Abstract:
PURPOSE:To evaluate the role and success rate of urethral reconstruction in patients with urethral stricture previously treated with thermos-expandable Memokath™ urethral endoprosthesis. MATERIALS AND METHOD:A case series of patients with urethral stricture and Memokath™ endoprosthesis treated with urethroplasty is presented. Reconstruction was decided due to stricture progression or complications derived from primary stent treatment. Age, stricture and stent length, time between stent placement and urethroplasty, mode of stent retrieval, type of urethroplasty, complications and voiding parameters before and after urethroplasty were evaluated. Successful outcome was defined as standard voiding, without need of any postoperative procedure. RESULTS:Eight cases with bulbar urethra stricture were included. Memokath™ was endoscopically retrieved before urethroplasty in 6 (75%) and by open urethrotomy at the time of urethroplasty in 2 (25%). Technique of urethroplasty was dorso-lateral onlay buccal mucosa graft in 5 (62.5%) cases and excision and primary anastomosis, anastomotic urethroplasty, and dorsal onlay buccal mucosa graft in one (12.5%) case each. There was no failure at 26±21.5 months median follow-up. Total IPSS, QoL, Qmax and postvoid residual significantly improved (P<.05). The only complication presented was epididymitis and penile shortening in one patient (12.5%). CONCLUSIONS:Urethroplasty after re-stricture or other complications in patients with temporary Memokath™ urethral stent is a viable and definite option of reconstruction with excellent results in the short term and few complications. One-side dorsolateral onlay buccal mucosa graft augmentation is the optimal technique for this indication.
journal_name
Actas Urol Espjournal_title
Actas urologicas espanolasauthors
Angulo JC,Pankaj J,Arance I,Kulkarni Sdoi
10.1016/j.acuro.2018.05.013subject
Has Abstractpub_date
2019-01-01 00:00:00pages
26-31issue
1eissn
0210-4806issn
1699-7980pii
S0210-4806(18)30141-4journal_volume
43pub_type
杂志文章abstract::A series of 17 patients with primary adrenal cortical carcinoma is presented. Of 14 patients without evidence of disseminated disease prior to radical surgery, 6 developed distant metastases during follow-up. The mean interval free of disease in these patients was 12 months (range 3-40) and the median survival 15 mont...
journal_title:Actas urologicas espanolas
pub_type: 杂志文章
doi:
更新日期:1993-01-01 00:00:00
abstract::Inguinoscrotal bladder hernias are uncommon clinical facts more predominant in males aged between 50 and 70. This entity has no specific clinical character and diagnosis usually happens in the course of surgical repair of inguinal hernia. In about 3%-10% cases, it appears associated to inguinal hernia. Discussion of t...
journal_title:Actas urologicas espanolas
pub_type: 杂志文章
doi:
更新日期:1998-05-01 00:00:00
abstract::Pseudoaneurism in renal grafts is a well known complication of the percutaneous biopsy. Colour Doppler has been shown to be the choice technique for their diagnosis and subsequent control, the most effective treatment being embolization. This paper presents an unusual form of pseudoaneurism in terms of its size (up to...
journal_title:Actas urologicas espanolas
pub_type: 杂志文章,评审
doi:
更新日期:1998-03-01 00:00:00
abstract::Corporeal vein-occlusive dysfunction (CVOD) is a frequent cause of impotence. A study with eco-doppler was conducted in 36 cases where leaking was the single cause of dysfunction and in 12 associated to arterial disease, in order to evaluate whether this technique is able to diagnose the condition. The study with eco-...
journal_title:Actas urologicas espanolas
pub_type: 杂志文章
doi:
更新日期:1996-05-01 00:00:00
abstract::Basic semen tests nowadays contain no variables that may allow to certify that a man is fertile. Starting from this premise it could be clinically very useful, for the diagnosis of male infertility, to evaluate a parameter that may be related to sexual maturity and be specific of the germinal tissue, such as the C4-la...
journal_title:Actas urologicas espanolas
pub_type: 临床试验,杂志文章
doi:
更新日期:1996-11-01 00:00:00
abstract::Some feasibility problems were detected during the evaluation of the IPSS questionnaire in Spanish that might limit its application. Our initial experience with the IPSS in patients undergoing surgery had 3 aims: 1) assess if changes in format and wording will improve feasibility; 2) evaluate symptoms before and after...
journal_title:Actas urologicas espanolas
pub_type: 杂志文章
doi:
更新日期:1995-03-01 00:00:00
abstract:INTRODUCTION:Overactive bladder (OB) is one of the no-neurogenic voiding dysfunctions whose prevalence has been precisely defined among the general population but not so among the paediatric population. Its clinical manifestations are various, and its association with other pathologies like enuresis, vesico-ureteral re...
