Abstract:
OBJECTIVE:To analyze the utility of electromyographic study of the bulbocavernosus muscle. METHODS:126 impotent patients were evaluated by physical examination and neuroandrologic profile. The physical examination consisted in an exploration of the anal tone and the bulbocavernosus reflex. The neuroandrologic profile consisted in selective electromyography of the bulbocavernosus muscle, the determination of the S2-S4 evoked potentials, somatosensory potential of the pudenal nerve, electromyography of cavernous smooth muscle (SPACE) sympathetic skin response and cystometry. RESULTS:The results of the bulbocavernosus electromyography and S2-S4 evoked potentials were different from the data obtained from the physical examination of the anal tone and the bulbocavernosus reflex. Selective bulbocavernosus electromyography showed a sensitivity of 57% and a specificity of 84%. The S2-S4 evoked potentials showed a sensitivity of 61% and a specificity of 100%. The diagnostic value of the S2-S4 evoked potentials increased at 39 msec cutoff (sensitivity = 66%; specificity = 95%). Exploration of the anal tone is very specific for neurologic lesion in impotence (93%), but has a low sensitivity (30%). The clinical bulbocavernosus reflex showed a good specificity (85%) and sensitivity (75%) in the diagnosis of pudendal efferent lesion, but is less useful in the diagnosis of neurogenic impotence. CONCLUSIONS:The highest diagnostic value was obtained with the S2-S4 evoked potentials. Selective electromyography of the bulbocavernosus muscle showed a moderate diagnostic value. Physical examination of peripheral pudendal innervation does not appear to be useful for screening for neurologic lesion in impotence because of its low sensitivity, which may be due to existing incomplete nervous lesions.
journal_name
Arch Esp Uroljournal_title
Archivos espanoles de urologiaauthors
Salinas Casado J,Vírseda Chamorro M,Samblás García R,Esteban Fuertes M,Aristizábal Agudelo JM,Delgado Martín JA,Blázquez Izquierdo J,Resel Estévez Lsubject
Has Abstractpub_date
1997-12-01 00:00:00pages
1103-11issue
10eissn
0004-0614issn
1576-8260journal_volume
50pub_type
杂志文章abstract:OBJECTIVES:Megacalycosis or Puigvert's disease is a clinical entity characterized by dilatation of all renal calyces without dilatation of the renal pelvis or ureter in the absence of any obstructive factor. To date, its pathogenesis remains unclear. The rarity of this disease and the importance of making a correct dif...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章,评审
doi:
更新日期:1995-04-01 00:00:00
abstract:OBJECTIVE:To present our experience with squamous cell carcinoma of the penis. METHODS:We reviewed our series of 73 squamous cell carcinoma of the penis over the last 23 years. Patient mean age was 65.7 years. All lesions had been previously biopsied. Patient records were reviewed for a history of phimosis and related...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章
doi:
更新日期:2000-10-01 00:00:00
abstract:OBJECTIVE:To describe an additional case of idiopathic retroperitoneal fibrosis. METHODS/RESULTS:A 56-year-old man consulted for abdominal pain and previous symptoms of intermittent claudication. A CT scan disclosed a retroperitoneal mass, for which reason the patient was submitted to surgery. Analysis of the biopsy s...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章,评审
doi:
更新日期:1998-11-01 00:00:00
abstract:OBJECTIVES:Ultrasound guided biopsies are the mainstay in the diagnosis of prostate cancer. With the aim of improving diagnostic performances different protocols of prostate biopsy have been designed. The addition of vascular contrasts to the ultrasound allows for identification of hypervascular regions more likely to ...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章,评审
doi:10.4321/s0004-06142006001000004
更新日期:2006-12-01 00:00:00
abstract:OBJECTIVES:To describe a method to obtain images of open surgery at the lowest possible cost. The images provide useful information for patient records and teaching. METHODS:We have utilized a submersible endoscopic camera with no special features, close up lenses or automatic focussing device and a color printer. RE...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章
doi:
更新日期:1996-05-01 00:00:00
abstract::We report on six patients with with retroperitoneal fibrosis (RPF) who were evaluated preoperatively by CT. Patient scans disclosed a retroperitoneal fibrous layer localized between L4-S2, S3 in four of the six cases (65%). Similarly, varying degrees of uni-or bilateral utero-hydronephrosis were observed in five patie...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章
doi:
更新日期:1989-04-01 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:Urinary pH is a decisive factor in several pathologies, there by an informative marker employed in treatment decisions. Although extensively used, the urinary pH dipstick test may not be sufficiently accurate or precise for clinical decisions and more robust methodologies need to be considered. In this study...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章
doi:
更新日期:2020-07-01 00:00:00
abstract::Tumors of mesothelial origin account for 1-5% of all vesical neoplasms. Leiomyomas, although rare, are the most frequently encountered. Three patients diagnosed as having leiomyoma are presented. Two had leiomyoma of the bladder and one had leiomyoma of the distal urethra. The etiopathogenesis, diagnosis and treatment...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章
doi:
更新日期:1991-09-01 00:00:00
abstract::The authors carried out detailed experiments on cats under anaesthesia, with electrical stimulation of the L7, S1, S2 and S3 ventral roots and of the vesical detrusor in order to study their contraction. They varied the frequency, intensity and duration parameters of the stimulation beats, using as contraction index, ...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章
doi:
更新日期:1980-07-01 00:00:00
abstract::We report a case of spontaneous retroperitoneal hematoma from rupture of the right adrenal in a patient with asymptomatic left renal adenocarcinoma that had been incidentally detected during evaluation to determine the cause of the retroperitoneal hematoma. ...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章
doi:
更新日期:1992-09-01 00:00:00
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 wit...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章,评审
