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L Asensio Egea

Publications and source records attributed to L Asensio Egea.

12 recordsLinked to original sources
PubMed2000

[Leiomyoma of the bladder].

OBJECTIVE: To present an additional case of leiomyoma of the bladder, a rare tumor that is frequently discovered incidentally, and to review the few cases reported in the Spanish literature, with special reference to the clinical aspects, complementary tests and treatment. METHODS: A case of leiomyoma of the bladder in a patient who had come to deliver after a full-term pregnancy is presented. Routine physical examination on admission revealed a tumor in the anterior aspect of the vagina. Ultrasound, radiological and endoscopic studies were performed. The Spanish literature is reviewed with special reference to the clinical aspects, complementary tests and treatment. RESULTS: After the diagnosis of a bladder tumor had been confirmed and the effects on the adjacent structures determined, TUR biopsy was performed. The anatomopathological analysis demonstrated leiomyoma of the bladder. CONCLUSION: The ultrasound and radiological images of leiomyoma localized to the bladder are sufficient to suspect the nature of the lesion, but the definitive diagnosis is based on the anatomopathological findings. The choice of the type of surgery, open or endoscopic, is based on tumor localization and size.

Adult↗
PubMed1997

Corino-Andrade disease (familial amyloidotic polineuropathy type I) in Spain: urological and andrological disorders.

In our hospital, we have followed a group of patients with familial amyloidotic polyneuropathy (FAP), type I. This disease is characterized by a progressive sensitive-motor and autonomic polyneuropathy. The amyloid fibrils of FAP I contain a mutant transthyretin (TTR) molecule. More than 90% of TTR production occurs in the liver. Thus, therapy with liver transplantation has proved useful. All our patients received this treatment. In this study we describe the urological and andrological disorders caused by FAP type I in 12 patients with low bladder pressure and bladder neck obstruction with micturition disorders. In some males, it was accompanied by impotence and retrograde ejaculation produced by autonomic neuropathy. We believe hepatic transplantation may be the best treatment for this disease.

Adult↗
PubMed1997

[The clinical evaluation of kidney trauma: the practical indications for complementary examinations].

The aim of the present work is to try to know the clinical data that can provide directions on the attitude to take with patients who seek advise with a suspicion of renal traumatism, thus allowing to select those that may require complementary examination. This is a retrospective revision of 190 cases of renal trauma admitted in our hospital between 1971 and 1992. We rated 3 large syndrome groups based on the patient's major signs and symptoms. The first indication in 71 patients was haemorrhagic syndrome (shock or anaemia); 100 patients had microscopic or gross haematuria non-associated to anaemia; and 6 patients showed painful signs and symptoms. Existence of renal injury should be suspected in patients that came to the hospital with a background of trauma, microscopic or gross haematuria, shock with or without haematuria or intraabdominal lesions; the performance of complementary examinations is necessary in patients with evidence of gross haematuria, microscopic haematuria associated to shock or suspected associated extra-renal intra-abdominal lesions, or shock whether or not associated to haematuria.

Abdominal Pain↗
PubMed1997

[Bromocriptine monotherapy of a prolactinoma causing erectile dysfunction].

OBJECTIVE: A case of erectile dysfunction in a patient with prolactinoma is described herein. METHODS/RESULTS: The literature on the incidence, diagnosis and therapeutic management of this condition is reviewed. Impotence may arise from several causes. It is widely accepted that 30-50% have an organic etiology, with vascular involvement being more prevalent than other causes (neurological, endocrinological, urological, iatrogenic, pharmacological, systemic diseases). Hyperprolactinemia, arising from a prolactinoma, is one of the endocrinological conditions causing impotence. In men, this endocrinological disorder is rarely accompanied by other clinical anomalies, such as gynecomastia, galactorrhea or signs of a pituitary tumor. The patient described herein presented with erectile dysfunction. During evaluation, he was found to be hyperprolactinemic. Subsequent assessment disclosed a pituitary adenoma. The patient was successfully treated with bromocriptine. CONCLUSION: Erectile dysfunction arising from hyperprolactinemia is uncommon. Serum prolactin levels, a lateral skull x-ray and CT/MRI are essential in the diagnosis and treatment of this condition. Treatment must be directed at the underlying cause. Bromocriptine has proved to be effective and carries a low risk of undesired effects.

Adult↗
PubMed1996

[Eosinophilic cystitis: a single anatomopathologic entity and three different presentation forms. Proposed classification].

