[Tuberous angioma of the glans penis: treatment with laser and local anesthesia]. / Angioma tuberoso del glande del pene: tratamiento con láser y anestesia local.

A case of angioma tuberous of the glans penis treated with Neodymiun:Yag laser under local anesthesia in a eleven-years-old outpatient is reported. These lesions are extremely rare. Local excision of this tumor was accepted treatment, but we think that laser treatment (Neodymiun:Yag) is far superior to surgical excision and we think this treatment of choice. The particularity of the case we report, is aside the rarity, the possibility of treatment in an outpatient child, with local anesthesia and excellent tolerance.

Angioma tuberoso del glande del pene: tratamiento con láser y anestesia local / Angioma tuberous of the glans penis: treatment with laser and local anesthesia

Presentamos un caso de angioma tuberoso del glande del pene tratado con láser Neodimio: YAG, bajo anestesia local en un paciente ambulatorio de once años. Estas lesiones son extremadamente raras. La excisión local de este tumor es el tratamiento comúnmente aceptado, no obstante nosotros creemos que el tratamiento con láser Neodimio: YAG ofrece más beneficios que la extirpación quirúrgica, y pensamos que este es el tratamiento de elección. La particularidad de este caso que presentamos es, además de su rareza, la posibilidad de tratamiento ambulatorio en un niño con anestesia local y excelente tolerancia (AU)

[Studer-type orthotopic urinary bladder: our experience]. / Vejiga urinaria ortotópica tipo Studer: nuestra experiencia.

OBJECTIVE: To analyze the outcome, complications and functional results in patients undergoing bladder substitution with the Studer continent urinary pouch. METHODS: The clinical records of 6 male patients who underwent radical cystectomy for invasive bladder cancer and bladder substitution with the Studer reservoir at our hospital from January 1996 to February 2000 were reviewed. Patient mean age was 54.2 years and mean follow-up was 14 months. Follow-up evaluation included abdominopelvic CT, chest x-ray, urinalysis, blood biochemistry, venous gasometry and ultrasonography with evaluation of postvoid residual urine. RESULTS: Transitional cell carcinoma was found to be the most frequent histopathological type. Distribution by grade and pathological stage showed they were all high grade infiltrating tumors localized to the bladder. Four patients are free of disease, one died from metastatic disease and one patient with tumor progression and multiple lung metastases at two months' follow-up is currently on chemotherapy. The mean operating time was significantly longer for this procedure than for the non-continent Bricker urinary diversion (mean 7.2 hours vs 3.5 hours, respectively). The immediate postoperative complications were: ileus (> 7 days) in two patients, diarrhea (> 3 days) in two, occlusive ileus due to fecaloma in one, metabolic acidosis in one, wound seroma in one, and wound infection in two patients. The early and late postoperative complications were: incontinence for up to one month after removing the urethral catheter in three patients (two of these patients are still incontinent at two months' follow-up), wound infection in two and impotence in 6 patients. CONCLUSION: Reservoir function in the medium-term is good; spontaneous urethral micturition and continence are maintained. To achieve good results, patients should be followed carefully and should be given detailed information about postoperative care and management.

[Treatment of stress urinary incontinence in women, by the Raz technique. Results]. / Tratamiento de la incontinencia urinaria de esfuerzo en la mujer, según la técnica de Raz. Resultados.

The results achieved with the Raz technique in 65 patients with stress urinary incontinence are presented. Of these, 23 (35.4%) had mixed incontinence. Overall, good results were achieved in 83.1%, defined as correction of incontinence and no micturition disorder. The present study emphasizes the importance of correct diagnosis for surgical indication. This technique is indicated for mixed urinary incontinence and coexisting cystocele or after previous failed antiincontinence surgery.