[Green light laser efficacy in patients with prostatic hyperplasia treatment with 5-alpha reductase inhibitors].

Introduction: High prevalence of BPH and gradual ageing of the population, combined with the existence of effective medical treatments for this condition, has led to an increasing use of surgery in patients on long-term treatment with 5-alpha reductase inhibitors (5-ARIs). Initially, patients treated with 5-ARIs were not considered good candidates for photoselective vaporization of the prostate with green laser.

Objective: To assess, using a retrospective study based on our experience, wheter long-term treatment (longer than 6 months) with 5-alpha reductase inhibitors decreases effectiveness of photoselective vaporization of the prostate with green light laser in BPH.

[Surgical treatment of renal tumours with venous extension].

Objectives: Renal carcinoma accounts for 3% of malignant urological tumors. The existence of tumor thrombus in the venous system is more infrequent, and, despite it was believed until recently its presence worsened the diagnosis of the disease, currently it is accepted that in the absence of metastatic or lymph node disease, surgery is the treatment of choice and potentially curative for these tumors.

Methods: Between June 2003 and November 2007 eight patients with renal disease and venous thrombus underwent surgery; two of them wereT3c and six T3b; in five of them surgery was carried out in association with the heart surgery team in our centre.

[Penile cellulitis after oral sex].

Objective: Nowadays, there is the high prevalence of sexual intercourse including oral sex, which implies some peculiarities in the infections, balanitis and ceIlulitis they may produce.

Methods: We report two new cases of penile cellulitis treated in the urology department in our hospital.

Discussion: We review the indications of prophylaxis, and the medical and surgical treatment both referred in the literature and carried out in our patients.

[Urinary lithiasis secondary to medication in HIV+ patients receiving Indinavir].

Objectives: Therapy with protease inhibitors is commonly used in patients infected by human inmunodeficency virus (HIV). 20% of the administered dose is excreted by the kidney, and when alkaline urine is present, indinavir may crystallize forming stones and patients may experience renal colic due to this fact.

Methods: Between January 1998 and June 2005, 26 patients receiving antiretroviral treatment with protease inhibitors received care at our hospital because of renal colic or flank pain.

[Dorsal meatoplasty for the treatment of meatal stenosis in patients with balanitis xerotica obliterans].

Objectives: To present our experience in the treatment of meatal stenosis secondary to balanitis xerotica obliterans with the dorsal meatoplasty technique.

Methods: We have performed dorsal meatoplasty in 15 patients suffering stenosis of the penile meatus secondary to balanitis xerotica obliterans. All cases were performed under local anesthesia, using an inverted V incision plasty following the original of technique from Malone.

[Orthotopic bladder substitution in the treatment of interstitial cystitis].

Objectives: To point out the efficacy of supra trigonal cystectomy with orthotopic substitution iliocystoplasty in the treatment of advanced interstitial cystitis (IC).

Methods: We study the results obtained in four women suffering IC nonrespondent to conservative treatment who underwent the procedure. All patients comply with classic diagnostic criteria of IC, presenting long-lasting symptoms, between 4 and 8 years (mean 5.

[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.

[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.

[Spontaneous recanalization of the vas deferent after vasectomy: report of 2 new cases. Bibliographic review].

Objectives: Vasectomy is a low morbidity and high efficacy surgical method. A small percentage of cases may have paternity after surgery as a complication.

Methods: We reviewed all patients who underwent vasectomy at our department from 1995 to 1999 (n = 1492), defining technical failure as pregnancy or no disappearance of spermatozoids in the follow-up sperm analysis.

[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.

[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.

[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.

[Primary psoas abscess: report of 5 new cases. Review of the literature].

Objectives: We report 5 new cases of primary psoas abscess in this review. We describe the various pathogen agents involved in the development of this disease, as well as the etiopathogenesis, which is explained by several theories, being the most commonly accepted hematogenous dissemination from a septic focus. In the same way, we refer the most interesting clinical data and the value of current diagnostic tests, among which are abdominal x-ray (KUB), ultrasound, isotope scan, and CT scan, being this latter the ideal diagnostic test for these processes.