Abstract:
OBJECTIVES:To determine the frecuency of complications during the management of bladder trauma and its associated factors in a third level reference Hospital. METHODS:A cross-sectional study of adult patients admitted in a reference Hospital from January 2006 to June 2011 with the diagnosis of bladder trauma. We identified demographic variables, type of trauma (blunt, penetrating), diagnostic method, associated traumatisms, management of bladder traumatism, frequency of complications and mortality. Univariate analysis was performed with frequency tables, measures of central tendency and dispersion. Similarly, bivariate analysis was performed to explore the association between variables. We used chi-square test for categorical variables and Student's t test to compare quantitative variables. RESULTS:We reviewed 40 medical records, which met the eligibility criteria. The median age was 27 years (range 16-;67) and 85% (34 patients) were male. Twenty-nine patients (72.5%) had penetrating injuries, being mainly firearm projectile (96.55%) and 11 patients (27.5%) blunt injuries. Most patients had intraoperative diagnosis (67.5%), while 25%, 5% and 2% were diagnosed by CT-cystography, cystoscopy and voiding cystography respectively. 70% (28 patients) had intraperitoneal bladder injuries. Of the forty patients enrolled, thirty six (90%) underwent surgery, while only four (10%) received conservative management. A total of ten patients (25%) had some type of complication. The most frequent was persistent hematuria (40%) followed by surgical site infection (30%), orchitis (20%), urinary tract infection (10%), urine leakage through the operative site, or to the peritoneal cavity (10%). No mortality was detected. On the bivariate logistic regression model type of trauma, number of injuries, performance of cystostomy, use of perivesical drainage tube, chest trauma and small bowel trauma, no association was found with the presence of complications. CONCLUSIONS:The frequency of complications was 25%. The presence of gross hematuria after 72 hours of trauma was found to be the most common complication. The type of trauma, performance or not performance of cystostomy, perivesical drain, presence of associated lesions in chest or small bowel were not associated with complications.
journal_name
Arch Esp Uroljournal_title
Archivos espanoles de urologiaauthors
Echeverría-García FE,García-Perdomo HA,Barney Esubject
Has Abstractpub_date
2014-05-01 00:00:00pages
297-302issue
4eissn
0004-0614issn
1576-8260journal_volume
67pub_type
杂志文章abstract:OBJECTIVES:To compare the success of the 'tubularized incised plate urethroplasty' (TIPU) and 'Onlay island flap urethroplasty' (OIFU) techniques for the repair of primary proximal hypospadias. MATERIAL AND METHODS:A retrospective evaluation was made of the medical records of 68 patients with primary, non-complicated ...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章
doi:
更新日期:2017-10-01 00:00:00
abstract::Introduction of retrograde flexible ureteroscopy represented a leap forward in upper urinary tract endourology. Nowadays, areas of the pyelocaliceal system accessible otherwise only by percutaneous or open surgery, can be approached in a retrograde fashion, using the anatomical pathways. The flexible ureteroscopes evo...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章,评审
doi:
更新日期:2011-01-01 00:00:00
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. METHOD...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章
doi:10.4321/s0004-06142009000300003
更新日期:2009-04-01 00:00:00
abstract:SUMMARY OBJECTIVES:Case report of a mature cystic teratoma (dermoid cyst), pseudopilomatrixoma like variant. METHOD:53-year old patient with a left testicular mass, diagnosed as mature cystic teratoma of the testis(dermoid cyst), the pilomatrixoma-like variant, after radical orchiectomy. Tumoral markers were negative ...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章,评审
doi:10.4321/s0004-06142009000900011
更新日期:2009-11-01 00:00:00
abstract:OBJECTIVE:To report a case of retroperitoneal bronchogenic cyst, an anomaly during the development of the primitive anterior intestine from which the bronchi and lungs are developed. METHODS/RESULTS:A 38-year-old male presented with left lumbar pain. Patient evaluation disclosed a left adrenal polycystic mass which wa...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章,评审
doi:
更新日期:2000-05-01 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::Three-dimensional, high-definition images, small instruments with endowrist technology, ergonomic position and the easiness to teach, are possibly the main reasons why robotic surgery will continue to gain ground to others forms of surgery. The current applications of robotics in functional urology are: the correction...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章
doi:
更新日期:2019-04-01 00:00:00
abstract:OBJECTIVE:To report a rare case of testicular metastasis secondary to an infiltrative transitional cell carcinoma years after radical surgery. METHODS: CASE REPORT:71-year-old male patient with history of infiltrative bladder tumor, status post radical cystoprostatectomy with urethrectomy. Seven years after surgery h...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章,评审
doi:10.4321/s0004-06142007000100016
更新日期:2007-01-01 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: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: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:OBJECTIVE:To analyze the biochemical impact of treatment with phosphates in patients with recurrent calcium lithiasis and hypercalciuria. METHODS:20 patients were selected according to the following criteria: normal renal function, recurrent calcium nephrolithiasis, hypercalciuria, hypophosphatemia, normal calcium and...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章
doi:
更新日期:2001-11-01 00:00:00
abstract::A case of testicular fibrous pseudotumor is reported with special reference to the site of implantation, in testicular adnexa and tunica albuginea. ...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章
doi:
更新日期:1991-01-01 00:00:00
abstract::We report on an 18-year-old patient with embryonal rhabdomyosarcoma of the prostate who presented with urinary retention. An ultrasound-guided percutaneous punction corroborated the presumptive diagnosis. The patient was submitted to the appropriate combined treatment modality of chemotherapy, radiotherapy and surgery...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章
