[Current status of the treatment of organic erectile dysfunction].
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Biomedical subjects
Publications and source records attributed to L Fiter Gómez.
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Transurethral resection (TUR) is the most frequent surgical treatment for symptomatic benign prostate hyperplasia (BPH). Prostate size is a significant factor for choosing TUR versus prostate adenomectomy. Analysis of flowmetry results obtained with TUR in 203 patients, based on weight of resected prostate tissue. Flowmetry was performed prior to TUR and prostate size was estimated with transabdominal ultrasound. Prostate tissue was weighed after TUR and a new flowmetry was performed 6 months after treatment. Mean weight of resected tissue was 31.34 g. When all flowmetry parameters analyzed pre-and post TURs were compare, there were significant differences (p < 0.001). Increased maximum flow (Qmax) and increased mean flow (Qmed) occurred in 91.7% and 96.31% patients, respectively. Mean increase of post-surgical Qmax was significantly higher (p > 0.01) in patients with Qmax prior to surgery lower than 8 ml/s. No significant correlation was demonstrated between prostate volume measured by ultrasound or resected prostate tissue and increased post-surgical Qmax. TUR improves flowmetry parameters, mainly in patients with pre-surgical Qmax lower than 8 mL/s. Extensive prostate resection does not appear to improve the flowmetry results obtained with a sufficient functional TUR.
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Here in we report the results of intracavernous injection of etilefrine hydrochloride in a group of 12 patients who developed rigid erection after a diagnostic test with intracavernous PGE1 injection or cavernosometry. Etilefrine reversed erection in all cases. No side-effects or significant changes in blood pressure were noted. Etilefrine is believed to be a safe and low cost alternative to other alpha-adrenergic agents in the prevention of drug-induced priapism.
Many cases have been published in the urological literature of foreign bodies apparent in the bladder and urethra. Based on the five cases we are now presenting, we review this chapter of urology. We discuss the clinico-pathological aspects of this pathology and provide diagnostic and therapeutical guidance. We recall the role urologists have to play in preventing such events in the course of their diagnostic and therapeutic activity.
Presentation of one case of renal leiomyosarcoma, a tumour with little incidence, focusing the interest of this paper in the treatment and follow-up carried out. Incidence of this type of tumour in the kidneys is scarce, but even more so the number of patients treated with post-nephrectomy chemotherapy. It is therefore unsuitable to draw any conclusions from the review of available publications. However, we believe to have obtained a good result in this case treated with nephrectomy and chemotherapy.