Archivos españoles de urología
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To report one case of proximal migration of ureteral stent. To perform a bibliographic review about other cases and management to avoid this complication. ⋯ The right stent length and proper location of the distal tip are important factors to avoid this complication.
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The epidemiological characteristics of brain-dead donors have changed with time without a significant increase in the rate of explants performed. The objective of this article is to evaluate if the epidemiological characteristics (sex, age, and death cause) have changed with time, and To evaluate if the rate of effective explants is adjusted to a quality standard. ⋯ 1. There is a trend to higher brain-dead-donor age, although it is not statistically significant, probably due to sample size. 2. The rate of brain-dead donor detection is over quality standards. Nevertheless, training programs to detect these patients and improve results should be established at the hospital level.
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Review Case Reports
[Gunshot wound with a bullet lodged in the prostate].
We describe a most unusual urological emergency: a firearm wound in which the blunt-nosed hand-gun bullet was lodged in the prostate. A bibliographic search of the literature revealed no similar case. ⋯ The velocity of a rifle or hand-gun bullet is the main determinant of the severity of this type of injury. As there was no exit wound, we knew that the entrance velocity was low, therefore tissue damage would probably be small. In these cases, a preparatory suprapubic cystostomy is essential to be able to carry out a urethral reconstruction later. Radiological control during the procedure proved extremely useful to precisely locate the bullet. Our conservative approach of simply leaving in place the catheter helped us later to avoid a difficult repair of a recto-urethral fistula.
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Historical Article
[The Spanish participation in the Congresses of the International Society of Urology during the 20th century].
With the occasion of the Centenary of the Constitution in 1907 of the International Society of Urology, initially named Association, we point at the topics treated and analyze the presence of the Spanish urologists in the foundation act as well as their role and contributions in the meetings during the 20th century. ⋯ From 1907 the presence of Spanish urologists both in the Association and the International Society of Urology has been a constant. During the first half of the century, a time when our Urology was in a period of consolidation, the people in charge of the main urology departments in big hospitals in our country where the ones that could transmit their experience, with a level and quality comparable with the rest of Europeans. During the second half, once the nations recovered from wars, the scientific activity continued with an increasing Spanish contribution, which extended all over the country with the creation of the net of Social Security hospitals. They had hierarchical urology departments that performed study and analysis of their case series and started clinical and experimental research, significantly increasing the number of Spanish communications, mainly in congresses celebrated in Spanish speaking or European cities. As a consequence of their participation, three of the 25 meetings organized during the 20th century have been held in Spain. The Spanish presence in the directing boards of the society was favoured by the presence of Dr. Salvador Gil Vernet to consecutive periods.
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Historical Article
[History of rachianesthesia and epidural anesthesia in Spain].
To show the beginning of spinal and epidural anesthesia in our country and the contributions of Spanish urologists. ⋯ In the 20th century, surgeons also gave the anesthetic drugs to the patients. Spinal and epidural anesthesia were used for the first time in 1900. A lot of Spanish urologists like F Rusca Doménech, J.M. Batrina, M. Barragán Bonet, R. Lozano Monzón, L. Guedea Calvo, Gil Vernet, Fidel Pagés Miravé, V Sagarra Lascurain, Gómez Ulla, etc, did research, writings in scientific journals and Doctoral thesis about anesthesia.