Abstract:
OBJECTIVES:Dorsal urethroplasty as described by Barbagli has gained wide acceptance in the treatment of urethral stricture, given the simplification afforded by obtaining a free graft versus a flap. We present a series of 50 patients treated in our department of urethral stricture by dorsal onlay free graft urethroplasty (Barbagli's technique), in combination or not to other techniques in more complex strictures. METHODS:The average age of patients was 48.8 years (23-77), the mean follow up 42.9 months (12-96) and the most frequently observed etiology has been the inflammatory urethral stricture (50%). RESULTS:Overall success rate was 82% (41 cases) and failure 18% (9 cases). In the longer follow-up group, there was a slight drop in success rate of 80% (24 cases) without any significant differences between groups (p= 0.9). Analyzing the variables length of free graft (p= 0.50, p> 36= 0.53), age (p= 0.12, p>36= 0.59), etiology of stricture (p= 0.77, p>36 = 0.77) and type of graft used (p=0.24, p>36= 0.38) did not show any influence on the final outcome of surgery, both in the total sample and the subgroup with follow-up > 36 months. The location of the stricture in bulbar urethra has shown better functional outcome than those operated on for strictures affecting also other urethral locations (p= 0.001) maintaining that result in the group of longer follow up (p>36= 0,001). The lack of treatment prior to urethral surgery has influenced the success of it, since 90.6% of patients without prior treatment before urethroplasty have seen a good functional outcome, compared to treatment prior to surgery that obtained a 66.7% (p= 0.03). This significance is also demonstrated in the group of follow-up > 36 months (p>36= 0.01). CONCLUSION:The dorsal onlay free graft urethroplasty is a versatile and reproducible technique with acceptable results which allows combination with other techniques when the stenosis extends to the penile urethra. In exceptional cases of panurethral strictures secondary to lichen sclerosus when there is no significant spongiofibrosis and an acceptable urethral plate, can be applied to the whole urethra.
journal_name
Arch Esp Uroljournal_title
Archivos espanoles de urologiaauthors
Marchal C,Pérez JE,Herrera B,Saez F,Castillo E,Antuña F,Julve E,Machuca FJsubject
Has Abstractpub_date
2010-09-01 00:00:00pages
537-44issue
7eissn
0004-0614issn
1576-8260journal_volume
63pub_type
杂志文章abstract::This articles discusses the preclinical development of natural orifice surgery in urology. Rationale for this approach is provided. The description of transvaginal nephrectomy and NOTES prostatectomy is described. ...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章,评审
doi:
更新日期:2012-04-01 00:00:00
abstract:OBJECTIVE:To determine the correlation between two methods of measurement of total PSA (PSA-T) and free PSA (PSA-F) and the utility of the PSA-F/PSA-T ratio in patients with PSA-T between 4 and 10 ng/ml suspected as having prostate cancer. METHODS:Determinations of both PSA-T and PSA-F were performed using two differe...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章
doi:
更新日期:1999-05-01 00:00:00
abstract:OBJECTIVES:An unusual case of malacoplakia is described and the literature reviewed. METHODS/RESULTS:We report on a patient on immunosuppression due to heart transplantation who developed malacoplakia of the epididymis. Patient history and treatment are discussed, with special reference to the differential diagnosis b...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章,评审
doi:
更新日期:1996-03-01 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:The ovarian metastasis by a gastrointestinal cancer is called Krukenberg tumor. We report a case of metastasis to the testis and epididymis by gastric cancer that can be the analogue in male. METHODS:A patient, submitted to total gastrectomy for a poorly differentiated gastric adenocarcinoma (TNM stage: pT3...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章
doi:10.4321/s0004-06142005000900019
更新日期:2005-11-01 00:00:00
abstract:OBJECTIVES:To evaluate the clinical and laboratory findings in pediatric patients with urolithiasis in a case control study and to obtain variables predicting a low risk of having urolithiasis. METHODS:Retrospective analysis of 24 cases of children with urolithiasis (age range 3 to 17 years old) admitted to the pediat...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章
doi:10.4321/s0004-06142006000900005
