[Show abstract][Hide abstract] ABSTRACT: Prostatic abscess is a rare process that has been associated with permanent catheterization, genitourinary instrumentation, chronic prostatitis, diabetes mellitus, acquired immunodeficiency, hemodialysis or other conditions that compromise immunity syndrome. Currently, Escherichia coli and other Gram negative agents are primarily responsible for the development of prostatic abscess. Transrectal ultrasound is considered a sensitive test for the diagnosis as well as the therapeutic approach. Standard treatment of prostatic abscess, in most cases, consisting of a wide spectrum antibiotics and abscess drainage using different techniques and paths.
We report the case of a patient of 74 years with a prostatic abscess caused by Enterococcus faecalis which was treated with antibiotics and ultrasound-guided transperineal percutaneous drainage.
Revista Internacional de Andrología 07/2014; 13(2). DOI:10.1016/j.androl.2014.04.010 · 0.23 Impact Factor
[Show abstract][Hide abstract] ABSTRACT: Testicular abscess is a rare condition that often arises due to complications of untreated or advanced orchiepididymitis. Clinical symptoms and physical exam do not always provide an accurate diagnosis because the pain and swelling often limit adequate palpation of the scrotal contents. Therefore, scrotal ultrasound is the imaging technique of choice to determine the nature of the scrotal mass and also to detect presence of scrotal abscesses. Although initial treatment is medical, it is sometimes necessary to resort to orchiectomy. This purpose of this paper is to propose inguinal approach for the surgical treatment of testicular abscesses. This approach makes it possible to maintain the infectious process isolated and thus avoid “violation of the scrotum” in the case of a tumor.We report two cases of testicular abscess successfully treated by inguinal orchiectomy.
Revista Internacional de Andrología 04/2013; 11(2):75–78. DOI:10.1016/j.androl.2012.10.006 · 0.23 Impact Factor
[Show abstract][Hide abstract] ABSTRACT: IntroductionThe aim of this study is to analyze the epidemiological and clinical characteristics, average overall health cost, and variables that have a statistically significant relationship with the appearance of penile incurvation.Materials and methodsThis retrospective study analyzes 65 patients who received treatment for penile incurvation between January 2000 and October 2011. Pearson's chi-square test with correction for continuity was used to verify which variables are related to penile incurvation. Fisher's exact test was used in cases where applicability conditions were not met. The Student's t test was used for the quantitative variables.ResultsMedian age was 53 years. Dorsal type (49.25%) was the most frequently diagnosed penile incurvation with 80% of the incurvations being acquired. Upon exploration, an indurated plaque was palpable in 50.8% of the patients with acquired incurvation. Schroeder-Essed plication of the tunica albuginea was the surgical technique used in 81.5% of the cases. Mean hospital stay was 24 hours. A statistically significant relationship was observed between dorsal incurvation and hypertension (P = .013), diabetes (P = .033), and plaque palpation (P = .009).In 60% of the patients with ventral incurvation, it resulted from congenital causes, a statistically significant association being found between both (P = .003).Overall average health cost of a patient treated for penile incurvation was 2,142 euros.Conclusions
Penile incurvation is an emerging condition in urology consultations with some satisfactory surgical results.
Revista Internacional de Andrología 01/2013; 11(1):17–24. DOI:10.1016/j.androl.2012.11.001 · 0.23 Impact Factor
[Show abstract][Hide abstract] ABSTRACT: We aimed to ascertain the degree of association between bladder cancer and human papillomavirus (HPV) infection.
We performed a meta-analysis of observational studies with cases and controls with publication dates up to January 2011. The PubMed electronic database was searched by using the key words "bladder cancer and virus." Twenty-one articles were selected that met the required methodological criteria. We implemented an internal quality control system to verify the selected search method. We analyzed the pooled effect of all the studies and also analyzed the techniques used as follows: 1) studies with DNA-based techniques, among which we found studies with polymerase chain reaction (PCR)-based techniques and 2) studies with non-PCR-based techniques, and studies with non-DNA-based techniques.
Taking into account the 21 studies that were included in the meta-analysis, we obtained a heterogeneity chi-squared value of Q(exp)=26.45 (p=0.383). The pooled odds ratio (OR) was 2.13 (95% confidence interval [CI], 1.54 to 2.95), which points to a significant effect between HPV and bladder cancer. Twenty studies assessed the presence of DNA. The overall effect showed a significant relationship between virus presence and bladder cancer, with a pooled OR of 2.19 (95% CI, 1.40 to 3.43). Of the other six studies, four examined the virus's capsid antigen and two detected antibodies in serum by Western blot. The estimated pooled OR in this group was 2.11 (95% CI, 1.27 to 3.51), which confirmed the relationship between the presence of virus and cancer.
The pooled OR value showed a moderate relationship between viral infection and bladder tumors.
Korean journal of urology 04/2012; 53(4):240-7. DOI:10.4111/kju.2012.53.4.240
[Show abstract][Hide abstract] ABSTRACT: We present a rare postoperative complication, that is, pseudodiverticulum urethral formation, which occurred after a laparoscopic radical prostatectomy with nerve-sparing procedure carried out with the placement of Hem-o-lok® in the latero-prostatic pedicles in a patient with clinically localized prostate cancer. Consequently, these devices should be used with caution in the region of the vesicourethral anastomosis.
Revista Internacional de Andrología 04/2012; 10(2):76–78. DOI:10.1016/S1698-031X(12)70054-7 · 0.23 Impact Factor
[Show abstract][Hide abstract] ABSTRACT: Priapism is a pathological condition which is a persistent penile erection beyond sexual stimulation. We report a patient of 80 years, initially diagnosed by medical history, blood gas values of the corpora cavernosa and penile color Doppler ultrasound of low-flow priapism. During the performance of the technique of Winter occurs iatrogenically bilateral laceration of the dorsal arteries, causing arterial-lacunar fistula and therefore a high-flow priapism. We performed selective arteriography of the pudendal, not being eco-color Doppler conclusively that showed that fistula and allowed superselective bilateral embolization microcoils.
Revista Internacional de Andrología 01/2012; 10(1):37–40. DOI:10.1016/S1698-031X(12)70044-4 · 0.23 Impact Factor