[New approaches to the treatment of urinary tract infection]. / Nuevos enfoques en el tratamiento de infección de vías urinarias.

A revision of the therapeutic alternatives actually available is carried out for the treatment of urinary tract infections in the non pregnant woman. It stands out the importance of differentiats between the complicated infections from the ones which are not. It is related that indications and results are obtained with the administration of one single dose. The causes and diagnoses as well as the therapeutic methods are empasized in the cases of persistent or recurrent infections.

[Invasive studies at the office in the diagnosis of stress urinary incontinence]. / Estudios invasivos de consultorio en el diagnóstico de incontinencia urinaria de esfuerzo.

A revision of the available diagnostic method is being made for the stress urinary incontinence, paying special attention to those which can be enhanced in the doctor's office. Three of the requiring catheters, endoscopic instruments or another kind of advices for his realization and they can be considered such as "Invasive test". There is mentioned that with these techniques there can be found an appropriate diagnosis of the genuine incontinence even up to a 75% of the cases. The remaining percentage requires studies either urodynamic or of any other kind in order to complete the diagnosis. The criterions are enlisted in order to send the patient to a specialized center.

[Criteria for the selection of surgical technic in patients with anatomical urinary stress incontinence]. / Criterios de selección de técnicas quirúrgicas en la paciente con incontinecia urinaria de esfuerzo anatómica.

In this paper it is described the minimum necessary investigation in the evaluation of the incontinent patient, the surgical methods accepted up to date for the treatment of genuine incontinence as well as the facts to be considered and the interrogatives to be solved for the candidate patient ready for surgery as a guide for the election of the most adecuate surgical procedure for the patient. This stands out that the position that the preoperatory measurement of pressure of the urethral closing can lead to the evolution in the operated patients.

[Stress urinary incontinence. A comparison of of 4 methods of cystourethropexy. A 2-year follow-up]. / Incontinencia urinaria de esfuerzo. Comparación de cuatro métodos de cistouretropexia. Seguimiento a dos años.

All successful operations for relief of genuine stress urinary incontinence (SUI) have three objectives: elevation and retropubic maintenance during stress of the urethrovesical junction. The present study was realized at the Urogynecologic Service of the "Luis Castelazo Ayala" hospital IMSS to evaluate the results in a two years follow up of 597 patients that suffered from SUI treated by retropubic urethropexy, from February 1984 to May 1991. Patients were studied according to the service norms, previously published. We realized four types of procedures: Pereyra (379 cases), Burch (90 cases), Marchall-Marchetti-Kratz (60 cases) and Powell surgery (68 cases). Vaginal approach was realized in cases of pelvigenital statics disturbances like cysto- or rectocele; and abdominal approach was indicated in patients with enlarged uterus or pelvic masses. The complications rate was 15.3%. Success rate was 87.06% for all procedures and not statistic significance was found (p > or = 0.1 and X2 = 6.15), the best rate to the Burch and Pereyra procedures. We conclude the most important tip to successful rate in SUI surgery is correct choice of the procedure according to the patient.

[Obesity as a risk factor in surgery for urinary incontinence]. / La obesidad como factor de riesgo en la cirugía anti-incontinencia.

There is controversy in the literature related with the prognosis of incontinent obese patient. The objective of this study was to demonstrate if obesity has influence on the relapse of postsurgical incontinence in genuine urinary incontinence. 148 patients were included measuring their Body Mass Index and divided in two groups: Group "A" 74 patients without relapse and Group "B" 74 patients with relapse. The results showed in the obese patients the double of surgical failures than in those with our it (P < 0.05). In conclusion obesity is a adverse prognostic factor in the postsurgical evolution in these patients.

[Para-tubal cysts: frequency and clinical, ultrasonographic and histological correlations]. / Quistes paratubarios: Frecuencia y correlación clínica, ultrasonográfica e histológica.

We Reviewed 5,100 biopsies, between November 1994 to November 1995 We found 100 paratubval cysts. The 80% of the cases were surgical findings. The 40% of the cases had pain. The 3% of the patients had acute pain, that made necessary an urgent surgery. The ultrasonogram revealed an ovarian cyst in 38% of the cases and it couldn't detect them in 63% of the cases. The cysts sizes were: 6 cm. (84%) *12% 9 between 6-12 cm. and 43% between 12-18 cm. The histopathology report was: 57% of serous cyst and 43% simple cyst.