Abstract:
OBJECTIVES:We reviewed our series of vesicovaginal fistula that had been treated by the abdominal-transvesical approach, which we have also utilized in complex relapsed fistulas of the posterior aspect of the bladder in all but one case of triple fistula associated with lithiasis of the bladder. METHODS:6 patients with vesicovaginal fistula secondary to pelviogynecological surgery were treated by the abdominal-transvesical approach. One patient had been referred to our hospital for a triple fistula that had relapsed for the fifth time. This patient was submitted to cystolithotomy during the same session. Another patient with urinary incontinence and cystocele prior to the fistula underwent unrethrocervicopexy following the Marshall-Marchetti-Krantz technique after fistula repair. All the cases were treated by the same surgeon without omental interposition. RESULTS:Excellent results were achieved in all 6 cases, with no fistula relapse. The urinary infection disappeared in those patients with this complication prior to fistula repair. Patient control evaluation was performed 6-12 months postoperatively and at 4 years. All 6 patients are currently urologically asymptomatic and continent. CONCLUSIONS:In our view, vesicovaginal fistula repair can be done via the vaginal, abdominal or combined approach. We do not believe that one technique is superior over the other. Although the 6 cases described herein are not significant statistically, the abdominal-transvecial approach has been successful in these 6 cases, despite the difficulty that is always encountered in some cases of vesicovaginal fistula, regardless of the technique utilized. Omental interposition may be useful in those cases with a large fistulous defect. Some advocate fistulectomy in all cases. The time to surgical correction following diagnosis was always more than three months. The crossed or x-shaped suture achieves minimal superpositioning. Postoperative bladder drainage should not lie on the suture of the bladder mucosa to prevent decubitus through placement of a cystostomy tube. The foregoing points are essential in this procedure.
journal_name
Arch Esp Uroljournal_title
Archivos espanoles de urologiaauthors
Díaz Calleja E,Calatrava Gadea S,Caldentey García M,Moreno Pérez F,Lapuerta Torres E,García Víctor Fsubject
Has Abstractpub_date
1997-01-01 00:00:00pages
55-60issue
1eissn
0004-0614issn
1576-8260journal_volume
50pub_type
杂志文章,评审abstract:OBJECTIVE:Seminal vesicle cysts are rare diseases and frequently cause no symptoms. An acquired giant seminal vesicle cyst in a 73-year-old man is presented. Bladder outlet obstruction was the main complaint, mimicking that arising from the prostate. METHODS:Ultrasonography and computed tomography revealed a well-defi...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章
doi:
更新日期:2002-05-01 00:00:00
abstract::We reviewed the records of patients with genitourinary tumors that had been diagnosed and treated at the Section of Pediatric Surgery of Marqués de Valdecilla Hospital from 1974 to 1990. There were 14 such tumors. Of these, 12 (85.7%) were Wilm's tumor. This tumor type is the subject of the present study. Regarding it...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章,评审
doi:
更新日期:1991-10-01 00:00:00
abstract::Tuberculosis stricture of the ureter is a process that may lead to loss of renal function if undiagnosed and untreated at the right time. Currently, tuberculostatic agents combined with steroids, and the possibility of recurring to endourological treatment, achieve a high success rate. Our experience with 4 cases is d...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章
doi:
更新日期:1993-05-01 00:00:00
abstract::We report a case of vesicovaginal fistula in an 8-year-old girl caused by a foreign body in the vagina. The foregoing condition was associated with vesical lithiasis. Correction of the fistula was performed during the same surgical procedure for stone removal, without waiting for 3-6 months to elapse as advocated by m...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章,评审
doi:
更新日期:1989-06-01 00:00:00
abstract:OBJECTIVES:In cases of failure of the vascular occlusive system, testing with both nocturnal and real-time monitoring will offer the possibility of making an accurate diagnosis of venous occlusive dysfunction. METHODS/RESULTS:The study was conducted in 124 cases suspected as having venous occlusive dysfunction (VOD). ...
