Abstract:
OBJECTIVES:To assess the complications of polypropylene mesh in the treatment of female pelvic floor disorders. METHODS:Retrospective study of patients with pelvic floor pathology (SUI, cystocele, rectocele, enterocele) undergoing pelvic floor intervention with surgical meshes from March 2002 to October 2009. We evaluated complications, effectiveness of the technique and distribution of the impact of the results. For statistical analysis SPSS software was used and the curve of impact was estimated by Cox model. RESULTS:We analyzed 363 patients. Of these 363 patients, 290 (79.9%) suffered from Stress Urinary Incontinence 37 (10.2%)cystocele, 33 (9.4%) SUI and cystocele, 1 (0.3%) SUI and enterocele, 1 (0.3%) cystocele and enterocele and 1 (0.3%) cystocele, enterocele and rectocele. The interventions done were: 34 (9.4%) anterior and middle compartment meshes, 1 (0.3%) middle and posterior compartment meshes, 1 (0.3%) TOT and middle and posterior compartment mesh, 36 (9.9%) TVT and 3 (0.8%) TVT and anterior and middle compartment mesh. The median follow-up was 36 (3-90) months. 50 patients (13.8%) presented complications: 21 (42%) had lower urinary tract irritative symptoms, 10 (20%) externalization of the mesh, 3 (6%) necrotizing fascitis, 3 (6%)obturator fossa, thigh root or vaginal abscess, 5 (10%) chronic pelvic pain, thigh pain or dyspareunia, 2 (4%) bruising and bleeding, 3 (6%) urinary tract infections, 1 (2%)mesh entering bladder and 2 (4%) obstructive symptoms. The procedures were effective in 350 (96.4%)patients. The impact of complications was manifested in the first 10 months after surgery. CONCLUSIONS:Polypropylene meshes are very effective in the treatment of female pelvic floor disorders. Approximately 10% of the patients had complications that resolved spontaneously or with medical treatment in most cases. One third of the complications are subsidiaries of surgery, by removing the mesh totaly or partialy, without affecting the intervention results.
journal_name
Arch Esp Uroljournal_title
Archivos espanoles de urologiaauthors
García SL,Ramírez DL,Rey JR,Calvo JF,Iglesias BR,Calvo AOsubject
Has Abstractpub_date
2011-09-01 00:00:00pages
620-8issue
7eissn
0004-0614issn
1576-8260journal_volume
64pub_type
杂志文章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
abstract::The warm ischaemia time appears the most prominent modifiable risk factor for the development of renal impairment following laparoscopic partial nephrectomy. Historically, hilar clamping was the 'gold standard' technique, but now we are pushing our techniques to achieve the ultimate: 'zero ischaemia' approach. Resul...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章,meta分析,评审
doi:
更新日期:2013-01-01 00:00:00
abstract:OBJECTIVE:The recto-vesical fistula (FRV) that follows a radical prostatectomy is an unusual complication and involves a difficult management. A wide variety of surgical aggressive repair techniques are described in literature, including end-colostomy. Furthermore, non-invasive procedures are barely documented. We pres...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章
doi:
更新日期:2020-11-01 00:00:00
abstract::The authors draw attention to the potential danger of urinary schistosomiasis in Spain, pointing out the nuclei in the country which present snails suitable for being intermediary carriers. They present one case, not autochthonous, observed in León and they point out the possible increase in this parasitosis, due to t...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章
doi:
更新日期:1980-01-01 00:00:00
abstract::We present our experience in 61 patients with partial or complete staghorn stone who underwent combined treatment with PCN and ESWL. We excluded the cases with an additional factor complicating staghorn stone, such as horseshoe kidney, severe ectopic, mal-rotated or high, with pyeloureteral junction stricture, etc. Th...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章
doi:
更新日期:1993-10-01 00:00:00
abstract:OBJECTIVE:Congenital anterior urethrocutaneous fistula, is a rare anomaly characterised by fistulisation of penile urethra to skin and presence of a concomitant normal or hypospadiac external urethral meatus. It may be seen as an isolated anomaly or may accompany genitourinary or anorectal malformations. We aim to pres...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章
doi:
更新日期:2016-06-01 00:00:00
abstract:OBJECTIVE:To review the utility of MR imaging in the assessment of renal masses, with special reference to the morphological characteristics of the different tumor types. Staging of renal cell carcinoma is also discussed. METHODS:The literature on the use of MRI in the evaluation of renal masses is reviewed. The techn...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章,评审
doi:
更新日期:2001-07-01 00:00:00
abstract::We analyzed the results of surgical treatment of vesical neck sclerosis in 81 patients who underwent 97 procedures. Most of these patients had post-operative sclerosis of the vesical neck. The different surgical techniques and their results are reviewed. Excision of the sclerotic tissue by transurethral encircling res...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章,评审
doi:
更新日期:1991-12-01 00:00:00
abstract:OBJECTIVES:One of the main drawbacks of flexible urethrocystoscopy is the risk of urinary tract infection (UTI). In order to reduce this risk, antimicrobial prophylaxis has been considered, however there is not a unanimous view regarding indications, dosage, type of antibiotic, and so on. To clarify this uncertainty, w...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章,随机对照试验
doi:
更新日期:2012-06-01 00:00:00
abstract:OBJECTIVE:To assess the likelihood of overlooking the diagnosis of prostate cancer (PCA), using current screening methods, in patients treated for benign prostatic hyperplasia (BPH) with medical or minimally invasive treatment modalities, which do not produce tissue specimens for histologic review. To appraise this, we...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章
doi:
更新日期:1997-09-01 00:00:00
abstract:OBJECTIVES:The present study reports the clinical and histological features of 14 cases of prostate adenocarcinoma coupled with their expression of the TGF isoforms beta2 and beta3, as well as their receptor endogline (CD105). METHODS:Fourteen (14) cases of adenocarcinoma (ADC) of the prostate were examined. Relevant ...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章
