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Biomedical subjects

J Gil Fabra

Publications and source records attributed to J Gil Fabra.

At least 19 recordsLinked to original sources
PubMed2000

[Versatility of axial penile skin fasciocutaneous flap in reconstruction of pendulous urethra].

PURPOSE: We describe three cases, with different features, of anterior urethral strictures that were treated with the same technique: a circular axial penile fasciocutaneous flap. MATERIAL AND METHODS: We report three cases of patients with urethral strictures that affected the whole glandar and penile urethra. In one case the stricture affected the bulbar urethra. No patient has the preputial skin disposable, because of a previous circumcision, and all has been treated with different techniques. In one patient, a first step urethroplastia was performed previously, open all the penile urethra. All the cases were successfully treated with a circular axial fasciocutaneous penile flap in one stage. In case number one the reconstruction was combined with a scrotal flap. In case number three, the glandar urethra was reconstructed. CONCLUSIONS: The circular axial fasciocutaneous penile flap is a versatile technique that can be use to correct various type of strictures of the whole glandar and penile urethra alone or associated with strictures of the bulbar urethra.

Aged↗
PubMed1998

[Influence of sex differences in biological aggressivity of bladder urothelial tumor at first diagnosis].

RATIONALE: To investigate whether, in the same way incidence is affected, biological aggressiveness of bladder cancer at diagnosis is greater in men than in women. METHOD: Using data from a retrospective study on urothelial cancer of the bladder between 1975 and 1991 in La Rioja (Spain), an estimate was made of total Relative Risk, Mantel-Haenszel relative weighted risk and Greenland-Robins 95% confidence interval of suffering infiltrant bladder cancer in male versus female, assuming that the tumour affecting the muscle layer was infiltrant. RESULTS: Total Relative Risk (1.05). Mantel-Haenszel relative weighted risk (1.08), and Greenland-Robins confidence interval (0.65-Relative Risk-1.08). CONCLUSIONS: It is concluded that sex differences have no influence on the risk to develop infiltrant urothelial cancer of the bladder at diagnosis.

Age Factors↗
PubMed1997

[Bladder cancer survival, study of 557 cases identified at the autonomous community of La Rioja from 1975 to 1991].

OBJECTIVE: To analyze survival in 557 cases of bladder cancer that had been detected in La Rioja (Spain) from 1975 to 1991. METHODS/RESULTS: The Kaplan Meier and Mantel and Haenszel methods were used for the statistical analyses. The survival rate for each 5-year period analyzed was 69%, 58% and 73%, respectively. Most deaths occurred within the first 24 months. The survival rates were 25%, 21% and 0%, respectively, for infiltrating tumors and 84%, 76% and 85% for superficial tumors was of the. The survival rates for males and females were not statistically significant. CONCLUSION: The survival rate in patients with bladder cancer has increased. Patients with infiltrating bladder tumors have a worse prognosis. The survival rates for males and females are not statistically significantly different.

Female↗
PubMed1995

[Occupation and bladder tumor. Results of a study of incident cases].

Presentation of the results from the occupation analysis in a study of incident cases of vesical tumour over a 16-year interval (1975-1991) conducted in La Rioja Autonomous Community. Out of the 557 cases identified, occupation was found in 455, 151 of them are farmers (33.18%), 71 are in the industrial sector (15.60%), and 233 in the services sector (51.20%). Percentage of individuals affected by production sectors according to 1985 data are 1.22% farmers, 0.3% industrial sector and 0.6% services sector.

Humans↗
PubMed1995

[Klinefelter's syndrome as the only pathology associated with priapism. A clinical case].

OBJECTIVE: An unusual case of Klinefelter's syndrome with ischemic priapism is described. METHODS: The clinical course of the present case is described and discussed. CONCLUSIONS: This unusual case cannot be completely ascribed to the hormonal changes in Klinefelter's syndrome, although hormone imbalance may have favoured the development of ischemic priapism.

Adult↗
PubMed1994

Blunt traumatic rupture of the high right ureter, repaired with appendix interposition.

We report the first case of upper lumbar ureteral replacement with the vermiform appendix, in a blunt traumatic ureter rupture with important urinoma. In selected cases, in which the appendix has a required caliber and length, the vermiform appendix is a very good autograft for ureteral substitution. The vermiform appendix must be preserved if possible in the abdominal surgery.

Accidents, Traffic↗
PubMed1994

[Quinolone-resistant Escherichia coli in the health area of a 650-bed hospital].

Report of a retrospective study to evaluate susceptibility of Escherichia coli to quinolones covering the March-December 1992 interval. During this time, intra and extra-hospital strains were indistinctly studied in patients with urinary infections seen in a health district serving a total of 200.000 inhabitants. Resistance to Pipemidic acid, Norfloxacin and Ciprofloxacin was evaluated. The values found were 14.8% resistance to Pipemidic acid, 11.1% to Norfloxacin and 8.5% to Ciprofloxacin. It seems necessary to develop and apply methods addressed to minimize the appearance of quinolone resistance, which should be implemented in order to preserve the usefulness of these drugs.

