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5.
Arch Esp Urol ; 57(9): 962-7, 2004 Nov.
Article in Spanish | MEDLINE | ID: mdl-15624395

ABSTRACT

OBJECTIVES: Current trends in the treatment of varicocele are focused on outpatient procedures of high and complete ligature of the spermatic vascular pedicle or percutaneous embolization. Laparoscopic varicocelectomy competes with them and other minimally invasive techniques such as chemical or thermal sclerosing therapy of the spermatic veins. METHODS: We perform a bibliographic review of the Spanish and Anglo-Saxon literature with the aim of evaluating the real weight of the laparoscopic technique, and at the same time show our personal experience. RESULTS: We found 8 papers in Spanish and 187 in English. Although the interest for laparoscopic varicocelectomy among Spanish urologists is very low, in other countries there is moderate interest for it, being in competition, though in disadvantage, with other outpatient minimally invasive techniques performed under local or regional anesthesia. CONCLUSIONS: Microlaparoscopy improves the overall position of this technique, mainly in cases of bilateral varicocele whenever an "en bloc" ligature of the spermatic artery and vein is performed.


Subject(s)
Laparoscopy , Varicocele/surgery , Humans , Male
6.
Arch Esp Urol ; 57(6): 650-2, 2004.
Article in Spanish | MEDLINE | ID: mdl-15382443

ABSTRACT

OBJECTIVES: We report a case of urethral foreign bodies in a patient with posttraumatic psychiatric disorders. METHODS: The patient presents with clinical signs of scrotal abscess. Many foreign bodies were removed from the bulbar urethra; one urinary stone formed around one of them required lithotripsy. RESULTS: Treatment included removal of the foreign bodies, abscess drainage, and administration of wide spectrum antibiotics. CONCLUSIONS: Urethral foreign bodies are exceptional, and may present with many symptoms making diagnosis difficult. We noted symptoms and diagnosis in our case, and additionally the therapeutic options proposed in the literature.


Subject(s)
Foreign Bodies/complications , Urethra , Urinary Bladder , Adult , Anti-Infective Agents/therapeutic use , Cystoscopy , Foreign Bodies/diagnostic imaging , Foreign Bodies/surgery , Humans , Male , Mental Disorders/complications , Radiography , Treatment Outcome , Urethra/diagnostic imaging , Urinary Bladder/diagnostic imaging
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