Juan F Galiano Baena

Hospital General Universitario de Alicante, Alicante, Valencia, Spain

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Publications (10)10.33 Total impact

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    ABSTRACT: Adenocarcinomas of the upper urinary tract are very rare malignancies often related to primary genitourinary and extraurinary tumours. Primary adenocarcinomas are even rarer. There are no clinical guidelines for the management of primary ureteral adenocarcinoma. Our objective is to propose a management algoritm of this sort of tumours. We report a case of adenocarcinoma affecting a ureteral stump in a patient who previously underwent a nephrectomy. A review of literature is performed. After the ureterectomy the pathologist diagnosed a ureteral adenocarcinoma. We performed an extension study in order to discard an extraurinary origin. Adenocarcinoma of the ureteral stump is a very rare malignancy. About the clinic and pathologic characterization, there is no an established reference due to the short number of previous reports. Clinical presentation may include previous nephrectomy, flank pain, dysuria, urgency and/or gross hematuria. It seem necessary the complete resection of the urinary tract when a nephrectomy is performed. Adjuvant chemotherapy can be employed with uncertain results.
    Actas urologicas españolas 07/2009; 33(6):691-5.
  • Actas urologicas españolas 05/2009; 33(4):453.
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    ABSTRACT: Stab wounds of the kidney have traditionally been managed by open surgery. Nowadays the conservative management of stab wounds injuries is extended in order to avoid unnecessaries nephrectomies and laparotomies without increasing morbidity and mortality. Although there is no a strong evidence to recommend when to operate or what sort of follow up we must do. We present two new cases of stab wounds injuries managed conservatively. We performed a systematic review of the literature. Both patients evolved favorably although one of them presented hematuria 7 days after the traumatism and we performed an embolization of an arteriovenous fistula. Most of the articles are based on series of cases or retrosprospective studies. The diagnosis and staging of stab wounds of the kidney must be done with clinic and CT scan. Conservative management is required when the patient is not hemodinamically unstable and injuries do not require inmediate repair. These patients require a long-term follow up to prevent the appearance of complications. Randomized prospective multicenter trials are needed to support the optimum management for each kidney injury degree.
    Actas urologicas españolas 01/2009; 33(7):830-4.
  • Actas urologicas españolas 01/2009; 33(4). DOI:10.4321/S0210-48062009000400021
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    ABSTRACT: Aim: Adenocarcinomas of the upper urinary tract are very rare malignancies often related to primary genitourinary and extraurinary tumours. Primary adenocarcinomas are even rarer. There are no clinical guidelines for the management of primary ureteral adenocarcinoma. Our objective is to propose a clinical management of this sort of tumours. Methods: We report a case of adenocarcinoma affecting a ureteral stump in a patient who previously underwent a nephrectomy. A review of literature is performed. Results: After the ureterectomy the pathologist diagnosed a ureteral adenocarcinoma. We perform an extension study which discards an extraurinary origin. Conclusions: Adenocarcinoma of the ureteral stump is a very rare malignancy. About the clinic and pathologic characterization, there is no an established reference due to the short number of previous reports. Clinical presentation may include previous nephrectomy, flank pain, dysuria, urgency and/or gross hematuria. It seem necessary the complete resection of the urinary tract when a nephrectomy is performed. Adjuvant chemotherapy can be employed with uncertain results.
    Actas urologicas españolas 01/2009; 33(6). DOI:10.4321/S0210-48062009000600013
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    ABSTRACT: We present the case of a patient with diagnostic of cystitis enphisematous. We carry out the bibliographical revision of other published cases of this pathology. The cystitis enphisematous is an infectious square of strange presentation and more frequent in patient diabetic women, characterized by the presence of gas in the bladder cavity and infiltration of the walls bladder, due to the infection for germs producing of CO2, mainly gram (-). The peculiarity of our case is due to that the patient didn't suffer diabetes, being much more frequent that this alteration happens in the patients that yes they are it.
    Actas urologicas españolas 11/2008; 32(9):948-50.
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    ABSTRACT: Emphysematous cistitis. case report and review of literatureWe present the case of a patient with diagnostic of cystitis enphisematous. We carry out the bibliographical revision of other published cases of this pathology. The cystitis enphisematous is an infectious square of strange presentation and more frequent in patient diabetic women, characterized by the presence of gas in the bladder cavity and infiltration of the walls bladder, due to the infection for germs producing of CO2, mainly gram (-). The peculiarity of our case is due to that the patient didn’t suffer diabetes, being much more frequent that this alteration happens in the patients that yes they are it.
    Actas urologicas españolas 01/2008; 32(9). DOI:10.4321/S0210-48062008000900016
  • Actas urologicas españolas 03/2007; 31(2):175-6.
  • Actas urologicas españolas 01/2007; 31(2). DOI:10.4321/S0210-48062007000200019
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    ABSTRACT: This work tries to analyze the urodynamic studies performed in patients over the age of 65 years in the Department 19 of HCAV with the aim of reviewing our activity in this population segment between January 2001 and September 2006, and to perform a clinical-urodynamic correlation which will help to find a diagnosis avoiding the need to repeat urodynamic tests. We perform a descriptive transversal study with retrospective analysis of data from patients older than 65 years who underwent urodynamic tests. Total population in this age range in our health-care department (HCD) (HCD 19) is 35.260 inhabitants (12% of total population) (Valencia health care agency. Healthcare Management HCD 19. Alicante General University Hospital. May 2005). In this population 41% are males (14.620 people) and 59% females (20.637 people). Among males, the most frequent urodynamic finding is infravesical obstruction in almost half of the cases (48%), followed by bladder hyperactivity in 197%, and idiopathic bladder hyperactivity and urgency incontinence with 10%, respectively. No reproducibilily of the symptoms reaches 9% of the cases. On the other hand, in females the most frequent finding is mixed urinary incontinence in 25% of the cases, followed by bladder hyperactivity 17%, urgency incontinence 14% and stress urinary incontinence 13%. No reproducibility of the symptoms reached 11%. In the opposite extreme are intravesical obstruction and sphincter/detrusor dyssynergia without any case. We find that people between 70 and 75 years old are the population group undergoing a greater number of urodynamic tests in our area. The most frequent urodynamic tests performed at our department was pressure/flow study with evaluation of post void residual. Urethra profile was reserved for recurrent stress urinary incontinence after surgery. Obstructive symptoms in males and mixed urinary incontinence in females were the most frequent causes for the indication of urodynamic tests. Our symptom no-reproduceability rates were below 10% of the cases.
    Archivos españoles de urología 01/2007; 60(6):656-63.