Biomedical subjects

A Puigvert Martínez

Publications and source records attributed to A Puigvert Martínez.

3 recordsLinked to original sources

PubMedDate not supplied

[Priapism].

Priapism has been defined by AFUD as a pathological condition which consists in a penile erection that persists moreover or is not related to sexual stimulation. Priapism pathophysiology has remained unknown until differents groups of clinical investigators began to research about this entity in patients complaining of erectile dysfunction, who where receiving treatment with intracavernosal vasoactive molecules. Priapism can be clasified into ischaemic (venocclusive): the most prevalent type, or Arterial (non-ischaemic). The purpose of this revision is to update the pathophysiology of the two types of priapism and to create an algorithm of therapeutical and diagnostic approach.

Algorithms↗

PubMedDate not supplied

[Our clinical experience with the use of ++sildenafil citrate to treat erectile dysfunction].

OBJECTIVE: To evaluate the response and adverse effects to treatment with Sildenefil in those patients with an erectile dysfunction who, according to our protocol, were considered as candidates for this therapeutic option. MATERIALS AND METHODS: We reviewed the clinical histories of 180 patients seen in our service from november 1988 to February 1999 as a result of an erectile dysfunction. Those patients in whom the use of Sildenefil was not contraindicated were prescribed this product at does of 50 mg. The response to treatment was subjectively evaluated based on the option of the patient when comparing his quality of life before and after treatment. RESULTS: Out of 180 patients, 144 started treatment as indicated. Of these, 67% expressed a positive response, while 33% did not respond to treatment. Adverse effects were notice by 26% of patients, but in 97% of them they were not severe enough to withdraw the medication. CONCLUSIONS: Two-thirds of 144 patients with erectile dysfunctions of heterogeneous origin responded positively to treatment with Sildenefil. One fourth of them reported some ort of adverse effect, but almost none of them stopped the medication for this reason.

Adult↗

PubMedDate not supplied

[TESE-ICSI in the treatment of male infertility secondary to tuberculosis. Report of a case].

OBJECTIVE: To report a case of infertility treated by TESE-ICSI in a patient with tuberculosis of the seminal duct. METHODS: A 32-year-old patient consulted for primary infertility with a history of 7 years. The fertility studies demonstrated azoospermia, hypospermia and genitourinary tuberculosis involving the entire seminal duct. RESULTS: After the tuberculosis had been treated satisfactorily, TESE, IVF and ICSI were performed with success. CONCLUSIONS: Tuberculosis of the seminal duct can cause primary obstructive infertility. TRA is an alternative when spermatogenesis is preserved. In this patient TESE-ICSI was performed with success.

Adult↗