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Marfil Reguero D, Porcar CA, Boronat F, Campos E. Computer vision-based system for early diagnosis of stereoscopic vision alterations. Inform Health Soc Care 2022; 48:165-180. [PMID: 35822283 DOI: 10.1080/17538157.2022.2086464] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
Abstract
Stereopsis is the three-dimensional perception capability, which is possible when binocular vision is present. Development of binocular vision system ends around 7-year-old, and after this time brain connections are already set, therefore, it will be difficult to recover stereopsis. Early diagnosis of Stereoscopic Visual Alterations (SVA) in the childhood is paramount to receive an appropriate treatment as soon as possible. Currently, to detect SVA, ophthalmologists commonly carry out tests based on cards. All these tests are based on the random-dot-stereogram principle, with different seconds of arc images, which allows doctors to graduate stereopsis. Some limits of this tests have been identified, such as monocular clues (e.g., the contours of the objects), or the non-standardized range levels depending on the test. This paper presents a novel concept of measuring stereopsis based on computer vision techniques. The system detects SVA in patients and calculates the degree of the perceived depth. As early diagnosis of SVA may suppose a therapeutic possibility, this platform is aimed at children by using stereoscopic models with varied and attractive designs. To validate the proposal, an early-stage prototype has been implemented and an objective evaluation of the measurement accuracy and reliability has been carried out with satisfactory results.
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Affiliation(s)
- Dani Marfil Reguero
- Department of Communications, Universitat Politècnica de València, Campus de Gandia, Gandia, Spain
| | - C A Porcar
- Department of Ophtalmology, Hospital Virgen de los Lirios, Alcoy, Spain
| | - F Boronat
- Department of Communications, Universitat Politècnica de València, Campus de Gandia, Gandia, Spain
| | - E Campos
- Department of Ophtalmology, Hospital Virgen de los Lirios, Alcoy, Spain
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Sánchez-González JV, Colet O, Gómez-Palomo F, Pérez-Ardavin J, Bernal A, Boronat F. The invisible impact of COVID-19: indirect mortality in urology. Minerva Urol Nephrol 2020; 73:132-133. [PMID: 33256362 DOI: 10.23736/s2724-6051.20.04119-3] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Affiliation(s)
| | - Oriol Colet
- Department of Urology, La Fe Polyclinic Hospital, Valencia, Spain
| | | | | | - Adrián Bernal
- Department of Urology, La Fe Polyclinic Hospital, Valencia, Spain
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Gómez Palomo F, Dagà O, Arlandis S, Bernal A, Sáez I, Romeu Magraner G, Villarroya Castillo S, Bolón Marset J, Colet Guitert O, Martínez-Cuenca E, Bonillo M, Morán E, Broseta E, Boronat F. Is the phenomenon of catastrophizing prevalent in women with bladder pain syndrome? Results of a pilot study. EUR UROL SUPPL 2020. [DOI: 10.1016/s2666-1683(20)32901-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022] Open
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Rogel R, Marzullo L, Dagà O, Lujan S, Broseta E, Boronat F. Do candidates for penile implant prefer their doctors or another implanted patient as their information source? Results of a pilot study. Rev Int Androl 2020; 19:145-149. [PMID: 32600953 DOI: 10.1016/j.androl.2020.01.008] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/06/2018] [Revised: 01/13/2020] [Accepted: 01/19/2020] [Indexed: 10/24/2022]
Abstract
INTRODUCTION Erectile dysfunction incidence is about 19-26 cases for every 1000 men/year, requiring about 20,000 penile implants/year. There is high demand for information on the part of patients, however, there is a lack of evidence about the sources of information prior to penile implant and the figure of the Expert Patient (EP) has never been described in this area. AIMS To evaluate the sources of information used by candidates for penile implant as well as to describe the role of the EP as an information source. METHODS Pilot study of candidates for penile prosthesis. Patients already implanted attending for exchange or reallocation surgery were excluded. Each patient had an interview with an EP, and commercial documentation was given. Each source of information was evaluated in a face-to-face interview. SPSS™ version 20.0 was used. MAIN OUTCOME MEASURES The EP was evaluated by the International Index of Erectile Function, the Generalized Anxiety Disorder 7 questionnaire, and the Erectile Dysfunction Inventory of Treatment Satisfaction. Each source of information was evaluated by a non-validated 6-section questionnaire. RESULTS Ten patients were included. Mean age was 60±10.3 years. Medical interview with the urologist resulted in a global value and truthfulness score of 9.2±.9 and 9.8±.4, respectively. Commercial information had a global score of 8.5±.9 and a truthfulness score of 8.6±.6, while the internet had 6.8±.8 points for global value and 7.2±1 for truthfulness. The global score of the EP was 8.7±1.2 points and their veracity scored 9.6±.5 points. CONCLUSIONS The urologist remains the main source of information for patients with erectile dysfunction candidates for penile prosthesis implant. However, the EP is an alternative and could be a key pillar in presurgical counselling.
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Affiliation(s)
- Ramon Rogel
- Department of Urology, La Fe University Hospital, Valencia, Spain.
