Abstract：
OBJECTIVES:To report the experience in the management of penile necrosis at our hospital. METHODS:We performed a review of the medical records with the diagnosis of penile necrosis at the Department of the Urology of the Hospital de Especialidades Centro Médico nacional Siglo XXI from January 1995 to March 2005. RESULTS:18 cases of penile necrosis were found, with ages from 28 to 78 years (mean age 58.1 yr.). Diabetes mellitus and end stage renal disease were the most frequent associated diseases, with 10 and 11 cases respectively. Reasons for consultation were penile scars in 5 cases, purulent exudation, inflammation of the glans penis and prepuce in 3, ischemic priapism in 2, Fournier's syndrome in 2, urethral bleeding in one, penile necrosis secondary to extrinsic compression in one, and periurethral abscess in another. Thirteen out of the 18 cases underwent partial or complete penectomy, and three of them died. Five patients were managed conservatively with antibiotics, one of them died. The pathology report showed ischemic necrosis in 3 cases, arterial and venous thrombosis, ischemic necrosis and dystrophic arterial and venous calcifications in 10 cases. CONCLUSIONS:Occlusive vascular changes are a conditioning factor in most patients with penile necrosis. This is more evident in patients with end stage renal disease, diabetes mellitus and hypertension. Clinical features of penile necrosis include scars, mummification, self-amputation, and superinfection, so that an early diagnosis and proper treatment are decisive for the evolution of this disease.
journal_name
Arch Esp Uroljournal_title
Archivos espanoles de urologiaauthors
Montoya Martínez G,Otero García JM,López Samano V,González Martínez J,Serrano Brambila Edoi
10.4321/s0004-06142006000600002subject
Has Abstractpub_date
2006-07-01 00:00:00pages
571-6issue
6eissn
0004-0614issn
1576-8260journal_volume
59pub_type
杂志文章,评审abstract：OBJECTIVE:To discuss briefly the new therapeutic strategies for poor-prognosis testicular germ cell cancer. METHODS:The use of new drugs in first line chemotherapy, intensive alternating and sequential chemotherapy and high dose chemotherapy with autologous bone marrow or stem cell transplantation are briefly discusse...
journal_title：Archivos espanoles de urologia
pub_type： 杂志文章,评审
doi：
更新日期：2000-07-01 00:00:00
abstract：OBJECTIVES:To review the pathological criteria used to select patients for active surveillance, the optimization of biopsies and the role of confirmatory biopsy and of the transperineal approach. METHODS:A bibliographic revision of the last years about active surveillance in prostate cancer as well as prostate biopsy,...
journal_title：Archivos espanoles de urologia
pub_type： 杂志文章,评审
doi：
更新日期：2014-06-01 00:00:00
abstract：OBJECTIVES:To compare the success of the 'tubularized incised plate urethroplasty' (TIPU) and 'Onlay island flap urethroplasty' (OIFU) techniques for the repair of primary proximal hypospadias. MATERIAL AND METHODS:A retrospective evaluation was made of the medical records of 68 patients with primary, non-complicated ...
journal_title：Archivos espanoles de urologia
pub_type： 杂志文章
doi：
更新日期：2017-10-01 00:00:00
abstract：:Renal lithiasis is known for its high incidence and prevalence, but mainly for its morbidity and recurrence. Despite a good indication and appropriate surgical treatment, the essential problem, the origin of the formation of the stones, generally persists and it is not uncommon that patients suffer multiple treatments...
journal_title：Archivos espanoles de urologia
pub_type： 杂志文章,评审
doi：
更新日期：2017-01-01 00:00:00
abstract：OBJECTIVE:We report the case of a 33 year old female presenting with an upper pole renal mass suggestive of renal cell carcinoma which in the pathological specimen resulted to be a retained surgical gauze. METHODS/RESULTS:The case of a female patient with history of previous nephrolithotomy 5 years before who presente...
journal_title：Archivos espanoles de urologia
pub_type： 杂志文章
doi：
更新日期：2002-10-01 00:00:00
abstract：OBJECTIVES:To report our experience on the diagnosis and treatment of this rare type of infravesical functional obstruction. METHODS:Over the last ten years we diagnosed and treated 32 males with this entity. We evaluate previous treatments and time to diagnosis. Clinical, radiological, endoscopic, and urodynamic feat...
journal_title：Archivos espanoles de urologia
pub_type： 杂志文章
doi：10.4321/s0004-06142006000300006
更新日期：2006-04-01 00:00:00
abstract：OBJECTIVES:To describe the surgical technique of the right laparoscopic nephroureterectomy. METHODS/RESULTS:With the patient in the lithotomy position we performed an endoscopic section of the ureteral meatus. Once the patient is placed in the lumbotomy position and trocars are placed, the retroperitoneal space is acc...
