[Human papilloma virus in the male]. / Papilomavirus humano en el varón.

Infection by human papillomavirus (HPV) is destined to constitute one of the most common reasons for consulting the urologist. The HPV play a fundamental role in the genesis of the uterine neck carcinoma. Recently entirely subclinical lesions of the male genitals have been demonstrated, which may only be diagnosed by means of optical magnification and application of acetic acid, as in lesions of the uterine cervix. We present the results of the study by means of this technique of 37 sexual partner of an equal number of women suffering from HPV infection, our diagnostic procedure and the location of the lesions found. The male displayed HPV lesions in more than 75% of the cases studied. Circumcision appears to reduce the incidence of affectation. No patient had symptomatology nor gave evidence of venereal disease at first sight. The sexual transmission of HPV is demonstrated as well as its responsibility in the genesis of various carcinomas, primarily female. Both members of the sexual couple should be studied and treated if we want to tackle this pathology guarantees of success.

De la definición al impacto social de la eyaculación precoz. Consenso de experto / From the definition to the social impact of premature ejaculation. Expert consensus

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[No-scalpel vasectomy]. / Vasectomía sin bisturí.

No scalpel vasectomy (NSV) is a new and refined technique with advantages over the conventional incisional technique. It requires no incision, no stitches; it is faster to perform and with less complications, and is equally effective. We present our experience in 100 patients submitted to NSV. The technique is described herein, as well as the anesthetic procedure and the instruments required for NSV.

PIP: The procedure for no-scalpel vasectomy is explained and diagrammed, and the results of a series of 100 operations performed in Barcelona are presented. No-scalpel vasectomy was developed in 1974 in Sichuan, China. The technique gained international attention after a 1985 visit by a group of international experts to Sichuan, and it is now being introduced into Europe. The technique requires two specially designed types of scissors, which are pictured and described. The remaining tools are all commonly employed in minor urologic surgery. The nerve structure of the scrotum and deferens are explained and the necessary anesthesia for each is described. The procedure for fixing and exteriorizing the deferent is then described. Any of the commonly used occlusive techniques may be used. A telephone survey about immediate postoperative problems and the activities undertaken in the first three days after vasectomy was conducted among 100 men who underwent no-scalpel vasectomy in Barcelona. No hematomas or infections were reported. The time required for no-scalpel vasectomy in the most recent 100 operations ranged from five to twelve minutes and averaged eight minutes. No-scalpel vasectomy involves new techniques and new surgical methods, and thus requires training. But its greater speed, simplicity, and freedom from side effects constitute advantages over traditional incisional techniques.