Abstract：
INTRODUCTION AND OBJECTIVES:Pyeloplasty has always been the treatment of choice for ureteropelvic junction obstruction at our center, where a laparoscopic approach has been used in the last 4 years to perform this procedure. Results of open pyeloplasty (OP) and laparoscopic pyeloplasty (LP) performed at our center in the past 8 years are compared, and our laparoscopic procedure is described. MATERIALS AND METHODS:Pyeloplasties performed at our center from June 2000 to June 2008 were retrospectively reviewed. Clinical presentation, involved kidney function, operating time, intraoperatory bleeding, presence of kidney stones or crossing vessels, length of hospital stay, possible complications, and results obtained were analyzed in each case. RESULTS:Thirty pyeloplasties were performed, 15 OP and 15 LP (50%). Mean operating time was 167.6 minutes for LP (100-240) and 106 minutes for OP (75-180) (P< .0001). Mean hospital stay was 6.6 days (4-16) for LP and 9.1 days for OP (5-26) (P.05). Intraoperative bleeding was negligible in all patients and no peroperative complications occurred. However, 9 patients (30%) experienced postoperative complications, 5 out of 15 LPs (33.3%) and 4 out of 15 OPs (26.7%) (P.05). Urinary fistula was the most common complication, occurring in 3 of the 30 patients (10%). Procedure was successful in all 15 patients undergoing OP (100%) and in 14 of the 15 patients undergoing LP (93.3%) (P.05). CONCLUSIONS:LP is currently the procedure of choice at our center because of its lower morbidity and similar results to OP, despite the need for a certain laparoscopic skill and a usually longer operating time.
journal_name
Actas Urol Espjournal_title
Actas urologicas espanolasauthors
Bestard Vallejo JE,Cecchini Rosell L,Raventós Busquets CX,Trilla Herrera E,Tremps Velázquez E,Morote Robles Jdoi
10.1016/s0210-4806(09)72899-2subject
Has Abstractpub_date
2009-10-01 00:00:00pages
994-9issue
9eissn
0210-4806issn
1699-7980pii
13145084journal_volume
33pub_type
杂志文章abstract：:Laparoscopic surgery is a surgical technique the urologist should add to his surgical armamentarium. Its performance tries to mimic the surgical phases of open surgery, and also its indications. Laparoscopic partial nephrectomy is a sophisticated technique that requires wide experience in the performance of endoscopic...
journal_title：Actas urologicas espanolas
pub_type： 杂志文章
doi：10.1016/s0210-4806(06)73486-6
更新日期：2006-05-01 00:00:00
abstract：:Current clinical concepts as well as bases and rationale of varicocele treatment are reviewed. The accent is placed on the diagnostic value of the doppler technique because of its simplicity and efficacy as well as usefulness during surgery. Among the various therapeutical options, the author is inclined towards the s...
journal_title：Actas urologicas espanolas
pub_type： 杂志文章,评审
doi：
更新日期：1994-05-01 00:00:00
abstract：OBJECTIVE:Paratesticular tumors are very rare and mostly bening. Wa aport a new case of adenomatoid tumor of epididymis METHOD:Male of 40 years old with solid lesion in epidididymis tale treated with mass exéresis RESULTS:Adenoamotid tumor of the epididymis confirmed with hystopathologic technique CONCLUSION:Adenoma...
journal_title：Actas urologicas espanolas
pub_type： 杂志文章
doi：10.1016/s0210-4806(07)73658-6
更新日期：2007-04-01 00:00:00
abstract：OBJECTIVE:To asses the prognostic value of deoxyribonucleic acid (DNA) ploidy in a group of patients with prostate cancer treated with adrogenic blockade. MATERIALS AND METHODS:A retrospective study on 136 patients with prostatic cancer having undergone androgenic blockade was carried out. The prognostic influence of ...
journal_title：Actas urologicas espanolas
pub_type： 杂志文章
doi：10.1016/s0210-4806(01)72616-2
更新日期：2001-04-01 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：:Trigone-cervico-prostatic incision is a surgical alternative in the treatment of urinary obstruction induced by small size prostate. Twenty-three patients were treated in our unit with this procedure, 17 because they were carriers of small size prostate and 6 because they were high risk surgical patients in which the ...
journal_title：Actas urologicas espanolas
pub_type： 杂志文章
doi：
更新日期：1992-02-01 00:00:00
abstract：:We report a strange case of a bladder whose first metastasic manifestation, after two years of the diagnosis, was a peripheric polyneuropathia. This patient was treated with immunotherapy with BCG for superficial carcinoma of the bladder during one year. Gradually central neurological symptoms appeared and the patient...
