Biomedical subjects

J Delgado Urdapilleta

Publications and source records attributed to J Delgado Urdapilleta.

At least 19 recordsLinked to original sources

PubMed1996

[Value of the Q-tip test in patients with urinary incontinence].

We evaluated the accuracy of the Q-tip test to measure uretrhovesical junction mobility in patient's histories of urinary incontinence, and pelvic relaxation. A retrospective study of 183 files of patients with urinary incontinence and anterior vaginal wall relaxation in the Instituto Nacional de Perinatología (INPer) between march 1994 and may 1995. All patients underwent a systematic diagnosis evaluation with detailed history and physical examination including Q-test, neurology examination, urinary, urine culture, uretrhoscopy and urodinamic studies. We correlated Q-tip test pelvic relaxation to measure urethrovesical junction mobility. They were placed in three groups. Group I formed by stres incontinence, group II formed by mixed incontinence and group III formed by recurrent incontinence. Mean age 46.3 years (29-72), almost all the patients were multiparas, menopausal status in 72, with hormonal treatment 48. Q-tip test was not different between the groups. Group I had cystocele II with hipermobility statistically significant difference, the same in group II. No differences were found in the group III. We concluded that urethral position and mobility as measure by the Q-tip test are related to defects in interior vaginal support, but not to specific urologic diagnosis.

Adult↗

PubMed1995

[Urethral leiomyoma during pregnancy. Report of a case and review of the literature].

We present a case of leiomyoma of the urethra diagnosed during pregnancy. The patient a 40 year old woman, gravida II, who presents a mass that depend of the proximal urethra, it was observed in the vaginal introitus, it's growth was progressive after 8th weeks of pregnancy. We realized local excision at 23rd weeks pregnancy. Histopathological examination reported leiomyoma of the urethra. The pregnancy was resolved through cesarean section by fetal indication. Actually the patient is free of symptoms.

Adult↗

PubMed1995

[Urinary retention secondary to surgical treatment of stress urinary incontinence].

A retrospective, descriptive study at the National Institute of Perinatology (INPer), was carried out. 401 records of patients with stress urinary incontinence who underwent surgical treatment, were reviewed. The objective of this study was to know the urinary retention rate. Urinary retention was present in 103 of 401 patients (25.68%). In modified Pereyra's procedure it was present in 67 of 195 (34.35%); in modified Burch's procedure, in 25 of 131 (19.08%); in Kelly's procedure in 9 of 70 (12.85%) and in 2 of 5 patients with sling procedure with polytetrafluoroethylene (Goretex). The problem of urinary retention was observed more frequently in vaginal surgery (modified Pereyra procedure and/or sling procedure).

Cephalosporins↗

PubMed1995

[Urologic lesions in gynecologic and uro-gynecologic surgery. Two years of hospital experience].

We are reporting the most frequent urologic injuries of the gynecologic and urogynecologic surgeries at the National Institute of Perinatology in Mexico City. From the period of March 1993 to February 1995. There were performed 3,452 surgeries. Of this, 2,971 were gynecologic and 481 urogynecologic cases. We found 20 patients with injury to the inferior urinary tract. The most frequent type of injury found was by puncture and blunt, in eight cases respectively and cutting in four. The transoperatory diagnostic of injury was performed in 17 patients and in three few days after. The late complications of the injury was urethral vaginal fistula in two, one vesicovaginal communication and one ureterovaginal, one stone formation and one transurethral catheter retention. The more affected organ was the bladder in 18 cases, urether and urethra. The injury to the inferior urinary tract represents 4.15% of the urogynecologic surgical complications, and 0.67% of the gynecological ones. The main aspect in the prognosis of the injury to the inferior urinary tract, is the early diagnostic during the surgical procedures.

Adolescent↗

PubMed1994

[Vaginal hysterectomy. The experience at the Instituto Nacional de Perinatología].

In gynecologic surgery the most frequent procedure is hysterectomy. Some factors are determinant for the election of the kind of surgery to be done, it could be by abdominal or vaginal approach. These factors include the experience and ability of the surgeon as well as the indication for the operation. Two hundred and sixty six patients operated of vaginal hysterectomy at Instituto Nacional de Perinatología, from August 1986 to July 31 1992 were reviewed. Indications, complications and associated surgery to this procedures, were analyzed. The findings were compared with other authors.

Adult↗

PubMed1994

[Urogenital fistula: our institutional experience].

We are reporting the institutional experience of March 1992 to May 1993. Eleven patients were studied with a diagnostic of urogenital fistula, one of them was vesico-uterine, two uretero-vaginal and eight vesico-vaginal. Only to eight of the patients surgery correction was realized, one of them was aboarded by vaginal tract and seven by abdominal tract. Of the patients with abdominal aboarded, two cases were ureteroneocystostomies. The failure of the surgery was presented in two cases, both with abdominal aboarded. These data clears up that the urogenital fistula is a frequent complication in patients that are submitted to surgical gynecological procedures. The surgical success probably depends more of the surgical technique rather than aboarded tract.

