Impact of a radical prostatectomy on the urodynamic results of prostate cancer patients treated with intensity modulated radiation therapy.

INTRODUCTION AND OBJECTIVES: To evaluate the effect of radical prostatectomy and age on urodynamics before and after intensity-modulated radiation therapy administered to prostate cancer patients. MATERIALS AND METHODS: The sample consisted of 40 prostate cancer patients, 22 of whom had undergone a radical prostatectomy. Urodynamic parameters before and after an average of 4.2 months of radiotherapy were measured and compared. External radiotherapy was administered via Volumetric Modulated Arc Therapy (VMAT), Intensity Modulated Radiation Therapy (IMRT) techniques. RESULTS: Uroflowmetry presented no significant parameters. In the case of Cystomanometry, the data did not show an increase in secondary stress urinary incontinence, although there is 7 percent increase in urge urinary incontinence. There were statistically significant changes in reduced bladder capacity with a strong desire to void, with an urge to void and also in the detrusor pressure with a normal desire to void. Furthermore, pressure/flow analysis revealed a statistically significant reduction of residual urine volume. CONCLUSIONS: The effect of prostatectomy and age varies according to the evolution of urodynamics. There was a significant reduction in terms of residual urine volume and detrusor pressure with a normal desire to void in patients without a prostatectomy and in those under 75 years old. In addition to an increase in urge incontinence, there was also a significant worsening of the bladder filling urodynamics and a decrease in the cystomanometric bladder capacity with a strong desire and an urge to void. None of these were modified by age or prostatectomy.

Effect of occlusal splint and transcutaneous electric nerve stimulation on the signs and symptoms of temporomandibular disorders in patients with bruxism.

A crossed-design experimental study has been made involving simple blind paired data and random assignment to treatment, with the aim of evaluating the action of an occlusal splint with transcutaneous electric nerve stimulation (TENS) upon the manifestations of temporomandibular disorders (TMD) in patients with bruxism. The prevalence of TMD in the 24 patients with bruxism was 62.5%%; the corresponding severity, as determined by the pantographic reproducibility index (PRI), was mild (mean value: 20.71). Clicking and pain in the lateral pterygoid muscle were the most frequent clinical manifestations. The occlusal splint and TENS did not significantly improve the signs and symptoms of TMD in these patients with bruxism.

Caracterización de una población bruxista y evaluación de la terapéutica mediante análisis cluster / Characterization of a bruxist population and therapeutical evaluation by means of a cluster analysis

El efecto de la férula oclusal y el TENS ha sido estudiado en una muestra de 24 pacientes bruxistas (apretadores y rechinadores) que fueron diagnosticados por medio de un cuestionario y anamnesis. Se estudiaron diferentes variables tanto cualitativas como cuantitativas, atendiendo a aspectos psicológicos, de oclusión tanto estática como dinámica, actualidad electromiográfica e índices electromiográficos en músculos posturales y elevadores y presencia de desarreglos internos de la articulación temporomandibular. El método estadístico utilizado fue el análisis cluster. Los resultados no mostraron claramente una discriminación entre grupos tanto entre apretadores y rechinadores como entre los dos tipos de tratamiento...

Patrón de masticación en las clases III de angle / Masticatory pattern in Angle class III patients

Se seleccionó una muestra de 12 pacientes (cuatro hombres y ocho mujeres) con edad promedio de 17.6 años, los cuales tenían diagnóstico de clase III de Angle y mordida cruzada posterior.- Los resultados mostraron que el 75 por ciento de los pacientes desplazaban la mandíbula hacia el lado de trabajo. El 66 por ciento de la muestra en masticación izquierda y el 75 por ciento en masticación derecha tenían desplazamiento condilar hacia el lado de no trabajo. No se encontró relación entre el desplazamiento del cóndilo con la situación de la mordida cruzada ni con la severidad de la misma...

[Effects of met-enkephalin on the testis. III. Histoenzymatic study]. / Efectos de la met-encefalina sobre el testículo. III. Estudio histoenzimológico.

We studied the testis of Wistar rats weighing 280-300 gms. following the administration of a single, acute intracardiac dose of methionine-enkephalin (100 microliters of 50% met-enkephalin solution), or a chronic intramuscular dose (50 microliters of 40% met-enkephalin solution). Rats were sacrificed at 15, 30 and 60 minutes following acute injection. Those on chronic treatment were injected once daily for 10 or 20 days. For the study, we utilized 105 male Wistar rats; 30 comprised the control group, and 75 comprised the study group. The following staining methods were used: 1) succinate dehydrogenase, 2) lactate dehydrogenase, 3) ATPase, 4) acid phosphatase, 5) alkaline phosphatase. We observed marked histoenzymological changes in the rat testis. Particularly noteworthy was a marked change in the energy pathways consisting of a decreased activity of aerobic pathways (decreased SDH activity), increased anaerobic activity (increased LDH activity), and consequently, decreased cellular energy stores (decreased ATPase activity). Similarly, changes were observed in other nonspecific enzymes that led to a fall in acid phosphatase activity and a rise in alkaline phosphatase activity.

[Microscopic innervation of the spermatic ducts and testis. II. Ductus epididymis]. / Inervación microscópica de las vías espermáticas y testículo. II. Ductus epididymis.

The microscopic innervation of the ductus epididymis in the rat has been studied both in light and electron microscope. The nerve fibres form perivascular, intramuscular and subepithelial plexuses. Occasionally sensory formations were observed in the adventitia of the cauda epididymis. The innervation is more abundant in the cauda epididymis than in the other segments (caput and corpus). The varicosities and endings of nerve fibres have synaptic vesicles of different sizes and electron characteristics. Some of the varicosities were close to the muscle cells and without glial sheath. The epithelial cells were not directly innervated.