[Staghorn calculi. Combined treatment with percutaneous nephrolithotripsy and extracorporeal lithotripsy].

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. The patients were submitted to 72 PCN and 113 ESWL sessions, 5 percutaneous nephrostomies prior to PCN and 5 ureteroscopy procedures to remove post-ESWL obstruction. Complications were observed in 24.5%; acute urinary infection post-PCN (13 patients, 21.3%), massive absorption of liquid (1 case) and arteriovenous fistula (1 case). One year following treatment 83.6% of the patients are stone free and 14.9% have residual stone fragments. No patients developed arterial hypertension and one patient was submitted to nephrectomy due to pyelonephritic atrophy. Our criteria concerning the indications for the different therapeutic methods are discussed. In our view, the role of each method must be reviewed in the light of current clinical experience and investigative data.

journal_name

Arch Esp Urol

authors

Castillo Rodríguez M,Larrea Masvidal E,García Serrano C,Hernández Siverio D,Valdés Gómez C,Báez Hernández D,Ramírez Hernández L

subject

Has Abstract

pub_date

1993-10-01 00:00:00

pages

699-706

issue

8

eissn

0004-0614

issn

1576-8260

journal_volume

46

pub_type

杂志文章
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    doi:

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  • [Testicular microlithiasis and testicular cancer].

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    doi:

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  • [Epidemiological trends in prostate cancer over the last years].

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    doi:

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    更新日期:2004-10-01 00:00:00

  • [One-step reconstruction of penile urethral strictures. Indications and techniques].

    abstract::Penile urethra stenoses generally appear as a sequel after acute (sexually transmitted diseases) or chronic urethritis processes, associated with diseases such as lichen sclerosus or as a consequence of traumatism, iatrogeny and forced distention of the urethral lumen. One third of these lesions may be congenital and ...

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    authors: Alvarez-Vijande R

    更新日期:2014-01-01 00:00:00

  • [Unusual cause of a mass in the superior pole of the kidney: report of a case].

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    doi:

    authors: Uribe CA,Castellanos RI,Vélez A,Flórez F,Gaviria F

    更新日期:2002-10-01 00:00:00

  • [Non-acquired renal arteriovenous fistulas. Apropos of 2 cases].

    abstract::Herein we describe two additional cases of non-acquired arteriovenous renal fistula, one was congenital or cirsoid and the other was idiopathic or aneurysmal. Patient clinical work up prompted us to suspect this condition which was confirmed by renal arteriography. The usefulness of the diagnostic tests are highlighte...

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    doi:

    authors: Salvador Tarrasón R,Idoipe Tomás JI,Castella Fierro E,Muniesa Caldero M,Vicente de Vera P,Conejero Sugrañés J

    更新日期:1990-11-01 00:00:00

  • [Unusual presentation form of testicular neoplasms. Report of 5 cases].

    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...

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    doi:

    authors: Napal Lecumberri S,Pascual Piedrola I,Arrondo Arrondo JL,Ipiens Aznar A

    更新日期:1992-01-01 00:00:00

  • [Treatment with tamsulosin. Should the cataract be operated before?].

    abstract:OBJECTIVE:Recently, intraoperative floppy-iris syndrome (IFIS) has been related to tamsulosin treatment. This review evaluates the epidemiological evidence of the association of tamsulosin with IFIS and the necessity of a prior ophthalmolo-gic examination in this group of patients. METHOD:Systematic review of the lite...

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    pub_type: 杂志文章,评审

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    authors: González Martín-Moro J,Martínez Silva V

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  • [Fibrous polyp of the ureter].

    abstract::We report on a 72-year-old male patient with fibrous ureteral polyp which had been diagnosed following the incidental finding of a ureteral filling defect on radiographic evaluation for prostatism and gross intermittent hematuria of several months. We underscore the low frequency of this disorder and the therapeutic i...

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    doi:

    authors: Vigués Julia F,Franco Miranda E,Rodríguez Tolra J,Gil-Vernet Sedo A,Bella Cueto R,Serrallach Mila N

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  • [Standarization of PCNL reporting: Comparative methodology.]

    abstract:OBJECTIVE:To evaluate the impact of a new renal lithiasis classification on the stone free rate. The new system would allow standarization of comparison between different series of percutaneous nephrolithotomy. MATERIAL AND METHODS:Patients undergoing NPCL between November 2011 and November 2016 were retrospectively a...

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    doi:

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  • Management of patients with clinical stage I nonseminomatous testicular germ cell tumours: active surveillance versus primary chemotherapy versus nerve sparing retroperitoneal lymphadenectomy.

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    doi:

    authors: Heidenreich A,Pfister D

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  • [Penile prosthesis. Quality outcomes and morbidity].

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    authors: Chiva Robles V,Llanes González L,Pascual Mateo C,Espinales Castro G,Romero Cajigal I,Berenguer Sánchez A

    更新日期:2005-11-01 00:00:00

  • [Long-term results of endoscopic urethrotomy].

    abstract:OBJECTIVES:To analyze the long-term results of treatment of urethral strictures by internal endoscopic urethrotomy, a simple, easily reproducible procedure that carries a low morbidity and requires a short period of convalescence. MATERIAL AND METHODS:We report our experience of 78 cases submitted to urethrotomy as pr...