journal_title:Actas urologicas espanolas
pub_type: 杂志文章
doi:10.1016/s0210-4806(04)73050-8
更新日期:2004-02-01 00:00:00
abstract:INTRODUCTION:Renal angiomyolipomas are not very frequent in urologic activities. Pulmonary lymphangioleiomyomatosis is a rare disease that occurs mainly in women of reproductive age. Tuberous sclerosis shows lesions to different organs, including these both entities. MATERIAL AND METHOD:We retrospectively analyze pati...
journal_title:Actas urologicas espanolas
pub_type: 杂志文章
doi:10.1016/s0210-4806(06)73462-3
更新日期:2006-04-01 00:00:00
abstract::There is an increasement on the incidence of tumours within the population of renal transplanted, from three to five times over general population. Related to urological tumours, it emphasizes an increase in the incidence of the renal carcinoma, around 4,7% against 3% on general population. In this case, we present a ...
journal_title:Actas urologicas espanolas
pub_type: 杂志文章
doi:10.1016/s0210-4806(09)74007-0
更新日期:2009-01-01 00:00:00
abstract:BACKGROUND:Northern African (NAf) men show a high incidence of advanced prostate cancer (PCa) at diagnosis. Several studies suggested the existence of ethnic differences in the PCa aggressiveness and this has led to some concerns related to the inclusion of some ethnic groups into active surveillance protocols. OBJECT...
journal_title:Actas urologicas espanolas
pub_type: 杂志文章,多中心研究
doi:10.1016/j.acuro.2016.01.011
更新日期:2016-11-01 00:00:00
abstract::Due to the widespread use of obstetrical ultrasonography with concomitant fetal screening, congenital uropathies are usually diagnosed in asymptomatic neonates. The main issue is to distinguish those cases of dilatation which are clearly obstructive and need surgical treatment from those which are within the normal an...
journal_title:Actas urologicas espanolas
pub_type: 杂志文章
doi:
更新日期:1993-06-01 00:00:00
abstract:INTRODUCTION:For the treatment of the urinary stress incontinence, there are many techniques, and today the gold standard is that described by Burch. We compared the global and each technique results about rates of postoperative continence and complications seen in our experience. MATERIALS AND METHODS:We made a retro...
journal_title:Actas urologicas espanolas
pub_type: 杂志文章
doi:10.1016/s0210-4806(07)73740-3
更新日期:2007-09-01 00:00:00
abstract::Penoscrotal lymphedema is a rare disease in the developed countries, although it is relatively frequent in tropical countries. The most common cause is filariasis, although in our practice usually is associate to neoplasic and inflammatory processes, surgery, radiotherapy, hidroelectrolitic disbalances and idiopathic....
journal_title:Actas urologicas espanolas
pub_type: 杂志文章
doi:10.1016/s0210-4806(05)73285-x
更新日期:2005-05-01 00:00:00
abstract:INTRODUCTION:Nosocomial infection rates constitute an indicator of welfare quality, permitting to adopt measures of prevention and control. It has been developed a surveillance plan of the nosocomial infection in hospitals, showing to be an efficient method to diminish its incident. OBJECTIVE:To know the indicators an...
journal_title:Actas urologicas espanolas
pub_type: 杂志文章
doi:
更新日期:2006-10-01 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::We present our experience in the diagnosis-through-image with 25 primitive retroperitoneal tumours over a period of 17 years. The histological type most frequently found was that derived from mesodermal tissue (64%). Abdominal pain and mass were the typical symptoms of the presentation. The paper analyzes the radiolog...
journal_title:Actas urologicas espanolas
pub_type: 杂志文章,评审
doi:
更新日期:1991-03-01 00:00:00
abstract:OBJECTIVE:To analyze the expression of metalloprotein 11 (MMP11) in cultured fibroblasts obtained from human prostate tumors with different clinical and pathological characteristics. MATERIAL AND METHODS:For this study we analyzed samples of transrectal prostate biopsies from tumors with different characteristics, tre...
journal_title:Actas urologicas espanolas
pub_type: 杂志文章
doi:10.1016/j.acuro.2016.12.001
更新日期:2017-01-01 00:00:00
abstract::The present job reviews the etiology, clinical presentation, diagnostic and treatment of interstitial cystitis. An exhaustive revision is made of all the possibilities of pharmacological treatment with a special mention to the two major drugs: dimethylsulfoxide and pentosampolysulphate. A critical judgement of existin...
journal_title:Actas urologicas espanolas
pub_type: 临床试验,杂志文章,随机对照试验,评审
doi:
更新日期:1990-05-01 00:00:00
abstract::Fistulae between the reservoir of the continent urinary bypass and the intestinal tract are uncommon and difficult to diagnose. To ascertain the clinic presentation, diagnosis and treatment of post-cystectomy enteroneovesical fistula due to a bladder tumour, 258 cases of radical cystectomies performed over a 6-year pe...