doi:
更新日期:1989-07-01 00:00:00
abstract:OBJECTIVES:To evaluate the results of this surgical treatment of hydrocele over the first four years of integration of the Urology Department in the Major Ambulatory Surgery Unit in our Hospital. METHODS:From January 2000 to July 2004 we have performed 167 hydrocelectomies as ambulatory surgery in 152 patients (15 cas...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章
doi:10.4321/s0004-06142005000500003
更新日期:2005-06-01 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 describe the technique and preliminary results of the laparoscopic cystectomy as well as to review current indications and limitations of a nouvel surgical approach for a classical operation. METHODS:A careful description of the key points of the technique of laparoscopic cystectomy and creation of an il...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章,评审
doi:
更新日期:2002-07-01 00:00:00
abstract::We report a case of renal polar infarction in a 13-year old boy following surgical excision of contralateral congenital lobar emphysema. Patient history was unremarkable and yielded no data suggestive of any other underlying pathology or systemic disease. The diagnosis was made on the CT, arteriography and DMSA scan f...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章
doi:
更新日期:1994-12-01 00:00:00
abstract:OBJECTIVES:To report our experience with one case of penile silicone granuloma, that has clinical interest for its unfrequent presentation. METHODS/RESULTS:We report the case of a patient with sexual dysfunction secondary to subcutaneous injection of liquid silicone in the penis resulting in a penile granuloma and mig...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章
doi:10.4321/s0004-06142005000500013
更新日期:2005-06-01 00:00:00
abstract:OBJECTIVES:The objective of this article is to show the current situation regarding two surgical techniques for the treatment of renal lithiasis, RIRS (Retrograde intrarenal surgery) and PCNL (Percutaneous nephrolithotomy), specially concerning the larger size stones. We perform a literature review on the topic and add...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章,评审
doi:
更新日期:2017-01-01 00:00:00
abstract:OBJECTIVE:To report a case of giant diverticulum of the bladder associated with inguinal hernia. METHODS/RESULTS:An uncommon case of giant diverticulum associated with inguinal hernia is presented and the literature reviewed. The enormous size of the diverticulum and the associated lower urinary tract obstruction aris...
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:OBJECTIVE:Inverted papilloma of the urothelium accounts for 2.2% of urothelial neoplasms. Its oncologic significance is unclear; its potential for recurrence and/or progression is not well-known. Our experience from 1976 to 1999 is reviewed. METHODS:From 1976 to 1999, 31 patients with urothelial inverted papilloma of ...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章
doi:
更新日期:2001-01-01 00:00:00
abstract::The authors describe an experimental technique of endoscopic autotransplantation of the testis. Four trocars are utilized; one is placed at the level of the umbilicus, one in the right flank, another in the left flank, and one in the hypogastrium. Five or six cms of the epigastric vessels are dissected and sectioned. ...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章
doi:
更新日期:1992-12-01 00:00:00
abstract:OBJECTIVES:The objective of this work is to evaluate the current role of conventional transrectal ultrasound guided biopsy of the prostate in the diagnosis of cancer. With this aim we review its indications, the various techniques, associated complications and limitations of this test. METHODS:We performed a bibliogra...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章,评审
doi:
更新日期:2015-04-01 00:00:00
abstract:OBJECTIVES:We evaluated the efficacy of endoscopic pneumatic lithotripsy with the Lithoclast for urinary tract calculi. The use of this stone disintegration system and the possible complications are described. METHODS:We performed a retrospective analysis of the results achieved in the first 100 patients (156 stones) ...
journal_title:Archivos espanoles de urologia
pub_type: 临床试验,杂志文章
doi:
更新日期:1995-07-01 00:00:00
abstract:OBJECTIVES:To report one case of precocious puberty in a 6-year-old boy with bilateral cryptorchidism. METHODS:History and physical examination, blood tests, nuclear chromatin and cariotype, bone age, pneumopelvis, hormonal tests, laparotomy and hysterectomy were performed. RESULTS:The absence of testicles within the...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章
doi:
更新日期:2004-10-01 00:00:00
abstract:OBJECTIVES:To describe a new technique for external continent urinary diversion based on the Vesica Ileale Padovana technique (VIP) with a continent hydraulic valve, which obviates the need for external permanent collecting urinary systems. METHODS:An ileal neobladder was created following the VIP technique to which w...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章
doi:
更新日期:1996-10-01 00:00:00
abstract:OBJECTIVE:Renal cell carcinoma is constantly associated with calcification, but ossification is extremely scarce. METHOD: We retrospectively analyzed two cases with clear cell renal cell carcinoma with osseous metaplasia. RESULTS: We criticized the oldest case of woman whose a 32x31mm irregular renal mass with calcific...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章,评审
doi:
更新日期:2020-09-01 00:00:00
abstract:OBJETIVE:Our aim is to present a novel mutation of the Birt-Hogg-Dubé Syndrome. METHODS:We present a case report of a 70-year-old male with three solid nodulary lesions of 4, 2.6, and 3 cm each in the right kidney, and two lesions of 1.5 and 1.3 cm in the left kidney. RESULTS:Needle biopsy was performed. The patholog...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章
doi:
更新日期:2017-09-01 00:00:00
abstract:OBJECTIVE:We describe and document the first case of PEcoma published in Spain following the PubMed database. We review the bibliography about these tumors. METHODS/RESULTS:39 year-old female patient with a 9 cm pelvic tumor discovered in a routine gynecologic review. CT scan showed multiple periaortic adenopathies ex...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章,评审
doi:
更新日期:2008-07-01 00:00:00