| | | | - Oriol Dagà
- Department of Urology, La Fe University Hospital, Valencia, Spain
| | - Saturnino Lujan
- Department of Urology, La Fe University Hospital, Valencia, Spain
| | - Enrique Broseta
- Department of Urology, La Fe University Hospital, Valencia, Spain
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Morán E, Pérez-Ardavín J, Sánchez JV, Bonillo MA, Martínez-Cuenca E, Arlandis S, Broseta E, Boronat F. Mid-term safety and efficacy of the ALTIS®
single-incision sling for female stress urinary incontinence: less mesh, same results. BJU Int 2018; 123:E51-E56. [DOI: 10.1111/bju.14569] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Affiliation(s)
- Eduardo Morán
- Section of Reconstructive and Functional Urology Section; Urology Department; University and Polytechnic La Fe Hospital; Valencia Spain
| | - Javier Pérez-Ardavín
- Section of Reconstructive and Functional Urology Section; Urology Department; University and Polytechnic La Fe Hospital; Valencia Spain
| | - Jose V. Sánchez
- Section of Reconstructive and Functional Urology Section; Urology Department; University and Polytechnic La Fe Hospital; Valencia Spain
| | - Miguel A. Bonillo
- Section of Reconstructive and Functional Urology Section; Urology Department; University and Polytechnic La Fe Hospital; Valencia Spain
| | - Esther Martínez-Cuenca
- Section of Reconstructive and Functional Urology Section; Urology Department; University and Polytechnic La Fe Hospital; Valencia Spain
| | - Salvador Arlandis
- Section of Reconstructive and Functional Urology Section; Urology Department; University and Polytechnic La Fe Hospital; Valencia Spain
| | - Enric Broseta
- Section of Reconstructive and Functional Urology Section; Urology Department; University and Polytechnic La Fe Hospital; Valencia Spain
| | - Francisco Boronat
- Section of Reconstructive and Functional Urology Section; Urology Department; University and Polytechnic La Fe Hospital; Valencia Spain
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Morán E, Bonillo MA, Fernández-Estevan L, Martínez-Cuenca E, Arlandis S, Broseta E, Boronat F. Oral quality of life after buccal mucosal graft harvest for substitution urethroplasty. More than a bite? World J Urol 2018; 37:385-389. [PMID: 29931527 DOI: 10.1007/s00345-018-2381-9] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/10/2018] [Accepted: 06/15/2018] [Indexed: 12/16/2022] Open
Abstract
INTRODUCTION The aim of our study was to analyze the oral quality of life (QoL) in patients with urethral stricture treated with BMG by using a validated questionnaire (OIDP). MATERIALS AND METHODS A prospective, single-arm, observational single-centre study of a cohort of patients scheduled for BMG Urethroplasty was conducted. OIDP assesses the impact of oral conditions on daily activities including an oral QoL question (0-10). The questionnaire was self-administered before, 3 months postoperatively and at the end of the study. Means, pre- and postoperatively, were compared. Multivariate analysis was performed to analyze the risk factors for a low quality of life (<8) after surgery. RESULTS We included 41 patients (2013-2017). The mean preoperative oral QoL was 9.33 points (SD1.16). Preoperative mean OIDP dimensional score and global score were 0,5 (SD:0.02) and 0,8%. The most frequently preoperative altered aspect was hygiene. Mean oral QoL, 3 months after surgery, was 8,56 (SD1.89) and OIDP dimensional score and global score were 0,67 (SD0.21) and 1,1%. Mean oral QoL at the end of the study (mean 3,12 years) was 8,50 (SD1.13). OIDP dimensional score and global score were 0,7 (SD 0.16) and 1,1%.The most frequently altered aspect at the end of the study was eating. No statistical (p = 0.07) decrease in oral QoL was found. The increase in OIDP dimensional and global score was also not statistically significant. Neither age nor smoking, diabetes mellitus, cardiovascular morbidity, previous OIDP score, width, length of the graft, or surgery success could explain a low oral QoL alter graft harvesting. CONCLUSIONS BMG harvesting is not free of problems at the donor site. Eating seems to be the most affected aspect after surgery. Nevertheless, those sequelae do not induce a reduction in oral QoL.
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Affiliation(s)
- E Morán
- Department of Urology, La Fe University Hospital, Valencia, Spain.
| | - M A Bonillo
- Department of Urology, La Fe University Hospital, Valencia, Spain
| | - L Fernández-Estevan
- Department of Dental Medicine, School of Medicine and Dentistry, University of Valencia, Valencia, Spain
| | | | - S Arlandis
- Department of Urology, La Fe University Hospital, Valencia, Spain
| | - E Broseta
- Department of Urology, La Fe University Hospital, Valencia, Spain
| | - F Boronat
- Department of Urology, La Fe University Hospital, Valencia, Spain
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Perez-Ardavin J, Villarroya S, Moran E, García LR, Rico EB, Boronat F. Bilateral ureterohydronephrosis caused by a giant hypogastric aneurysm. Urol Case Rep 2018; 24:100604. [PMID: 31211049 PMCID: PMC6562261 DOI: 10.1016/j.eucr.2018.01.027] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/26/2017] [Revised: 01/22/2018] [Accepted: 01/26/2018] [Indexed: 11/29/2022] Open
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Lorenzo L, Marzullo L, Luján S, Rogel R, Broseta E, Boronat F. Principales características clínicas y de supervivencia en una serie de tumores testiculares primarios. Rev Int Androl 2017. [DOI: 10.1016/j.androl.2016.07.001] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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Morán E, Martínez M, Budía A, Broseta E, Cámara R, Boronat F. The role of IGF-1 and the distribution of body fat in decreasing the number of prostate rebiopsies. Actas Urol Esp 2017; 41:82-87. [PMID: 27485707 DOI: 10.1016/j.acuro.2016.06.006] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/13/2016] [Revised: 06/16/2016] [Accepted: 06/17/2016] [Indexed: 10/21/2022]
Abstract
OBJECTIVE To assess the usefulness of IGF-1 and internal organ fat measured by bioelectrical impedance audiometry to avoid rebiopsies in patients with persistently high prostate-specific antigen (PSA) levels. MATERIAL AND METHOD A prospective study was conducted with 92 patients who underwent prostate rebiopsy due to high PSA levels with negative results in the rectal examination and a lack of preneoplastic lesions. The patients previously had their IGF-1 levels measured and had undergone an impedance audiometry test using the abdominal Fat Analyser AB-140 TANITA system. We calculated the receiver operating characteristic (ROC) curves for the PSA levels, %PSA, internal organ fat and IGF-1 and PSA density. RESULTS Twenty-five patients were diagnosed with prostate cancer. These patients had significantly higher PSA, PSAd and IGF-1 values and a tendency towards higher internal organ fat levels and lower %PSA readings (p=.001, p=.003, p=.001, p=.24 and P=0.28, respectively). The ROC curve showed an area under the curve for IGF-1 and PSA of .82 and .81, respectively. Using the cutoff points for 95% sensitivity and using the 3 criteria as an indication of rebiopsy, 74% of the biopsies would have been spared, leaving undiagnosed only 1 patient with clinically significant cancer -Gleason score>7 (4+3)-. The positive and negative predictive values for the set of variables were higher than for each one separately (PPV: 66/NPV: 63). The cost of both determinations was 82 euros. CONCLUSIONS Our results suggest that measuring IGF-1 could significantly decrease the number of unnecessary rebiopsies in an inexpensive and safe manner.
