[Results after treatment with sildenafil citrate in 100 patients with erectile dysfunction]. / Resultados tras el tratamiento con Citrato de Sildenafilo en 100 pacientes con disfunción eréctil.

OBJECTIVE: In order to know the efficiency, tolerance and acceptance of Sildenafil Citrate in our area as a new treatment for Eréctil Dysfunction (E.D.). MATERIAL AND METHODS: We include 100 patients with E.D. who were assisted in our medical office from November 1998 to February 2000 to evaluate them according to several predeterminated variables. RESULTS: The positive response index (E.D. improvement) was 69.9%. We only found side effects in 11.8% (headache 5.4%, flushing 4.3%, diarrhea/blurred vision 2.2%). The most widely used dose was 50 mgrs (65.6%). Only 50.5% of the patients had enough information about Sildenafil. The highest positive response index corresponded to the mild E.D. (76.1%). Also the best results were achieved with the mixed and psychological etiology (74.1%). The Sildenafil treatment was rejected (fear or its price) by the 46.2% of the patients. CONCLUSIONS: The Sildenafil Citrate is an effective treatment for the E.D. It hardly has any side effects. The 50 mgrs dose got the best results. Almost half of the patients complained about an insufficient information on this pharmaceutical. Sildenafil got a good response even when there were risk associated factors of E.D.

[Acute epididymitis in a 3-month-old infant: an infrequent presentation]. / Epididimitis aguda en lactante de 3 meses: una presentación infrecuente.

The acute Epididymitis is a very uncommon disease in children under 3 years old. We present the clinic case in a suckling child of 3 months old with onset of an acute scrotum, being necessary the surgical exploration to define the exact diagnosis of acute Epididymitis. We make a revision on world medical references and found out a very low incidence in children under 1 year old (0.7-3%); so it is considered of interest to publish it with the double finality to be taken into account in the presence of an acute scrotum and to contribute with a new case of this unusual pathology in babies under 1 year old.

[Primary malignant melanoma of the penis. Considerations apropos of a case]. / Melanoma maligno primitivo de pene. Consideraciones a propósito de un caso.

The authors present a case of primitive malignant melanoma of the penis. At the same time they make a review of the world bibliography on this illness, in which they find only 50 cases published. They make a series of comments on the peculiar evolution of the case presented, in comparison to those described. They feel that the most important factor of the case presented is its rarity and the diagnostic difficulties involved.