更新日期:2006-11-01 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:UNLABELLED:We report our motivation, technique, results and the current status of penile prosthesis implantation under local anesthesia at our institution. The lack of anesthetists to cope with the surgical demands and the conflicting views on the priority assigned to the different pathologies prompted us to seek an al...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章
doi:
更新日期:1994-10-01 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::Since its introduction more than 40 years ago, adjuvant treatment with BCG (Bacillus Calmette-Guérin) for non-muscle invasive bladder cancer (NMIBC) continues to be the treatment recommended in the highrisk group, and one of the most successful immunotherapies for cancer treatment. However, up to 20% of patients will ...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章
doi:
更新日期:2020-12-01 00:00:00
abstract:OBJECTIVES:The VUR is one of the most frequent pathologies in pediatric urology. Classically it has been managed with medical or surgical treatment depending on age, grade, and other variables. Over the last years, urologists have started to perform endoscopic treatment with various substances, surgery but minimally in...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章
doi:10.4321/s0004-06142008000200028
更新日期:2008-03-01 00:00:00
abstract:OBJECTIVE:Benign tumors account for less than 1% of testicular tumors and the incidence is even lower in children. A rare case of epidermoid cyst of the testis in a child is described. The differential diagnosis and treatment options are discussed. METHODS/RESULTS:A case of unilateral epidermoid cyst of the testis in ...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章
doi:
更新日期:1998-12-01 00:00:00
abstract:OBJECTIVES:Ultrasound guided prostate biopsy is the most effective test for prostate cancer diagnosis, but its sensitivity is not higher than 80% so that biopsy repetition must be considered in patients with persistent diagnostic doubts after a previous negative one. However, the majority will be negative as it happene...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章
doi:
更新日期:2002-12-01 00:00:00
abstract::Currently, there are no guidelines for the selection of patients for caliceal stone removal, although there is no doubt that urologists are taking a more aggressive approach now that treatments with low morbidity are available. We discuss when and how to treat patients with symptomatic and asymptomatic caliceal stones...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章
doi:
更新日期:1992-10-01 00:00:00
abstract:OBJECTIVES:To move towards a more standardized approach in clinical practice to manage patients with castration-resistant prostate cancer (CRPC) in Spain. METHODS:A panel of 18 Spanish experts in Urology with expertise managing CRPC followed a modified Delphi process with two rounds and a final face-to-face consensus ...
journal_title:Archivos espanoles de urologia
pub_type: 共识发展会议,杂志文章
doi:
更新日期:2017-11-01 00:00:00
abstract::We report on a patient with a long history of rheumatoid arthritis who consulted for intense hematuria that was initially ascribed to carcinoma of the bladder. Subsequent patient evaluation, however, disclosed amyloidosis of the urinary bladder. The literature on amyloidosis of the urinary tract is reviewed. A detaile...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章
doi:
更新日期:1994-03-01 00:00:00
abstract:OBJECTIVE:The increase of isolation of beta-lactamase resistant Escherichia coli (BREC) strains makes treatment difficult. The objective of this study is to evaluate the situation in our environment. METHODS:Retrospective study including patients who presented positive urine cultures for E. coli in the Department of H...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章
doi:
更新日期:2019-07-01 00:00:00
abstract:OBJECTIVE:To describe our experience with bladder endometriosis at the Department of Urology of Complejo Hospitalario Universitario de Santiago de Compostela. METHODS:We performed a retrospective analysis of the cases of bladder endometriosis diagnosed during the last 11 years in our hospital, from January 2000 to Dec...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章,评审
doi:
更新日期:2014-09-01 00:00:00
abstract::Hypogonadism may affect as much as 70% of the patients with chronic renal failure (CRF) in comparison with general population. Physiopathologically, it is a hypergonadotropic hypogonadism, with alterations in the pulsatile production of GnRH, FSH, LH and testicular testosterone, that is a general disorder of the hypot...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章,评审
doi:
更新日期:2013-09-01 00:00:00
