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Publications (10)6.86 Total impact

  • [Show abstract] [Hide abstract]
    ABSTRACT: Since 2007, various urological procedures have been performed with laparoendoscopic single-site surgery (LESS surgery), including nephrectomy, pyeloplasty, simple prostatectomy and, with the refinement of laparoscopic instrumentation, radical prostatectomy. This paper reports our initial experience in radical prostatectomy using the SILS Port from Covidiem and two lateral 5-mm trocars for triangulation. The SILS Port allows for accurate, simple insertion through a Hadson incision. The flexible port accommodates three 5-mm cannulas or two 5-mm cannulas and a 12-mm port for easier instrument exchange through a single incision. This approach decreases morbidity from bleeding, hernia and/or internal organ damage and improves cosmetic. One-port single-incision laparoscopy is part of the natural development of minimally invasive surgery. Future research is required to assess the intraoperative and postoperative benefits of LESS surgery as compared to standard laparoscopy.
    Actas urologicas españolas 06/2010; 34(6):495-9. · 1.14 Impact Factor
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    ABSTRACT: Since 2007, various urological procedures have been performed with laparoendoscopic single-site surgery (LESS surgery), including nephrectomy, pyeloplasty, simple prostatectomy and, with the refinement of laparoscopic instrumentation, radical prostatectomy. This paper reports our initial experience in radical prostatectomy using the SILS™ Port from Covidiem and two lateral 5-mm trocars for triangulation. The SILS™ Port allows for accurate, simple insertion through a Hadson incision. The flexible port accomodates three 5-mm cannulas or two 5-mm cannulas and a 12-mm port for easier instrument exchange through a single incision. This approach decreases morbidity from bleeding, hernia and/or internal organ damage and improves cosmetic results.One-port single-incision laparoscopy is part of the natural development of minimally invasive surgery. Future research is required to assess the intraoperative and postoperative benefits of LESS surgery as compared to standard laparoscopy.
    Actas urologicas españolas 01/2010; 34(6):495-499. · 1.14 Impact Factor
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    ABSTRACT: Paratesticular tumors are very rare and mostly bening. Wa aport a new case of adenomatoid tumor of epididymis Male of 40 years old with solid lesion in epidididymis tale treated with mass exéresis Adenoamotid tumor of the epididymis confirmed with hystopathologic technique Adenomatoid tumor of epididymis is the most frequent paratesticular tumors and when is suspected, conservative surgery must be performed.
    Actas urologicas españolas 05/2007; 31(4):417-9. · 1.14 Impact Factor
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    ABSTRACT: Objective Paratesticular tumors are very rare and mostly bening. Wa aport a new case of adenomatoid tumor of epididymisMethod Male of 40 years old with solid lesion in epidididymis tale treated with mass exéresisResultsAdenoamotid tumor of the epididymis confirmed with hystopathologic techniqueConclusion Adenomatoid tumor of epididymis is the most frequent paratesticular tumors and when is suspected, conservative surgery must be performed
    Actas urologicas españolas 01/2007; 31(4). · 1.14 Impact Factor
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    ABSTRACT: The Nesbit technique is the reference technique for the surgical correction of the penile incurvation of Peyronie's disease. We report our experience at the Centro Urológico San Ignacio. 68 patients with stable penile incurvation who requested surgical correction. Correction of the curvature is defined as > or = 80% rectification of the pathologic angle. Mean patient age was 44 years (31-77). 53% of the patients presented difficulties for penetration, 20% partner's discomfort on intercourse, and 27% requested surgery for aesthetic reasons. Penile deviation was dorsal in 42% of the patients, to the left in 46% and to the right in 12%. The curvature angle was less than 30 degrees in 28%, between 30 degrees-45 degrees in 36%, between 45 degrees-60 degrees in 37% and > 60 degrees in 7%. Mean follow-up of the series was 36 months. 20% of the patients had a penile shortening longer than 1.5 cm. 85% of the patients are satisfied with the results. The most frequent complaint was penile shortening. Correction was achieved in 92% of the patients. Four patients were reoperated: two of them for significant phimosis three months after surgery, and the other two for curvature recurrence. The Nesbit technique is a simple technique, with a low complication rate, and good results both in curvature correction and patient satisfaction.