doi:
更新日期:1997-01-01 00:00:00
abstract::The penis physiological states of flaccidity or erection, result from the contraction or relaxation, respectively, of smooth muscle cells in the corpora cavernosa (CSMCs). They result from the interaction of various inter and intracellular molecular signaling pathways. During the more usual state of flaccidity seems t...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章
doi:
更新日期:2010-10-01 00:00:00
abstract::The Goddess of Health had two daughters, Panacea and Higinia, the fruit of the first is diagnosis, prognosis and treatment, and the fruit of the second is health management, prevention, and statistics. Humanbeings are unexpectedly subjected to:1. Happenings: they belong to the plane of the personality, crisis, the Age...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章
doi:
更新日期:2020-06-01 00:00:00
abstract:OBJECTIVE:We report the case of a 61-year-old male with the incidental diagnosis of intrathoracic renal ectopia during the workup study for a possible lung mass. METHODS:We performed a bibliographic review on the incidence, origin, clinical presentation and diagnosis of this type of renal ectopia. RESULTS:Chest x-ray...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章,评审
doi:10.4321/s0004-06142008000500011
更新日期:2008-06-01 00:00:00
abstract:OBJECTIVE:To present a case of inflammatory pseudotumor of the urinary bladder, with special reference to the differential diagnosis. METHODS/RESULTS:A 26-year-old patient with a history of gross hematuria and voiding syndrome underwent partial cystectomy for a bladder tumor. Pathological analysis disclosed an inflamm...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章
doi:
更新日期:1999-05-01 00:00:00
abstract:OBJECTIVES:To present the data obtained from surgical specimens and biopsies of residual prostate and prostatic capsule, which in addition to the information provided by imaging tests give us the baseline situation of the prostatic surgical bed and residual prostate after transcervical hemostatic adenomectomy with caps...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章
doi:10.4321/s0004-06142007000900003
更新日期:2007-11-01 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::We report on a case of ileal conduit-enteric fistula which appeared early after ureteroileostomy using the Bricker technique. The appearance of gastrointestinal content through the stoma was the only sign. An ileogram permitted making the diagnosis. Conservative treatment was instituted and the fistula resolved sponta...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章
doi:
更新日期:1992-04-01 00:00:00
abstract:OBJECTIVES:To assess the bladder compliance in a series of cystoceles referred for urodynamic study. METHODS:Retrospective study of a series of patients with cystocele undergoing medical history, videurodynamic study, pelvic MRI and lower urinary tract, urological ultrasound and cystoscopy. We Excluded cases with neur...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章
doi:10.4321/s0004-06142010000500005
更新日期:2010-06-01 00:00:00
abstract:OBJECTIVES:The use of intraoperatory laparoscopic ultrasound for nephron sparring surgery (partial nephrectomy) in patients with technically challenging tumors has emerged during the last years. The objective of this work is to present a literature review and analysis of the published series, as well as the surgical te...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章,评审
doi:
更新日期:2019-10-01 00:00:00
abstract:OBJECTIVES:To present a series of four cases of Gartner cysts and their clinical presentation. A bibliographic review was performed. METHODS:The series consisted of 4 women, mean age 39, who complained of a bulge at the anterior vaginal wall, associated with a variety of urinary symptoms. RESULTS:Surgical removal was...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章
doi:
更新日期:2014-03-01 00:00:00
abstract:OBJECTIVES:The pandemic caused by the new SARS / Cov-2 Coronavirus represents an unprecedented scenario in modern medicine that affects many aspects of daily healthcare. Lower urinary tract symptoms (LUTS) and benign prostatic hyperplasia (BPH) has a high prevalence and is related to high consumption of health resource...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章,评审
doi:
更新日期:2020-06-01 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:OBJECTIVES:The present study describes two patients with retroperitoneal fibrosis following prolonged use of bromocriptine and pergolide for Parkinson's disease. Both patients also presented severe atheromatosis. METHODS:Similar cases reported in the literature are reviewed and the possible relationship between the us...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章,评审
doi:
更新日期:1995-12-01 00:00:00
abstract::A patient with a tumor in the right pelvic ureter is described herein. Following diagnosis by ureteroscopy, the patient underwent TUR utilizing a ureteroresectoscope. No short- or long-term complications were observed. The scant number of cases in the literature and the advantages afforded by this technique (noninvasi...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章
doi:
更新日期:1990-07-01 00:00:00
abstract::The microscopic innervation of the vas deferens in the rat was studied both in light and electron microscope. The nerve fibres form perivascular, intramuscular and subepithelial plexuses. Inside the connective tissue surrounding the vas deferens both isolated nerve fibres and sensory corpuscles (glomerular and Ruffine...
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:Upper urinary tract tumors are a rare condition. We review our experience in the diagnosis of upper urinary tract tumors and their recurrences, emphasizing the management of recurrences. METHODS:From January 1980 to June 2002 139 endourological procedures were carried out in 94 patients with the working dia...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章
doi:
更新日期:2004-04-01 00:00:00
abstract:OBJECTIVES:To report the principles of penile resculpturing of different deformities caused by M. Peyronie: restoration of penile length, girth and shape with or without penile prosthesis implantation. METHODS:In the period between February 2007 and March 2009, we performed grafting surgery for M. Peyronie in 98 patie...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章
doi:
更新日期:2010-11-01 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