Catchment Area, Health↗
PubMed1994

[Perirenal hematoma after ESWL in a patient with stage T1 renal tumor].

We report a case of perirenal hematoma post ESWL in a patient with controlled hypertension and a previously undiagnosed stage T1 kidney neoplasm. The foregoing complication can be partly ascribed to the renal tumor. It must therefore be taken into account that a small kidney mass may be overlooked during urography and consequently an ultrasound study of the kidney should be done before the patient is submitted to X-ray-guided lithotripsy.

Adenocarcinoma, Clear Cell↗
PubMed1994

[The incidence of bladder tumor in the Autonomous Community of La Rioja in 1975 to 1991. A comparison with other studies].

Presentation of a study on the incidence of vesical tumours in the Autonomous Community of 'La Rioja' over the 1975-1991 period and comparison of our results with those obtained in similar studies. A total of 557 vesical tumours were identified, with a mean rate of 13.5/100,000 inhabitants, and a standardized rate of 20.5 in men and 1.75 in women. Our rate is close to that of Zaragoza and lower than that found in the Basque country and Tarragona in men. Also, it is lower in all women series.

Female↗
PubMed1993

[Non-stenotic anterior urethral lesions. Diagnosis by echographic urethrography].

The results of a study using sonographic urethrography, radiologic retrograde urethrography and urethroscopy to evaluate 11 different types of non-stenotic lesions of the urethra are presented. Sonographic urethrography accurately diagnosed all of the findings and radiologic retrograde urethrography had 7 false negatives. Based on the foregoing results, we advocate the use of sonographic urethrography as a valid alternative in the evaluation of non-stenotic urethral lesions.

False Negative Reactions↗
PubMed1992

[Normal echographic anatomy of the penis and the perineum].

Sonourethrography has recently become available for evaluating the urethra. To perform this procedure correctly, precise knowledge of the ultrasound anatomy of the penis and perineum is required. Sixty-one males were studied using the 7.5 Mhz ultrasound transducer. During sonographic evaluation the site where the suspensory ligament of the penis is attached must be identified routinely. The nothc of the compressor nudae muscle in the posterior bulbous urethra can be visualized occasionally. The origin of the membranous urethra and urogenital diaphragm can be identified upon visualizing the entire urethral bulb and the cavernous bulb muscle.

Adolescent↗
PubMed1992

[Diagnostic efficacy of echographic urethrography in the study of urethral stenosis. Comparison with radiologic retrograde urethrography].

Presentation of the first study on the diagnostic efficacy in the study of stenosis with ultrasound urethrography (U.U.) as compared to X-ray retrograde urethrography (X.R.U.). Sensitivity of U.U. in anterior bulbar urethra is, in general, higher than that of X.R.U. (100 U.U. > 88 X.R.U.) while X.R.U. specificity is higher in the posterior bulbar urethra (100 X.R.U. > 97 U.U.). In penile urethra both techniques showed a 100% diagnostic efficacy. Stenosis located in the posterior bulbar urethra are the most difficult to diagnose with ultrasound techniques.

Adolescent↗
PubMed1992

[Diagnostic and therapeutic aspects of vesico-colonic fistulae. Review of our experience].

Analysis of 10 fistulae in 9 patients, all male. The etiology was diverse although there was a predominance of colovesical diverticulitis. Mictional urinary symptomatology was most frequent. In one case symptoms had been first referred 10 months earlier, while the others ranged between 24 hours and 15 days. Cystography was the radiological procedure which diagnosed more cases whereas cystoscopy was the endoscopic procedure which provides more data. Seven fistulae were treated surgically, in 5 instances with curative and 2 with palliative purposes. Three cases were subsidiary to surgery. 44.4% of patients died within one month from diagnosis.

Adolescent↗
PubMed1991

[Obstruction of double-J catheter. Obstruction of urinary drainage in the renal unit with double-J catheter. Two different concepts].

We report on three patients with a functioning solitary kidney that required placement of a double-J catheter. All three patients presented with obstruction of urinary drainage within three weeks. In one patient clots were observed inside the catheter. The catheters of the other two patients, however, showed no signs of obstruction. Two patients presented symptoms and signs of reduced volume of diuresis and the other a deteriorated general condition. In patients with a normally functioning contralateral renal unit, deterioration of renal function of the unit with an indwelling double-J catheter may probably go undetected. A compromised urinary drainage of the renal unit with an indwelling double-J catheter is not necessarily associated with obstruction of the catheter lumen. Urinary drainage around an obstructed double-J catheter is not sufficient in all cases.

Adult↗