Abstract:
OBJECTIVES:Herein we describe a case of granulomatous prostatitis following intravesical instillation of bacillus Calmette-Guerin (BCG) for superficial bladder cancer. METHODS:Patient evaluation included DRE, urine culture, urinary cytology, cystoscopy, PSA determination and transrectal US-guided needle biopsy. RESULTS:On control evaluation two months after intravesical BCG therapy had concluded, the patient referred an episode of suprapubic pain. DRE disclosed an area of increased hardness in one of the prostatic lobes. Urine staining for Mycobacterium was negative and PSA value was 3.5 ng/dl. During transrectal US evaluation, a hypoechoic lesion was detected and biopsied. Analysis of the biopsy specimen disclosed granulomatous prostatitis with caseous necrosis. The patient received antituberculous therapy which achieved clinically good results. CONCLUSIONS:Granulomatous prostatitis is a relatively common complication after intravesical BCG instillation (0.9% of treated patients) and its management includes discontinuation of the instillation and the administration of isoniazid and rifampin. US-guided needle biopsy is warranted to rule out adenocarcinoma of the prostate. BCG instillations are well tolerated in more than 95% of the patients and antituberculous therapy has been proven effective in the management of complications.
journal_name
Arch Esp Uroljournal_title
Archivos espanoles de urologiaauthors
Luján Galán M,Sánchez Sánchez E,Páez Borda A,Berenguer Sánchez Asubject
Has Abstractpub_date
1996-11-01 00:00:00pages
979-81issue
9eissn
0004-0614issn
1576-8260journal_volume
49pub_type
杂志文章abstract::In the centenary of Dr. Luis Cifuentes Delatte we tell several histories about his teaching, which help to know and understand his professional and human quality. ...
journal_title:Archivos espanoles de urologia
pub_type: 传,历史文章,杂志文章
doi:10.4321/s0004-06142008001000010
更新日期:2008-12-01 00:00:00
abstract:OBJECTIVES:We intend to analyze the prognostic value of positive surgical margins depending on their number and location in pT2 patients. METHODS:We analyze 448 (34.3%) patients with positive surgical margins from a series of 1,310 T1-T2 patients treated with radical prostatectomy between 1989-2012. Of them 164 are pT...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章
doi:
更新日期:2014-04-01 00:00:00
abstract:OBJECTIVES:To analyze the influence of the different pre - cystectomy factors, both clinical and pathological, in the follow up of patients with no residual tumor ( pT0) in the pathological examination of the radical cystectomy specimen as predictors of tumor recurrence. Secondly we intend to compare overall survival, ...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章
doi:
更新日期:2014-11-01 00:00:00
abstract::We report a case of carcinosarcoma whose most striking feature was its markedly chondroid elements that initially prompted us to suspect a chondrosarcoma. The clinical features and treatment of this rare tumor type are briefly discussed. ...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章
doi:
更新日期:1991-09-01 00:00:00
abstract:OBJECTIVE:Serotonin and norepinephrine systems are involved in the neural control of lower urinary tract function. The aim of this study was to compare the response on striated anal sphincter electromyographic (SAS-EMG) activity and cystometric parameters, when duloxetine and clomipramine were intravenously administrat...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章
doi:10.4321/s0004-06142006000800019
更新日期:2006-10-01 00:00:00
abstract::The authors reviewed treatments performed worldwide using extracorporeal shock wave lithotripsy since its introduction in West Germany in 1980 to determine the efficacy of this treatment modality and its potential risks. The prevention of complications related to patients or shock wave energy are discussed, as well as...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章,评审
doi:
更新日期:1989-01-01 00:00:00
abstract::From a series of 5000 cases that had undergone extracorporeal shock wave lithotripsy at the Hospital Clinico Quirúrgico "Hermanos Ameijeiras" from March, 1986 to April, 1988, 220 cases that required percutaneous nephrostomy due to obstructive hydronephrosis from stone fragments were studied. We analyzed the clinical, ...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章
doi:
更新日期:1993-07-01 00:00:00
abstract::Radical prostatectomy is an excellent salvage method for patients with prostatic cancer when radical radiotherapy or brachytherapy fail. To define local failure is not always reliable; nevertheless, performing a prostatic biopsy two years after treatment could reach an early diagnosis. Another accepted attitude is to...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章
doi:
更新日期:2012-01-01 00:00:00
abstract::A case of recurrent emphysematous cystitis in a 44-year-old male diabetic is described. Treatment of the first episode had been effective and demonstrable radiologically. A recurrent episode of cystitis disclosed a neurogenic bladder, which had not been detected previously. The literature on the pathogenesis of this e...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章
