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A Rivas Alonso

Publications and source records attributed to A Rivas Alonso.

12 recordsLinked to original sources
PubMed2006

[TVT our experience five years and six months later].

OBJECTIVE: We present the outcome of urinary incontinence surgery after TVT more than five year of follow-up. Efficacy was evaluated in terms of complete cure of incontinence, complications, and patient satisfaction. MATERIAL AND METHODS: A sample of 369 female with genuine stress incontinence or mixed incontinence who had a TVT performed in our hospital between 1998-2003 were evaluated. Sample average age was 59.9 years. A total of 326 patients (85%) had genuine stress incontinence and 56 (15%) mixed incontinence. Preoperative evaluation was base on: clinical history and physical examination, stress test, flowmetry and post voided residual. Cistometry was indicated only in patients with previous surgery and mixed incontinence. Severity of incontinence was graded clinically. Primary outcome measure was complete cure of incontinence defined as lack of objective and subjective leakage. In addition a phone survey about patient satisfaction with the surgery was carried out. RESULTS: The average follow up was 35 months (6-67). A total of 317 were complete continent (86%). By contrast, 52 patients (14%) had leakages jet. The novo urgency rate was 7% and a 5.7% of patients were reoperated to cut the mesh because of obstruction. Nevertheless, the reoperation rate was low and only a patient showed a massive haematoma which needed to be evacuated. CONCLUSION: Bursch Technique through suprapubic route has been classically considered the gold standard procedure for stress urinary incontinence for the last decades, having been substituted nowadays by tension-free suburethral mesh sling whose most important advantages are: Simplicity of the method, lower cost and higher comfort for the patient due to the fact that we have chaged in-patient surgery program for ambulatory one with similar results in order to sanation. Anyway we will have to check if the preliminary good results and no complications persist in the follow-up.

Female↗
PubMed2005

[Minimal prostatic adenocarcinomas in the biopsy treated with radical prostatectomy].

FUNDAMENTALS: Valuation about clinical pathologyc facts of patients having undergone a radical prostatectomy due to a minimal prostate adenocarcinoma shown at the biopsy. METHODS: Retrospective analysis of patients having undergone a radical prostatectomy due to a minimal prostate adenocarcinoma shown at the biopsy in front of the remaining radical prostatectomies. RESULTS: In 20 patients (7.6%) out of the 260 having undergone a radical prostatectomy between 1992 and 2004 the biopsy was informed as "minimal adenocarcinoma". These patients ranged 58 to 73 years with PSA levels from 5.2 to 17.1 ng/ml. Everyone except one were clinically T1c. At the definitive pathological study the Gleason was 6, 4, 3 and 2 in 3, 3, 8 and 4 patients respectively, with one having a minimal adenocarcinoma not graded and another one with a PIN ?. 3 showed only 1 focus with a tumoral volume less than 5% of the tissue (84.2% with significant tumor or multifocal). The final staging was 1 pT0 (PIN ?), 7 pT2a, 11 pT2b and 1 pT3a (62.5% bilaterals). Relating to the remaining patients under prostatectomy, patients with minimal adenocarcinoma presented significative differences in Gleason sum (p < 0.029) and staging (p = 0.02); no in PSA mean (p = 0.243). SUMMARY: Minimal adenocarcinomas of the prostate at the biopsy are significant but do present lower staging and grading in relation with the rest of patients.

Adenocarcinoma↗
PubMed2002

[Ambulatory major surgery: our experience].

INTRODUCTION: The first Surgery Ambulatory Unit was created in 1990, at the Hospital de Viladecans although in 1982 Polo et al. had commenced a programme of strictly ambulatory surgery. The Spanish Services of Urology are going to be incorporated to this new style of labour, and, by the moment, with excellent results. MATERIAL AND METHODS: We realize a description of the functioning of our service inside the Unit of Ambulatory Major Surgery, and a descriptive analysis of our activity in above mentioned unit since February 2000(creation date) to May 2001. RESULTS: 118 patients were operated, being 15% women and 85% men. The most frequent surgery done were: hydrocelectomy, orchiopexy, varicocelectomy, vesical distensions, Nesbit technique and internal urethrotomy. From the whole of the patients, none was increased, and the complication tax was similar to the conventional surgery patients. This kind of surgery suppose 17% in 2000 and 19% in 2001 of the whole of surgery, with clear increasing tendency in the last months. CONCLUSIONS: The Ambulatory Major Surgery is an effective and efficient care pattern in which Urology Services are included, so that the degree of satisfaction of the patients and the quality offered is similar to the inpatient surgery.

Ambulatory Surgical Procedures↗
PubMed2000

[Inverted papilloma of the prostatic urethra].

The inverted papilloma is a rare urothelial tumor, and its localization at the prosthatic urethra is also exceptional. We present a case of inverted papilloma of the prostatic urethra in a 72 years-old male, with symptoms of urinary flow obstruction. The diagnose is obtained after urethrocistoscopy and transurethral resection at the same time. We discuss about the etiology, clinical presentation, diagnose and treatment of this rare tumor, making special attention to its malignancy ability.

