Biomedical subjects

C Lladó Carbonell

Publications and source records attributed to C Lladó Carbonell.

8 recordsLinked to original sources

PubMed1993

[Changes in deposition pattern as presentation form of uretero-intestinal endometriosis].

A case of ureteric and colonic obstruction secondary to endometriosis is described. We briefly review its pathogenesis and discuss the urologic and bowel implications, symptoms and signs, diagnosis and treatment. Because it is usually silent, urographic evaluation is advisable in all cases of endometriosis. Treatment is by surgery and adjuvant hormone therapy is given preoperatively or postoperatively for residual disease.

Defecation↗

PubMed1993

[A prospective and randomized study of the complete response, index of recurrences and progression in superficial bladder carcinoma treated with mitomycin C alone versus mitomycin C and BCG alternatively].

The results of a comparative randomized study on intravesical chemoprophylaxis are presented. The study comprised 66 patients; one group of 29 patients received mitomycin C alone, while another group of 37 patients received mitomycin C and alternating BCG therapy. This latter treatment modality was found to achieve a slightly higher complete response rate and a much lower tumor progression rate. Although these results were not statistically significant (p > 0.05), they indicate that if the study were comprised of a larger series, the combined modality may be shown to achieve better results than the other modalities currently used.

BCG Vaccine↗

PubMed1992

[Bladder involvement in non-Hodgkin's lymphoma. Diagnosis and therapeutic response].

Presentation of one case of non-Hodgkin lymphoma (NHL) in a 76 year-old, female patient presenting with giant abdominal mass, secondary tumoral vesical infiltration and bilateral obstructive uropathy diagnosed by UIV, CAT and cystoscopy-biopsy. Transitory deobstruction with 'pig-tail' catheter allowed administration of therapy with multiple chemotherapy with excellent response. The radiological, endoscopic and histopathological findings, as well as the incidence of the uncommon vesical pathologies are reviewed.

Aged↗

PubMed1991

[Eosinophilic cystitis as a special form of response to mitomycin C. Analysis and comments on our cases].

We analyzed 29 cases of eosinophilic cystitis in a group of 80 patients with lower urothelial carcinoma who had been treated with mitomycin-C. Only 6 cases (20.7%) had presented symptoms and signs compatible with acute cystitis. The remaining patients had been diagnosed histopathologically by routine follow-up bladder biopsy. Urine cytology revealed abundant eosinophils in 58.6% of the patients with eosinophilic cystitis while urine culture was negative for all patients. No patient had a previous history of allergy or asthma. We discuss the possible etiopathogenic mechanisms of this rare nosologic entity, the relationship to the immune system and the role of the foregoing in the capacity to control urothelial carcinoma locally.

Administration, Intravesical↗

PubMed1991

[Vesico-sigmoidal fistulas. Evaluation of the diagnostic performance of the complementary tests in our series].

We analyzed 14 cases of colovesical fistula that had been diagnosed and treated at the urology and gastroenterology and general surgery services of our hospital from 1986-1990. In 85.7% of the cases, the fistula had been caused by a tumor (adenocarcinoma of the colon) and in 14.3% by inflammatory disease (diverticulitis of the colon). All patients presented a varying degree of micturition syndrome; 30% had pneumaturia and 40% fecaluria. Cystoscopy proved to be the most effective in diagnosing colovesical fistula. It permitted visualization of the fistula or passage of fecal material to the bladder in 33% of the cases, while indirect endoscopic signs could be observed in 100%. Furthermore, it permitted the anatomopathological diagnosis of adenocarcinoma of the colon in 5 cases. We performed one-stage en bloc radical surgery in 57% of the cases, shotgun barrel discharge colostomy in 2 cases, exploration laparotomy in 3 and treatment was withheld in 1 case. The overall survival for the group submitted to radical surgery was 19.5 +/- 8.0 months. There were 4 deaths from metastasis, 2 from sepsis originating in the abdomen and the remaining deaths were due to iliofemoral venous thrombosis, cardiovascular disease and pneumopathy.

Adenocarcinoma↗

PubMed1990

[Plasmocellular balanoposthitis of Zoon].

Plasma cell balinitis of Zoon is a well-defined and easily-recognized disease entity that is little-known in urology. Our clinical experience in 5 cases is reported herein. The uncommon presentation of this condition in a 12-year-old patient is underscored. The clinical picture, gross features of the typical erythroplastic plaque, the differential diagnosis with special reference to Queyrat's erythroplasia, and the characteristic histologic features are described. Our experience confirms the inefficacy of topical treatment with antiseptic agents and corticosteroids. Circumcision is still the only effective treatment of this disease.

Adrenal Cortex Hormones↗

PubMedDate not supplied

[Prostatic abscesses: percutaneous treatment].

Three cases of prostatic abscess diagnosed in our service in the past year are reported. The current treatment of this disease entity and the changes observed relative to the pathogenic flora of prostatic abscess in certain groups at risk today are discussed. All three cases underwent percutaneous transperineal debridement of the purulent collection. An 8 Fr silicone catheter was left indwelling in the residual cavity of the abscess to permit lavage with povidone-iodine solution during the first 3 or 4 days post-operatively. At one week, the abscess had completely resolved in all of the cases as evidenced by the ultrasound control. E. coli was isolated in two patients with diabetes and Staph. aureus was isolated in an HIV-positive intravenous drug addict who also had renal abscess from Candida albicans.

Abscess↗

PubMedDate not supplied

[Post-vasectomy semen in 313 males. Statistical analysis, medical aspects, legal implications].

The results of semen examination in 313 vasectomized males are presented. A quantitative analysis of the semen samples was performed according to the WHO criteria and the centrifugate of the entire ejaculate was studied. At the first semen examination, which was performed three months after the procedure, the sperm count per ml was negative in 210 patients (83.7%), positive (all non-motile and dead) in 41 (16.3%). Sixty-two patients did not send a sample. Those cases with a positive first examination had a regular examination every two months. At five months 90.8% of these cases had a negative count per ml. 3.6% of the patients required 7-10 months to have a negative count. It took longer for the older patients to have a negative count, the difference being statistically significant with respect to the younger patients. Examination of the centrifugate revealed spermatozoa in 24.3% of the samples with a negative sperm count per ml, although these were all non-motile and dead, except for one case who had motile spermatozoa at 3 months. There were no pregnancies or revasectomies. Some legal aspects relative to patient examination and follow-up are discussed.

Adult↗