Abstract：
OBJECTIVES:To analyze the current indications for renal autotransplantation, as well as the technical features, complications and long-term follow-up of the technique. METHODS:From 1990 to 2005 we have performed autotransplantation in 10 patients, 7 adults and 3 children. The indication was established due to vascular pedicle pathology in 8 cases and ureteral lesion in 2. The cause of vascular pathology was: atherosclerotic stenosis (4), dysplastic stenosis (2), Takayasu's disease stenosis (1), and renal artery aneurysm (1). The patients with ureteral lesion had ureteral stenosis secondary to Crohn's disease in one case, initially solved by ureteral stent and subsequently obstructed by lithiasic encrustation, and ureteral avulsion in the other case. The vascular grafts employed in the 8 cases with vascular reconstruction were: hypogastric artery 7 cases, and sophena vein in one case. Ureteral reimplantation was necessary in 5 cases after bench surgery; in other five cases vascular reconstruction was performed without ureteral division. All grafts were perfused with 4 degrees C lactate ringer or Wisconsin solution and protected with surface cold ischemia. Ischemia times ranged from 42 to 89 minutes. RESULTS:Nine kidneys (90%) functioned after autotransplantation, 8 of them had immediate function, and one had delayed graft function after a six-day period of acute tubular necrosis. The kidney with arterial stenosis secondary to Takayasu's disease never functioned. The cause of graft loss was renal vein thrombosis. Postoperative mortality was zero. After a mean follow-up of 72+/- 13 months mean serum creatinine is 1.6+- 0.4 mg/dl (1.1-2.4) and 70% (7/10) of the patients have normal blood pressure without antihypertensive medication. CONCLUSIONS:Currently, renal autotransplantation, with or without extracorporeal vascular reconstruction, is a complex technique with exceptional indications, but it allows recovering renal units with vascular pathology not amenable to angioplasty or in situ revascularization. It is also a valid alternative to ileal ureteral substitution in cases of extensive ureteral lesion.
journal_name
Arch Esp Uroljournal_title
Archivos espanoles de urologiaauthors
López-Fando Lavalle L,Burgos Revilla J,Sáenz Medina J,Linares Quevedo A,Vallejo Herrador J,De Castro Guerin C,Pascual Santos J,Marcén Letosa Rdoi
10.4321/s0004-06142007000300005subject
Has Abstractpub_date
2007-04-01 00:00:00pages
255-65issue
3eissn
0004-0614issn
1576-8260journal_volume
60pub_type
杂志文章,评审abstract：:A case of testicular gonadal stromal tumor in an 8-month-old boy is described. Patient evaluation revealed no hormonal alterations. The patient underwent orchidectomy and has remained tumor-free at two years follow-up, which meets the well-established criteria for benign tumors. A detailed anatomopathological descript...
journal_title：Archivos espanoles de urologia
pub_type： 杂志文章
doi：
更新日期：1993-03-01 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：OBJECTIVE:To analyze the information provided by computed tomography (CT) in Fournier's gangrene, particularly in regard to the early diagnosis of the disease, and its utility as a complementary diagnostic imaging technique. METHODS:A retrospective study identified five cases of Fournier's gangrene. These patients had...
journal_title：Archivos espanoles de urologia
pub_type： 杂志文章
doi：
更新日期：1998-11-01 00:00:00
abstract：:We made a crystallographic analysis of 87 mixed-nucleus stones and found 4 groups of stones of this kind, which are as follow: urico-oxalic, oxalico-uric, phosphato-oxalic and oxalic-phosphatic. We did not find any mixed-nucleus, urico-phosphatic or phosphatico-uric stones and we explain this fact according to the kno...
journal_title：Archivos espanoles de urologia
pub_type： 杂志文章
doi：
更新日期：1980-11-01 00:00:00
abstract：OBJECTIVES:During a 36-month period, 63 patients with benign prostatic hypertrophy (BPH) who presented urinary retention, were treated on an outpatient basis by transurethral microwave thermotherapy (TUMT) with the Prostatron device using analgosedation. METHODS:Treatment consisted of a single one hour session with Pr...
journal_title：Archivos espanoles de urologia
pub_type： 临床试验,杂志文章
doi：
更新日期：1996-05-01 00:00:00
abstract：:Oligometastatic prostate cancer (PCA) has increasingly been detected in the era of modern imaging studies such as choline-specific and prostate-specific membrane antigen (PSMA)-positron emission tomography and X-ray computed tomography (PET/CT). Recent evidence suggests that durable control is attainable with local tr...
