Abstract:
BACKGROUND:The renal parenchyma acute infection, known as acute pyelonephritis (APN), is diagnosed and treated in some Hospital Departments of the H.C.U. Lozano Blesa. We want to know if the process was made in a homogeneous way, fixed to the described quality standards and if we could detect improvement areas. METHODS:Retrospective study in admitted patients with the diagnosis of APN over and 2 year period (11-05/10-07), evaluating some variables referred to epidemiological data, diagnosis, treatment and evolution. RESULTS:We studied 118 patients (80.5% women, mean age 34 years), that supposed 0.39% of patients admitted from the Emergency Department (36% in Urology and the rest in Paediatric, Obstetric, Internal Medicine and others).45% showed risk factors (urinary anomalies, diabetes, pregnancy, immunosuppressant, ...), and it is considered complicated APN (CAPN). In children there was a high rate of urinary tract malformations. Diagnosis was clinical in 82.2%. The rest required imaging techniques, specially children, using gamma scan. In 82.7% there was leukocyturia and in 79.9% leukocytosis. A urine culture pre-treatment was made in 76.3%, with a positive rate of 55.5%, detecting negative Gram germs in 94% (E. coli in 82%). Treatment was empiric in all cases, based on cephalosporin, amoxicillin/clavulanic acid and fluoroquinilones. Evolution was favorable in 93.1% (95.1% of NCAPN and 85.7% of CAPN). The mean hospital stay was 6.4 days (5.6 in NCAPN and 7.5 in CAPN). CONCLUSIONS:Acute pyelonephritis management in our hospital is highly satisfactory and similar to the revised medical literature. We could emphasize the low rate of urinary cultures pretreatment (negative in quite a lot of the cases, due to early beginning of antibiotic treatment) and that mean hospital stay could be reduced in CAPN. We want to congratulate all involved professionals at the hospital for the good practice demonstrated.
journal_name
Arch Esp Uroljournal_title
Archivos espanoles de urologiaauthors
Pérez Arbej JA,Cameo Rico MIdoi
10.4321/s0004-06142009000300003subject
Has Abstractpub_date
2009-04-01 00:00:00pages
186-94issue
3eissn
0004-0614issn
1576-8260journal_volume
62pub_type
杂志文章abstract:OBJECTIVES:To report one case of pseudotumoral lesion of the iliac ureter with obstructive uropathy leading to loss of function of the renal unit. METHODS:66-year-old male being studied for BPH who presents with a self-limited monosymptomatic hematuria. RESULTS:Renal ultrasound detected grade II pyelocaliectasis of t...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章
doi:10.4321/s0004-06142005000400011
更新日期:2005-05-01 00:00:00
abstract:OBJECTIVES:To discuss the modern imaging techniques and preoperative management of pheochromocytoma and to report on one additional case. METHODS:A 66-year-old male with an incidentally discovered left adrenal mass is described. The adrenal medulla strongly accumulate 131 I-metaiodobenzylguanidine (MIBG). The patient ...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章,评审
doi:
更新日期:2000-10-01 00:00:00
abstract::Urological surgery is rapidly developing towards less invasive and more conservative approaches without detriment to its proven efficacy. The authors, who perform endourologic surgery in 60% of the cases, have sought to enhance endoscopic suture techniques in the bladder using the triangulation procedure. Investigatio...
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 Goddess of Health had two daughters, Panacea and Higinia, the fruit of the first is diagnosis, prognosis and treatment, and the fruit of the second is health management, prevention, and statistics. Humanbeings are unexpectedly subjected to:1. Happenings: they belong to the plane of the personality, crisis, the Age...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章
doi:
更新日期:2020-06-01 00:00:00
abstract:OBJECTIVE:To describe the clinical and histopathological manifestations of a case of pseudoepitheliomatous, keratotic and micaceous balanitis and review the literature on this rare condition. METHODS:A case of pseudoepitheliomatous, keratotic and micaceous balanitis in a 63-year-old man is presented. The lesion appear...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章
doi:
更新日期:1998-10-01 00:00:00
abstract:OBJECTIVE:To report our experience with the management of arterial priapism by embolization. METHODS:Two patients with arterial priapism secondary to perineal trauma are described. Diagnostic evaluation included intracorporal blood gas, echo Doppler and selective pudendal arteriographic assessment. Treatment was by se...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章
doi:
更新日期:1999-04-01 00:00:00
abstract::The experience of two units (Gastroenterology and Urology) of Clínica La Luz, Madrid, in the treatment of gallbladder and renal lithiasis using the Dornier MPL-9000 lithotripter is reported herein. This lithotriptor has been utilized in the treatment of all cases of gallbladder calculi for which it is indicated and re...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章
doi:
更新日期:1991-03-01 00:00:00
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. RESU...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章,评审
doi:10.4321/s0004-06142006000600002
更新日期:2006-07-01 00:00:00
abstract::Endometriosis is relatively frequent in females of menstrual age and consists in the appearance of active endometrial tissue at sites other than the uterine cavity (genital system or adjacent organs). Endometrial tissue has been described to colonize the urinary system, particularly the urinary bladder. The most commo...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章
doi:
更新日期:1992-03-01 00:00:00
abstract:OBJECTIVE:To report on a patient who underwent surgery for renal carcinoma at the age of 12 years and who is alive and symptom-free after 22 years. METHODS:A 34-year-old female who underwent surgery for a right renal tumor when she was 12 is described. The histological analysis demonstrated renal adenocarcinoma. To da...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章
doi:
更新日期:1999-11-01 00:00:00
abstract:OBJECTIVE:To evaluate the results of Thermochemotherapy in adjuvant treatment of primary high risk non-muscle invasive bladder cancer in our center. METHODS:The study included 26 patients with an age of 51-78 years (mean: 62.4 years). All patients had transurethral tumor resection (TURB) after being diagnosed with a p...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章
