José Antonio Cánovas Ivorra

Hospital Virgen de los Lirios, Alicante, Valencia, Spain

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Publications (57)11.44 Total impact

  • José Antonio Cánovas Ivorra
    Archivos españoles de urología 12/2010; 63(10):889-889.
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    ABSTRACT: Objetivo: Presentación de un nuevo caso de leiomiosarcoma paratesticular. Métodos: Se describe el caso de un varón de 68 años que consulta por dolor de más de 2 años de evolución en la ingle derecha y cuya exploración física correspondía a la de una hernia inguinal derecha. Durante la herniorrafia se descubre la masa paratesticular. Resultados: El paciente de somete a orquiectomía radical derecha y tras ello se objetiva una recidiva en la cicatriz que se interviene y finalmente una progresión de la enfermedad a nivel locorregional y sistémico. Conclusiones: Señalamos la escasa frecuencia de este tipo de tumores. Creemos en la orquifuniculectomía como tratamiento de elección. La aplicación de terapias adyuvantes no influye significativamente en la supervivencia de este tipo de pacientes.
    Archivos españoles de urología 01/2009; 62(1).
  • 01/2008;
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    ABSTRACT: We report one case of unilateral epididymo-orchitis secondary to Brucella and perform a bibliographic review. We report the case of a 5 1-year-old male with fever, predominantly in the evening hours, over one month associated with a subacute inflammatory process on the right testicle and osteoarticular pain on the left ribs. Treatment was performed with rifampicin 600 mg/day for 45 days and doxicilin 100 mg/12 hours for 45 days. The brucellar etiology should be taken into consideration in front of an epididymo- orchitis with torpid outcome, mainly in areas of endemic Brucella and patients that have had contact with cattle or non controlled milk derivatives. We emphasize that contact could have been several months before the appearance of clinical epididymoorchitis.
    Archivos españoles de urología 10/2007; 60(7):792-5.
  • E López Alcina, M Pérez Albacete, J A Canovas Ivorra
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    ABSTRACT: During the second half of the XVIth century the interest of the clinicians moves towards the venereal ailments and the urethral carnosities (narrowness) to the detriment of the litiasic processes. They are of special relevancy for us, in the period summit of the medical sciences in Valencian lands, Miguel Juan Pascual who in his work "Morborum internorum" (1555) there synthesizes everything known on the syphilis in this epoch, its origin, diagnosis and treatment, Juan Calvo considered one of the best surgeons of the XVIth century and Miguel de Leriza author of the "Tractatus of the way of treating the carnosities and corns of the route of the urine". The baroque was an epoch of general crisis in Spain and in the ancient Kingdom of Valencia, specially clear in fields as the anatomy and the surgery. The serious decadence that suffered during these years the scientific Valencian production turns out to be evident. Not even an alone anatomical text was published in the first half of the XVIIth century, whereas in the surgical area the "Summary of everything about the theoretical and practice of Surgery", of Alonso Romano can be considered deigns of mention. The illustration brought new reformists airs and around the flourishing scientific academies, there congregated the most select of the Valencian intellectuality. Andres Piquer Arrufat is considered to be the maximum figure of the Valencian medicine of this period. Not even after the war of independence and the reign of Fernando VII who died in 1833 when there sit down the bases of the modern urology and the consolidation as speciality at the end of the XIXth. The Valencian principal figures of this period are Miguel Más y Soler, Alejandro Settler and especially Rafael Mollá y Rodrigo.