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Luján S, Rogel R, Broseta E, Boronat F. Local Treatment of Penile Prosthesis Infection as Alternative to Immediate Salvage Surgery. Sex Med 2016; 4:e255-e258. [PMID: 27484916 PMCID: PMC5121535 DOI: 10.1016/j.esxm.2016.06.002] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/17/2016] [Revised: 05/21/2016] [Accepted: 06/05/2016] [Indexed: 11/28/2022] Open
Abstract
INTRODUCTION Penile prosthesis (PP) is the established treatment for patients with erectile dysfunction (ED) who do not respond to phosphodiesterase inhibitors and intracavernosal injections. In general, these devices have been largely successful but there are not free of serious complication such as PP infection (PPI). PPI requires immediate surgical removal or salvage rescue of the PP. AIM In this report, we present two clinical cases with inflatable PP (IPP) treated locally with antibiotic and high pressure irrigation and then avoid the PP removal or salvage rescue. METHODS We present two patients with PPI in our institution and literature review. MAIN OUTCOME MEASURES Resolution of the two cases. RESULTS Patient A (A) was 44 years old and patient B (B) 51 years old presented PPI after three weeks (A) and eight weeks (B). Both patients were diabetic. Physical exploration revealed an open scrotal incision at its margin with a clear discharge. The rest of the incision and scrotum were clean and dry. They had not scrotum pain/tenderness or systemic/septic symptoms. The bacterial culture of the incisional drainage revealed a Staphylococcus aureus (A) and Staphylococcus epidermidis (B). In both cases, we performed an excision of the tissue around the pump with a high pressure pulsed irrigation (Interpulse; Stryker Corp, Kalamazoo, MI, USA). For the irrigation we used three different solutions that included povidone-iodine, antibiotics (gentamicin plus vancomicin), and hydrogen peroxyde. Finally, we performed a multilayered surgical closure with the use of aspirate drainage over 24 hours and intravenous antibiotics. The patients had a total resolution of its symptoms after 20 months (A) and 36 months (B), and the IPP worked properly. CONCLUSION This treatment could be an option for to perform specific patients with local IPP infection without systemic symptoms instead of surgical removal.
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Affiliation(s)
- Saturnino Luján
- Department of Urology, Hospital Universitari i Politècnic La Fe, València, Spain.
| | - Ramón Rogel
- Department of Urology, Hospital Universitari i Politècnic La Fe, València, Spain
| | - Enrique Broseta
- Department of Urology, Hospital Universitari i Politècnic La Fe, València, Spain
| | - Francisco Boronat
- Department of Urology, Hospital Universitari i Politècnic La Fe, València, Spain
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Pascual L, Campos I, Vivancos JL, Quintás G, Loras A, Martínez-Bisbal MC, Martínez-Máñez R, Boronat F, Ruiz-Cerdà JL. Detection of prostate cancer using a voltammetric electronic tongue. Analyst 2016; 141:4562-7. [PMID: 27375181 DOI: 10.1039/c6an01044j] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/29/2022]
Abstract
A simple method based on the multivariate analysis of data from urine using an electronic voltammetric tongue is used to detect patients with prostate cancer. A sensitivity of 91% and a specificity of 73% were obtained to distinguish the urine from cancer patients and the urine from non-cancer patients.
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Affiliation(s)
- Lluís Pascual
- Instituto Interuniversitario de Investigación de Reconocimiento Molecular y Desarrollo Tecnológico (IDM), Unidad Mixta Universitat Politècnica de València - Universitat de València, Spain.
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Lorenzo L, Bonillo MA, Arlandis S, Martínez-Cuenca E, Marzullo L, Broseta E, Boronat F. Hydrodistension plus Onabotulinumtoxin A in bladder pain syndrome refractory to conservative treatments. Actas Urol Esp 2016; 40:303-8. [PMID: 26877071 DOI: 10.1016/j.acuro.2015.12.011] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/20/2015] [Revised: 12/16/2015] [Accepted: 12/17/2015] [Indexed: 11/15/2022]
Abstract
INTRODUCTION For bladder pain syndrome (BPS) refractory to conservative treatment, the European guidelines consider bladder hydrodistention (HD) under anaesthesia and the injection of Onabotulinumtoxin A (OnabotA) jointly. The objective of this study was to assess our experience in implementing this technique. MATERIAL AND METHODS A prospective study of 25 patients with BPS who underwent HD plus a submucosal injection of 100 U of OnabotA in trigone. The Hunner lesions were treated endoscopically using resection or electrocoagulation. Thirty-eight procedures were performed (25 first interventions and 13 reoperations). To study the clinical change, we evaluated the subjective improvement (Treatment Benefit Scale [TBS] and Patient Global Impression of Change [PGIC] scales), the visual analogue scale (VAS) for pain, the Bladder Pain/Interstitial Cystitis Symptom Score (BPIC-SS) questionnaire and the voiding diary for 3 days. For the data analysis, we employed the Wilcoxon, Kruskal-Wallis, Kaplan-Meier and log-rank tests. RESULTS We observed subjective improvement in 21 patients (84%), which was significant in 47% of these patients, moderate in 41.2% and slight in 11.8%. Four patients did not improve. A post-treatment reduction in the pain VAS (from 7.1 to 1.8 points; P=.001), in daytime (from 11.8 to 7.5; P=.012) and night-time (from 5.9 to 3.6; P=.003) voiding frequency and in the BPIC-SS (from 27.9 to 11.2 points; P=.042). The degree of improvement was not related to age, the presence of bladder lesions or the treatment of relapses. The median duration of improvement was 7 months (95% CI 5.69-8.31), although this duration was somewhat longer for the patients younger than 65 years. Mild complications occurred in 23.7% of the cases. CONCLUSIONS The joint implementation of HD plus OnabotA is a valid therapeutic option in refractory BPS, which provides good clinical results and maintains its effectiveness in retreatments.