    Archivos españoles de urología 06/2006; 59(5):511-5.
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    ABSTRACT: Objetivo: La técnica de Nesbit esa la técnica de referencia en la cirugía correctora de la incurvación penenana en la enfermedad de Peyronie. Presentamos nuestra experiencia en el Centro Urológico san Ignacio. Método: 68 pacientes con incurvación peneana estable y que deseaban corrección quirúrgica de la misma. Se considera corrección de la curvatura cuando la rectificación es igual o superior al 80% de la angulación patológica. La edad media de los pacientes es de 44 años (31-77). Un 53% presentaban dificultad para la penetración, un 20% molestias en su pareja, un 27% se intervinieron por razones estéticas. La desviación peneana era dorsal en el 42%, izquierda en el 46% y derecha en el 12%. El ángulo de incurvación medido en grados era menor de 30º en el 28%, entre 30 y 45 en el 36%, entre 45 y 60 en el 37% y mayor de 60% en el 7%. Resultados: El seguimiento medio de la serie es de 46 meses. Acortamiento peneano superior a 1,5 cm en el 20% de los enfermos. El 85% de los enfermos están satisfechos con los resultados obtenidos. La queja más frecuente es el acortamiento peneano. Se ha corregido la desviación en el 92% de los pacientes. Hemos reintervenido a cuatro pacientes, A dos por fimosis marcada a los tres meses de la intervención, los otros dos enfermos presentaron recidiva de la curvatura. Conclusiones: La técnica de Nesbit es una técnica sencilla, con escasas complicaciones y buenos resultados tanto en corrección de curvatura como en satisfacción del enfermo.
    Archivos españoles de urología 06/2006; 59(5):511-515.
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    ABSTRACT: Bladder leiomyoma is a rare tumor, its frequency being estimated below 1%. We report the case of a 17-year-old mole patient presenting with hematuria and lower urinary tract irritative symptoms whose work up discovered two small bladder tumors. After TUR of the lesions the diagnosis of bladder leiomyoma was established; no recurrences have appeared on follow-up. Bladder leiomyoma is a benign tumor, therefore surgery should be the most conservative. Bibliographic review of the Spanish urologic journals shows that this is the youngest patient reported to date.
    Archivos españoles de urología 12/2005; 58(9):954-6.
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    ABSTRACT: Extracorporeal shock wave lithotripsy (ESWL) is the most required urinary stone therapy in our country and in the rest of the world. In a way it has replaced the alternative treatments (open surgery, percutaneous nephrolithectomy, ureteroscopy). Nevertheless these therapeutic approaches have still its own indications. Although there is no a definitive agreement, it should be desirable a world-wide consensus where each therapy will have a exactly defined land with all potential of each management improved. We review ESWL technical aspects, its literature-based most accepted indications, adverse bioeffects and last, future improvements are considered.
    Actas urologicas españolas 11/2002; 26(9):636-49. · 1.14 Impact Factor
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    ABSTRACT: OBJECTIVES: Bladder leiomyoma is a rare tumor, its frequency being estimated below 1%. METHODS: We report the case of a 17-year-old male patient presenting with hematuria and lower urinary tract irritative symptoms whose work up discovered two small bladder tumors.
    Am. J. Surg. Pathol. Actas Urol. Esp. Arch. Esp. Urol. Arch. Esp. Urol. Eur. Urol. Arch. Esp. Urol. Casos Clínicos Arch. Esp. Urol. 01/2002; 262324(58):292-481.
  • [Show abstract] [Hide abstract]
    ABSTRACT: Extracorporeal shock wave lithotripsy (ESWL) is the most required urinary stone therapy in our country and in the rest of the world. In a way it has replaced the alternative treatments (open surgery, percutaneous nephrolithectomy, ureteroscopy). Nevertheless these therapeutic approaches have still its own indications. Although there is no a definitive agreement, it should be desirable a world-wide consensus where each therapy will have a exactly defined land with all potential of each management improved. We review ESWL technical aspects, its literature-based most accepted indications, adverse bioeffects and last, future improvements are considered.
    Actas urologicas españolas 26(9):636–649. · 1.14 Impact Factor