[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.

Resultados tras el tratamiento con citrato de sildenafilo en 100 pacientes con disfunción eréctil / Sildenafil citrate in the treatment of 100 patients with erectile dysfunction

OBJETIVO: Conocer la efectividad, tolerabilidad y aceptación en nuestro medio del Citrato de Sildenafilo como nuevo tratamiento de la Disfunción Eréctil (D.E.). MATERIAL Y MÉTODOS: Se incluyeron 100 pacientes con D.E. atendidos entre los meses de noviembre-98 y febrero-2000, evaluando unas variables prefijadas. RESULTADOS: El índice de respuestas positivas (mejoría de la D.E.) fue del 69,9 por ciento. Se refirieron efectos secundarios solamente en el 11,8 por ciento (cefalea 5,4 por ciento, rubor facial 4,3 por ciento, diarrea/visión borrosa 2,2 por ciento). La dosis aplicada mayormente fue 50 mgrs (65,6 por ciento). La información suficiente sobre el producto ocurrió únicamente en la mitad de los pacientes (50,5 por ciento). El índice de respuestas positivas fue mayor en los que presentaron una D.E. moderada (76,1 por ciento). La respuesta también fue mejor para la etiología mixta o psicógena (74,1 por ciento).Rechazaron el tratamiento bien por miedo o precio el 46,2 por ciento del total de los pacientes. CONCLUSIONES: El Citrato de Sildenafilo es un tratamiento eficaz en la D.E. Es seguro y bien tolerado. La dosis de 50 mgrs fue la que consiguió mejores respuestas. Casi la mitad de los pacientes se quejaron de una información insuficiente. Se constata todavía un importante rechazo (miedo y precio) al fármaco. Se obtuvo buena respuesta cuando se asociaron varios factores de D.E (AU)

[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 female urethra]. / Melanoma maligno primario de uretra femenina.

OBJECTIVES: Primary malignant melanoma of the female urethra is a very uncommon tumor type that carries a poor prognosis. An additional case is reported herein. METHODS/RESULTS: A case of primary malignant melanoma in the advanced stages is described. CONCLUSIONS: Several treatment options have been reported in the literature. The age of our patient, the presence of inguinal involvement and local invasion prompted us to choose symptomatic treatment.

[Localization of the urinary tract infection by the ACB method]. / Estudio de la localización de la infección urinaria mediante el método de ACB.

We used the ACB (antibody coated bacteria) on 214 urinary samples with bacteriuria. Patients were grouped in 14 clinical entities at the beginning of the study. Later, after supplementary examinations had been conducted, the findings were compared. ACB testing was positive in 37 cases (17.45%). Of 25 patients with signs and symptoms of acute pyelonephritis, 18 (72% sensitivity) were positive. In contrast, of 64 patients with clinical symptoms of lower urinary infection, tests were positive only in 4.7%--3 patients--(95.5% specificity). The paper includes a review of international literature on the method's behaviour in certain clinical diagnoses and a comparison is made with that in our study. We conclude stating that the method is simple, economical, non-aggressive and useful for U.I.'s location and evolution follow-up.

[Bilateral renal angiomyolipoma associated with tuberous sclerosis. Right nephrectomy following arterial embolization]. / Angiomiolipoma renal bilateral asociado a esclerosis tuberosa. Nefrectomía derecha previa embolización arterial.

Presentation of the case of a 23-year old male diagnosed with bilateral renal angiomyolipomas associated to florid tuberous sclerosis, who presented with intense haematuria. The patient was treated conservatively by means of arterial selective embolization, later followed by nephrectomy due to persistence of bleeding. Assessment of the different therapeutic possibilities.

[Multilocular cystic nephroma. Preoperative diagnosis with CAT]. / Nefroma quístico multilocular: Diagnóstico preoperatorio mediante TAC.

We report a case of multilocular cystic nephroma in a 45-year-old female patient who had been referred for urological evaluation on detecting a mass in the left lumbar region. Patient work up included CT evaluation, which proved to be the most useful in making the diagnosis. The literature is reviewed with special reference to the nature of this lesion and the existing controversy on whether it is an embryonary tumor or a congenital malformation.