    Actas urologicas españolas 04/2007; 31(3):197-204. · 1.14 Impact Factor
  • E López Alcina, M Pérez Albacete, J A Canovas Ivorra
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    ABSTRACT: When we speak about ancient Urology we try to revise the ways of diagnosing and treating during the last epochs the genitourinary diseases, sufferings that are recognizable for us in the classic descriptions. We try to place the urology knowledge in Valencian lands, in the historical general current, relating it to the social, political and economic structure in every moment. Are outlined the innovative legislations that regulated the medical occupation, the influence of the European currents in the development of the medicine and surgery at Valencia up to the renaissance, the creation of the School of Surgery in 1462, the obtaining of the royal privilege in 1478 to dissect human corpses, the foundation of the University of Valencia in 1502, by the Valencian pope Alejandro VI, and license of the king Fernando Catholic and the unification of the set of hospital centres of the city of Valencia in 1512, constituting the General Hospital. In this period they are of special relevancy for us Arnau de Vilanova who wrote the "Tractatus against calculum" the first text related to the urologic pathology, written with monographic character, in the medical European literature, Gaspar Torrella who in 1497 realized the first clinical and therapeutic study of the epoch on the syphilis, considered like the most valuable original description of the new disease and Pedro Jimeno and Luis Collado as visible heads of the flourishing anatomical Valencian school whom Francisco Diaz, author in 1588 of first Urology Tractatus in the History of the medicine, recognizes as his teachers during his staying in Valencia.
    Actas urologicas españolas 03/2007; 31(2):77-85. · 1.14 Impact Factor
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    ABSTRACT: Inverted papilloma is a rare polypoid lesion of the urothelium, known as a different entity since 1963. Not many more than 100 cases have been published. Although its malignant potential is still unknown, several scientific publications have noted it. We report to cases of inverted papilloma and perform a detailed bibliographic review. Both patients were diagnosed by the Pathology Department and entered periodic follow-up visits, being free of recurrence at 24 and 18 months respectively. The possibility that inverted papilloma is a lesion with malignant potential should be considered in every case, and we suggest that patients with this diagnosis should enter a follow-up protocol like any bladder neoplasia.
    Archivos españoles de urología 01/2007; 60(6):681-4.
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    ABSTRACT: Primary mesothelial tumors of the bladder are rare entities, being leiomyoma the most frequent of them. It may grow without any clinical symptoms or with very unspecific ones. We report two cases of bladder leiomyoma in 2 patients, and performed a bibliographic review. They were treated by transurethral resection, with an excellent outcome, without incidences over five years of follow-up. Surgical treatment continues to be the best solution; it is easy to perform and has a very limited number of complications. Prognosis is good in any case and progression is anecdotic.
    Archivos españoles de urología 01/2007; 60(6):684-7.
  • Source
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    ABSTRACT: Objective: Primary mesothelial tumors of the bladder are rare entities, being leiomyoma the most frequent of them. It may grow without any clinical symptoms or with very unspecific ones. Methods: We report two cases of bladder leiomyoma in 2 patients, and performed a bibliographic review. Results: They were treated by transurethral resection, with an excellent outcome, without incidences over five years of follow-up. Conclusions: Surgical treatment continues to be the best solution; it is easy to perform and has a very limited number of complications. Prognosis is good in any case and progression is anecdotic.
    Archivos españoles de urología 01/2007; 60(6):684-687.
  • Source
    E. López Alcina, M. Pérez Albacete, J. A. Canovas Ivorra
    [Show abstract] [Hide abstract]
    ABSTRACT: During the second half of the XVIth century the interest of the clinicians moves towards the venereal ailments and the urethral carnosities (narrowness) to the detriment of the litiasic processes. They are of special relevancy for us, in the period summit of the medical sciences in Valencian lands, Miguel Juan Pascual who in his work “Morborum internorum” (1555) there synthesizes everything known on the syphilis in this epoch, its origin, diagnosis and treatment, Juan Calvo considered one of the best surgeons of the XVIth century and Miguel de Leriza author of the “Tractatus of the way of treating the carnosities and corns of the route of the urine”. The baroque was an epoch of general crisis in Spain and in the ancient Kingdom of Valencia, specially clear in fields as the anatomy and the surgery. The serious decadence that suffered during these years the scientific Valencian production turns out to be evident. Not even an alone anatomical text was published in the first half of the XVIIth century, whereas in the surgical area the “Summary of everything about the theoretical and practice of Surgery”, of Alonso Romano can be considered deigns of mention. The illustration brought new reformists airs and around the flourishing scientific academies, there congregated the most select of the Valencian intellectuality. Andres Piquer Arrufat is considered to be the maximum figure of the Valencian medicine of this period. Not even after the war of independence and the reign of Fernando VII who died in 1833 when there sit down the bases of the modern urology and the consolidation as speciality at the end of the XIXth. The Valencian principal figures of this period are Miguel Más y Soler, Alejandro Settier and especially Rafael Mollá y Rodrigo.
