Biomedical subjects

Luis de la Torre Abril

Publications and source records attributed to Luis de la Torre Abril.

7 recordsLinked to original sources

PubMed2006

[Primary bladder neck obstruction in males].

OBJECTIVES: To report our experience on the diagnosis and treatment of this rare type of infravesical functional obstruction. METHODS: Over the last ten years we diagnosed and treated 32 males with this entity. We evaluate previous treatments and time to diagnosis. Clinical, radiological, endoscopic, and urodynamic features are evaluated, as well as results obtained with the administration of alpha-adrenergic blockers and endoscopic transurethral incision of the bladder neck. RESULTS: Patient age ranged from 26 to 48 years (Mean 38.2). All patients presented significant long-lasting lower urinary tract symptoms, having received various non-specific treatments. Uroflowmetry showed a peak of mean flow of 9.8 +/- 3.2 cc/s, being the voiding detrusor pressure 98 +/- 25 cm H2O, with significant post void residual volume in 21 patients (188 +/- 62 cc). Medical treatment with alpha-adrenergic blockers only achieved significant subjective improvement in four patients. Twenty one patients underwent unilateral endoscopic bladder neck incision, obtaining objective and subjective improvements all of them. CONCLUSIONS: Endoscopic bladder neck incision is the treatment of choice of this dysfunction, being imperative to inform the patient of the risk of retrograde ejaculation as a postoperative sequel, since this entity appears in young males, for whom fertility may be a priority.

Adult↗

PubMed2005

[Genitourinary tuberculosis in the urologic works of Professor Rafael Mollá Rodrigo].

OBJECTIVES: Professor Rafael Molla Rodrigo is considered by some the author who contributed with his scientific work and solid technique to consolidate Urology as a speciality in Valencia. Such importance is also perceived in a national level, as demonstrated by the fact that he belonged to the first board of the Spanish Association of Urology and contributed to its foundation in the two-year period 1910--1911, from his position of head of the department of Surgical Therapy and Operations at the Central University. Genitourinary tuberculosis is one of the most outstanding chapters of his extensive works. METHODS: We reviewed all his works, selecting all original articles about genitourinary tuberculosis. Original articles have been obtained from the journals Revista de Higiene y Tuberculosis, La Medicina Valenciana, Revista Valenciana de Ciencias Médicas y Policínica, and from his two most important books, Clinical Lessons In Urology and Clinical Lessons in Urology and Genitourinary Surgery. RESULTS: Throughout his work he analyzes features of relevance about this disease, such as diagnosis, about which he emphasizes the clinical and bacteriological difficulties, and treatment, which was only feasible by precocious nephrectomy. CONCLUSIONS: He dedicates a great part of his work to the study of this pathology and defends a precocious diagnosis in order to perform the only treatment that had demonstrated efficacy. He also exposes the symptoms and variety of clinical presentations, as well as diagnosis through separate kidney catheterization with the aim to determine unilateral involvement.

History, 19th Century↗

PubMed2005

[Management of male sterility in patients taking anabolic steroids].

OBJECTIVES/METHODS: To review the incidence of male infertility secondary to intake of anabolic products and our experience and outcomes with treatment. There is a variety of such substances (testosterone, nandrolone, stanozolol, etc.) in their intake may be unique or combinations, both orally or parenterally. Comparisons between patients and case series are difficult because of the hiding of this practice and various consumption practices and doses employed. RESULTS/CONCLUSIONS: Most of the patients recover normal spermatogenesis does by stopping intake of anabolic substances. The period of time until recovery is 6.35 months. Patients not recovering after six months were given tamoxifen 20 mg/24-hour, if having a normal or inhibited hypothalamus-hypophysis axis. Duration of abuse, doses, and anarchical consumption maderesponse to treatment with antiestrogen drugs or gonadotropins unpredictable in patients not responding to conservative treatment.

Adult↗

PubMed2004

[Seminal vesicle cyst. Report of one case and bibliography review].

OBJECTIVES: We report one case of seminal vesicle cyst with ectopic drainage of the left ureter. We performed a bibliographic review of this pathology. METHODS: 23-year-old patient who presented several episodes of acute epididymitis. Complementary study showed a retroprostatic cystic structure on transrectal ultrasound. Surgical treatment with resection of the cystic structure was proposed. RESULTS: The clinical picture which caused the process was solved and the patient keeps his fertility. CONCLUSIONS: This is a rather infrequent pathology that urologists should know. We bring up the need of performing complementary studies in pathologies that in spite of seeming banal do not progress satisfactorily.

Adult↗

PubMed2003

[Mesonephroid adenocarcinoma. Apropos of a new case and review of the literature].

OBJECTIVES: Mesonephric adenocarcinoma is a rare clinical entity, predominantly appearing in women, involved in great controversy about its histogenesis. Reported cases to date were not diagnosed in their initial stages and they were treated by radical surgery with poor results. METHODS: We report the case of a 71-year-old male with previous diagnosis of nephrogenic adenoma two years before. RESULTS: After the diagnosis of mesonephric adenocarcinoma was established, patient underwent radical surgery despite its poor prognosis. CONCLUSIONS: Differential diagnosis between these tumors should be made with primary or metastatic adenocarcinoma and nephrogenic adenoma. We highlight the ongoing controversy in the literature in relation to malignant evolution of the nephrogenic adenoma as etiology of the rare mesonephric adenocarcinoma. In this case, previous finding of a nephrogenic adenoma would support that theory.

Adenocarcinoma, Clear Cell↗

PubMedDate not supplied

[Treatment of urethral stenosis by self expandable endourethral prosthesis. Long-term results].

OBJECTIVES: Urethral stenosis is a frequent disease in males. The variable results of its treatment have prompted the surgeon to search for new therapeutic alternatives. We propose to treat it by self expandable endourethral prosthesis. METHODS: Since February 1993 to March 2000 48 patients with urethral stenosis previously treated with endoscopic urethrotomy have undergone the procedure. RESULTS: All patients completed a minimum of 3 years of follow-up. Patients lost to follow-up for any cause were not included in the final study description. All patients had satisfactory micturition at the time of discharge. Mean flow on uroflowmetry at three years was higher than 14 ml/ s in 87.5% (42/48 patients evaluated). CONCLUSIONS: The use of self expandable endourethral prosthesis is a valid alternative in the treatment of recurrent urethral strictures due to its good long-term results and low morbidity. We recommend not using it in cases of traumatic etiology.

Adult↗

PubMedDate not supplied

[Our experience with simplified vasovasostomy. Review of our results during the last 5 years].

OBJECTIVES: We currently see an increase of demand of vasectomy reversion, mainly due to the wish of recovering fertility. METHODS: We review 21 cases of vasovasostomy performed at our department over the last 5 years with the single layer technique under optical magnification, comparing our results with those from bibliography for both vasovasostomy and in vitro fecundation techniques used in patients with obstructive azoospermia, specifically intracytoplasmic spermatozoids injection (ICSI). RESULTS: Success rates obtained for permeability, pregnancy, and births were 80%, 33%, and 26.66% respectively. CONCLUSIONS: Our results in terms of pregnancies are equivalent to those obtained by ICSI. These data, together with the disadvantage of greater rates of multiple pregnancies associated with in vitro fecundation techniques, moved us to choose vasovasostomy as the initial option for treatment of male infertility secondary to vasectomy.

Adult↗