ABSTRACT
La enfermedad de la Peyronie es un endurecimiento de los cuerpos cavernosos del pene, que provoca incurvación y una serie de complicaciones en el paciente que van desde un intenso dolor a trastornos de la función sexual. Pese a ser una patología conocida desde la antigüedad, descrita por primera vez en 1704, la etiopatogenia sigue siendo desconocida. Como consecuencia del desconocimiento de la etiopatogenia sigue siendo desconocida. Como consecuencia del desconocimiento de la etiopatogenia de la enfermedad, los tratamientos van cambiando constantemente aunque no se ha demostrado hasta ahora la efectividad de un tratamiento específico (AU)
Subject(s)
Adult , Aged , Male , Middle Aged , Humans , Penis/abnormalities , Penis/injuries , Penis/surgery , Penile Prosthesis/instrumentation , Penile Prosthesis , Penile Induration/diagnosis , Penile Induration/therapy , Penile Induration/epidemiology , Vitamin E/therapeutic use , Procarbazine/therapeutic use , Colchicine/therapeutic use , Epoprostenol/therapeutic use , Tamoxifen/therapeutic use , Prostheses and Implants , Erectile Dysfunction/complications , Erectile Dysfunction/diagnosis , Erectile Dysfunction/surgery , Anxiety/complications , Anxiety/diagnosis , Anxiety/etiology , Methotrexate , Methotrexate/adverse effects , Penile Induration/etiology , Penile Induration/physiopathology , Penile Induration , Ultrasonography, Doppler/methods , 1-Propanol , 1-Propanol/adverse effectsABSTRACT
Metastatic carcinoma to the testis is very unusual in daily urologic practice. We report a case of metastatic cancer to the testis detected as incidental findings in a squamous bladder tumor.
Subject(s)
Carcinoma, Squamous Cell/secondary , Testicular Neoplasms/secondary , Urinary Bladder Neoplasms/pathology , Aged , Aged, 80 and over , Carcinoma, Squamous Cell/surgery , Humans , Male , Orchiectomy , Testicular Neoplasms/surgery , Urinary Bladder Neoplasms/surgeryABSTRACT
The pathogenic role of cryptorchism in male infertility is still controversial. To report a case of a 34-year-old patient consulted for primary infertility with a history of 2 years associated with prepubertal bilateral orchidopexy for cryptorchidism. The fertility studies demonstrated azoospermia and normal sperm volume. Testicular sperm extraction (TESE) and intracytoplasmic sperm injection (ICSI) were performed with success. Cryptorchism can cause primary obstructive infertility. Testicular sperm aspiration (TESA) is an alternative when spermatogenesis is preserved. In this patient TESE-ICSI was performed with success.
Subject(s)
Cryptorchidism/complications , Oligospermia/etiology , Sperm Injections, Intracytoplasmic , Adult , Humans , Male , Oligospermia/therapySubject(s)
Adjuvants, Immunologic/adverse effects , BCG Vaccine/adverse effects , Carcinoma, Transitional Cell/drug therapy , Carcinoma, Transitional Cell/secondary , Urethral Neoplasms/chemically induced , Urethral Neoplasms/secondary , Urinary Bladder Neoplasms/drug therapy , Urinary Bladder Neoplasms/secondary , Administration, Intravesical , Humans , Male , Middle AgedABSTRACT
One of the various therapeutic options currently used in erectile dysfunction (ED), vacuum is a procedure that should not be ruled out as it can benefit certain types of patient. To understand each patient's response and usage readiness, a vacuum test is routinely performed by the andrology service as part of the diagnostic study. The present study conducted on 200 patients with ED of different etiologies, included the vacuum test and the intracavernous injection of vasoactive drugs. The assessment included the response to each methodology; which of the two systems offered better response; and initial usage readiness to each system. Positive response was 93% in the vacuum test, and 40% in the intracavernous injection. Improved erection was reported by 73% with vacuum and only 13% with the intracavernous injection. With regard to usage readiness 60.5% favoured vacuum and only 14.5% the intracavernous injection. It was apparent that vacuum is a highly effective methodology with very high initial usage readiness, although ultimate use may be limited for different reasons.
Subject(s)
Alprostadil/administration & dosage , Erectile Dysfunction/therapy , Vasodilator Agents/administration & dosage , Adult , Aged , Humans , Injections , Male , Middle Aged , Patient Satisfaction , Penis , VacuumABSTRACT
Entre las distintas opciones terapéuticas actuales en la disfunción eréctil (DE), el vacuum es un procedimiento que no hay que descartar y del que se pueden beneficiar determinados pacientes. Para conocer la respuesta y la disponibilidad de uso en cada paciente se realiza, de forma rutinaria, un test de vacuum en el gabinete de andrología durante el estudio diagnóstico. En este estudio se realizó, en 200 pacientes afectos de DE de diferente etiología, el test de vacuum y la inyección intracavernosa de fármacos vasoactivos, valorándose la respuesta ante cada una de estas metodologías, con cuál de los dos sistemas presentaban mejor respuesta y la disponibilidad de uso inicial para cada uno de estos dos sistemas. La respuesta del test de vacuum resultó positiva en el 93 por ciento de los casos, mientras que la inyección intracavernosa lo fue en el 40 por ciento. El 73 por ciento manifestó una mejor erección con el vacuum, y sólo el 13 por ciento refirió mejor erección con la inyección intracavernosa. En cuanto a la disponibilidad de uso inicial, el 60,5 por ciento se inclinó por el vacuum y sólo el 14,5 por ciento por la inyección intracavernosa. En este estudio se demuestra que el vacuum es una metodología altamente efectiva, y que su disponibilidad de uso es inicialmente muy alta, aunque finalmente su utilización se ve limitada a causa de distintos tipos de problemas. (AU)
Subject(s)
Middle Aged , Adult , Aged , Male , Humans , Vasodilator Agents , Vacuum , Patient Satisfaction , Penis , Alprostadil , Erectile Dysfunction , InjectionsABSTRACT
Testicular microlithiasis is a rare pathology which usually affects both testicles (less than 100 cases have been described in the literature), histologically characterized by numerous calcified deposits situated inside the seminiferous tubules, the diameter of which does not usually exceed 2 mm. The pathogenesis of the phenomenon is not completely clear; it has however been noted that there is a higher incidence in patients affected by cryptorchidism, subfertility, Klinefelter's syndrome and in particular those with testicular neoplasms, although the reason for this remains obscure. The case reported seems atypical in that there is no association with the conditions mentioned above and the finding is monolateral, something which is unusual in the literature reviewed.