journal_title：Archivos espanoles de urologia
pub_type： 杂志文章,评审
doi：
更新日期：2019-03-01 00:00:00
abstract：OBJECTIVE:To present three illustrative cases of pyeloureteritis cystica and review the literature. METHODS:Three illustrative cases diagnosed at our department are described. Patient history, clinical features, diagnostic procedures and treatment are analyzed and the literature is reviewed. RESULTS:Our patients had ...
journal_title：Archivos espanoles de urologia
pub_type： 杂志文章,评审
doi：
更新日期：2000-01-01 00:00:00
abstract：:The present article studied the biological behaviour of T4a versus T4b tumors. Of 29 patients with T4a tumors, 24 were treated by radical cystectomy and 5 were treated by diversion alone on detecting pathologic gross adenopathies at laparotomy. Of these 10/28 (35.7%) are alive and tumor-free. Of 11 patients with T4b t...
journal_title：Archivos espanoles de urologia
pub_type： 临床试验,杂志文章
doi：
更新日期：1990-01-01 00:00:00
abstract：:We report on a 62-year-old female patient who consulted for G.I. tract disorders and was diagnosed as having renal oncocytoma. The rarity of this disease entity prompted us to report on this case, highlighting the malignant course of this tumor type despite its apparently benign features. ...
journal_title：Archivos espanoles de urologia
pub_type： 杂志文章,评审
doi：
更新日期：1989-04-01 00:00:00
abstract：:Testicular tumors have a typical form of presentation, but there are also unusual forms that must always be considered. We report on 5 cases of testicular tumors that had an uncommon form of presentation: 3 seminomas (1 anaplastic), 1 teratocarcinoma and 1 carcinoma in situ. All testicular changes, particularly in the...
journal_title：Archivos espanoles de urologia
pub_type： 杂志文章
doi：
更新日期：1992-01-01 00:00:00
abstract：OBJECTIVES:To report the series of our Urology Department in the treatment of urinary stone disease with extracorporeal lithotripsy as well as the effectiveness of the Dornier lithotripter MFL-5000. METHODS:6.602 patients were treated by extracorporeal lithotripsy during 12 years with a total of 17.120 sessions. We ex...
journal_title：Archivos espanoles de urologia
pub_type： 杂志文章
doi：
更新日期：2007-07-01 00:00:00
abstract：:Stone formation in the double J ureteral catheter is an uncommon complication that generally appears in patients that are predisposed to stone formation and persistent infection of the urinary tract. We report on a 29-year-old female patient in whom stone formation was observed in both ends of the catheter, less than ...
journal_title：Archivos espanoles de urologia
pub_type： 杂志文章
doi：
更新日期：1989-01-01 00:00:00
abstract：OBJECTIVE:To evaluate the impact of a new renal lithiasis classification on the stone free rate. The new system would allow standarization of comparison between different series of percutaneous nephrolithotomy. MATERIAL AND METHODS:Patients undergoing NPCL between November 2011 and November 2016 were retrospectively a...
journal_title：Archivos espanoles de urologia
pub_type： 杂志文章
doi：
更新日期：2020-01-01 00:00:00
abstract：OBJECTIVES:We reviewed our series of vesicovaginal fistula that had been treated by the abdominal-transvesical approach, which we have also utilized in complex relapsed fistulas of the posterior aspect of the bladder in all but one case of triple fistula associated with lithiasis of the bladder. METHODS:6 patients wit...
journal_title：Archivos espanoles de urologia
pub_type： 杂志文章,评审
doi：
更新日期：1997-01-01 00:00:00
abstract：OBJECTIVE:A case of epididymal leiomyoma is presented. This lesion is uncommon and sometimes misdiagnosed. The literature is briefly reviewed. METHODS/RESULTS:A 29-year-old patient presented with a tumor in the tail of the right epididymis that was initially diagnosed as scrotal hematoma or complex cyst in the tail of...
journal_title：Archivos espanoles de urologia
pub_type： 杂志文章,评审
doi：
更新日期：2001-10-01 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：OBJECTIVES:Intravenous urography (IVU) has been classically considered as an essential examination in the great majority of urologic diseases due to the great amount of information that supplies both functional and morphological, mainly for ureteral abnormalities where other exams do not reach enough definition. Nevert...
journal_title：Archivos espanoles de urologia
pub_type： 杂志文章
doi：
更新日期：2003-12-01 00:00:00
abstract：OBJECTIVES:Studying the psychosocial sphere of patients who undergo any treatment allows to have more information about its repercussion and can help the choice of an appropriate and personalized treatment. Due to the absence of specific instruments at present, the objective is to design and validate a health questionn...
