Background: The number of robotic-assisted procedures offered in Spain is rapidly increasing despite a lack of consensus criteria for training and credentialling.
Objective: This national multicentre study was designed to analyze the different areas of the robotic urological surgery learning curve.
Material And Methods: A questionnaire was sent to all 13 urology units in Spain with an active robotics programme requesting information on training and problems encountered.
The relationship between lower urinary tract symptoms (LUTS) and erectile dysfunction (ED)is the result of their greater association in advanced age. Nevertheless, several investigations show that urinary tract symptoms have an independent relationship with sexual dysfunction and lower satisfaction. Likewise, the severity of LUTS correlates with the magnitude of sexual dysfunction in all age groups, which suggests a possible causal relationship.
View Article and Find Full Text PDFObjective: We report one case of renal angiomyolipoma with three characteristics: renal sinus origin, inferior vena cava tumor thrombus reaching the right atrium and Budd-Chiari syndrome.
Methods: The characteristics of the case are presented and discussed.
Results/conclusions: Renal angiomyolipoma is a benign mesenchymal tumor.
Robotic surgery is expanding little by little in urology. At present only few centers have incorporated this new technology in Spain but it is predictable that this number will exponentially increase in a near future. We described the experience of our center establishing and developing a program of robotic surgery that it is operating since July 2006.
View Article and Find Full Text PDFObjectives: To report the 7th case of pararenal angiomyolipoma published in the world literature and to review the international bibliography.
Methods: We report the case of a 46-year-old female with history of renal colic and a complex mass on radiological tests.
Results/conclusions: Extrarenal retroperitoneal angiomyolipoma is a rare pathology with no more than 7 published cases.
Objectives: To test the concordance between clinical and neurophysiologic data of the various types of erectile dysfunction, and to describe a diagnostic algorithm based on corpus cavernosum electromyography (cc-EMG).
Methods: 32 patients with a mean age of 50.6 years (typical deviation 13.
Objective: To report a case of priapism secondary to leukemia, with special reference to the initial treatment in the emergency services.
Methods: A 53-year-old male with chronic myeloid leukemia presented with prolonged involuntary painful erection of 12 hours' duration. The physical examination and particularly the cavernosal blood gas study, indicated low flow priapism.
Objective: To report an additional case of paratesticular leiomyosarcoma.
Methods: Herein we describe a 68-year-old male patient that presented with a growing, indolent, right inguinoscrotal lesion that he had noted several weeks earlier. Physical examination showed a mass involving the distal right spermatic cord and was confirmed by ultrasound and CT.
Objective: To determine the degree of association of detrusor-periurethral dyssynergia and detrusor-bladder neck dyssynergia and if the voiding periurethral electromyographic (EMG) activity is also a valid method for diagnosing detrusor-bladder neck dyssynergia.
Methods: A clinical, videourodynamic and selective periurethral EMG study was performed in 24 patients (mean age 33 years) with spinal cord injury and hyperreflexia of the bladder.
Results: The prevalence of bladder neck dyssynergia was 12.