[Giant fecal impaction as a cause of female incontinence (Fecaloma) and bladder instability. Contribution with one case]. / Fecaloma gigante como causa de incontinencia e inestabilidad vesical femenina. Aportación de un caso.

We present a case of a 60 years old female patient, with previous depressive disorders, an attempted suicide with pelvic injuries, who comes showing two years evolution of emergence incontinence. The was diagnosed with a giant fecal impaction occuping almost all the pelvic zone and leading to a bladder displacement and right ureteral ectasis.

Fecaloma gigante como causa de incontinencia e inestabilidad vesical femenina. Aportación de un caso / Giant fecal impaction as a cause of female incontinence (fecaloma) and bladder instability. Contribution with one case

Presentamos un caso de una paciente de 60 años con antecedentes de trastornos depresivos, intento de suicidio con secuelas de lesiones pélvicas, que acude al presentar incontinencia de urgencia e infecciones urinarias de repetición, de dos años de evolución. Es diagnosticada de gran fecaloma impactado que ocupa prácticamente el área pélvica, provocando desplazamiento de la vejiga y ectasia ureteral derecha

We present a case of a 60 years old female patient, with previous depressive disorders, an attempted suicide with pelvic injuries, who comes showing two years evolution of emergence incontinence. The was diagnosed with a giant fecal impaction occuping almost all the pelvic zone and leading to a bladder displacement and right ureteral ectasis

[Bilateral testicular microlithiasis]. / Microlitiasis testicular bilateral.

OBJECTIVE: To report an uncommon case of testicular microlithiasis that was incidentally discovered. METHODS/RESULTS: A case of bilateral testicular microlithiasis in an 8-year-old boy that presented with a left scrotal cystic mass is described. Testicular microlithiasis was discovered on ultrasound evaluation. CONCLUSIONS: Bilateral testicular microlithiasis is a rare condition that requires control follow-up of tumor markers and by ultrasound since this condition has been associated with tumors.

[Skin lesions of the penis. Prostatic adenocarcinoma metastasis. Report of a case]. / Lesiones cutáneas de pene. Metástasis de adenocarcinoma de próstata. Aportación de un caso.

Presentation of one case of penis-located multiple skin metastasis from prostate adenocarcinoma after hormonal blockade for 11 years. Revision and update of the topic, corroborating the poor prognosis of these patients.

[Undifferentiated pelvic fibrosarcoma. A new case report]. / Fibrosarcoma pelviano indiferenciado. Aportación de un nuevo caso.

Genitourinary sarcomas are very rare entities. This paper contributes one case report of an undifferentiated pelvic fibrosarcoma in a 53-year old patient. It also includes some observations on the clinical development, complementary studies used, difficulties for the pathoanatomical diagnosis and treatment issues.

[White atrophic vasculitis. Infrequent genital lesion. Review of a case]. / Vasculitis atrófica blanca. Lesión en área genital, poco frecuente. Revisión de un caso.

Case report of a 54-year old patient, calling on the emergency unit with testicular pain and necrotic-looking lesions in the skin and the scrotum. After ruling out a Fournier's gangrene, the diagnosis was reached by scrotal biopsy, the pathoanatomic report confirming the presence of an infrequent vascular disease, segmentary hyalinizing vasculitis, on which we make a review of the literature.

[Idiopathic thrombosis of the renal vein. Report of a new case]. / Trombosis idiopática de la vena renal. Aportación de un nuevo caso.

Thrombosis of the renal vein in adult patients is a rare entity, commonly associated to tumoral masses or hypercoagulability states. Contribution of one case of thrombosis of the renal vein in an 83-year old male patient, and review of current literature.

[Evaluation of prazosin in the treatment of benign hypertrophy of the prostate. A case-control study]. / Valoración del Prazosín en el tratamiento de la hipertrofia benigna de próstata. Estudio caso-control.

A control-case study conducted in 56 patients, all diagnosed with benign prostate hypertrophy of which 36 were Prazosin-treated patients and the remaining 20 were controls. The patient's mictional signs and symptoms as well as flow parameters were monitored at 3 and 6 months, respectively. We conclude that Prazosin is an alpha-blocker useful in early prostate disorders and when no obstructive urological disease is present.

[Symptomatic treatment of benign hypertrophy of the prostate. Comparative study of prazosin and serenoa repens]. / Tratamiento sintomático de la hipertrofia benigna de próstata. Estudio comparativo entre Prazosin y Serenoa repens.

Forty-five patients diagnosed as having BPH and clinically diagnosed micturition disorders were entered in a therapeutic protocol. Twenty-five patients received Prazosin and the remaining 20 patients were treated with Serenoa Repens for a period of 12 weeks. The symptomatology was assessed by flowmetry and the patients were questioned as to the irritative symptoms. It can be concluded from the study that Prazosin is slightly more effective in controlling the irritative symptoms produced by BPH.

[Spontaneous renocolic fistula secondary to pyonephrosis of lithiasic etiology]. / Fistula renocólica espontánea secundaria a pionefrosis de etiología litiásica.

Description of one case of spontaneous fistulization between a renal calix and a descending colon, secondary to lithiasic pyonephrosis. Diagnosis was carried out by means of ascending pyelography without it being clinically suspected. Treatment is surgical, combining nephrectomy, fistula resection and closure of the colic gap. Etiology, favouring factors, diagnosis and treatment are explained.

[Verrucous carcinoma of the penis. Presentation of 3 new cases]. / Carcinoma verrucoso de pene. Aportación de tres nuevos casos.

Penis carcinoma shows an incidence between 0.3-1% of all male neoplasias. The verruciform variety represents 5-10% of total penis carcinoma. Verruciform carcinoma is a variety of squamous carcinoma presenting a usually benign behaviour and related to some virus species (H.P.V.). Three cases are presented with ages ranging between 47-87 years-old, all of which undergoing partial penectomy, their progression being monitored for two years.

La uretrotomia bajo visión directa en el tratamiento de la estrechez uretral masculina / Direct vision urethrotomy in the management of strictures of the male urethra

Dentro de la patologia urológica, la estenosis uretral masculina es uno de los capítulos que mayores controversias sucita. Básicamente han sido tres las fórmulas propuestas en su terapéutica: dilataciones periódicas, uretrotomia ciega y numerosisimas técnicas de uretroplastia cruenta. Durante la última década y merced sobre todo a los trabajos desarrollados por Sachse, la uretrotomia interna, bajo visión directa y con corte frio, ha surgido con fuerza mostrándose, cada vez más, como alternativa validad frente a otros procederes más agresivos. . Presentamos en esta revisión, los resultados obtenidos en 45 pacientes tratados con esta técnica

La uretrotomia bajo visión directa en el tratamiento de la estrechez uretral masculina / Direct vision urethrotomy in the management of strictures of the male urethra

Dentro de la patologia urológica, la estenosis uretral masculina es uno de los capítulos que mayores controversias sucita. Básicamente han sido tres las fórmulas propuestas en su terapéutica: dilataciones periódicas, uretrotomia ciega y numerosisimas técnicas de uretroplastia cruenta. Durante la última década y merced sobre todo a los trabajos desarrollados por Sachse, la uretrotomia interna, bajo visión directa y con corte frio, ha surgido con fuerza mostrándose, cada vez más, como alternativa validad frente a otros procederes más agresivos. . Presentamos en esta revisión, los resultados obtenidos en 45 pacientes tratados con esta técnica (AU)