The present work was intended to be a revision of our series of Eosinophilic Cystitis and we have found that, from one single anatomicopathological picture three different clinical pictures emerge with different treatments and prognosis. Group I is constituted by young people and children with a profuse background of atopy and parasitosis, which develop mictional syndrome and haematuria and show good response to steroids. Group II includes middle-aged women, with development of chronic recurrent cystopaty and a poor response to treatment. Group III comprises elderly patients with a history of vesical injury or chronic vesical irritation, with no separate clinical signs and symptoms and requiring no treatment.

Aged↗
PubMed1996

[Local anesthesia in inguinoscrotal pathology].

Surgery, requiring the use of general orotracheal anaesthesia, has been the traditional treatment for many inguino-scrotal conditions. Over a number of years a gradual implementation of an alternative procedure consisting in the adoption of locoregional anaesthetic techniques has taken place, allowing to shorten hospital stays with the subsequent benefit for both the society at large, due of lower costs, and the patient through avoidance of general orotracheal anaesthetics and a faster discharge and return home. Based on these premises, 54 procedures were performed (16 inguinal varicocelectomies, 6 transinguineal orchiectomies, 21 hydrocelectomies, 3 spermatic cord cyst removals, 6 orchidopexy and 2 orchiectomies in patients diagnosed with testicular torsion). Our results demonstrate that this is an excellent technique which allows a ruled surgical procedure well tolerated by the patient and which allows to perform surgery without need of hospital stay.

Adolescent↗
PubMed1996

Primary retroperitoneal tumors. Comments on 22 cases.

Primary retroperitoneal tumours represent a very uncommon group of neoplasias that account for 0.1%-0.6% of all tumours. Interest in these tumorations arises from the therapeutical and diagnostic concerns they rise. These tumorations are of late diagnosis due to the high insidiousness of their symptoms and, generally, are quite large in size. Widespread use of echography and CAT, however, have increased the possibilities of an occasional asymptomatic diagnosis. Treatment is basically surgical, very much depending on the prognosis of the surgery aggressiveness and the degree of radicality achieved. This paper presents our series of primary retroperitoneal tumours diagnosed between 1978 and 1994.

Adult↗
PubMed1994

[Leydig cell tumor. Comments on 5 cases].

Leydig's cells tumours are a variant of testicular tumours. Its has a low incidence, accounting for just 1-3% of all testicular tumours. This tumour is characterized by its endocrine manifestations, and it is an element in the differential diagnosis of many endocrine sexual dysfunctions both in adults and children, due to the tumour's capacity to secrete hormones. This paper contributes 5 cases of Leydig's cells tumours diagnosed in our hospital between 1977 and 1993.

Adult↗
PubMed1994

[Matrix lithiasis. Apropos a case of staghorn lithiasis].

Presentation of one case of soft lithiasis in a child which was treated by pyelolithectomy with good results and which has not relapsed after a 20-year follow-up. A commented revision is made of related literature.

Child, Preschool↗
PubMedDate not supplied

[Wünderlich syndrome. Review of its diagnosis and therapy. Report of 7 cases].

Spontaneous renal haemorrhage in the subcapsular and perirenal regions of non-traumatic etiology, or Wünderlich syndrome, is an uncommon but significant condition consisting in the sudden formation of an haematic collection in the renal cell. A retrospective evaluation of clinical data and radiological findings in 7 patients with spontaneous subcapsular and/or perirenal haemorrhage seen in our service between 1991 and 1995 has been conducted excluding from the study all those patients with a history of trauma, renal biopsy, anticoagulant therapy or renal failure undergoing treatment with haemodialysis or renal transplantation. The etiology of Wünderlich syndrome in our patients was heterogeneous but basically responded to a tumoral cause. CT was the method most frequently used and the one providing more information. The conservative approach appears to be the most acceptable option, unless malignant tumoral pathology can be demonstrated.

Adult↗
PubMedDate not supplied

[Intravesical migration of an artificial urinary sphincter AMS-800: a rare complication].

Presentation of two cases of a patients with urinary incontinence of neurogenic origin treated by means of an artificial urinary sphincter graft AMS-800 who suffered the complication of intravesical migration of the occlusive cuff in one case, and pressure balloon and occlusive cuff in the second one. In the latter, the pressure balloon underwent a process of intravesical calcification. A review of the literature on the etiopathogeny of this complication and management of these patients is conducted.

Adult↗