    Actas Urologicas Espanolas - ACTAS UROL ESP. 01/2007; 31(3).
  • Source
    [Show abstract] [Hide abstract]
    ABSTRACT: Objective: Inverted papilloma is a rare polypoid lesion of the urothelium, known as a different entity since 1963. Not many more than 100 cases have been published. Although its malignant potential is still unknown, several scientific publications have noted it. Methods: We report to cases of inverted papilloma and perform a detailed bibliographic review. Results: Both patients were diagnosed by the Pathology Department and entered periodic follow-up visits, being free of recurrence at 24 and 18 months respectively. Conclusions: The possibility that inverted papilloma is a lesion with malignant potential should be considered in every case, and we suggest that patients with this diagnosis should enter a follow-up protocol like any bladder neoplasia.
    Archivos españoles de urología 01/2007; 60(6):681-684.
  • Source
    E. López Alcina, M. Pérez Albacete, J. A. Canovas Ivorra
    [Show abstract] [Hide abstract]
    ABSTRACT: When we speak about ancient Urology we try to revise the ways of diagnosing and treating during the last epochs the genitourinary diseases, sufferings that are recognizable for us in the classic descriptions. We try to place the urology knowledge in Valencian lands, in the historical general current, relating it to the social, political and economic structure in every moment.Are outlined the innovative legislations that regulated the medical occupation, the influence of the European currents in the development of the medicine and surgery at Valencia up to the renaissance, the creation of the School of Surgery in 1462, the obtaining of the royal privilege in 1478 to dissect human corpses, the foundation of the University of Valencia in 1502, by the Valencian pope Alejandro VI, and license of the king Fernando Catholic and the unification of the set of hospital centres of the city of Valencia in 1512, constituting the General Hospital.In this period they are of special relevancy for us Arnau de Vilanova who wrote the “ Tractatus against calculum “ the first text related to the urologic pathology, written with monographic character, in the medical European literature, Gaspar Torrella who in 1497 realized the first clinical and therapeutic study of the epoch on the syphilis, considered like the most valuable original description of the new disease and Pedro Jimeno and Luis Collado as visible heads of the flourishing anatomical Valencian school whom Francisco Díaz, author in 1588 of first Urology Tractatus in the History of the medicine, recognizes as his teachers during his staying in Valencia.
    Actas urologicas españolas 01/2007; 31(2). · 1.14 Impact Factor
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    ABSTRACT: Objetivo: Presentamos un caso de orquiepididimitis aguda unilateral secundaria a infección por Brucella y revisamos la literatura al respecto. Métodos: Presentamos el caso de un varón de 51 años con fiebre de predominio vespertino de un mes de evolución asociado a proceso inflamatorio subagudo en teste derecho y dolor osteoarticular costal izquierdo. Resultados: Se trata mediante Rifampicina a una dosis de 600 mg./día durante 45 días y Doxiclina 100 mg. cada 12 horas durante 45 días. Conclusiones: Se debe tener en cuenta la etiología brucelósica ante orquiepididimitis de evolución tórpida, especialmente en áreas donde la Brucella pueda ser endémica y en personas que hayan tenido contacto con ganado o derivados de la leche no sujetos a control. Destacar que el contacto puede haber sido incluso varios meses antes de la clínica de orquiepididimitis.
    Archivos españoles de urología 01/2007; 60(7).