journal_title:Archivos espanoles de urologia
pub_type: 临床试验,杂志文章
doi:
更新日期:1996-04-01 00:00:00
abstract:OBJECTIVE:To analyze the association of congenital bilateral agenesis of the vas deferens and cystic fibrosis. METHODS:Three azoospermic patients with surgically confirmed congenital agenesis of the vas deferens in whom a molecular genetics study had been performed to discard the more common mutations of cystic fibros...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章
doi:
更新日期:1998-06-01 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::A retrospective review of 186 cases of transitional cell carcinoma of the bladder observed between 1987 and 1990 is described. Squamous metaplasia was present in 37 cases. This histological feature was especially found in association with poorly differentiated and invasive tumors: the presence of extensive areas of sq...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章
doi:
更新日期:1994-09-01 00:00:00
abstract:OBJECTIVE:To describe the clinical and histopathological manifestations of a case of pseudoepitheliomatous, keratotic and micaceous balanitis and review the literature on this rare condition. METHODS:A case of pseudoepitheliomatous, keratotic and micaceous balanitis in a 63-year-old man is presented. The lesion appear...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章
doi:
更新日期:1998-10-01 00:00:00
abstract:OBJECTIVES:To assess the usefulness of multiparametric magnetic resonance imaging (MRI) in the staging of patients with localized prostate cancer (PC) and high risk of extracapsular disease (ECD). METHODS:Retrospective study including 30 patients with localized PC and high risk of ECD. Pathologist and radiologist esta...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章
doi:
更新日期:2013-12-01 00:00:00
abstract::The present study reviewed the first 25 incontinence prostheses implanted at the Urology Services of the Ramón y Cajal Hospital. The literature is briefly reviewed and the indications for the AUS-800 incontinence prosthesis are discussed. ...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章
doi:
更新日期:1994-05-01 00:00:00
abstract:OBJECTIVES:To describe a roadmap of the most representative milestones and considerations in the validation of surgical simulators, especially those of laparoscopic surgery. And additionally, help determine when in this process a simulator can be considered as validated. METHODS:A non-systematic review was carried out...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章,评审
doi:
更新日期:2019-11-01 00:00:00
abstract:OBJECTIVE:To describe a case of mucinous adenocarcinoma of the prostate. METHODS:A 77-year-old patient presented with urinary complaints. Patient evaluation showed an enlarged prostate and increased PSA levels. RESULTS:A prostate biopsy showed a glandular neoplasm with extensive mucinous differentiation and abundant ...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章
doi:
更新日期:2001-04-01 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:OBJECTIVES:The VUR is one of the most frequent pathologies in pediatric urology. Classically it has been managed with medical or surgical treatment depending on age, grade, and other variables. Over the last years, urologists have started to perform endoscopic treatment with various substances, surgery but minimally in...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章
doi:10.4321/s0004-06142008000200028
更新日期:2008-03-01 00:00:00
abstract:OBJECTIVE:To describe an additional case of endometriosis of the bladder and to review the diagnostic and therapeutic aspects. METHODS/RESULTS:A case of endometriosis of the bladder in a 30-year-old female with a long history of dysuria, pollakiuria and suprapubic pain during menstruation is described. The endoscopic ...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章
doi:
更新日期:1999-11-01 00:00:00
abstract:OBJECTIVES:Erectile dysfunction is one of the sequelae after radical prostatectomy most concerning for the patient, its appearance being influenced by factors such as surgical technique, or patient's age. Thus, around 40% of the patients younger than 70 years and over 90% of the patients older than 70 present with erec...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章
doi:
更新日期:2003-01-01 00:00:00
abstract:OBJECTIVE:The primary objective of this product evaluation involved obtaining assessments from patients following the use of the Onli™ intermittent catheter(IC) 17cm and 40cm; and opinions from clinicians on its use for catheterization based on its design features.The inability to access the right catheter is often why...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章
doi:
更新日期:2020-03-01 00:00:00
abstract:OBJECTIVE:We present the clinical case of an intrauterine testicular torsion. METHODS/RESULTS:Three days old boy complaining of testicular pain and scrotum enlargement with the diagnosis of intrauterine testicular torsion. Left testicular extirpation and right fixation were performed. CONCLUSIONS:We analyze cases rep...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章
doi:10.4321/s0004-06142007000900013
更新日期:2007-11-01 00:00:00
abstract::Various surgical procedures have been described for correction of stress urinary incontinence (SUI) which have afforded different results. Modifications to these procedures have been made in an attempt to reduce morbidity and the operating time without detriment to the efficacy of the procedures. Herein we describe tw...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章,评审
doi:
更新日期:1991-01-01 00:00:00
abstract::The cholinesterase activity and ultrastructural characteristics of the nerves in tubuli seminiferi recti, rete testis and ductuli efferentes testis have been studied in Wistar rats. The tubuli seminiferi recti and rete testis are innervated by a dense network which has varicosities containing different types of synapt...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章
doi:
更新日期:1989-10-01 00:00:00
abstract::The presence of gas in the bladder wall and/or lumen (emphysematous cystitis) is an uncommon disease entity that may be caused by infectious organisms. Diabetes and chronic urinary infection are predisposing factors. Its clinical features are unspecific and the prognosis depends on the degree of aggressiveness at pres...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章
doi:
更新日期:1994-04-01 00:00:00
abstract::A case of non-secreting bladder paraganglioma whose clinical manifestation was that of painless hematuria is described herein. Treatment was by partial cystectomy. ...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章
doi:
更新日期:1990-05-01 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:OBJECTIVES:We evaluated the form of presentation, clinical features and analytical values and their relationship with survival in renal cell carcinoma patients and analyzed the efficiency of different diagnostic and staging procedures. METHODS:We reviewed the form of presentation, clinical features, staging procedures...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章
doi:
更新日期:1995-01-01 00:00:00
abstract:OBJECTIVES:To report one case of giant inguinal scrotal bladder hernia associated with incipient bilateral obstructive uropathy. METHODS:We report the case of a 54-year-old male patient presenting with two-time interrupted voiding, with the need of scrotal compression to complete voiding. Physical examination showed a...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章
doi:
更新日期:2005-09-01 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:OBJECTIVES:In recent years, different studies have mentioned the recurrence of vesicoureteral reflux (VUR) endoscopically resolved, an exceptional event after open surgery. The aim of this study is to describe the evolution of the cases of recurrence identified in our center to assess the importance of this event. MET...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章
doi:
更新日期:2018-06-01 00:00:00
abstract:OBJECTIVE:To review the epidemiological, clinical and diagnostic aspects of upper urinary tract tumors (UUTT). METHODS:The clinical records of 105 patients with UUTT were reviewed. There were 114 functioning units in total. Data on distribution according to sex, age at presentation, involved side, focality, localizati...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章
doi:
更新日期:1998-12-01 00:00:00
abstract::Although uncommon, vesical endometriosis is considered an important disease entity due to the diagnostic difficulties it presents and the different therapeutic options that are available. A case of long-standing vesical endometriosis that caused considerable suffering to the patient is reported. The foregoing conditio...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章
doi:
更新日期:1990-01-01 00:00:00