Aged↗
PubMed1996

[Small renal cell carcinoma of the prostate with cerebral metastasis].

Presentation of one case of non-differentiated small cell prostate carcinoma, not associated to adenocarcinoma, in a male patient diagnosed with Benign Prostate Hyperplasia and Lymphoproliferative Syndrome, seen at the clinic due to worsening of mictional symptomatology. The diagnosis of non-differentiated carcinoma was reached through transrectal biopsy of a prostate node. Initial staging after diagnosis was T4a, N2, M1c (TNM, 1992), as liver and brain metastasis were already present. No bone or lung involvement was found. Specific Prostate Antigen value was 7.4 ng/ml, Carcino-Embryonary Antigen (CAE) was normal and ACTH slightly elevated. Differential diagnosis was primarily established with lymphoma. Using immunohistochemical techniques, the tumoral cells were positive for low molecular weight Keratin (CAM 5.2) and specific neuronal Enolase; negative for specific prostate antigen, prostate acid phosphatase, common leucocyte antigen and ACTH. The initial treatment consisted in one course of carboplatin plus VP-16 chemotherapy. The patient died six months after diagnosis.

Aged↗
PubMed1992

[Calcifications in renal adenocarcinoma. Image assessment in 17 cases].

Of 60 renal adenocarcinoma tumors that had been diagnosed at our hospital between 1984 and 1990, 17 had presented intratumoral calcification. These 17 tumors with calcification were studied to assess the sensitivity of different techniques relative to detection, localization and morphologic characterization of the calcifications. We can conclude from the study that the use of CT and US not only raised detection rate (28%), but also permitted more precise evaluation of the calcified tumor mass. Furthermore, tumor spread beyond the calcified area was found to be a sign of malignancy.

Adenocarcinoma↗
PubMed1992

[Cutaneous metastasis of epithelioid sarcoma of the penis: report of a case].

Exposition of one case of skin metastasis in a 35 year-old patient, diagnosed 10 years previously with epithelioid sarcoma of the penis, which was treated with total penectomy. The singularity of this case lies in the rarity of a pineal site for this tumour, as well as the infrequency of the skin metastasis. It should be noted the significance of long-term follow-up in this patients, since quite frequently they develop metastasis following a long asymptomatic period.

Adult↗
PubMed1990

[Percutaneous endo-retro-pyelotomy: an elective treatment method in stenosis of the uretero-pelvic junction].

Fifteen adult patients diagnosed as having congenital stricture of the ureteropelvic junction were treated by percutaneous endoureteropyelotomy. Our results were clinically satisfactory in 85.7% (excellent acured 57.1%, good/with occasional mild discomfort 28.5%). Radiologically, 64.2% were normal and 14.2% had mild ectasia but good renal function. No clinical improvement was observed in 14.2% and 21.4% had persistent hydronephrosis indicating the procedure had failed. The most important complication was intraoperative hemorrhage from effraction of an inferior polar artery which required a conventional lumbotomy procedure and Anderson-Hynes pyeloplasty. The foregoing results, with the limitations inherent in data from a small series, indicate that endoureteropyelotomy is the procedure of choice in the treatment of congenital UPJ strictures in the adult patient.

Adult↗
PubMedDate not supplied

[First results of our experience with the Fabian's prosthesis].

Report on our experience with Fabian's prothesis as alternative therapy to benign prostate hyperplasia (B.P.H.) surgery. Throughout 1990 ten patients with various surgical contraindications were implanted the above device. In spite of the series small size (10 patients) and short follow-up (4 to 11 months), we believe the 70% good results obtained is very encouraging and can either be of help to banish the ominous indwelling vesical catheter, a permanent evidence of Urologists' failure in the prostate obstructive disease, or it will allow us to relief patients with B.P.H. non-secondary to other more aggressive therapies.

Aged↗
PubMedDate not supplied

[Wunderlich disease. First manifestation of a renal adenocarcinoma].

We present a case of the classical Wünderlich syndrome or circumscribed extracapsular renal hematoma in a 54-year-old male patient who had consulted for an inguinal mass and hemiscrotal ecchymosis. The patient had referred an episode of intense pain in the left renal fossa and the clinical picture of syncope 3-4 days earlier. Surgery disclosed severe perirenal hemorrhage from an undiagnosed renal adenocarcinoma that had ruptured.

Adenocarcinoma↗
PubMedDate not supplied

[Giant hydronephrosis: conservative treatment by endopyelotomy].

A case of giant hydronephrosis in the right kidney and inferior pelvis of the left kidney in a 60-years-old female patient with nonspecific abdominal symptoms and signs is reported. Because involvement was bilateral and the patient insisted on conservative treatment, we performed a bilateral percutaneous endopyelotomy. The excellent results achieved were demonstrated by ultrasound. This however was not true for the functional results due to the irreversible renal lesion.

Female↗