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Affiliation(s)
- L Lorenzo
- Servicio Urología, Hospital Universitari i Politècnic La Fe, Valencia, España.
| | - M A Bonillo
- Servicio Urología, Hospital Universitari i Politècnic La Fe, Valencia, España
| | - S Arlandis
- Servicio Urología, Hospital Universitari i Politècnic La Fe, Valencia, España
| | - E Martínez-Cuenca
- Servicio Urología, Hospital Universitari i Politècnic La Fe, Valencia, España
| | - L Marzullo
- Servicio Urología, Hospital Universitari i Politècnic La Fe, Valencia, España
| | - E Broseta
- Servicio Urología, Hospital Universitari i Politècnic La Fe, Valencia, España
| | - F Boronat
- Servicio Urología, Hospital Universitari i Politècnic La Fe, Valencia, España
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Lorenzo L, Rogel R, Sanchez-Gonzalez JV, Perez-Ardavin J, Moreno E, Lujan S, Broseta E, Boronat F. Evaluation of Adult Acute Scrotum in the Emergency Room: Clinical Characteristics, Diagnosis, Management, and Costs. Urology 2016; 94:36-41. [PMID: 27210570 DOI: 10.1016/j.urology.2016.05.018] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/11/2015] [Revised: 04/18/2016] [Accepted: 05/05/2016] [Indexed: 11/25/2022]
Abstract
OBJECTIVE To evaluate the clinic characteristics, diagnosis, management, and costs of the adult acute scrotum in the emergency room (ER). Acute scrotum is a syndrome characterized by intense, acute scrotal pain that may be accompanied by other symptoms. It is usual in children and commonly found as well in adults, with different causal pathologies between these groups. METHODS Between November 2013 and September 2014, 669 cases of adult acute scrotum who presented to our ER were prospectively analyzed. Patients under 15 years of age were excluded. Patient age, reason for consultation, investigations performed, final diagnosis, management, and costs were evaluated. For the statistical analysis, the Mann-Whitney, Kruskal-Wallis U, and chi-square tests were used. RESULTS A total of 669 cases of acute scrotum were analyzed. The mean age at presentation was 40.2 ± 17.3 years. The most presented diagnoses were orchiepididymitis (28.7%), epididymitis (28.4%), symptoms of uncertain etiology (25.1%), and orchitis (10.3%). Diagnostic tests were carried out in 57.8% of cases. Most cases were treated as outpatients (94.2%), with 5.83% admitted and 1% undergoing surgical treatment. Overall, 13.3% of patients represented to the ER. Abnormal results in blood and urine tests were more common among older patients and infectious pathologies. The average cost generated by an acute scrotum ER consult was 195.03€. CONCLUSION Infectious pathologies are the most common causes of acute scrotum at ER. Abnormal blood and urine tests are unusual and are more common in older patients and infectious pathologies.
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Affiliation(s)
- Laura Lorenzo
- Department of Urology, University and Polytechnic Hospital La Fe, Valencia, Spain
| | - Ramon Rogel
- Department of Urology, University and Polytechnic Hospital La Fe, Valencia, Spain.
| | | | - Javier Perez-Ardavin
- Department of Urology, University and Polytechnic Hospital La Fe, Valencia, Spain
| | - Elena Moreno
- Department of Biological Statistics, Instituto de Investigaciones Sanitarias La Fe, Valencia, Spain
| | - Saturnino Lujan
- Department of Urology, University and Polytechnic Hospital La Fe, Valencia, Spain
| | - Enrique Broseta
- Department of Urology, University and Polytechnic Hospital La Fe, Valencia, Spain
| | - Francisco Boronat
- Department of Urology, University and Polytechnic Hospital La Fe, Valencia, Spain
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Budía A, Caballer V, López-Acón JD, Vivas-Consuelo D, Bahílo P, Trassierra M, Boronat F. MP54-06 IS AN INCREASE OF FOCAL SHOCK WAVE ENERGY THROUGH AN EXPANDED NUMBER OF SHOCKWAVES PER SESIÓN EFFICIENT AND SAFE IN EXTRACORPOREAL LITHOTRIPSY? A COST-EFFECTIVENESS ANALYSIS. J Urol 2016. [DOI: 10.1016/j.juro.2016.02.576] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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Bahílo P, Caballer V, López-Acón JD, Budía A, Vivas-Consuelo D, Trassierra M, Boronat F. MP54-07 COMPARISION OF EXTRACORPOREAL SHOCK WAVE LITHOTRIPSY VERSUS RETROGRADE INTRARENAL SURGERY IN THE MANAGEMENT OF SMALL MODERATED-SIZED RENAL STONES: A COST-EFFECTIVENESS ANALYSIS. J Urol 2016. [DOI: 10.1016/j.juro.2016.02.577] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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Arlandis S, Vázquez-Costa JF, Martínez-Cuenca E, Sevilla T, Boronat F, Broseta E. Urodynamic findings in amyotrophic lateral sclerosis patients with lower urinary tract symptoms: Results from a pilot study. Neurourol Urodyn 2016; 36:626-631. [DOI: 10.1002/nau.22976] [Citation(s) in RCA: 17] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/18/2015] [Accepted: 02/01/2016] [Indexed: 11/08/2022]
Affiliation(s)
| | - Juan Francisco Vázquez-Costa
- Neuromuscular Research Unit; Instituto de Investigación Sanitaria la Fe (IIS La Fe); Valencia Spain
- Department of Neurology; Hospital Universitario y Politécnico La Fe; Valencia Spain
- Centro de Investigación Biomédica en Red de Enfermedades Raras (CIBERER); Spain
| | | | - Teresa Sevilla
- Neuromuscular Research Unit; Instituto de Investigación Sanitaria la Fe (IIS La Fe); Valencia Spain
- Department of Neurology; Hospital Universitario y Politécnico La Fe; Valencia Spain
- Centro de Investigación Biomédica en Red de Enfermedades Raras (CIBERER); Spain
- Department of Medicine; University of Valencia; Valencia Spain
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Luján S, Guzman-Ordaz D, Rogel R, Broseta E, Pellicer A, Boronat F. ONCO-TESE: Obtaining spermatozoa after radical orchiectomy for testicular tumour and azoospermia. Actas Urol Esp 2016; 40:64-7. [PMID: 26296279 DOI: 10.1016/j.acuro.2015.06.009] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/27/2015] [Accepted: 06/29/2015] [Indexed: 11/24/2022]
Abstract
OBJECTIVE There is the possibility of diagnosing azoospermia in cases of testicular tumours in patients who wish to preserve fertility. Our objective is to present a technique for obtaining spermatozoa from testicles with ex vivo tumours in order to preserve fertility in these patients. MATERIAL AND METHODS A 34-year-old patient was referred for azoospermia. The physical examination revealed a node in the lower pole of the left testicle. In the scrotal ultrasound, the testicle presented disperse microcalcifications and a 1-cm hypoechoic mass in the lower pole. The tumour markers were negative, and the CT showed no distant disease. Left radical orchiectomy was performed, along with the placement of a testis prosthesis. Bench surgery was then performed, with extraction of the seminiferous tubules in the upper pole. RESULTS Of the submitted samples, 4 progressive and 1 nonprogressive motile spermatozoa were identified per field. Two samples were cryopreserved. The pathological report indicated the presence of a seminoma measuring 1.3 × 1 cm, with free margins and with no invasion of the rete testis (stage I). An assisted reproduction technique (intracytoplasmic sperm injection) was performed on the patient's partner with the frozen spermatozoa, which resulted in pregnancy and the subsequent birth of a healthy child. CONCLUSION We propose this technique as the method of choice for obtaining spermatozoa from patients who simultaneously present azoospermia and testicular tumours and who wish to preserve their fertility.