journal_title：Archivos espanoles de urologia
pub_type： 杂志文章
doi：
更新日期：2019-01-01 00:00:00
abstract：OBJECTIVE:The primary objective of this product evaluation involved obtaining assessments from patients following the use of the Onli™ intermittent catheter(IC) 17cm and 40cm; and opinions from clinicians on its use for catheterization based on its design features.The inability to access the right catheter is often why...
journal_title：Archivos espanoles de urologia
pub_type： 杂志文章
doi：
更新日期：2020-03-01 00:00:00
abstract：OBJECTIVE:To report an uncommon case of idiopathic calcinosis of the scrotum. METHODS/RESULTS:A case of idiopathic scrotal calcinosis in a 50-year-old male who presented with multiple hard masses in the scrotum is described. Cytological (fine needle aspiration) and histological (biopsy and resection) analyses of these...
journal_title：Archivos espanoles de urologia
pub_type： 历史文章,杂志文章
doi：
更新日期：1997-11-01 00:00:00
abstract：:The cholinesterase activity and ultrastructural characteristics of the nerves in tubuli seminiferi recti, rete testis and ductuli efferentes testis have been studied in Wistar rats. The tubuli seminiferi recti and rete testis are innervated by a dense network which has varicosities containing different types of synapt...
journal_title：Archivos espanoles de urologia
pub_type： 杂志文章
doi：
更新日期：1989-10-01 00:00:00
abstract：OBJECTIVES:To analyze the long-term results of treatment of urethral strictures by internal endoscopic urethrotomy, a simple, easily reproducible procedure that carries a low morbidity and requires a short period of convalescence. MATERIAL AND METHODS:We report our experience of 78 cases submitted to urethrotomy as pr...
journal_title：Archivos espanoles de urologia
pub_type： 临床试验,杂志文章
doi：
更新日期：1995-12-01 00:00:00
abstract：OBJECTIVE:To define, based on PSA value, Gleason score (GS), clinical stage and age, those patients diagnosed with asymptomatic prostate cancer whose cases warrant further study of bone metastasis (BMet). METHODS:From January 2006 to May 2010, we evaluated 263 patients diagnosed with prostate cancer who were chosen fo...
journal_title：Archivos espanoles de urologia
pub_type： 杂志文章
doi：
更新日期：2015-03-01 00:00:00
abstract：:We report a case of retroperitoneal ganglioneuroma that had been incidentally discovered during ultrasound evaluation in a young female patient. The plain X-ray, IVP and ultrasonography only revealed the presence of a retroperitoneal mass and its approximate size. CT and arteriography provided further information rela...
journal_title：Archivos espanoles de urologia
pub_type： 杂志文章
doi：
更新日期：1990-04-01 00:00:00
abstract：OBJECTIVE:To describe a case of vasitis nodosum causing spontaneous recanalization of the vas deferens. METHODS:Herein we describe a patient who had undergone vasectomy 9 years earlier. A nodule in the vas deferens arising from granulomatous reaction had progressed to vasitis nodosum, causing spontaneous recanalizatio...
journal_title：Archivos espanoles de urologia
pub_type： 杂志文章
doi：
更新日期：1997-06-01 00:00:00
abstract：OBJECTIVES:We report one case of seminal vesicle cyst with ectopic drainage of the left ureter. We performed a bibliographic review of this pathology. METHODS:23-year-old patient who presented several episodes of acute epididymitis. Complementary study showed a retroprostatic cystic structure on transrectal ultrasound...
journal_title：Archivos espanoles de urologia
pub_type： 杂志文章,评审
doi：
更新日期：2004-03-01 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：OBJECTIVE:To determine the utility of different diagnostic imaging techniques in diverticulum of the urachus and discuss the approach in the incidentally discovered cases such as those detected due to infectious complications. METHODS/RESULTS:We reviewed the literature, with special reference to the diagnostic and the...
journal_title：Archivos espanoles de urologia
pub_type： 杂志文章
doi：
更新日期：2002-04-01 00:00:00
abstract：:We report on a 72-year-old male patient with fibrous ureteral polyp which had been diagnosed following the incidental finding of a ureteral filling defect on radiographic evaluation for prostatism and gross intermittent hematuria of several months. We underscore the low frequency of this disorder and the therapeutic i...
journal_title：Archivos espanoles de urologia
pub_type： 杂志文章
doi：
更新日期：1989-10-01 00:00:00
abstract：:We report 14 cases of primary retroperitoneal tumor and one retroperitoneal papillary cystoadenoma in a patient who had undergone hysterectomy and bilateral adnexectomy for uterine myomatosis 15 years before the onset of the clinical features that led to the diagnosis of retroperitoneal tumor. For this reason, we beli...
journal_title：Archivos espanoles de urologia
pub_type： 杂志文章,评审
doi：
更新日期：1991-10-01 00:00:00