journal_title：Archivos espanoles de urologia
pub_type： 杂志文章
doi：10.4321/s0004-06142006000600008
更新日期：2006-07-01 00:00:00
abstract：:The therapeutic indications for renal cysts, a pathology observed in more than 50% of subjects aged over fifty years, are currently limited to their symptomatic forms or those of uncertain diagnosis. The approach has changed from the unroofing procedure to percutaneous sclerotherapy and, thereafter, to percutaneous re...
journal_title：Archivos espanoles de urologia
pub_type： 杂志文章
doi：
更新日期：1994-04-01 00:00:00
abstract：OBJECTIVES:The aim of this study was to assess the prevalence of the urinary symptoms suggestive of overactive bladder (OAB) in Spain based on the International Continence Society (ICS) 2002 consensus criteria as urinary urgency, with or without urge incontinence, usually with frequency and nocturia. METHODS:1,669 rea...
journal_title：Archivos espanoles de urologia
pub_type： 杂志文章
doi：10.4321/s0004-06142005000200006
更新日期：2005-03-01 00:00:00
abstract：OBJECTIVE:To report a case of retroperitoneal bronchogenic cyst, an anomaly during the development of the primitive anterior intestine from which the bronchi and lungs are developed. METHODS/RESULTS:A 38-year-old male presented with left lumbar pain. Patient evaluation disclosed a left adrenal polycystic mass which wa...
journal_title：Archivos espanoles de urologia
pub_type： 杂志文章,评审
doi：
更新日期：2000-05-01 00:00:00
abstract：:We reviewed 19 patients presenting erectile deformities of the penis. Sixteen patients with congenital penile deviation were treated with the Nesbit procedure. All patients presented pronounced curvature of the penis and most of them were unable to achieve vaginal penetration. Five patients were submitted to original ...
journal_title：Archivos espanoles de urologia
pub_type： 杂志文章
doi：
更新日期：1989-05-01 00:00:00
abstract：OBJECTIVE:To compare the characteristics, clinical course, and survival of pairs of renal grafts from the same donor, with special interest in cold ischemia times (CIT) as a risk factor for graft survival. METHODS:We retrospectively reviewed paired grafts originating from the same cadaver donor from our prospectively ...
journal_title：Archivos espanoles de urologia
pub_type： 杂志文章
doi：
更新日期：2016-04-01 00:00:00
abstract：:The authors study the greater incidence of testicle neoplasias in cryptorchidic patients and the convenience of hormone or surgical treatment before puberty. These follows a discussion of the therapy to be applied depending upon whether the cryptorchidia is unilateral or bilateral. ...
journal_title：Archivos espanoles de urologia
pub_type： 杂志文章
doi：
更新日期：1980-07-01 00:00:00
abstract：OBJECTIVES:The use of intraoperatory laparoscopic ultrasound for nephron sparring surgery (partial nephrectomy) in patients with technically challenging tumors has emerged during the last years. The objective of this work is to present a literature review and analysis of the published series, as well as the surgical te...
journal_title：Archivos espanoles de urologia
pub_type： 杂志文章,评审
doi：
更新日期：2019-10-01 00:00:00
abstract：OBJECTIVES:To report a case of renal artery embolism. To review the clinical, diagnostic and therapeutic features of this disease interesting for the urologist. METHODS/RESULTS:Case of a 47 year old male with history of cardiovascular disease who presents in the emergency room with left flank pain. Radiological studie...
journal_title：Archivos espanoles de urologia
pub_type： 杂志文章
doi：
更新日期：2002-12-01 00:00:00
abstract：:A patient with a tumor in the right pelvic ureter is described herein. Following diagnosis by ureteroscopy, the patient underwent TUR utilizing a ureteroresectoscope. No short- or long-term complications were observed. The scant number of cases in the literature and the advantages afforded by this technique (noninvasi...
journal_title：Archivos espanoles de urologia
pub_type： 杂志文章
doi：
更新日期：1990-07-01 00:00:00
abstract：:Herein we describe two additional cases of non-acquired arteriovenous renal fistula, one was congenital or cirsoid and the other was idiopathic or aneurysmal. Patient clinical work up prompted us to suspect this condition which was confirmed by renal arteriography. The usefulness of the diagnostic tests are highlighte...
journal_title：Archivos espanoles de urologia
pub_type： 杂志文章
doi：
更新日期：1990-11-01 00:00:00
abstract：OBJECTIVE:To emphasize that adrenal cysts are an uncommon finding and in most cases incidentally discovered during evaluation for nonspecific abdominal pain or even at outopsy. METHODS:We report a case of a non-hypers-creting right adrenal cyst in a middle-aged woman. RESULTS:A complete hormone, radiological and some...
journal_title：Archivos espanoles de urologia
pub_type： 杂志文章
doi：
更新日期：1998-09-01 00:00:00
abstract：:We report a case of squamous cell carcinoma of the ureter with periureteral infiltration. Three years following radical surgery, no evidence of tumor progression has been observed. Only 1% to 1.6% of urothelial tumors of the upper urinary tract are purely squamous cell tumors. This tumor type carries a poor prognosis....