doi:
更新日期:2015-10-01 00:00:00
abstract:OBJECTIVE:The selection of patients amenable to treatment with a bladder neck sling remains a controversy. In this paper we review our experience with this technique and describe our patient selection criteria. METHODS:Since 1991, 30 patients (24 females and 6 males) aged 4 to 20 years (mean 10) received a bladder nec...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章
doi:
更新日期:1998-07-01 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::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::Since the introduction of extracorporeal shock wave lithotripsy and the various modalities of endoscopic surgery, the number of open procedures for the treatment of urolithiasis has decreased dramatically. The use of these techniques in the management of easier cases leaves no doubt, but there is still some controvers...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章,评审
doi:
更新日期:2011-04-01 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::Percutaneous nephrostomy (PCN) is currently one of the procedures of choice for emergency drainage of the upper urinary tract. Moreover, it permits morphologic and functional diagnostic possibilities as well as a wide variety of new and frequently definitive therapeutic procedures. We report on 58 PCN procedures perfo...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章
doi:
更新日期:1989-11-01 00:00:00
abstract::A case of recurrent emphysematous cystitis in a 44-year-old male diabetic is described. Treatment of the first episode had been effective and demonstrable radiologically. A recurrent episode of cystitis disclosed a neurogenic bladder, which had not been detected previously. The literature on the pathogenesis of this e...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章
doi:
更新日期:1993-04-01 00:00:00
abstract::Our experience in stenosis of the urinary tract after renal transplantation is described. We reviewed the records of 160 consecutive cases of renal transplantation. The data gleaned over a period of 10 years (1982-1992) show a stenosis rate of 4.37%. All the cases were successfully treated by surgery. ...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章
doi:
更新日期:1994-07-01 00:00:00
abstract::Prostate cancer (PCa) is the most common non-skin malignancy among men world-wide. PCa incidence is higher among African American (AA) menin comparison to the white population. Men with a previous history of PCa in first-line relatives carry also an increased risk for this disease. The incidence of PCa diminished in U...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章
doi:
更新日期:2019-03-01 00:00:00
abstract:OBJECTIVES:We review the main issues on epididymis obstruction and its diagnosis, as well as therapeutic indications and surgical techniques for epididymovasostomy. METHODS:We describe the microsurgical end-to-side epididymovasostomy technique using double needle 10-0 sutures. RESULTS:Various techniques of epididymov...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章,评审
doi:
更新日期:2004-11-01 00:00:00
abstract::The serum and urinary biochemical changes observed one month and six months after oral potassium citrate therapy (600 mEq/day) in 119 patients with calcium oxalate calculi were compared with those of 16 untreated cases with lithiasis. The patients that received treatment were previously divided into two groups: group ...
journal_title:Archivos espanoles de urologia
pub_type: 临床试验,杂志文章,多中心研究,随机对照试验
doi:
更新日期:1994-03-01 00:00:00
abstract:OBJECTIVE:To report two cases of verrucous carcinoma of the penis, a rare tumor with a characteristic course and specific treatment that accounts for approximately 1% of tumors in the male. METHODS:Two patients, aged 86 and 51 years, with verrucous carcinoma of the penis are described. Treatment was by partial penecto...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章
doi:
更新日期:2001-01-01 00:00:00
abstract:OBJECTIVES:Testicular cancer affects young and fertile patients. Half of them are non seminomatous tumors. The management of this cancer in stage I includes: watchful waiting, chemotherapy and retroperitoneal lymph node dissection (RPLND). In the past, classic RPLND produced a high rate of anejaculation with the subseq...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章
doi:10.4321/s0004-06142008000400008
更新日期:2008-05-01 00:00:00
abstract:OBJECTIVE:An uncommon complication of prostatic transrectal biopsy is described. METHODS/RESULTS:A case of peritonitis arising from a recto-peritoneal fistula after transrectal biopsy of the prostate is reported. The patient presented symptoms of peritonitis 15 days after undergoing ambulatory transrectal prostatic bi...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章
doi:
更新日期:1999-03-01 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 new case of renal colic in a patient with crossed renal ectopia and L-shaped kidney, and to perform a bibliographic review. METHODS AND RESULTS:A 33-year-old male patient consulted for abdominal right pain. Ultrasound and CT showed a L-Shaped Kidney with left renal and ureteral stones. These sto...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章,评审
doi:
更新日期:2003-04-01 00:00:00
abstract::We report on a case of ileal conduit-enteric fistula which appeared early after ureteroileostomy using the Bricker technique. The appearance of gastrointestinal content through the stoma was the only sign. An ileogram permitted making the diagnosis. Conservative treatment was instituted and the fistula resolved sponta...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章
doi:
更新日期:1992-04-01 00:00:00
abstract:OBJECTIVE:To study lytic lesions in a patient with past history of renal cancer. METHODS:A 62 year-old man was admitted to hospital for investigation of the cause of polyostotic bone pain. RESULTS:Brown tumors due to hyperparathyroidism turned out to be the cause of bone pain. CONCLUSIONS:Differential diagnosis is i...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章
doi:
更新日期:2013-04-01 00:00:00
abstract:OBJECTIVE:Mondor's disease is a superficial thrombophlebitis and usually occurs in the anterior and lateral chest. The scrotal vein thrombosis is a fairly rare disease. METHODS:Thirty-four year old male who consulted for inguinal tumor and pain in the postoperative period of an umbilical hernia repair, which resulted ...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章
doi:
更新日期:2012-12-01 00:00:00