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18
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Avargues A, Luján S, Palomar L, Rogel R, Broseta E, Boronat F. [Metastatic urinary bladder involvement in breast cancer]. ARCH ESP UROL 2015; 68:676-678. [PMID: 26437333] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/05/2023]
Abstract
OBJECTIVE To contribute to the literature with three unusual cases of primary breast tumor with metastasis to the urinary bladder. METHODS Presentation of the three clinical cases and bibliographic review. RESULTS Three women, with an average age of 49.3 years, were diagnosed with invasive lobular breast carcinoma. Two of them suffered from hematuria after being diagnosed with breast cancer. The third patient was diagnosed incidentally after a routine CT scan. Upon diagnosis of the bladder metastases, they already had metastasis in other locations. The treatment of the three cases was palliative. The cause of death was due to additional pathologies. CONCLUSIONS The presence of bladder metastases due to breast cancer is infrequent. The appearance of urinary tract symptoms in these patients requires a diagnostic study in order to rule out metastases.
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Affiliation(s)
- Ana Avargues
- Service of Urology. Hospital Universitari i Politècnic La Fe. Valencia. Spain
| | - Saturnino Luján
- Service of Urology. Hospital Universitari i Politècnic La Fe. Valencia. Spain
| | - Laura Palomar
- Service of Urology. Hospital Universitari i Politècnic La Fe. Valencia. Spain
| | - Ramón Rogel
- Service of Urology. Hospital Universitari i Politècnic La Fe. Valencia. Spain
| | - Enrique Broseta
- Service of Urology. Hospital Universitari i Politècnic La Fe. Valencia. Spain
| | - Francisco Boronat
- Service of Urology. Hospital Universitari i Politècnic La Fe. Valencia. Spain
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19
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Gallego A, Pontones JL, Ramos D, Boronat F. Malignant Triton Tumor of the Kidney. New Location Not Previously Reported. Urol Int 2015; 99:121-123. [DOI: 10.1159/000434639] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/28/2015] [Accepted: 05/28/2015] [Indexed: 11/19/2022]
Abstract
Malignant triton tumor (MTT) is a variant of the peripheral nerve sheath tumor. It is very uncommon but shows an aggressive course and limited survival. Half of the cases present symptoms related to neurofibromatosis type 1 disease. There is no standardized treatment, but multimodal approach is the best option. We present the case of a primary MTT located in the kidney, in a 43-year-old woman who received neoadjuvant chemotherapy as first-line treatment followed by surgical resection and adjuvant chemotherapy.
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20
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Avargues A, Rogel R, Broseta E, Luján S, Betancourt JA, Morales G, Boronat F. Polyorchidism: the case in a young male and review of the literature. Asian J Androl 2015; 17:511-2. [PMID: 25475664 PMCID: PMC4430962 DOI: 10.4103/1008-682x.143246] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/28/2014] [Revised: 07/18/2014] [Accepted: 08/19/2014] [Indexed: 11/17/2022] Open
Affiliation(s)
- Ana Avargues
- Department of Urology, University and Polytechnic Hospital La Fe, Valencia 46026, Spain
| | - Ramón Rogel
- Department of Urology, University and Polytechnic Hospital La Fe, Valencia 46026, Spain
| | - Enrique Broseta
- Department of Urology, University and Polytechnic Hospital La Fe, Valencia 46026, Spain
| | - Saturnino Luján
- Department of Urology, University and Polytechnic Hospital La Fe, Valencia 46026, Spain
| | - Jesús A Betancourt
- Department of Urology, University and Polytechnic Hospital La Fe, Valencia 46026, Spain
| | - Gonzalo Morales
- Department of Urology, University and Polytechnic Hospital La Fe, Valencia 46026, Spain
| | - Francisco Boronat
- Department of Urology, University and Polytechnic Hospital La Fe, Valencia 46026, Spain
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21
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Morán E, Budía A, Broseta E, Boronat F. [Phytotherapy in urology. Current scientific evidence of its application in urolithiasis, chronic pelvic pain, erectile dysfunction and urinary tract infections]. Actas Urol Esp 2013; 37:174-80. [PMID: 23058994 DOI: 10.1016/j.acuro.2012.07.004] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/04/2012] [Accepted: 07/28/2012] [Indexed: 11/16/2022]
Abstract
OBJECTIVE To assess the usefulness of phytotherapy in urolitiasis, urinary tract infections, erectile dysfunction (ED) and chronic prostatitis/chronic pelvic pain (CP/CPP). ACQUISITION OF THE EVIDENCE Systematic review of the evidence published until January 2011 using the following scientific terms:phytotherapy, urinary lithiasis, Chronic prostatitis, chronic pelvic pain, erectile dysfunction, urinary tract infection, cystitis and the scientific names of compounds following the rules of the International Code of Botanical Nomenclature. The databases used were Medline and The Cochrane Library.We included articles published until January 2011 written in English and Spanish. We included studies in Vitro/in vivo on animal models or human beings. Exclusion criteria were literature not in English and Spanish or articles with serious methodological flaws. SYNTHESIS OF THE EVIDENCE We included 86 articles selecting 40 that met the inclusion criteria. In Urolitiasis there are few works in humans. The phytate has its main use as prevention and in reducing the growth of residual fragments after extracorporeal shock wave lithotripsy (ESWL). In CP/CPP the only compound that has shown effectiveness was the extract of pollen in a field of multimodal treatment. In DE ther is no evidence for the use of herbal medicine.Most of the works have limitations in the design or low sample size. In urinary tract infections most of the products are diuretics .There is only evidence for the cranberry as prevention in young or pregnant women. It must not be used as a treatment for urinary tract infections. CONCLUSIONS Phytotherapy is usefull in repeat urinary tract infections and the CP/CPP. It has some role in the urolitiasis and lacks useful in the DE.
