[Vestibular approach in urinary incontinence in women. Original technic. Experience. Results]. / La vía de abordaje vestibular en la incontinencia de orina en la mujer. Técnica original. Experiencia. Resultados.

Presentation of an original technique to treat S.U.I. in women. This technique contains in itself many others, both in terms of the conceptual anatomical base on which it is inspired, and in the possibilities of its surgical application. Lisfranc's approach, supra-meatic and infra-clitoridean, allows to section both the pubo-urethral ligament and Colles fascia thus reaching into the Retzius. It makes possible the use of solid anatomical elements (pelvian fascia, elevator, urethro-vaginal septum, etc...) thus allowing to suspend the pelvian base from fascia ligaments or from the abdominal wall muscles. Sixty patient who had simple S.U.I. received treatment, with a 95% efficacy index based on the evaluation of the urodynamic, bacteriological and clinical studies. We conclude with an evaluation on the validity of the results obtained by emphasizing the high efficacy index, simplicity, low morbidity and short hospital stay.

[Gonadal stromal tumor in childhood. Report of a case. Comments]. / Tumor de estroma gonadal en la infancia. Aportación de un caso. Comentarios.

A case of testicular gonadal stromal tumor in an 8-month-old boy is described. Patient evaluation revealed no hormonal alterations. The patient underwent orchidectomy and has remained tumor-free at two years follow-up, which meets the well-established criteria for benign tumors. A detailed anatomopathological description is presented.

[The surgical treatment of anterior hypospadias. Apropos 590 cases (1966-1988). The indications and results. The current trends in surgical treatment]. / Consideraciones sobre el tratamiento quirúrgico del hipospadias anterior. A propósito de 590 casos (1966-1988). Indicaciones y resultados. Tendencias actuales del tratamiento quirúrgico.

The surgical treatment of hypospadias is very complex. The objective is to obtain a satisfactory urinary and genital function with an equal morphological, anatomical and aesthetic result. Our contribution covers twenty-two years of surgical multicentre experience (590 cases). We evaluate the surgical indication, results, complications, associated malformations and study protocols. We have objectively evaluated the evolution of the indications, as well as the application of different techniques depending on the extent of urethral malformation.