doi:
更新日期:2004-01-01 00:00:00
abstract::The authors report on two male neonates who underwent transurethral resection of urethral valves in one case and a polyp in the posterior urethra in the other case, via antegrade percutaneous cystostomy. The percutaneous antegrade approach to the urethra is described in detail. The advantages afforded by this procedur...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章
doi:
更新日期:1990-03-01 00:00:00
abstract:OBJECTIVES:To report a new case of bladder leiomyoma in an adult. METHODS:64-year-old female patient consulting for a four-month hematuria diagnosed of a bladder intraluminal tumor on ultrasound during a routine gynecologic revision. Cystoscopy confirmed the presence of the tumor. Transurethral resection was indicated...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章
doi:10.4321/s0004-06142006000200015
更新日期:2006-03-01 00:00:00
abstract::The present study was undertaken to determine the reliability of CAT scanning in the preoperative evaluation to detect or discard pelvic lymph node involvement in patients with infiltrating bladder tumor. We compared the radiologic findings with the results of histopathologic examination of the lymph nodes following l...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章
doi:
更新日期:1990-09-01 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::We present our experience with bladder substitution in radical surgery for bladder cancer. Ileocapsuloplasty was performed in 40 patients. There were 2 postoperative deaths and 11 patients died from tumor recurrence or progression 2 to 10 years later. Two patients had urothelial tumor recurrence in the capsuloplasty. ...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章
doi:
更新日期:1992-11-01 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::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:OBJECTIVE OF THE REVIEW:Robot assisted Radical prostatectomy (RARP) has generated a new trend in the binomial teaching/learning, grouping these techniques in training modules such as theoretical learning, practice, personalized counseling, and modern tools like simulation and practice in virtual models. This review sum...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章
doi:
更新日期:2019-04-01 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::We report a case of spontaneous retroperitoneal hematoma from rupture of the right adrenal in a patient with asymptomatic left renal adenocarcinoma that had been incidentally detected during evaluation to determine the cause of the retroperitoneal hematoma. ...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章
doi:
更新日期:1992-09-01 00:00:00
abstract:OBJECTIVES:The monohydrate calcium oxalate lithiasis (MCO) is divided in two groups depending on the morphologic-crystal structure: papillary (anchorage point on a renal papilla lesion) and cavity (formed in a cavity with low urodynamic capacity). The minimal differences between urinary biochemistry of MCO makers in co...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章
doi:10.4321/s0004-06142006000200005
更新日期:2006-03-01 00:00:00
abstract::A 38 year old woman with nopast medical or surgical history of interest,derived by occasional dysuria and post voidincontinence by her family doctor, with negativeurine culture... :Mujer de 38 años sin antecedentesmédico-quirúrgicos de interés, remitida porsu médico de familia por disuria ocasional eincontinencia pos...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章
doi:
更新日期:2019-01-01 00:00:00
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...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章,评审
doi:10.4321/s0004-06142007000300005
更新日期:2007-04-01 00:00:00
abstract:OBJECTIVE:Cystic tumors of the adrenal gland are uncommon, but are being increasingly more frequently diagnosed during routine radiological evaluation as "incidentalomas". We discuss the differential diagnosis, therapeutic approach and the existing controversies concerning the management of this tumor type. METHODS:Tw...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章
doi:
更新日期:1998-10-01 00:00:00
abstract::The authors present four cases of metastasic penis tumours, two of which followed a prostate carcinoma, one vesical carcinoma and the other a carcinoma of the excretory duct. They make a review of world literature on the subject and study the possible ways of dissemination as well as the clinical picture and different...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章
doi:
更新日期:1980-03-01 00:00:00
abstract:OBJECTIVES:In patients with localized prostate cancer and life expectancy longer than 10 years, radical prostatectomy (RP) remains the Gold Standard. Radical surgery must achieve good oncological and functional outcomes with early continence and potency. In expert hands RP offers very low post-prostatectomy urinary inc...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章
doi:10.4321/s0004-06142009001000005
更新日期:2009-12-01 00:00:00
abstract::Radical prostatectomy is currently the standard of care for localized prostate cancer. In the last decade, the minimally invasive surgery, especially the robotic surgery has been growing and open techniques are less frequent performed. A non-systematic review of the literature is performed, highlighting the current s...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章,评审
doi:
更新日期:2012-10-01 00:00:00
abstract:OBJECTIVE:To describe a case of crossed testicular ectopia that was diagnosed in a 52-year-old patient who had consulted for infertility associated with a genital anomaly. METHODS:Patient evaluation included hematological, hormonal, cytogenetic and imaging studies. An exploratory operation was also performed. RESULTS...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章,评审
doi:
更新日期:1997-10-01 00:00:00
abstract:OBJECTIVE:To present our experience with free graft buccal mucosa substitution urethroplasties. METHODS:Between June, 1992 and December, 1997, we performed 18 urethroplasties with buccal mucosa in 17 patients (double urethroplasty in the same stage in one): 8 for the repair of urethral strictures, 9 for the repair of ...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章
doi:
更新日期:1998-09-01 00:00:00