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Affiliation(s)
- E Morán
- Servicio de Urología, Hospital Universitario y Politécnico La Fe, Valencia, España.
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22
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Alapont JM, Broseta E, Oliver F, Pontones JL, Boronat F, Jiménez-Cruz JF. Ureteral avulsion as a complication of ureteroscopy. Int Braz J Urol 2003; 29:18-22; discussion 23. [PMID: 15745462 DOI: 10.1590/s1677-55382003000100004] [Citation(s) in RCA: 19] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/10/2002] [Accepted: 01/24/2003] [Indexed: 11/22/2022] Open
Abstract
PURPOSE Report and review the literature on ureteral avulsion as a rare complication of ureteroscopy. MATERIALS AND METHODS We analyzed 3 cases of ureteral avulsion in a series of 4,645 ureteroscopic procedures performed from January 1990 to December 2001. We especially report the different managements for this complication. RESULTS Due to the different extent of the injury, each patient was treated in a particular way, including a patient managed by means of an endourological approach. CONCLUSIONS When performing ureteroscopy or using Dormia baskets, one should always bear in mind the possibility of serious complications, including ureteral avulsion or perforation. The use of an extremely careful technique of ureteral insertion, the mandatory placement of a safety guidewire, and a working guidewire, all minimize the risk of untoward events.
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Affiliation(s)
- J M Alapont
- Department of Urology, La Fe University Hospital, Valencia, Spain.
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23
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López-Alcina E, Broseta E, Oliver F, Boronat F, Jiménez-Cruz JF. Paraureteral extrusion of calculi after endoscopic pulsed-dye laser lithotripsy. J Endourol 1998; 12:517-21. [PMID: 9895255 DOI: 10.1089/end.1998.12.517] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
Laser lithotripsy has become an effective and low-morbidity procedure for the treatment of ureteral calculi. Nevertheless, ureteral endoscopy is not free of side effects and complications. Lithiasis extrusion is one of the early complications of this procedure, and usually, the diagnosis is carried out by means of urographic findings because it is not easily recognized during ureteroscopy. Between January 1990 and May 1996, a total of 1047 endoscopic lithotripsies with the pulsed-dye laser were performed in our department. The 3-month stone-free rate as a single treatment was 76.5%. We found 11 cases (1.05%) of calculi extrusion after ureteral endoscopic treatment. Only one case was diagnosed intraoperatively. The evolution after a mean follow-up period of 18 months (range 6-34 months) was satisfactory in all cases. No urinary extravasation, infection, or secondary ureteral strictures were found. According to the absence of side effects, it was considered unnecessary to remove the extruded calculi. Extrusion of noninfected calculi into the periureteral tissues after laser lithotripsy causes no significant consequences and can be successfully managed conservatively. Knowledge of this possible complication is the best way to avoid it. A careful technique and a low irrigant flow will be very helpful.
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Affiliation(s)
- E López-Alcina
- Department of Urology, La Fe University Hospital Hospital, Valencia, Spain
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24
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Sala T, Pertejo V, Berenguer M, Higón M, Boronat F, Berenguer J. [Combined endoscopic treatment with extracorporeal lithotripsy in chronic calcifying pancreatitis]. Rev Esp Enferm Dig 1994; 86:596-9. [PMID: 7946605] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/28/2023]
Abstract
In the management of severe chronic pancreatitis, a variety of new endoscopic methods have been proposed as an alternative to traditional surgery. The main goal of these procedures is the remission of pain. They include pancreatic endoscopic sphincterotomy with subsequent endoscopic extraction, which can be associated to extracorporeal shock-wave lithotripsy for stone desintegration before removal of large calculi, and to the insertion of a pancreatic stent in case of a pancreatic duct stricture. We present two cases of severe chronic pancreatitis managed successfully with this endoscopic treatment.
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Affiliation(s)
- T Sala
- Servicio de Medicina Digestiva, Hospital La Fe, Valencia
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25
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García Reboll L, Pontones J, Boronat F, Vera CD, Broseta E, Cuñat E, Jiménez Cruz JF. [Extracorporeal shockwave lithotripsy: an alternative treatment for lithiasis of caliceal diverticula]. Actas Urol Esp 1992; 16:467-70. [PMID: 1509916] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/27/2022]
Abstract
Among all the patients treated in our Lithotrity Unit, 13 of them had lithiasis inside the calyceal diverticulum. They were all treated by extracorporeal shockwaves. In none of the cases complete expulsion of lithiasic mass was achieved. In 3 (23%) cases it was reduced to half. In 2 (15.3%), 75% of the initial mass remained; and in 8 (61.5%) stones were fragmented but none of their debris was eliminated. Out of all the patients who were symptomatic before starting treatment, only 36.6% become asymptomatic. Extracorporeal lithotrity is, therefore, an approach with limited results in the calyceal intradiverticular lithiasis.
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Affiliation(s)
- L García Reboll
- Servicio de Urología, Hospital Universitario la Fé, Valencia, España
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26
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Osca JM, Boronat F, Dominguez C, Broseta E, Server G, Ruiz JL, Jiménez Cruz JF. [Abdominal echography to determine the weight of the prostate]. Actas Urol Esp 1992; 16:305-8. [PMID: 1636453] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/28/2022]
Abstract
The relationship of post-operatively determined prostatic gland weight and that calculated prior the procedure, by means of abdominal ultrasound techniques using the "ellipsoid method", has been studied in 88 patients undergoing retropubic adenectomy. The regression line was nearly optimal, Y = 0.946 X + 2.295, and the correlation coefficient between both weight measures was r = 0.915. Abdominal ultrasound examinations are a simple, quick and safe means to evaluate prostate weight, prior to deciding the type of surgery (open adenectomy or transurethral resection) for prostate adenoma.
