Publications by authors named "Pedro Carrion-Lopez"
Introduction: This study analyzes the value of PSA kinetics, PSA speed (vPSA), and PSA doubling time (PSAdt), in patients with low-risk prostate cancer who are in an active surveillance (AS) program.
Methods: An observational, retrospective, and longitudinal study of a sample of 86 patients included in AS program between January 2014 and October 2021 was conducted. A review of their medical records was performed, and PSA kinetics were calculated, analyzing the causes of discontinuation of the AS program and its relationship with PSA kinetics.
Introduction: To determine the predictive role of the neutrophil/lymphocyte ratio (NLR) in the prognosis and survival of patients with squamous cell carcinoma of the penis.
Materials And Methods: A retrospective cohort study of 96 patients with squamous cell carcinoma of the penis (SCCP). Clinical and histological data, bloodwork and disease evolution information were collected.
Introduction: Recurrent urinary tract infections (rUTIs) affect 5-10% of women, resulting in an enormous healthcare and society burden. Uromune® is a polybacterial sublingual vaccine with an excellent clinical benefit in rUTI prophylaxis. This study assesses the impact of sublingual vaccination on healthcare resource use and expenditures associated with this pathology.
View Article and Find Full Text PDFObjective: In the Spanish health system, General Practitioners (GPs) play a key role in regulating the flow of patients to hospital care. Most of patients with BPH can be managed through out the evolution of the disease exclusively by the GPs. METHODS: A pre-experimental study was carried outin two periods, before (pre-test) and after (post-test) of the dissemination of a management protocol for patients with BPH.
View Article and Find Full Text PDFObjectives: Recurrent urinary tract infections (R-UTIs) are very common amongst women, and alternatives to antibacterial prophylaxis are necessary. This study evaluates the effectiveness of a sublingual bacterial vaccine for the prophylaxis of R-UTIs.
Methods: We conducted a quasi-experimental pretest-posttest study of 166 women diagnosed with R-UTIs.
Objective: To report a case of tubulocystic renal carcinoma diagnosed in an adult, after a work up study for hematuria.
Methods/results: 59-year-old male, CT scan was performed during a study for self-limited hematuria showing a 4.2 cm solid mass with areas suspicious of pseudocystic malignancy.
Objective: To present one case of adrenal ganglioneuroma incidentally diagnosed in an adult.
Methods/results: 44-year-old woman with a 2.3 cm incidentaloma in the left adrenal gland diagnosed by CT scan.
Objective: We report a case of supernumerary testis, a rare anomaly with only around 100 cases reported in the literature.
Methods: We describe the case of a 26-year-old man who consulted for a left paratesticular tumor. Physical examination and ultrasound showed a 2-cm nodular lesion over the left epididymis.
Objective: We present a case of X-Y translocation with male phenotype (46,XX testicular disorder of sex development) and review the literature.
Methods: Disorders of sex development with mismatch of genetic, gonadal and phenotypic sex are quite rare, and some are due to genetic or chromosomal abnormalities. The karyotype was investigated by a cytogenetic study of peripheral blood (phytohemagglutinin-timulated lymphocyte culture over 72 hours).
Objective: Remember that kidney cancer is a disease whose incidence is increasing due to increased use of additional imaging tests, which is changing the way of diagnosis, making the classic clinical syndrome synonymous with advanced illness.
Methods: We report the case of a patient with a right renal tumor with renal vein involvement that in the natural course of the disease showed a vaginal metastasis of clear renal cell carcinoma, which was treated with surgical excision.
Results: This case is a clear example of how unpredictable is the clinical evolution of this disease and how little we know about the way of dissemination.
Objective: To describe two cases of urothelial tumors in inguinoscrotal bladder hernias and comment on the low incidence of this condition.
Methods: Two patients were diagnosed and treated by partial cystectomy and hernia repair.
Results: The clinical outcome of both patients was good at two and three years, respectively, and neither patient experienced hernia or tumor recurrence.
Objectives: We review the literature about secondary testicular tumors.
Methods: We present the case of a patient with a metastatic mucus-secreting testicular tumor who presented in the emergency room with symptoms of acute scrotum 10 months after surgery for a mixed tumor of the cecum. This type of tumor is rare, and the treatment of choice is orchiectomy; nevertheless, the prognosis of such metastasis remains poor.
Objectives: To investigate our case series of patients with primary retroperitoneal tumors over the past 10 years, analyzing clinical symptoms, diagnostic tests, tumor pathology, surgical data, concomitant cancer treatments, recurrence and survival rates.
Methods: Retrospective analysis of 37 patients with primary retroperitoneal tumors diagnosed at our hospital over the past 10 years.
Results: Computed tomography (CT) was the imaging technique used most often and the most accurate.
Objectives: To report 2 cases of median raphe cysts, 1 in the penis and the other in the perineum.
Method: Two cases of median raphe cyst are described; the first was treated by surgery and the second required no treatment.
Results: The surgical patient experienced no complications and was asymptomatic with no recurrence at 2 years.
Objective: To study and review spermatic cord sarcomas, including symptoms, diagnosis, and treatment.
Methods/results: We review the Spanish and international literature and report 4 new cases: 2 patients with well-differentiated spermatic cord liposarcomas (1 treated by simple tumorectomy), 1 patient with liposarcomatous degeneration of a previously excised atypical lipoma, and 1 patient operated for a malignant retroperitoneal fibrous histiocytoma with subsequent local recurrence in the paratesticular region.
Conclusions: Spermatic cord sarcomas are rare entities that usually appear as painless paratesticular mass.
Introduction: The use of fragmentation due to shock- waves as a treatment of urinary stone was one of the most important therapeutics findings in the history of urology. It's the first election treatment for most of the calculus at renal and urethral location due to the fact that it is a low invasive treatment and it has a few number of complications, but this method also has a few negative side effects, it can caused a more or less important traumatic lesion at the organs which crosses the shock-waves, including the kidney where it can caused a small contusion or renal hematoma with different resolution and treatment.
Material And Method: We reviewed 4815 extracorporeal shock-wave lithotripsy that we performed in our department in which we found six cases with subcapsular and perirenal hematoma which we followed up and treated.