Preliminary results of the external urinary sphincter Uroflex® on the quality of life of patients with male urinary incontinence after prostate surgery: tolerance, severity of incontinence, and quality of life.

Purpose: This study aims to establish the ability of the Uroflex® external artificial sphincter to reduce the severity of male urinary incontinence and improve the quality of life of patients with male urinary incontinence.

Methods: A pre-post pilot study was carried out on a sample of 30 patients with male urinary incontinence. Tolerability and satisfaction were assessed by comparing the results of the Pad test, and EQ-5D and KHQ questionnaires before and after 3 months of using Uroflex®.

Addressing the Relationship Between Testosterone Levels and Urethral Stricture: A Case-Control Study.

Purpose: Hypoandrogenism may have an association with urethral stricture. This study aimed to identify and quantify the association between testosterone levels and urethral stricture.

Materials And Methods: A case-control study was conducted from January 2019 to January 2021.

Outcome of urethral strictures treated by endoscopic urethrotomy and urethroplasty.

Introduction: We analyze the outcomes of patients with urethral stricture who underwent surgical treatment within the past 5 years.

Methods: This is a retrospective study of male patients who underwent surgery for urethral stricture at our service from January 2008 to June 2012. We analyzed the comorbidities, type, length and location of the stricture and the surgical treatment outcome after endoscopic urethrotomy, urethroplasty or both.

Urachal anomalies in children: surgical or conservative treatment?

Objective: To shed light on the current controversy regarding the best treatment option for managing urachal anomalies in children.

Patients And Methods: A retrospective follow-up of a case series comprising 13 children who were diagnosed with urachal anomalies was performed. All cases were diagnosed between 2000 and 2011 and followed up at the Pediatric Urology Unit of San Cecilio University Hospital in Granada (Spain).

Endoscopic treatment of ureterovesical junction obstructive pathology: A description of the oblique meatotomy technique and results.

Background: Benign obstructive pathology of the ureterovesical junction includes congenital and acquired illnesses. The objective of this study was to describe the endoscopic oblique meatotomy technique using scissors and cold cutting to treat benign obstructive pathology of the ureterovesical junction.

Methods: From 2007 to 2012, we treated 18 patients with obstructive pathology of the ureterovesical junction (5 megaureters [3 with lithiasis], 4 iatrogenic stenoses, and 9 ureteroceles with lithiasis).

Vesicoureteral refulx in overactive bladder: medical resolution through botulin toxin injection.

Objective: Overactive bladder may have a neurogenic or non neurogenic origin. Sometimes, as a result of detrusor overactivity, disorders of the upper urinary tract function may appear. One of these alterations may be the appearance of associated vesicoureteral reflux.

Randomized clinical trial on antimicrobial prophylaxis for flexible urethrocystoscopy.

Objectives: One of the main drawbacks of flexible urethrocystoscopy is the risk of urinary tract infection (UTI). In order to reduce this risk, antimicrobial prophylaxis has been considered, however there is not a unanimous view regarding indications, dosage, type of antibiotic, and so on. To clarify this uncertainty, we practiced a pilot and experimental study aimed at assessing the effectiveness of chemoprophylaxis with 3 grams of fosfomycin trometamol in the prevention of UTI after urethrocystoscopy.

Gross calcification on distal end of ureteral stent.

Objective: The commonest indications for ureteral stent placement are: obstructive nephrolithiasis, renoureteral surgery, urologic oncology, endourology and extrinsic ureteral compression.

Methods: We report the case of a 77-year-old male patient with a DJ ureteral catheter placed for an 8-month period and history of nephrolithiasis; the stent showed a 60 mm x 30 mm calcification on its distal end.

Results: Open cystolithotomy and removal of stent resolved the clinic symptomatology.

[Current indications of open surgery for the treatment of renal lithiasis. Ureterocalycostomy as definitive treatment for lithiasis in a female with recurrent disease].

Objective: We describe one case of recurrent lithiasis associated with anatomical alteration of the renal pelvis related to previous surgery.

Methods/results: The patient presented a urinary tract infection episode, complicated with pyonephrosis and septicemia. In the intravenous urography, infectious radiopaque pyelocaliceal multiple and complex lithiasis can be seen, as well as kidney hydronephrosis grade III-IV.

[The treatment of bladder lithiasis with laser].

Objectives: The use of laser for endoscopic lithotripsy started in 1968 when Mulvaney tried a ruby laser without success; Later on, the CO2 laser and the Nd:YAG were tried. With the pulsed dye and alexandrite lasers energetic performances between 30 and 200 mJ are obtained, their capacity of fragmentation is not universal and is limited to small stones, generally ureteral stones, so that it has not been a therapeutic alternative for bladder lithiasis. The holmium laser generates energy pulses of 400-2500 mJ, it is able to fragment every type of stone.

[Clinical and radiological criteria for the therapeutic decision for vesicoureteral refux. Retrospective analysis of our experience].

Objectives: According to our experience, we present a proposal for the treatment of vesicoureteral reflux, based on both clinical and radiological evidences. We also describe how the introduction of endoscopic procedures has influenced the evolution of treatment indications as well as the time intervals for treatment.

Methods: We have analysed all cases of vesicoureteral reflux treated in our Department in two periods of similar length: The first one (106 patients) comprised from 1995 to March 2001 (when endoscopic procedures were introduced).

[Extracorporeal lithotripsy in lumbar ureteral lithiasis. Is the ureteral catheter necessary?].

Objectives: To evaluate the efficacy of JJ catheter as urinary diversion in the treatment of lumbar ureteral lithiasis by ESWL.

Methods: Results obtained in our ESWL unit between january 1990 and October 2000 are compared. 680 cases of lithiasis are divided into 5 groups for analysis: Group A: Lumbar ureter non obstructive lithiasis.

[External genital injuries during childhood].

Objective: Genitalia trauma are relatively frequent pediatric emergencies. There is a wide spectrum of lesions that can be produced. The purpose of this study is to descriptively analyse our experience with pediatric urologic trauma over the last five years.