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Affiliation(s)
- J M Osca
- Servicio de Urología, Hospital La Fe, Valencia
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27
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Dominguez C, Boronat F, Cunat E, Broseta E, Martinez R, Moreno B, Jimenez-Cruz JF. Agenesis of seminal vesicles in infertile males: ultrasonic diagnosis. Eur Urol 1991; 20:129-32. [PMID: 1752269 DOI: 10.1159/000471681] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/28/2022]
Abstract
We present the incidence of seminal vesicle agenesis and its association with deferens ductus agenesis in 141 males presenting with infertility. Transrectal ultrasonography was performed in every patient. Ten presented seminal vesicle agenesis (8 unilateral and 2 bilateral). Three had absence of the vas deferens on physical examination (3 of 7 with unilateral seminal vesicle agenesis and 1 of 2 with bilateral). Computed tomography confirmed the ultrasound findings. We emphasize the importance of the anomalies as a cause of infertility and the association with other genitourinary anomalies. Moreover, we state the necessity of transrectal ultrasound in the diagnosis.
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Affiliation(s)
- C Dominguez
- Division of Urology, La Fe Hospital, Valencia, Spain
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28
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Abstract
We present 2 patients with late recurrence 16 and 11 years after nephrectomy for renal cell carcinoma. Metastases were solitary and their location very uncommon (vastus externo muscle and colon). In the reviewed series of 5,758 patients with renal cell carcinoma only a temporal muscle metastasis and another in the colon were observed but none of them was solitary.
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Affiliation(s)
- J L Ruiz
- Department of Urology, La Fe Hospital, Valencia, Spain
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29
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Broseta E, Boronat F, Ruiz JL, Alonso M, Osca JM, Jiménez-Cruz JF. Urological complications associated to uterus didelphys with unilateral hematocolpos. A case report and review of the literature. Eur Urol 1991; 20:85-8. [PMID: 1743240 DOI: 10.1159/000471669] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/28/2022]
Abstract
Complete duplication of vagina, cervix and uterus, with imperforate hemivagina and renal agenesis is a rare condition with less than 120 cases published. In those articles, urological complications are uncommon with only a 10% of the total. We report 2 cases of uterus didelphys with unilateral hematocolpos and ipsilateral renal agenesis with urological clinical complications. One of them presented a very rare onset complaining of acute urinary retention. The other patient was referred for difficulty in micturition and abdominal pain which is the most common symptom of this entity. A description of both cases and a literature review of this congenital complex syndrome and its urological complications are reported.
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Affiliation(s)
- E Broseta
- Service of Urology, La Fe Hospital, Valencia, Spain
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30
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Domínguez C, Boronat F, Broseta E, Oliver F, Valls F, Jiménez-Cruz JF. [Perirenal hematoma caused by spontaneous upper calix rupture]. ARCH ESP UROL 1990; 43:59-61. [PMID: 2184781] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/30/2022]
Abstract
We report a case of perirenal hematoma from spontaneous rupture of the upper urinary tract associated with parenchymal rupture due to a calculus lodged in the pelvic ureter. The clinical features were pain confined to the renal fossa, leukocytosis and Hct of 36%. Diagnosis was made by percutaneous punction pyelography.
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Affiliation(s)
- C Domínguez
- Servicio de Urología, Hospital La Fe, Valencia, España
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31
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Broseta E, Boronat F, Domínguez C, Alonso M, Ruiz JL. [Acute urinary retention caused by hematocolpos associated with uterus didelphys and ipsilateral renal agenesis]. ARCH ESP UROL 1989; 42:885-8. [PMID: 2696442] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/02/2023]
Abstract
Acute urinary retention from compressive hematocolpos is an uncommon form of presentation of the multi-malformation syndrome arising from failed fusion of the Müllerian ducts and is characterized by uterus didelphys, vaginal duplication (one with hematocolpos), and unilateral renal agenesis. A case is reported and the literature reviewed.
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32
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Domínguez C, Broseta E, Boronat F, Llopis B, Martínez R, Jiménez-Cruz JF. [Disseminated renal adenocarcinoma. Developmental study]. ARCH ESP UROL 1989; 42:863-6. [PMID: 2624487] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/01/2023]
Abstract
A study was undertaken on 57 patients diagnosed as having disseminated renal adenocarcinoma. The interval between the onset of symptomatology and diagnosis ranged from 1 to 48 months. The tumor frequently metastasized to lungs and bone. To evaluate survival, this patient population was divided into two groups: those who underwent nephrectomy, 17 patients (9 patients also underwent lymphadenectomy), and those who were put on drug therapy alone. No significant difference was observed with respect to survival for both patient groups.
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33
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Domínguez C, Boronat F, Moreno B, Martínez R, Broseta E, Jiménez Cruz JF. [Transrectal echography in the infertile male. Statistical study]. ARCH ESP UROL 1989; 42:261-5. [PMID: 2481427] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/01/2023]
Abstract
We evaluated the transrectal echo patterns in 140 infertile men using the following parameters: the transverse and anteroposterior diameters of the prostate, the presence of periprostatic venus plexus, and the transverse diameter of the seminal vesicles. Patients were classified according to data gleaned from semen analyses following the criteria recommended by the WHO. Microbiological analyses using the Meares and Stamey technics, as well as semen analyses, were performed in those patients who presented with leukospermia. These were considered a separate, homogeneous group classified as "inflammatory". The following patient groups comprised the study: azoospermia (18 patients), oligospermia (4), astenozoospermia (43), oligoastenozosermia (48), and inflammatory (27). Statistical analyses of the ultrasound data for the infertile males and those of the control group were performed using the Mann-Whitney U. test and compared. Data were statistically significant for the following parameters: the transverse diameter for the infertile males with azoospermia, the anteroposterior diameter of the prostate for those patients with leukospermia, and the periprostatic plexus for those in the oligoastenozoospermia and inflammatory patient groups.
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34
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Broseta E, Boronat F, Domínguez C, Vidal J, Llopis B, Jiménez-Cruz JF. [Modification of the echographic pattern of carcinoma of the prostate treated with Lh-rh agonists]. ARCH ESP UROL 1989; 42:125-8. [PMID: 2660756] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/02/2023]
Abstract
We present the results of a study undertaken to assess the echo patterns and prostate size in 13 patients with prostatic carcinoma treated with Lh-rh agonists. The study revealed a gradual reduction of the anteroposterior and transverse diameters. After 12 months, these were 28% and 22% of their respective initial values. Furthermore, the prostatic echo patterns changed significantly in 66% of the patients, and infiltration of the seminal vesicle improved or became stable in 50%. These findings suggest that transrectal ultrasonography may be useful in the follow up of prostatic carcinoma patients receiving hormone therapy.
