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J Rodó Salas

Publications and source records attributed to J Rodó Salas.

25 records · Page 2Linked to original sources

[Ureteral multiplicity. Review of case records].

We present distribution by age, sex, clinical picture and clinical examination of 86 cases of renoureteral duplication and one of triplication of which 47 underwent surgical treatment. Intravenous urography provided direct evidence of the existence of duplication in 94%, indirect evidence in 100%, and it disclosed ipsi-or contralateral complications in 23%. Cystography demonstrated vesico ureteral reflux in 62%. Injection of contrast into the ectopic ureteral meatus, echography and gammagraphy provided data of interest in some cases. Accounts are given of indication for operation, approach, surgical procedures, direct of indirect complications, the association of this entity with other pathological conditions and of other procedures which have been described in the treatment of this anomaly.

Abnormalities, Multiple↗

[New technique of renal plication for the treatment of severe hydronephrosis].

We present the case of an eleven-year old boy affected of giant hydronephrosis on a unique right pelvic kidney, treated according to an original technique consisting in the use of a free peritoneal flap for the completion of a renal banding to complement Mollard's (1973) and Stewart Hamilton's (1957) nephroplasty procedures.

Child↗

[Ureterocalycostomy].

We present the case of a eight-year old girl suffering from severe left hydronephrosis, who was treated in a second operation after failure of a primary pyeloureteral anastomosis, with a direct suture of the ureter to the lower renal calyx, with good result.

Child↗

[Transanastomosis in pyeloplasty of the pyeloureteral junction syndrome: comparative study of 72 cases].

The role of the urinary by-pass and the indications of its utilisation in the treatment of the pyelourethral union syndrome a been a matter of continual controversy. As a results, there have been no objective data for their preference on the part of surgeons. We present an analysis of 72 pyeloplasties carried out by the surgery team of our hospital over a period of 8 years, in order to determine the influence in the postoperative process and the long term effects of its use or nonuse in patients of pediatric age.

Adolescent↗

[Complete urethral duplication].

OBJECTIVES: Three cases of complete epispadial urethral duplication are described. The limitations of the preoperative evaluation and the importance of a suitable surgical treatment are underscored. METHODS: The patients comprised three boys aged 2, 6 and 7 years. The main cause for consultation was an epispadial opening in the dorsal part of the glans penis in three cases, dorsal curvature of the penis in one and urinary dribbling in the other patient. All the patients were evaluated by cystography and cystoscopy. Only two patients underwent surgery: total excision of the accessory urethra and surgical correction of the chordee via a combined penile retropubic transvesical approach. RESULTS: Cystography and cystoscopy showed complete duplication of the urethra only in two cases; one had coexisting vertebral, cardiac and intestinal anomalies. CONCLUSIONS: Difficulties are encountered in diagnosing this anomaly correctly since the true extent and trajectory of the accessory urethra often cannot be determined. This anomaly warrants total excision of the accessory urethra and surgical correction of the chordee.

Child↗

[Posterior urethral valves. Prognostic factors in the clinical course].

A retrospective study was conducted in 27 patients with posterior urethral valves that had been treated between 1978 and 1991 in order to determine the prognostic factors of renal function. Patient age ranged from 12 days to 12 years. The mean follow-up was 5 years. Urinary infection was the most common symptom. We used micturating cystography, intravenous urography, US, urodynamics and cystoscopy for the diagnosis. Renal function was evaluated by serum creatinine. All the valves were treated endoscopically by transurethral fulguration. Nineteen patients also underwent ureteral reimplantations. There were 5 nephrectomies and 12 upper tract diversions. There was a strong correlation between serum creatinine at the beginning and after a year and the final renal function (p > 0.001 and p = 0.030, respectively). The correlation between the age and initial serum creatinine was almost significant (p = 0.065). There was no significant correlation between the age at diagnosis, the reflux and the final renal function.

Child↗