[Adenomatoid tumors of the epididymis and testicle: report of 9 cases and bibliographic review]. / Tumor adenomatoide de epidídimo intratesticular: A proposito de nueve casos y revisión de la literatura.

BACKGROUND: To report the cases of adenomatoid tumors seen at Hospital Universitario La Paz in the last 15 years. METHODS: A clinical, pathological, and surgical study was conducted of males with testicular or paratesticular tumors with a histological report of adenomatoid tumor. RESULTS: Among the nine cases studied, seven had paratesticular and two intratesticular adenomatoid tumors. Treatment of choice was mass removal for epididymal tumors and orchidectomy for intratesticular tumors. CONCLUSIONS: Adenomatoid tumors are uncommon benign neoplasms of a possible mesothelial origin. Because of their benign nature, the treatment of choice is local excision (conservative surgery), but orchidectomy was performed in two cases due to tumor location.

[Paraurethral adjustable continence therapy device (Pro-ACT) in the treatment of urinary incontinence after prostatic surgery]. / Balones parauretrales (Pro-ACT) en la incontinencia urinaria postqurúrgica del cáncer de próstata.

OBJECTIVES: Prostate cancer early detection campaigns have led to the diagnosis of a greater number of patients with organ-confined disease candidates for intention-to-cure treatment. Radical prostatectomy is one of these treatments; despite the technical advances with the development of laparoscopic or robotic operations it still has urine incontinence as a side effect affecting patient's quality of life. METHODS/RESULTS: Based on the experience in the Urology Department at Hospital La Paz we describe the technique and our results, comparing with a bibliographic review of other techniques used for the treatment of urinary incontinence after radical prostatectomy from the Medline database. CONCLUSIONS: The insertion of the paraurethral ProACT is the treatment of choice for mild-moderate incontinence after radical prostatectomy in our environment due to its high success rate and low morbidity, technical easiness, and adequate cost and resources requirements.

[Paraurethral ballon implantation in the treatment of male urinary incontinence. La Paz University Hospital experience]. / Implante de balones parauretrales como tratamiento de la incontinencia urinaria masculina. Experiencia del Hospital Universitario La Paz.

OBJECTIVES: We want to show our experience with paraurethral balloon implantation in the treatment of male urinary incontinence. METHODS: We retrospectively reviewed our series from March 2003 to March 2007, including 69 male patients with urinary incontinence, most of them after radical prostatectomy. RESULTS: 6 patients did not have their first follow-up visit after surgery. Mean follow-up was 22 months (3-48). 57.14% of the patients (36/63 do not need pads, and 12.69% use one safety pad (8/63); therefore 69.83% (44/63) of the patients are dry or use one safety pad. If we stratify patients by incontinence severity, 81.25% of the patients with mild incontinence and 59.25% with moderate incontinence are dry. Nevertheless, only 35% of the patients with severe incontinence are dry (no protection). CONCLUSIONS: In our experience, we believe that paraurethral balloon implantation could be the first therapeutic option for mild and moderate male urinary incontinence.