abstract:OBJECTIVES:To determine the age of onset of urolithiasis in patients with urinary calcium stones and to establish the relationship between age of onset and clinical profile and metabolic risk factors. METHODS:A total of 500 patients with the diagnosis of calcium urinary lithiasis (average age 47.4 years, range 20-75) ...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章
doi:
更新日期:2004-03-01 00:00:00
abstract::A simple endourological management of benign renal cyst is described. Percutaneous circular electrosection of the peripheric cyst wall is performed, thereafter the cyst wall is extracted en bloc and an aspirative drainage is placed for 2 days. Five patients with symptomatic renal cyst were treated with this method. No...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章
doi:
更新日期:1993-12-01 00:00:00
abstract:OBJECTIVES:The aim of this review is to evaluate the place of transurethral resection of the prostate (TURP) in patients with elevated and/or rising prostate specific antigen (PSA). The role of TURP in these patients is assessed in symptomatic as well as in asymptomatic patients. METHODS:Current literature (1987-2009)...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章,评审
doi:
更新日期:2010-07-01 00:00:00
abstract:OBJECTIVES:Two additional cases of signet-ring cell adenocarcinoma of the urinary bladder, an uncommon highly malignant tumor type, are described. METHODS/RESULTS:The clinical features, histopathological findings and immunohistochemical study are presented. CONCLUSIONS:Both cases previously had cystic glandular cysti...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章,评审
doi:
更新日期:1996-06-01 00:00:00
abstract::Herein we describe for the first time a laparoscopic cystectomy procedure and an ileal conduit that were performed in a single session in a patient with a tumor infiltrating the right wall. The procedure starts by releasing the ureters from the iliac junction up to a point close to the bladder. The peritoneum is incis...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章
doi:
更新日期:1993-09-01 00:00:00
abstract:OBJECTIVE:To present a case of crossed fused renal ectopia that was incidentally discovered in a patient consulting for abdominal pain in the emergency department. METHODS:A 46-year-old patient consulted at the emergency department for abdominal pain. Assessment by diagnostic imaging techniques demonstrated a crossed ...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章
doi:
更新日期:2001-06-01 00:00:00
abstract::Percutaneous endopyelotomy is becoming widely accepted in the treatment of primary or secondary stenosis of the ureteropelvic junction because it achieves excellent results and is less invasive. Herein we describe our experience with this technique, which we perform with the electric knife and large caliber ureteral s...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章
doi:
更新日期:1992-05-01 00:00:00
abstract::Ultrasonography has demonstrated to be a precise test with high sensitivity and specificity. The urologist is the most capable professional to obtain the maximum effectiveness of this technique, so that the availability of ultrasound machines in urology departments rationalizes and limits the demand of ultrasound test...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章,评审
doi:10.4321/s0004-06142006000400002
更新日期:2006-05-01 00:00:00
abstract:INTRODUCTION:Fluoroscopy is used for access sheath insertion and postoperative control during retrograde intrarenal surgery (RIRS) operation but with this technique both patient and operation team are exposed to radiation. The use of fluoroscopy is disadvantage for both patient and surgeon. Considering results of recen...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章
doi:
更新日期:2018-11-01 00:00:00
abstract:OBJECTIVE:To report a case of prostate lymphoma and a brief review of the literature. METHODS/RESULTS:A 70 year-old mele patient was referred to the Urology departament with a clinical picture of prostatism, with acute urinary retention (AUR). Surgery with retropubic prostatectomy was performed, and pathology revealed...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章,评审
doi:10.4321/s0004-06142006000500015
更新日期:2006-06-01 00:00:00
abstract:OBJECTIVES:Extracorporeal shock wave lithotripsy is a minimally invasive therapeutic option for the treatment of renal-ureteral lithiasis. The aim of this study was to analyze the results and complications of shock wave extracorporeal lithotripsy treatment with the Dornier Gemini® Generator EMSE 220f-XXP device in pati...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章
doi:
更新日期:2019-05-01 00:00:00