Female↗

PubMed1994

[The correlation of the findings between the urological clinical history and urodynamic evaluation in urinary incontinence].

Patient's histories of urinary incontinence and results of several standard clinical tests, were correlated with final diagnosis obtained by multichannel urodynamic testing. One hundred and thirty one histories of women with urinary incontinence who were in the Urogynecology Clinics of the Instituto Nacional de Perinatología in the period from july to december 1992, were evaluated including dates of standardized questionnaire and structural clinical examination with the urodynamic testing to obtain a final diagnosis. Although the objective urinary loss and the cystocele II-III were significantly associated with genuine stress incontinence and mixed incontinence, in patients with detrusor instability did not. Women with complaints of urinary incontinence, especially those for whom surgery is contemplated, should undergo complete urodynamic evaluation.

Adult↗

PubMed1994

[Genuine stress urinary incontinence. An analysis of 2 surgical technics: Pereyra's and Burch's].

Two hundred and twenty-nine patients operated for genuine stress urinary incontinence by two surgical techniques, were studied. Risk factors were analyzed: age, gesta, para, and added gynecological pathology. They were placed in two groups. Group I formed by operated patients with Pereyra's technique (136), and Group II operated by Burch's technique (93). There were no differences as far as general characteristics of patients in both groups. More frequent added pathologies for Group I were pelvic statics changes, and for Group II, uterine myomatosis. Technically there were no advantages for one technique as compared with the other one, independently of indications for each one.

Adult↗

PubMed1992

[Heterotopic pregnancy in intrauterine insemination. Presentation of a case].

The heterotopic (ectopic and orthotopic simultaneous) pregnancy shows a frequency of 1 to 15,000 to 1 to 30,000 gestations. The clinical diagnosis is difficult due to the lack of precise indicators, as to diagnose an intrauterine pregnancy eliminates the possibility of ectopic pregnancy. The methods of Assisted Reproduction seem to be factors that have influenced on the increment of this type of gestations. A case of a 32 year patient with primary sterility by pelvic adhesions process, that was surgically treated, as there was no pregnancy after surgery, she was given intrauterine insemination with her husband's semen (IU) pregnancy was obtained, determined at 15 days of menstrual lack by presence of subunit B of HCG in serum and vaginal ultrasound that confirmed gestational sac. One month after she presented at Urgencies with an acute abdominal condition; laparotomy was done and salpingectomy was carried out for ruptured tubal pregnancy confirmed by histopathology. The evolution on intrauterine pregnancy was normal culminating with cesarean section at week 35 by inminence of eclampsia/Mother and child in good conditions.

Adult↗

PubMed1991

[Unexplained sterility. Treatment with superovulation and intrauterine insemination].

Fifty couples with unexplainable sterility, were selected for study. They were treated following a uniform treatment protocol, consisting in inducin superovulation by human menopausic gonadotropins hormones, followed by intrauterine insemination with husband's fresh semen. One hundred and thirty six cycles of treatment, were obtained; 15 pregnancies were achieved, corresponding to 30% of the total of couples, and to 11% of amount of treatment cycles. These figures were similar to other author's, and similar to the ones obtained by intrauterine gametes transference. It is concluded that this a new alternative of treatment that may be used before IGT, or in places where there is not such methodology.

Adult↗

PubMed1990

[Abdominal myomectomy and subsequent fertility].

45 cases of myomectomy in infertile patients were analyzed. The study of the couples problem did not report another cause of the infertility. The number and localization of the tumors did not alter the prognostic of the fertility. We had 23 pregnancies (51%), all this surgeries must be made by strictly microchirurgical technique, so the rates of success will be improved.

Female↗

PubMed1989

[Premature membrane rupture in preterm pregnancies. The timing for pregnancy termination].

A total of 82 patients with 28 to 36 weeks of pregnancy, with a average of 61 hours after premature rupture of membranes, were studied. The greatest frequency was seen from 30 to 33 weeks (57%). Phosphatidylglycerol determination in the first sample was positive in 64% of the patients. The conservative management is adequate only up to 32 weeks; thereafter, and with phosphatidyiglycerol present, pregnancy interruption, after an adequate materno-fetal evaluation, will mean a better prognosis for mother and child.

Amniotic Fluid↗

PubMed1989

[Laparoscopic recovery of spermatozoa in the peritoneal fluid: its correlation with the Sims-Hühner test].

Paradoxical are the results relative to conception following a positive or negative Sims-Hühner test (SH). For that reason we decided to look for the presence of sperm in peritoneal fluid of five patients with good and five with poor or negative SH. In three of five patients with a positive SH and in four of five with a poor SH sperm was found in the aspirate. The results illustrate the limitations of this long-accepted test in the prognosis of infertile couples.

Adult↗

PubMed1988