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    ABSTRACT: We report a new case of renal metastasis of a lung carcinoma. 59-year-old male presenting to the outpatient clinic with a clinical picture compatible with renal colic and hematuria. Ultrasound showed a solid-cystic tumor in the lower pole of the kidney without hydronephrosis. Abdominal-pelvic CT scan reported retroperitoneal adenopathies > 1 cm in the area of the aorta-cava and a 5 cm heterogeneous mass. Renal metastatic lesions of patients with lung cancer present more frequently due to the higher accuracy of radiological tests and have, as well as the primary tumors, very poor survival rates.
    Archivos españoles de urología 06/2006; 59(5):526-9.
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    ABSTRACT: To report our experience on the diagnosis and treatment of this rare type of infravesical functional obstruction. Over the last ten years we diagnosed and treated 32 males with this entity. We evaluate previous treatments and time to diagnosis. Clinical, radiological, endoscopic, and urodynamic features are evaluated, as well as results obtained with the administration of alpha-adrenergic blockers and endoscopic transurethral incision of the bladder neck. Patient age ranged from 26 to 48 years (Mean 38.2). All patients presented significant long-lasting lower urinary tract symptoms, having received various non-specific treatments. Uroflowmetry showed a peak of mean flow of 9.8 +/- 3.2 cc/s, being the voiding detrusor pressure 98 +/- 25 cm H2O, with significant post void residual volume in 21 patients (188 +/- 62 cc). Medical treatment with alpha-adrenergic blockers only achieved significant subjective improvement in four patients. Twenty one patients underwent unilateral endoscopic bladder neck incision, obtaining objective and subjective improvements all of them. Endoscopic bladder neck incision is the treatment of choice of this dysfunction, being imperative to inform the patient of the risk of retrograde ejaculation as a postoperative sequel, since this entity appears in young males, for whom fertility may be a priority.
    Archivos españoles de urología 05/2006; 59(3):253-60.
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    ABSTRACT: To report a new case of bladder endometriosis and to perform a bibliographic review. We report the case of a 34-year-old female with the diagnosis of bladder endometriosis treated by transurethral resection and subsequent hormonal therapy with good outcome one year after diagnosis. Treatment with analogs was started after TUR, in conjunction with the Gynecology Department, and maintained six months. The patient remained asymptomatic one year after diagnosis, with a negative cystoscopic study. We emphasize the need of early diagnosis due to the increased morbidity and health-care expenses; also the need of surgical treatment of all urological lesions before any hormonal therapy, mainly ureteral lesions. We finally emphasize that definitive treatment should be performed by the gynecologist.
    Archivos españoles de urología 05/2006; 59(3):290-2.
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    ABSTRACT: To report a new case of the rare Leydig cell tumor, and to perform bibliographic review. We report the case of a 38-year-old male with the clinical and ultrasound diagnosis of testicular tumor, and normal hormonal and extension studies. He underwent inguinal radical orchyectomy and the pathology report of the specimen showed a Leydig cell tumor. It was staged as T1N0M0, not receiving any further treatment with chemotherapy or radiotherapy. Five years after surgery there is no evidence of disease on follow-up. The patient does not show evidence of recurrence after chest x-rays, abdominal-pelvic CT scan, ultrasound of the contralateral testis, and tumor markers. We recommend a long-term follow-up with contralateral testicle ultrasound, CT scan, chest x-ray, and tumor markers.
    Archivos españoles de urología 05/2006; 59(3):293-6.