journal_title：Actas urologicas espanolas
pub_type： 杂志文章
doi：10.1016/s0210-4806(99)72387-9
更新日期：1999-11-01 00:00:00
abstract：:Exposition of one case of fibroepithelial polyp of the ureter in a young male patient. The interest of the case lies in the rarity of this entity. Review of all likely etiologies, clinical presentations and differential diagnosis, mainly with malignant tumours whose prognosis and treatment are entirely different. Endo...
journal_title：Actas urologicas espanolas
pub_type： 杂志文章
doi：
更新日期：1994-10-01 00:00:00
abstract：:Melanosis of the bladder is a rare entity characterized by anomalous deposits of melanin-containing pigment on the vesical urothelium without melanocytic atypia or associated malignant melanoma. To our knowledge and following such strict criteria, there are only five cases previously reported. The biological potential...
journal_title：Actas urologicas espanolas
pub_type： 杂志文章,评审
doi：10.1016/s0210-4806(04)73144-7
更新日期：2004-09-01 00:00:00
abstract：:Endometriosis is a common gynecologic disease in which endometrial tissue is deposited outside the normal confines of the uterine cavity. Rarely endometriosis involves urinary tract. The bladder is the most frequent organ affected into this tract. A delay in detection can result in months or years of morbidity. ...
journal_title：Actas urologicas espanolas
pub_type： 杂志文章
doi：10.1016/s0210-4806(03)72943-x
更新日期：2003-05-01 00:00:00
abstract：:Case report of a patient bearer of a double-J ureteral catheter due to ureteral lithiasis. After persistent renoureteral pain and fever, the proximal migration of the catheter is confirmed radiologically. The predisposing factors for this complication, described in the literature, are reviewed. ...
journal_title：Actas urologicas espanolas
pub_type： 杂志文章,评审
doi：
更新日期：1997-04-01 00:00:00
abstract：:Stones with different compositions respond differently to shock wave lithofragmentation. Likewise, the various lithotrity systems used may have different effects on the stones. To determine the relationships between stone composition and their fragmentation patterns, we conducted an in vitro study using endoscopy, mag...
journal_title：Actas urologicas espanolas
pub_type： 杂志文章
doi：
更新日期：1997-07-01 00:00:00
abstract：OBJECTIVES:To analyze the surgical and oncologic outcome of prospective experience with laparoscopic partial nephrectomy. We describe the surgical technique and mid term oncological results achieved. MATERIAL AND METHODS:60 patients were operated with this technique between June 2005 and June 2009. The mean age of pat...
journal_title：Actas urologicas espanolas
pub_type： 杂志文章
doi：10.1016/j.acuro.2011.03.015
更新日期：2011-09-01 00:00:00
abstract：:The stimulation of renal innervation activates vasoconstrictor mechanisms that compromise the parenchyma. In order to know the intensity and duration of these effects continuous electric stimulation was applied to the greater splanchnic nerve in 14 dogs for half an hour, completing both a pre and post monitoring of eq...
journal_title：Actas urologicas espanolas
pub_type： 杂志文章
doi：
更新日期：1997-03-01 00:00:00
abstract：:As a result of finding some ectopic adrenal debris in the spermatic cord, the present report studies the embryogenesis and clinical implications that can derive from the existence of the referred adrenal debris. The relevant literature is reviewed and six new cases contributed, one of them bilateral. ...
journal_title：Actas urologicas espanolas
pub_type： 杂志文章,评审
doi：
更新日期：1993-10-01 00:00:00
abstract：:Shock-wave extracorporeal lithotripsy (SWEL) is admittedly the choice method for most ureteral calculi (UC). Treatment of 1.674 UC was carried out with a Lithostar (Siemens). Endourologic support manoeuvres (ESM) were used in 11.7% patients. To determine their statistical influence on treatment's result variables such...
journal_title：Actas urologicas espanolas
pub_type： 杂志文章
doi：
更新日期：1997-04-01 00:00:00
abstract：INTRODUCTION:The DHEA widely used for the control of the symptoms associated with the aging, has been an object of numerous clinical essays with discordant results as for its efficiency. OBJECTIVES:The present review tries to analyze the existing information by means of a search and systematic review of articles centr...
journal_title：Actas urologicas espanolas
pub_type： 杂志文章,评审
doi：10.1016/s0210-4806(09)74165-8
更新日期：2009-04-01 00:00:00
abstract：:We have performed experimental vasectomies in dogs in order to study effects of vas deferens ligature with close technique, on the testicular ultrastructure. We point out the existence of alterations: structural changes of the seminiferous epithelium, great extracellular spaces which are generated for the premature ex...
