Archivos españoles de urología
-
A systematic review is characterized by the application of the scientific method to the evaluation of scientific literature. When a systematic review uses statistical techniques to combine and summarize the results from previous studies, it is called meta-analysis. ⋯ Its greater objectivity and rigour in comparison with the traditional reviews make that meta-analysis techniques are little by little being generalized as standard instrument to evaluate scientific evidence. In this article we detail the objectives and applications of this type of studies, as well as the stages in its preparation, including the presentation of results.
-
To report a rare case of left renal cell carcinoma causing simultaneous acute left varicocele. We also performed a bibliographic review. ⋯ Although it was easy to diagnose a hypernephroma with the diagnostic tests performed, the clinical presentation is not frequent, neither is the sudden onset of left varicocele. Currently, after 8 years of follow-up, the patient has normal blood-ultrasound tests.
-
Review Case Reports
[Bifid ureter with a blind branch as cause of unspecified abdominal pain. Report of a new case and review of the literature].
To report a case of bifid left ureter with a blind-ending branch in a 35 year-old female patient who complained of poorly defined abdominal pain. ⋯ Diagnosis is most commonly made by intravenous urography (IVU) with oblique views showing the blind-ending segment filled by retrograde uretero-ureteral reflux. However blind segment does not always fill on excretory urography and retrograde pyelography is required for diagnosis (an ectopic kidney at the distal end of the blind-ending branch should be easily seen on CT scan or ultrasonography). A voiding cystourethrography (VCUG) may be needed to demonstrate an ureteral branch with coexistent vesicoureteral reflux. Treatment is initially conservative although complications or severe symptoms require surgical excision of the blind branch together with antireflux reimplantation of the normal ureter when vesicoureteral reflux is present.
-
Clinical Trial
[Prolene mesh sling in the treatment of stress urinary incontinence. Integral treatment of pelvic floor anomalies. Long-term results].
To evaluate the results of a comprehensive treatment of female stress urinary incontinence combining prolene mesh sling and proper gynaecologic repair depending on the kind of prolapse or pelvic floor dysfunction. To analyse short and long term clinical and urodynamic outcomes, and the effect on quality of life and economics associated with female urinary incontinence. ⋯ The prolene mesh sling can offer long term cure for stress urinary incontinence in almost all cases (99.01%), including the complicated ones. 91.1% of the patients underwent one surgical procedure only, and 8.8% required additional procedures. Results stand the test of time with a clinical-urodynamic follow up of 4.25 years. The voiding urgency referred by 81% of the women with large prolapses is associated with demonstrated bladder instability in 63% of the cases. Voiding urgency as well as bladder instability disappeared in all cases but one, being this fact prolapse-correction dependent, so that pelvic prolapse correction plays a decisive role. De novo bladder instability is uncommon (3.9%) and appears randomly in this series.