journal_title：Archivos espanoles de urologia
pub_type： 杂志文章
doi：
更新日期：1992-06-01 00:00:00
abstract：:Patients on anticoagulant therapy may develop urologic complications, the most common being hematuria. Other less common but more severe complications are spontaneous hemorrhage arising from urological structures, as spontaneous perirenal hematoma, or from extra-urological structures, such as the iliac psoas muscle or...
journal_title：Archivos espanoles de urologia
pub_type： 杂志文章,评审
doi：
更新日期：1993-11-01 00:00:00
abstract：:The history of urology starts with written documents making express reference to procedures, practices and descriptions of morbid processes related with the male genitourinary tract. Oddly, the most recent prehistoric period, the superior Paleolithic (from approximately 40.000 years to 12.000 years ago; the longest pe...
journal_title：Archivos espanoles de urologia
pub_type： 历史文章,杂志文章
doi：10.4321/s0004-06142007000800002
更新日期：2007-10-01 00:00:00
abstract：:We describe a case of recurrent urinary tract infection in a male patient that had been repeatedly associated with sporadic sexual intercourse with his partner. The timing of the episodes and the bacteriological findings indicate this to be another uncommon case of urinary tract infection sexually transmitted by the f...
journal_title：Archivos espanoles de urologia
pub_type： 杂志文章
doi：
更新日期：1992-07-01 00:00:00
abstract：:La aplicación del láser en urología viene utilizándose desde hace muchos años, pero es realmente en nuestros tiempos donde está alcanzando unos niveles de popularidad excelentes. :La aplicación del láser en urología viene utilizándose desde hace muchos años, pero es realmente en nuestros tiempos donde está alcanzando...
journal_title：Archivos espanoles de urologia
pub_type： 杂志文章
doi：
更新日期：2020-10-01 00:00:00
abstract：:Clinical stage I testicular nonseminomatous germ cell tumours (NSGCT) are highly curable. Following orchidectomy a risk-adapted approach using active surveillance (AS), nerve sparing retroperitoneal lymph node dissection (nsRPLND) and primary chemotherapy is recommended by the current guidelines. CS I is defined neg...
journal_title：Archivos espanoles de urologia
pub_type： 杂志文章,评审
doi：
更新日期：2012-03-01 00:00:00
abstract：OBJECTIVES:To study the clinical, diagnostic, and therapeutic features of upper urinary tract tumors. METHODS:We perform a retrospective study of upper urinary tract tumors treated in our Department at Clinica La Luz Madrid between 1995 and 2008. RESULTS:We treated 42 tumors in 40 patients. Mean age was 64 years; the...
journal_title：Archivos espanoles de urologia
pub_type： 杂志文章
doi：10.4321/s0004-06142009000500004
更新日期：2009-06-01 00:00:00
abstract：:Two cases of breast metastases from renal carcinoma are described herein. One patient underwent nephrectomy two years earlier and the other patient presented with bilateral involvement. The cytological features gleaned from fine needle aspiration biopsy are described. The diagnostic value of fine needle aspiration is ...
journal_title：Archivos espanoles de urologia
pub_type： 杂志文章
doi：
更新日期：1990-01-01 00:00:00
abstract：:The microscopic innervation of the vas deferens in the rat was studied both in light and electron microscope. The nerve fibres form perivascular, intramuscular and subepithelial plexuses. Inside the connective tissue surrounding the vas deferens both isolated nerve fibres and sensory corpuscles (glomerular and Ruffine...
journal_title：Archivos espanoles de urologia
pub_type： 杂志文章
doi：
更新日期：1989-07-01 00:00:00
abstract：:The presence of microorganisms in certain renal calculi having been demonstrated; currently, there is a debate about the possibility of certain germs of extremely small size, Nanobacteria, which can have an important role in the general theory of lithogenesis. ...
journal_title：Archivos espanoles de urologia
pub_type： 杂志文章,评审
doi：
更新日期：2003-03-01 00:00:00
abstract：OBJECTIVES:The aims of the present study were to assess the results achieved by the newly designed ACUCISE cutting probe in the treatment of the PUJ syndrome, to describe its advantages and disadvantages and to determine the possibility of its replacing other previously utilized techniques. METHODS:The ACUCISE cutting...
journal_title：Archivos espanoles de urologia
pub_type： 临床试验,杂志文章
doi：
更新日期：1995-03-01 00:00:00
abstract：:The authors reviewed treatments performed worldwide using extracorporeal shock wave lithotripsy since its introduction in West Germany in 1980 to determine the efficacy of this treatment modality and its potential risks. The prevention of complications related to patients or shock wave energy are discussed, as well as...
journal_title：Archivos espanoles de urologia
pub_type： 杂志文章,评审
doi：
更新日期：1989-01-01 00:00:00