journal_title：Actas urologicas espanolas
pub_type： 杂志文章
doi：
更新日期：1999-04-01 00:00:00
abstract：INTRODUCTION AND OBJECTIVES:The aim of this study was to analyse prognostic impact of tumour histological grade on survival differences between primary G2 and G3 WHO1973 stage T1 tumours which were graded as HG according to WHO2004 grading system. MATERIALS AND METHODS:Data from 481 patients with primary T1HG bladder ...
journal_title：Actas urologicas espanolas
pub_type： 杂志文章,多中心研究
doi：10.1016/j.acuro.2019.03.011
更新日期：2019-11-01 00:00:00
abstract：INTRODUCTION:primary hyperaldosteronism is one of the few potentially curable causes of secondary arterial hypertension. One of the most important variants is the adenoma of the adrenal cortex that produces aldosterona (Conn's Syndrome). The treatment of choice in this subgroup of patients was the removal of the lesion...
journal_title：Actas urologicas espanolas
pub_type： 杂志文章
doi：10.1016/j.acuro.2010.11.009
更新日期：2011-02-01 00:00:00
abstract：:Wilms tumour is an infantile neoplasia with low incidence in adults. Worldwide literature describes 260 cases but only 50 meet the diagnostic criteria described by Kilton. This paper presents one case diagnosed in our service and includes a review of the literature. ...
journal_title：Actas urologicas espanolas
pub_type： 杂志文章,评审
doi：
更新日期：1991-09-01 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：:A case is presented on the use of extracorporeal lithotrity by shock waves to treat vesical lithiasis, using the desk module of a Lithostar-PlusR (Siemens) lithotripter. This is an effective method without morbidity an adequate for ambulatory use, specially valuable in patients where the use of more invasive methods, ...
journal_title：Actas urologicas espanolas
pub_type： 杂志文章
doi：
更新日期：1990-11-01 00:00:00
abstract：:Fournier's gangrene (FG) is a rare and potentially fatal infectious disease characterised by necrotic fasciitis of the perineum and abdominal wall in addition to the scrotum and penis in men and the vulva in women. Skin loss can be very damaging and difficult to repair. This condition must be treated aggressively. Sev...
journal_title：Actas urologicas espanolas
pub_type： 杂志文章
doi：10.1016/s0210-4806(09)72884-0
更新日期：2009-09-01 00:00:00
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journal_title：Actas urologicas espanolas
pub_type： 杂志文章,多中心研究
doi：10.1016/j.acuro.2013.11.001
更新日期：2014-06-01 00:00:00
abstract：:Penile fibrosis due to previous penile infection and/or prosthesis explants entails situations of high surgical complexity. In these cases, reimplantation should follow an alternative scheme, aimed at minimizing perioperative and postoperative complications, as well as achieving maximum efficiency of the procedure and...
journal_title：Actas urologicas espanolas
pub_type： 杂志文章,评审
doi：10.1016/j.acuro.2019.10.001
更新日期：2020-06-01 00:00:00
abstract：:Benign prostatic hyperplasia (BPH) is a high prevalence condition in men over 50 years that requires continued assistance between primary care and urology. Therefore, consensus around common referral criteria was needed to guide and support both levels. Medical history, symptom assessment with International Prostate S...
journal_title：Actas urologicas espanolas
pub_type： 共识发展会议,杂志文章,实务指引
doi：10.1016/s0210-4806(10)70007-3
更新日期：2010-01-01 00:00:00
abstract：:One of the various therapeutic options currently used in erectile dysfunction (ED), vacuum is a procedure that should not be ruled out as it can benefit certain types of patient. To understand each patient's response and usage readiness, a vacuum test is routinely performed by the andrology service as part of the diag...
journal_title：Actas urologicas espanolas
pub_type： 临床试验,杂志文章
doi：10.1016/s0210-4806(00)72437-5
更新日期：2000-03-01 00:00:00
abstract：OBJECTIVE:To compare the clinical diagnosis of the urinary incontinence with the results of LPP and URP obtained by non-multichannel urodynamic. To evaluate the tolerance of the patients to this examination. PATIENT AND METHOD:Between August and December 2006, 100 urodynamics were made in patients with clinical diagno...
journal_title：Actas urologicas espanolas
pub_type： 杂志文章
doi：10.1016/s0210-4806(08)73838-5
更新日期：2008-03-01 00:00:00
abstract：:Treatment for testicular tumours has progress in such a manner in the last years that high cure percentages can at present be achieved. After chemotherapy, in most cases, residual mass can appear. In this cases surgery is considered a viable therapeutic option although it implies an advanced surgical training since it...
journal_title：Actas urologicas espanolas
pub_type： 杂志文章
doi：10.1016/s0210-4806(04)73064-8
更新日期：2004-03-01 00:00:00
