Influence of secondary diagnoses in the development of urinary incontinence after radical prostatectomy.

Objective: To study whether there are factors related to secondary diagnoses (SDg) present in patients with prostate cancer that influence the development of urinary incontinence after radical prostatectomy (RP).

Materials And Methods: A retrospective multicenter observational study was performed reviewing the medical records of 430 men who underwent RP due to organ-confined prostate cancer in 9 different hospitals. Two study groups were distinguished: Group A (GA): Patients without urinary incontinence after RP; Group B (GB): patients with any degree of post-surgical urinary incontinence.

PDE-5 inhibitors in monotherapy versus combination therapy in a sample of 1200 patients with erectile dysfunction.

Objectives: To compare the effectiveness in the treatment of erectile dysfunction when using PDE-5 inhibitors (PDE5i), alprostadil (PG-E1) and testosterone (TES) in monotherapy or combination therapy.

Material And Methods: Observational multicentre retrospective study of men diagnosed and treated for ED between January 2008 and January 2014. Age, social and employment situation, pathological medical history, risk factors, usual treatments, IIEF-5 at the first consultation and at first and each 6 months follow-ups, physical examination, calculated total and free testosterone and received treatment were analysed.

Results of the surgical correction of urinary stress incontinence according to the type of transobturator tape utilized.

Objectives: To analyze the short and long term results of tapes of different materials used to treat stress urinary incontinence (SUI). A secondary objective was to evaluate the ability to adjust the tape after implantation.

Materials And Methods: Retrospective chart review of 355 patients with SUI operated between March 2003 and October 2011.

Leiomyosarcoma of the inferior vena cava in a patient with double inferior vena cava.

Background: Leiomyosarcoma of the inferior vena cava (IVC) is a rare tumor arising from its smooth muscle cells.

Methods And Results: We report the case of a 38-year-old woman presenting with back pain and weight loss who was diagnosed with a 22-cm leiomyosarcoma of the right IVC and thrombosis of the left IVC. The patient is alive and free of recurrence a year after radical tumor resection with removal of the affected IVC, reconstruction with polytetrafluoroethylene prosthetic graft, and anastomosis of both right and left IVC.

[Peri-testicular fibromatosis (testicular fibrous pseudotumor)].

Objective: We report a case of fibromatous periorchitis, a rare entity that may have differential diagnosis problems with other lesions.

Methods: Our patient underwent a surgical procedure with resection of the tunica vaginalis testis after intraoperative histological evaluation.

Results: Findings observed in both intraoperative biopsy and specimen histopathological study were key for diagnosis.