[Priapism: diagnosis and treatment]. / Priapismo: diagnóstico y tratamiento.

Priapism, prolonged and painful erection, is an exceptional cause of consultation in the pediatric population. High- and low-flow priapism and recurrent prolonged erection must be differentiated, as the prognosis and treatment of these entities differ. Assessment of patients with priapism begins with a detailed history, physical examination, and complete blood cell count. The definitive diagnosis is given by penile Doppler ultrasonography, corpora cavernosa blood gas analysis, and pelvic arteriography. We present two patients who attended our emergency service in the last year and propose an algorithm for the diagnosis and treatment of this entity.

Priapismo: diagnóstico y tratamiento / Priapism: Diagnosis and treatment

El priapismo, erección prolongada y dolorosa, es un motivo excepcional de consulta pediátrica. La distinción entre el priapismo de alto y bajo flujo, así como la diferenciación de la erección prolongada recurrente, es esencial por su diferente tratamiento y pronóstico. La historia clínica, la exploración y el hemograma son el primer escalón diagnóstico. El eco-Doppler peneano, la gasometría de cuerpos cavernosos y la arteriografía de ilíacas permiten el diagnóstico definitivo. Presentamos 2 casos vistos en nuestra urgencia en el último año y realizamos una revisión de la literatura especializada estableciendo un algoritmo de diagnóstico y tratamiento

Priapism, prolonged and painful erection, is an exceptional cause of consultation in the pediatric population. High- and low-flow priapism and recurrent prolonged erection must be differentiated, as the prognosis and treatment of these entities differ. Assessment of patients with priapism begins with a detailed history, physical examination, and complete blood cell count. The definitive diagnosis is given by penile Doppler ultrasonography, corpora cavernosa blood gas analysis, and pelvic arteriography. We present two patients who attended our emergency service in the last year and propose an algorithm for the diagnosis and treatment of this entity

[Renal transplantation and urinary infection. Review]. / Trasplante renal e infección urinaria. Revisión.

Urinary infection (UTI) is the most frequent infection after renal transplantation (RT). The literature shows and incidence between 10-98%. The risk of associated bacteraemia is close to 12%. Gram- bacteria are the most frequent causal agents (70%), although gram+, mainly enterococcus and staphylococcus, candida and some other exotic germs such as Corynebacterium are also potential etiological agents. Certain factors present in the receptor during pre-RT, RT itself and post-RT condition the development and evolution of UTIs. Clinical signs and symptoms are multiple ranging from asymptomatic bacteriuria to graft's abscess or septic shock. Incidence in females (54%) is higher than in males (29%). Immunosuppressive regimes based on Cyclosporin (35%) show lower incidence of UTI than those based in Azathioprine (50%). Antibiotic prophylaxis with Co-trimoxazol reduces incidence of UTIs at post-RT and delays the time of appearance of the first UTI episode.

[Tuberculous prostatic abscess in acquired immunodeficiency syndrome]. / Absceso prostático tuberculoso en síndrome de inmunodeficiencia adquirida.

OBJECTIVE: To review the diagnostic and therapeutic aspects of prostatic abscess in the acquired immunodeficiency syndrome. METHODS/RESULTS: Herein we report on a patient with AIDS and prostatic abscess due to tuberculosis. The clinical features and a less invasive therapeutic approach are described. CONCLUSION: Appropriate treatment must be based on cultures, as patients with AIDS are increasingly frequently affected by uncommon organisms originating prostatic abscess. Treatment is by drainage, although spontaneous urethral drainage has been described, as in the present case. Percutaneous ultrasound-guided drainage appears to be a less invasive and effective procedure.