Juan Francisco Galiano Baena

Hospital General Universitario de Alicante, Alicante, Valencia, Spain

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Publications (13)15.45 Total impact

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    ABSTRACT: Purpose: We determined the incidence of infectious complications (asymptomatic bacteriuria, urinary tract infection and urosepsis) in patients without associated risk factors treated with extracorporeal shock wave lithotripsy. Materials and Methods: We performed an observational, prospective cohort study between October 2010 and June 2013. We included all patients without risk factors who were treated with extracorporeal shock wave lithotripsy for kidney or ureteral lithiasis. All patients underwent urine culture 5 days before the procedure. Another urine culture was performed 7 days after lithotripsy. No patient received antibiotics. Results: Initially 366 patients with a mean +/- SD age of 53 +/- 13 years were enrolled in the study. A total of 64 patients (17.5%) underwent extracorporeal shock wave lithotripsy with a previously placed Double-J (R) stent. After lithotripsy urine culture was positive in 20 patients (5.8%), of whom 4 (1.2%) presented with symptomatic urinary infection and the remaining 4.6% showed no symptoms. Urosepsis did not develop in any case. In our study patient age was an independent risk factor for bacteriuria after lithotripsy. Conclusions: The incidence of infectious complications after extracorporeal shock wave lithotripsy in patients without risk factors is low. This leads us to conclude that without defined risk factors antibiotic prophylaxis is not justified. Also, elderly patients were more at risk for bacteriuria after extracorporeal shock wave lithotripsy and, thus, for a possible infectious complication.
    The Journal of Urology 05/2014; 192(5). DOI:10.1016/j.juro.2014.05.091 · 3.75 Impact Factor
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    ABSTRACT: To improve the knowledge about complications of renal transplantation and, in particular, graft rupture. Case report and literature review. We present the case of a 37 year-old patient receiving a second renal transplant. In the third postoperative day, he suffered an abrupt change from the correct evolution, with intense pain in the left iliac fossa (the side of the implant) and hemodynamic instability. Imaging tests suggested retroperitoneal collection and adjacent to the implant. In this situation we decided reoperation, we found a ruptured renal unit and transplant nephrectomy was carried out. The pathologic study confirmed that the cause of this rupture was acute rejection of the implant. The rupture of the graft is one of the most serious complications in renal transplantation. Rapid diagnosis and surgical treatment are required. Conservative management is the treatment of choice for possible preservation of the renal unit, but there are some situations in which it is dangerous and removal of the graft must be carried out.
    Archivos españoles de urología 07/2013; 66(6):601-605.
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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. · 1.15 Impact Factor
  • Juan F Galiano Baena · Juan P Caballero Romeu · Enrique Herrero Polo
    Actas urologicas españolas 05/2009; 33(4):453. · 1.15 Impact Factor
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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. · 1.15 Impact Factor
  • Juan F. Galiano Baena · Juan P. Caballero Romeu · Enrique Herrero Polo
    Actas urologicas españolas 01/2009; 33(4). DOI:10.4321/S0210-48062009000400021 · 1.15 Impact Factor
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    ABSTRACT: Introduction: 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. Material and methods: We present two new cases of stab wounds injuries managed conservatively. We performed a sys - tematic review of the literature. Results: 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 retrosprospecti - ve studies. Conclusions: 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 multi - center trials are needed to support the optimum management for each kidney injury degree.
    Actas urologicas españolas 01/2009; 33(7). DOI:10.4321/S0210-48062009000700019 · 1.15 Impact Factor
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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 · 1.15 Impact Factor
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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. · 1.15 Impact Factor
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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 · 1.15 Impact Factor
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    ABSTRACT: Phalloplasty in female-to-male transsexuals has improved during the last 30 years achieving good outcomes in morphological and functional aspects and decreasing rates of surgical complications. Some criteria of success are the lack of hair in the newly constructed “bulbar urethra”, the lack of visible scars, and the aesthetic resemblance.During the last three years, we treated 30 patients because of surgical complications of phalloplasty. The complications observed were: urethral fistula, cylinder extrusion of the penile prosthesis and lithiasis in the new urethra.The techniques applied to resolve those cases were: buccal graft and simple urethroplasty, cylinder extraction and open urethrolitotomy.Outcomes of sex reassignment surgery are often good but surgical complications reduce the quality of life of treated patients. At our institution we do not perform sex reassignment surgery but we must know the most used techniques and how to resolve it complications.
    Revista Internacional de Andrología 10/2007; 5(4). DOI:10.1016/S1698-031X(07)74093-1 · 0.22 Impact Factor
  • Actas urologicas españolas 03/2007; 31(2):175-6. · 1.15 Impact Factor
  • Actas urologicas españolas 01/2007; 31(2). DOI:10.4321/S0210-48062007000200019 · 1.15 Impact Factor