journal_title:Actas urologicas espanolas
pub_type: 杂志文章
doi:
更新日期:1999-07-01 00:00:00
abstract::A complete urodynamic study was carried out on 41 consecutive patients presenting in the cystomanometry a vesical filling pressure at maximum capacity higher than 30 cm H2O. Two groups were evident: group I with neurogenic etiology, and group II without an obvious neurogenic etiology. From its results it can be seen t...
journal_title:Actas urologicas espanolas
pub_type: 杂志文章
doi:
更新日期:1992-05-01 00:00:00
abstract::We present a fresh case of Pelvic Lipomatosis in a non obese young male. We comment on the suggestive radiological findings as well as on the therapeutic options. Although considered traditionally as a benign entity, it may cause serious physiopathological alterations in neighbouring organs. ...
journal_title:Actas urologicas espanolas
pub_type: 杂志文章
doi:
更新日期:1989-11-01 00:00:00
abstract:OBJECTIVE:To determine the current state of vesicouterine fistulae in our hospital, the factors associated with their development and the findings obtained from the treatments used. MATERIAL AND METHODS:We carry out a retrospective study on a group of patients suffering from vesicouterine fistulae who were treated in ...
journal_title:Actas urologicas espanolas
pub_type: 杂志文章
doi:10.1016/s0210-4806(03)73000-9
更新日期:2003-10-01 00:00:00
abstract:OBJECTIVE:We present our 20 years experience treating patients with vena cava extension in whom an extracorporeal circulation, hypothermia, cardio circulatory arrest (ECC-H-CCA) in order to perform, together with a tumoral resection, a thrombus resection. MATERIAL AND METHODS:From 1985 to 2005 a total of 28 retroperit...
journal_title:Actas urologicas espanolas
pub_type: 杂志文章
doi:10.4321/s0210-48062008000400003
更新日期:2008-04-01 00:00:00
abstract::The urolithiasis is a very common disease that it causes, in addition to the suffering for the patients, an important cost sanitary partner. The composition of the renal stones that can influence in the treatment and later evaluation of the disease, varies in the different zones. In our work the composition of the ren...
journal_title:Actas urologicas espanolas
pub_type: 杂志文章
doi:10.1016/s0210-4806(04)73157-5
更新日期:2004-10-01 00:00:00
abstract::Patient treated by dialysis for end-stage renal disease are at increased risk of many cancers, especially those of kidney and urinary tract. A 56 years old man who undergoing chronic dialysis, presented in ultrasonography a 2 cm complex cystic mass in the left kidney what was confirmed by computed tomography and magne...
journal_title:Actas urologicas espanolas
pub_type: 杂志文章
doi:10.1016/s0210-4806(08)73884-1
更新日期:2008-05-01 00:00:00
abstract:OBJECTIVE:The aim of this study is to determine which cancer and demographic criteria influence the indication for surgery (radical prostatectomy) or radiation therapy (external or brachytherapy) in the treatment of prostate cancer. MATERIAL AND METHODS:An analysis of the 2714 patients of the 2010 National Prostate Ca...
journal_title:Actas urologicas espanolas
pub_type: 杂志文章
doi:10.1016/j.acuro.2016.04.011
更新日期:2016-10-01 00:00:00
abstract::The paper presents our initial experience with endoscopic suspension of the vesical neck, as per the modification introduced by Gittes and based on incorporation through the vaginal mucosa of non-absorbable single-filament sutures. In this way it is feasible to use a simple non-incisive vaginal surgery with minimum mo...
journal_title:Actas urologicas espanolas
pub_type: 杂志文章
doi:
更新日期:1990-11-01 00:00:00
abstract::Vesical lithiasis is a relatively frequent problem, the solution of which has changed over the last few years driven by major technological evolution. Traditional open surgery has been outstaged by the new endoscopic techniques and extracorporeal lithotrity. Here, we present our endoscopic resolution protocol through ...
journal_title:Actas urologicas espanolas
pub_type: 临床试验,杂志文章
doi:
更新日期:1995-07-01 00:00:00
abstract::Primary amyloidosis of the bladder is a rare disease entity manifested as extracellular deposits of a fibril protein in an amyloid substance form. Clinical presentation resembles a bladder tumor, as hematuria is the most common clinical manifestation. Single organ affectation is most frequent in the bladder, however, ...
journal_title:Actas urologicas espanolas
pub_type: 杂志文章
doi:10.1016/s0210-4806(01)72666-6
更新日期:2001-07-01 00:00:00
abstract:INTRODUCTION:Malignant tumors sometimes initiate as paraneoplastic syndromes even years before the most common symptoms appear. These first manifestations could be the key for the diagnosis of "occult" malignancy. METHODS:We report the case of a 66 year old man with a renal cell carcinoma. The first symptom was a para...
journal_title:Actas urologicas espanolas
pub_type: 杂志文章
doi:10.1016/s0210-4806(08)73902-0
更新日期:2008-06-01 00:00:00