Randomized and Open Trial to Assess the Effectiveness of the Guided Pelvic Floor Exercises Pre-Radical Robotic Prostatectomy on the Improvement of Urinary Incontinence. Initial Results.

Introduction And Objectives: Radical prostatectomy has an impact on urinary continence. Many factors are involved in continence. The objective of this study is evaluate the effect of guided Pelvic Floor Exercises prior to robotic radical prostatectomy (RRP) on the rate of urinary incontinence compared with written information.

Anatomical predictors of long-term urinary incontinence after robot-assisted laparoscopic prostatectomy: A systematic review.

Aims: There is scarce evidence of anatomical risk factors that might affect long-term post-prostatectomy incontinence (PPI) in patients undergoing robot-assisted laparoscopic prostatectomy (RALP). This systematic review aims to identify anatomical measurements in preoperative magnetic resonance imaging (MRI) that might be associated with increased risk of urinary incontinence (UI) 1 year after RALP.

Methods: A comprehensive search on Pubmed and Scopus databases up to November 2020 was performed.

[Vesicoureteral reflux after pediatric kidney transplantation].

Objectives: We analyze the frequency of vesicoureteral reflux and the factors that favor its appearance after kidney transplantation in pediatric patients.

Methods: This retrospective analysis examined the prevalence of posttransplant vesicoureteral reflux in a total of 201 kidney transplants performed in children at our centre between 1978 and 2006. In patients who required corrective surgery for this problem, we analyzed pretransplant residual diuresis, pretransplant pathology and posttransplant problems related to vesicoureteral reflux.

[The efficacy of endoscopic treatment for secondary vesicoureteral reflux. Analysis of a series of 142 cases].

Objectives: To evaluate the rate of secondary or complicated vesicoureteral reflux (VUR) among the total number of VUR cases treated in our institution. To determine the efficacy of the endoscopic treatment in secondary or complicated VUR depending on etiology and grade.

Method: We review our experience with endoscopic treatment for VUR from 1992 to 2006.

[Giant adrenal myelolipoma].

Objective: We report a case of a giant myelolipoma of the adrenal gland

Methods/results: A case of a giant myelolipoma of the adrenal gland, an uncommon non-functioning tumour of the adrenal cortex comprised of haematopoietic and adipose tissue, that had been detected incidentally during evaluation with CT because of its characteristic fatty composition. The clinical features, diagnosis and treatment are discussed.

[Arterial priapism in a prepuberal patient. Conservative treatment].

Objectives: To report the case of a 7-year-old patient with high flow priapism solved with conservative treatment.

Methods: We performed history and physical examination, complementary tests including general blood tests (serum ions, hemogram and coagulation tests), peripheral blood smear, Doppler ultrasound and selective arteriography which led to the diagnosis of high flow priapism. Due to the absence of arteriovenous fistula conservative treatment was chosen.

[Bladder augmentation and urinary diversion in kidney transplant candidates].

Objectives: Kidney transplantation (KT) is the treatment of choice for patients with end stage renal disease (ESRD). 6% of the patients develop ESRD due to congenital or acquired lower urinary tract anomalies, which sometimes imply the need of an additional surgical procedure to make the patient suitable for transplantation.

Methods: We review 6 cases of KT receptors (three of them pediatric) to whom some kind of reconstruction of the lower urinary tract with bowel was performed over the last 10 years.

[Bladder mucormycosis. Report of one case].

Objectives: To report one case of an opportunistic bladder infection by fungus of the Mucorales order.

Methods: An old patient with permanent bladder catheter due to cerebral vascular accident presented with hematuria associated with change in his general health status, and a bladder mass on ultrasound Cystoscopy and cold biopsy were performed

Results: Pathology reported bladder mucormycosis.

Conclusions: Mucormycosis is an opportunistic infection by fungus of the Mucorales order, which disseminate hematogenously from an entrance.

[Rehabilitation in female stress urinary incontinence].

Objectives: To know the results of a pelvic floor muscle training program in the treatment of female stress urinary incontinence.

Methods: Information phase: patient is informed about the disease, her anatomy, the objectives to be reached and how to perform the exercises. Treatment phase: 6 weeks of visual and auditory biofeedback assisted pelvic floor exercises to develop the pelvic floor muscles.

[Benign adrenal schwannoma].

Objective: We report a new case of benign retroperitoneal schwannoma arising from the adrenal gland.

Methods: 53 year old male with history of moderate benign prostatic hyperplasia under alpha blocker therapy who referred right flank discomfort for two months prior to last visit, without any other symptoms; radiologic examination with Ultrasound and CT scan and preoperative endocrine study were suggestive of non functioning adrenal tumour which was surgically extirpated.

Results: Anatomopathological report showed a benign juxta-adrenal schwannoma.