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    pub_type: 临床试验,杂志文章

    doi:

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  • [Surgical treatment of local disease in metastatic prostate cancer.]

    abstract:OBJECTIVES:Metastatic prostate cancer is a very heterogeneous disease with several treatment options. In some cases of oligometastatic disease, local treatment of the primary tumor complemented by metastasis directed therapy seems to improve oncological results. The objectives of this study are to define and understand...

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    doi:

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  • [Mesenteric desmoid tumor mimicking a testicular cancer recurrence].

    abstract:OBJECTIVE:Report of one case of desmoid tumor in a patient who had been treated of a testicular seminoma 26 months before, with excision of a retroperitoneal mass and chemotherapy. On followup he presented with a mesenteric abdominal mass which was clinically labeleled as a recurrence of the seminoma. RESULTS:Histolog...

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  • [Urinary incontinence in myelodysplastic children, what is the role of the bladder neck "sling"?].

    abstract:OBJECTIVE:The selection of patients amenable to treatment with a bladder neck sling remains a controversy. In this paper we review our experience with this technique and describe our patient selection criteria. METHODS:Since 1991, 30 patients (24 females and 6 males) aged 4 to 20 years (mean 10) received a bladder nec...

    journal_title:Archivos espanoles de urologia

    pub_type: 杂志文章

    doi:

    authors: Gosálbez R Jr,Castellán YM

    更新日期:1998-07-01 00:00:00

  • [Substitution urethroplasties with free graft buccal mucosa].

    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 ...

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    authors: Martínez-Piñeiro JA,Martínez-Piñeiro L,Tabernero A

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  • [Treatment of uretero-renal stones with shock wave lithotripsy. Results and complications with the dornier gemini emse 220f-XXP.]

    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...

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    pub_type: 杂志文章

    doi:

    authors: Arrabal-Polo MA,Domínguez-Amillo A,Canales-Casco N,de la Torre-Trillo J,Morales Martínez A,Cano-García MC,Rodríguez-Herrera JJ,Hernández-Serrano M,Arrabal-Martín M

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  • [Pneumatic dilatation of urethral stenosis].

    abstract::We report on a series of 32 patients with urethral strictures of different etiology, site, and morphology that were submitted to treatment by balloon dilatation. The results achieved corroborate the usefulness of this procedure. It is easy to perform and there are no complications. Furthermore, it affords economic adv...

    journal_title:Archivos espanoles de urologia

    pub_type: 杂志文章

    doi:

    authors: Rosa Arias J,Valdivia Uría JG,López López JA,Elizalde Amatria A

    更新日期:1989-03-01 00:00:00

  • [Metastases from a rectal adenocarcinoma to the prepuce].

    abstract:OBJECTIVE:We report one case of metastatic dissemination of a rectal adenocarcinoma to the prepuce. METHODS:61-year-old patient with the diagnosis of rectal adenocarcinoma treated 18 months before by surgery and chemotherapy. He presents with a painful enlargement of the penis associated with outgrowing erythematous l...

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    pub_type: 杂志文章

    doi:10.4321/s0004-06142006000700011

    authors: Añibarro Laca E,Pérez-Irezabal Pindado JC,Ibáñez Calle T,Llarena Ibarguren R

    更新日期:2006-09-01 00:00:00

  • [Suprarenal cysts].

    abstract:OBJECTIVE:To emphasize that adrenal cysts are an uncommon finding and in most cases incidentally discovered during evaluation for nonspecific abdominal pain or even at outopsy. METHODS:We report a case of a non-hypers-creting right adrenal cyst in a middle-aged woman. RESULTS:A complete hormone, radiological and some...

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    pub_type: 杂志文章

    doi:

    authors: Vesga Molina F,Rivas Escudero JA,Parra Muntaner L,Monsalve Rodríguez M,Madrid García J,García Alonso J

    更新日期:1998-09-01 00:00:00

  • [MR in renal masses].

    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:

    authors: Delgado Dominguez E

    更新日期:2001-07-01 00:00:00

  • [Renal carcinoma metastatic to the peritoneum. Case report].

    abstract:OBJECTIVE:We describe the case of a young male presenting with non-specific abdominal symptoms on follow-up after radical nephrectomy for renal carcinoma leading to the finding of local recurrence and peritoneal metastases. A second exploratory laparotomy was carried out for tumor reduction, but it was followed by fast...

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  • [Usefulness of electromyographic techniques of the bulbocavernosus muscle in the diagnosis of neurogenic impotence].

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  • [Extended spectrum beta-lactamase producing Escherichia coli in a tertiary hospital. Is there an increase of resistances to beta lactams?]

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    authors: Barrios-Arnau L,Sanchez-Llopis A,Di Capua-Sacoto C,Ponce-Blasco P,Gomila Sard B,Rodrigo-Aliaga M

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  • [Laser and bladder tumors].

    abstract::Bladder cancer is one of the most frequents pathologies in urology. The introduction of the laser among the technical tools supposed a great advance, but the initial results with the first model failed with the expectations. Nevertheless, nowadays we have at our disposal a great variety of laser for urological use, wi...

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    pub_type: 杂志文章,评审

    doi:10.4321/s0004-06142008000900008

    authors: Rioja Zuazu J,Toutziaris V,Laguna Pes MP,de Reijke TM,de la Rosette JJ

    更新日期:2008-11-01 00:00:00