doi:
更新日期:1993-04-01 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:OBJECTIVE:We report one case of gonadal stromal testicular tumor and perform a bibliographic review. METHODS/RESULTS:We present the case of a 42 year-old male patient consulting for a painless right testicular mass. Orchiectomy was performed and the patient underwent follow-up. CONCLUSIONS:Nonspecific sexual cord tum...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章,评审
doi:10.4321/s0004-06142008000700011
更新日期:2008-09-01 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::Although the most frequent tumor of the male genitourinary system is cancer of the prostate, epidemiological studies on this tumor are uncommon in our setting. This study attempts to record the number of patients who were diagnosed as having prostatic cancer at La Paz Hospital (Madrid) during 1981-1987 and to determin...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章,评审
doi:
更新日期:1990-05-01 00:00:00
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::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 review current management of renal calcium stones. METHODS:Data from our experience are presented and the literature is reviewed. The results and indications of treatment are analyzed. RESULTS/CONCLUSIONS:Pyelic calculi are the best indication for ESWL. The success rate ranges from 33%-90% and is influen...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章,评审
doi:
更新日期:2001-11-01 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:OBJECTIVE:A case of upper calyx obstruction of the left kidney from an artery encroaching on the infundibulum is described. Treatment was by percutaneous insertion of a prosthesis. The results show the usefulness of the percutaneous approach in the treatment of this condition. METHODS:A Palmaz prosthesis was inserted ...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章,评审
doi:
更新日期:1996-01-01 00:00:00
abstract::We report 16 cases of priapism in 13 of 404 patients who received intracavernous injection of vasoactive drugs to induce erection. In 10 patients the complication presented following injection of papaverine and phentolamine in combination. Despite reducing the dose of both agents, one patient had another episode of pr...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章
doi:
更新日期:1992-10-01 00:00:00
abstract::The history of urology starts with written documents making express reference to procedures, practices and descriptions of morbid processes related with the male genitourinary tract. Oddly, the most recent prehistoric period, the superior Paleolithic (from approximately 40.000 years to 12.000 years ago; the longest pe...
journal_title:Archivos espanoles de urologia
pub_type: 历史文章,杂志文章
doi:10.4321/s0004-06142007000800002
更新日期:2007-10-01 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: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:We report the case of a 33 year old female presenting with an upper pole renal mass suggestive of renal cell carcinoma which in the pathological specimen resulted to be a retained surgical gauze. METHODS/RESULTS:The case of a female patient with history of previous nephrolithotomy 5 years before who presente...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章
doi:
更新日期:2002-10-01 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:OBJECTIVE:To analyze if there is a learning curve to get to perform high quality ultrasound guided prostate biopsies that enable to effectively perform the diagnosis of prostate cancer, taking the pathological result of the samples into consideration. METHODS:We retrospectively reviewed data from 790 ultrasound-guided...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章
doi:
更新日期:2015-07-01 00:00:00
abstract:OBJECTIVE:To check the possible relationship between testicular microlithiasis and testicular carcinoma in a patient in the one which previously we discovered a sonographic image of this condition. The etiopathogenesis, incidence and attitude are discussed. METHODS:A 23-year-old male with a psychomotor retardation sec...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章
doi:
更新日期:2003-06-01 00:00:00
abstract::Fifteen patients with infiltrating bladder carcinoma underwent partial cystectomy and cystoplasty with lyophilized human dura at our hospital from 1983 to 1988. The 5-year survival rate was 75% for stage B1, 60% for B2, 40% for C and 0% for D1. There were no intra- or post-operative deaths and the post-operative compl...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章
doi:
更新日期:1990-07-01 00:00:00
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:
更新日期:1989-03-01 00:00:00
abstract:OBJECTIVE:To analyze the prevalence of neoplasms in renal transplant patients and the relative risk for each tumor type according to the immunosuppression regimen. METHODS:609 renal transplants were reviewed. The risk index was determined by the ratio of the cases observed and predicted. RESULTS:Tumor prevalence was ...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章
doi:
更新日期:1997-04-01 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