft Access 2002 was used as template. Four different tables were constructed to gather demographic data (table 1), clinica...
journal_title:Actas urologicas espanolas
pub_type: 杂志文章
doi:
更新日期:2010-05-01 00:00:00
abstract:INTRODUCTION:It has been reported that varicocele might promote angiogenesis. However, it is not clearly identified how angiogenesis affect testicular morphology or spermatogenic activity. The objective of the study is to investigate the effect of spironolactone, as an angiogenesis inhibitor, on the ipsilateral testis ...
journal_title:Actas urologicas espanolas
pub_type: 杂志文章
doi:10.1016/j.acuro.2013.12.013
更新日期:2014-09-01 00:00:00
abstract:OBJECTIVES:To explore the links between the histological composition of the prostate and the symptoms related to the clinical BPH. MATERIAL & METHODS:The prostates of 34 patients with symptoms of BPH and 17 asymptomatic patients were biopsied. Using light microscopy, the ratio of stromal to glandular surfaces was calc...
journal_title:Actas urologicas espanolas
pub_type: 杂志文章
doi:
更新日期:1999-06-01 00:00:00
abstract:OBJECTIVE:To determine the current state of vesicouterine fistulae in our hospital, the factors associated with their development and the findings obtained from the treatments used. MATERIAL AND METHODS:We carry out a retrospective study on a group of patients suffering from vesicouterine fistulae who were treated in ...
journal_title:Actas urologicas espanolas
pub_type: 杂志文章
doi:10.1016/s0210-4806(03)73000-9
更新日期:2003-10-01 00:00:00
abstract:CONTEXT:The European Association of Urology (EAU) Guidelines Office has set up a guideline working panel to analyse the scientific evidence published in the world literature on lasers in urologic practice. OBJECTIVE:Review the physical background and physiologic and technical aspects of the use of lasers in urology, a...
journal_title:Actas urologicas espanolas
pub_type: 杂志文章,实务指引,评审
doi:10.1016/j.acuro.2012.05.005
更新日期:2013-02-01 00:00:00
abstract::The renal angiomyolipomas are unusual benign tumors which more than 50 per cent, are associated with tuberous sclerosis or intestinal linphangiomatosis. They can be discovered in a radiologic study by chance or to be associated with flank and abdominal pain and hematuria. The ultrasonographic imagen is characteristic ...
journal_title:Actas urologicas espanolas
pub_type: 杂志文章
doi:
更新日期:1992-11-01 00:00:00
abstract:OBJECTIVES:Chronic bacterial prostatitis (CBP) is the most common urological disease in patients younger than 50 years, whose long-standing symptoms could be related to an inappropriate therapeutic regimen. The objective was to analyse the sensitivity of microorganisms isolated from patients with CBP and measure the we...
journal_title:Actas urologicas espanolas
pub_type: 杂志文章
doi:10.1016/j.acuro.2017.03.008
更新日期:2017-12-01 00:00:00
abstract::Primary tumors of extragonadal origin are rare, with fewer than 1000 cases described in the literature. Although the exact incidence of EGTs is unknown, clinical data suggest that roughly 3% to 5% of all germ cell tumors. We expose a case report of EGT with unusually clinic presentation. We present our diagnostic and ...
journal_title:Actas urologicas espanolas
pub_type: 杂志文章,评审
doi:10.1016/s0210-4806(03)73025-3
更新日期:2003-11-01 00:00:00