[Critical review of endoscopic and open technics in the treatment of adenoma of the prostate].
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Biomedical subjects
Publications and source records attributed to C Torres Ramírez.
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Out of a series of 70 prostatic stones, we found 8 considered to be "secondary" or "exogenous" (i.e. originated inside the acinis, following the initial crystallization of the components of the orine introduced into the acini) which underwent crystallographic analysis, using basically the "fine plate" to determine their structure. There were found to be two types of stones: one kin essentially uric (5 in all) and others essentially oxalic (3). We observed that these may be formed by pure substances as in the case of two uric stones but generally the nucleus is made up of uric or oxalic components with a tendency in the periphery to form concentric layers of apatite or whitlockite, similar to those observed in primary or endogenous prostatic stones, accompanied by other oxalic or uric components or not. We found that both the uric acid (anhydrous) as well as the oxalates may adopt the same strucutre presented by the urinary stones (renal, vesical) but the anhydrous, uric acid may also present in the nucleus of a stone, an association of 3 structures (granuloporous + fibrosoradiated + palisaded) which does not occur in urinary stones and it may also form a structure which we call "concretioning" which has not previously been described.
A crystallographic analysis ("fine plate") is carried out on a total of 62 primary or endogenous prostate stones and the particular features of their structures are described. We observed that they present a compact nucleus consisting of just apatite or whitlockite or of mixtures of the first with other minority components, with apatite (basically carbo-apatite) being the essential component in 98.38% of the stones studied. The periphery present concentric layers, some of which are lobe-shaped, intercalated in cases of mixed periphery and in which there is a qualitative and quantitative predominance of apatite, which may be the only component of the same. The most frequent observation is the association of layers of apatite intercalated with whitlockite to which fine, oxalic or uric layers may sometimes be added. There is sometimes no apatite in the periphery in which case this is made up of layers of whitlockite either interspersed or not with other oxalic or uric ones.
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