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    ABSTRACT: Cystic dysplasia of the seminal vesicle represents a rare congenital urologic anomaly of which elective treatment is controversial. We present our experience in the diagnosis and management of this uncommon pathology. During the last twelve years we have managed eight patients affected by this pathology. The diagnosis was incidental in the three asymptomatic patients, while the other five consulted because of low urinary tract sympthoms. Ectopic drainage of the ureter in the pathological seminal vesicle was found in three of the patients. Two of these patients presented large pelvic and ureteral ectasy. Other five patients presented renal agenesis. In asymptomatic patients we adopted an expectant attitude, while the other five patients underwent surgical treatment. We performed open surgery in the two cases presenting ureterohydronephrosis, whereas in the other three we performed transurethral incision of the seminal vesicle. We obtained excellent results in all of them, with no evidence of symptomatic pseudodiverticulum. Transurethral incision of the seminal vesicle cyst is a minimal invasive procedure with low morbidity. We have proved in all of our cases that the retraction of the cyst was practically complete, this has led us into believing that transurethral incision is the elective treatment. Therefore, open surgery would only be indicated in cases of failure of the procedure due to existence of symptomatic pseudodiverticulum, or in patients presenting renoureteral ectasy associated.
    Actas urologicas españolas 03/2006; 30(2):152-8. · 1.14 Impact Factor
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    ABSTRACT: [corrected] The aging of the population causes an increase of the number of men affected by benign prostatic hyperplasia (BPH) with a large number of pathology associated that may limit its surgical treatment. In this study we try to show the effectiveness and security of local anaesthesia and sedation in the endoscopic treatment of the BPH in patients with high surgical-anaesthetic risk. During the last 4 years, 38 patients underwent surgical treatment of BPH with ages between 78 and 86 years (average 81,4 +/- 3,2) with severe obstructive prostatic syndrome and high surgical-anaesthetic risk. 15 patients underwent, transurethral incision of prostate (TUIP) and in 23 patients, transurethral resection (TURP) was performed. The blockade anesthetic was made by transrectal periprostatic infiltration finger-guided with 10-15 millilitres of lidocaine 2%. During the procedure an intravenous perfusion of propofol and remifentanil was administered. The obtained results as well as the patient's satisfaction degree was evaluated by means of the elaboration of a questionnaire. The average length of the surgical treatment was of 12 +/- 5 minutes (rank 8 - 25), having itself not stated complications derived from the anesthetic technique. They referred a slight annoyance 4 patients (11%) that was treated increasing the rate of the sedative perfusión. The satisfaction's degree with the received treatment has been good in the 95% of patients. We considered that the TUIP as much as TURP made under local anesthesia with sedation are safe, effective methods and well tolerated, that fundamentally are indicated in aged patients and when the surgical-anesthetic risk is elevated.
    Actas urologicas españolas 02/2006; 30(1):46-51; discussion 51-2. · 1.14 Impact Factor
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    ABSTRACT: Objetivo: Describir un nuevo caso de endometriosis vesical y hacer una revisión de la literatura Métodos: Presentamos el caso de una enferma de 34 años diagnosticada de endometriosis vesical tratada mediante R.T.U. y soporte hormonal posterior con buenos resultados al año del diagnostico. Resultados: Tras la R.T.U. se instaura conjuntamente con el Servicio de Ginecología, un tratamiento con análogos durante seis meses, estando la enferma asintomática al año del diagnóstico y con un estudio cistoscópico normal. Conclusiones: Como conclusiones, destacar la necesidad de diagnóstico precoz dado el evidente aumento de morbilidad y gasto sanitario, así como la necesidad del tratamiento quirúrgico de todas las lesiones urológicas, antes de toda maniobra hormonal, fundamentalmente las lesiones ureterales. Destacar finalmente que el tratamiento definitivo corresponde, por lógica y por derecho, al ginecólogo.
    Archivos españoles de urología 01/2006; 59(3).

Publication Stats

8 Citations
11.44 Total Impact Points

Institutions

  • 2007
    • Hospital Virgen de los Lirios
      Alicante, Valencia, Spain
  • 2003–2007
    • Consorcio Hospital General Universitario de Valencia
      • Departamento de Urología
      Valenza, Valencia, Spain
  • 2005
    • Hospital Universitario San Juan De Alicante
      Alicante, Valencia, Spain
  • 2003–2004
    • Hospital Universitario Virgen de la Arrixaca
      Murcia, Murcia, Spain