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35
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Llopis B, Vera-Donoso CD, Gallego J, Boronat F, Jiménez-Cruz JF. Immunoprophylaxis with Calmette-Guérin bacillus in recurrent superficial bladder tumors. Eur Urol 1989; 16:28-30. [PMID: 2714314 DOI: 10.1159/000471524] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/02/2023]
Abstract
26 patients with superficial bladder cancer underwent complete removal of tumors by transurethral resection and entered a prospective trial of immunoprophylaxis with Calmette-Guérin bacillus (BCG). The entire group had recurrent tumors that failed to respond to previous prophylaxis with thiotepa (13 patients) or other drugs (13 patients). Intravesical administration of BCG reduced the recurrence index and increased the disease-free interval. Side effects were mild and well tolerated. BCG seems to be effective in the prophylaxis of superficial bladder tumor recurrence after the failure of other drugs.
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Affiliation(s)
- B Llopis
- Service of Urology, La Fe Hospital, Valencia, Spain
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36
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Abstract
Five cases of malignant fibrous histiocytoma located in the retroperitoneum are reported. Paraneoplastic syndrome, abdominal mass, tendency to local recurrence, laborious therapy and poor prognosis are the clinical characteristics of this tumor. Accuracy of actual diagnosis is evaluated and pathological features are analyzed.
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37
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Llopis B, Sánchez A, Boronat F, Gallego J, Moreno B, Alonso M, Martínez R, Vera CD, Jiménez JF. [Prognostic factors and risk of recurrence in a series of 385 patients with superficial bladder carcinoma treated with thiotepa, adriamycin or cisplatin]. ARCH ESP UROL 1987; 40:159-64. [PMID: 3113347] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/04/2023]
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38
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Boronat F, Domínguez C, Alonso M, Llopis B, Gallego J, Jiménez-Cruz JF. [Value of intracavitary echography in the study of non-urologic pelvic pathology]. Actas Urol Esp 1987; 11:1-6. [PMID: 3554905] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/06/2023]
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39
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Llopis B, Gallego J, Bretó M, Martínez M, Valls F, Boronat F, Mompó JA, Jiménez JF. [Urinary lipids and bladder carcinoma. A new biological marker]. Actas Urol Esp 1986; 10:429-32. [PMID: 3825642] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/07/2023]
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40
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Boronat F, Gallego J, Llopis B, Valls F, Martínez-Agulló E, Martínez R, Jiménez-Cruz JF. [Intracavitary echography of the prostate]. Actas Urol Esp 1986; 10:399-406. [PMID: 2435112] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/31/2022]
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41
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Boronat F, Llopis B, Gallego J, Oliver F, Domínguez C, Jiménez-Cruz JF. [Transurethral echography of the bladder. 3: Control of tumor resection]. Actas Urol Esp 1986; 10:347-50. [PMID: 3548234] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/06/2023]
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42
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Boronat F, Gallego J, Alonso M, Martínez R, Llopis B, Jiménez-Cruz JF. [Transurethral echography of the bladder. I. Normal morphology and non-tumor changes in the wall]. Actas Urol Esp 1986; 10:335-40. [PMID: 3548232] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/06/2023]
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43
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Boronat F, Fernández J, Llopis B, Gallego J, Iranzo S, Jiménez-Cruz JF. [Transurethral echography of the bladder. 2: Diagnosis and tumor staging]. Actas Urol Esp 1986; 10:341-6. [PMID: 3548233] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/06/2023]
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44
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Llopis B, Gallego J, Boronat F, Moreno B, Mompó JA, Jiménez JF. [Comparative study of thiotepa, adriamycin and cisplatin in the prophylaxis of recurrence of superficial bladder carcinoma in a group of 217 patients]. Actas Urol Esp 1986; 10:225-30. [PMID: 3092589] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/04/2023]
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45
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Llopis B, Iranzo S, Boronat F, Gallego J, Moreno B, Mompó JA, Alonso M, Jiménez JF. [The renal adenoma-adenocarcinoma dilemma]. Actas Urol Esp 1986; 10:255-8. [PMID: 3751711] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/07/2023]
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46
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Mompó JA, Alonso M, Boronat F, Llopis B, Jiménez Cruz JF. [Retroperitoneal abscess secondary to pancreatitis. Diagnostic considerations]. Actas Urol Esp 1986; 10:275-6. [PMID: 3751714] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/07/2023]
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47
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Llopis B, Alonso M, Valls F, Moreno B, Boronat F, Gallego J, Iranzo S, Oliver F, Jiménez JF. [Secondary tumors of the penis]. Actas Urol Esp 1986; 10:167-70. [PMID: 3739785] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/07/2023]
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48
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Iranzo S, Llopis B, Froufe A, Alonso M, Boronat F, Moreno B, Oliver F, Gallego J, Jiménez Cruz JF. [Renal adenoma or adenocarcinoma?]. ARCH ESP UROL 1986; 39:190-4. [PMID: 3729559] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/07/2023]
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49
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Mompo JA, Gallego J, Boronat F, Martínez R, Gobernado M, Jiménez Cruz JF. [Treatment with a single-dose antibiotic in non-complicated bacterial cystitis. Comparative study]. Actas Urol Esp 1986; 10:95-8. [PMID: 3728123] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/07/2023]
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50
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Llopis B, Gallego J, Mompó JA, Boronat F, Alonso M, Moreno B, Jiménez JF. Crossed chemoprophylaxis assay between adriamycin and cis-platinum in recurrent superficial bladder tumor. Eur Urol 1986; 12:253-6. [PMID: 3091370 DOI: 10.1159/000472630] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/04/2023]
Abstract
Of 146 patients with superficial bladder carcinoma, 66 (35 primary and 31 recurrent from failure of thiotepa chemoprophylaxis) relapsed following transurethral resection (TUR) and chemotherapy with adriamycin or cis-platinum. A new TUR was carried out. In case of progression in the number of tumors, size, stage or grade, treatment was begun with the other drug. If the tumor had the same characteristics, treatment was continued with the same drug. In both the primary and recurrent tumors with or without progression, cis-platinum controlled the tumor better than adriamycin, rescuing it from the latter and obtaining a recurrence index and disease-free interval as with cis-platinum alone. These results are more conclusive in primary tumors.
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