[Spermatic cord leiomyosarcoma. Case report and bibliographic review]. / Leiomiosarcoma de cordón espermático. Aportación de un caso y revisión de la literatura.

OBJECTIVE: To report one new case of paratesticular leiomyosarcoma. METHODS: We describe the case of a 68-year-old male patient consulting for right groin pain over two years with a physical examination corresponding to right inguinal hernia. During surgery for hernia correction a paratesticular mass was discovered. RESULTS: Right radical orchiectomy was performed. After the operation there was a recurrence at the scar which was operated and finally the disease progressed both locally and systemically. CONCLUSIONS: We point out the scarce frequency of this type of tumours. We believe that orchiectomy and excision of the cord is the treatment of choice. The use of adjuvant therapies doesn't influence survival significantly.

Leiomiosarcoma de cordón espermático. Aportación de un caso y revisión de la literatura / Spermatic cord leiomyosarcoma. Case report and bibliographic review

OBJETIVO: Presentación de un nuevo caso de leiomiosarcoma paratesticular.MÉTODOS: Se describe el caso de un varón de 68 años que consulta por dolor de más de 2 años de evolución en la ingle derecha y cuya exploración física correspondía a la de una hernia inguinal derecha. Durante la herniorrafia se descubre la masa paratesticular.RESULTADOS: El paciente de somete a orquiectomía radical derecha y tras ello se objetiva una recidiva en lacicatriz que se interviene y finalmente una progresión de la enfermedad a nivel locorregional y sistémico.CONCLUSIONES: Señalamos la escasa frecuencia de este tipo de tumores. Creemos en la orquifuniculectomía como tratamiento de elección. La aplicación de terapias adyuvantes no influye significativamente en la supervivencia de este tipo de pacientes(AU)

OBJECTIVE: To report one new case of paratesticular leiomyosarcoma.METHODS: We describe the case of a 68-year-old male patient consulting for right groin pain over two years with a physical examination corresponding to right inguinal hernia. During surgery for hernia correction a paratesticular mass was discovered.RESULTS: Right radical orchiectomy was performed. After the operation there was a recurrence at the scar which was operated and finally the disease progressed both locally and systemically.CONCLUSIONS: We point out the scarce frequency of this type of tumours. We believe that orchiectomy and excision of the cord is the treatment of choice. The use of adjuvant therapies doesn’t influence survival significantly(AU)

Relación entre la edad del varón y la calidad del estudio seminal. Experiencia en el área sanitaria 14 de la Agencia Valenciana de la Salud / Relationship between male age and semen quality. Experience at the number 14 health-care area of the Valencia health-care agency

Objetivo: El recuento del número de espermatozoides y del número de formas móviles son dos parámetros muy importantes en la medición de la calidad espermática a través del espermiograma. Numerosos factores como la obesidad, el tabaquismo, la contaminación ambiental, el estrés, o la edad, actúan alterando la capacidad de fecundación del semen y por tanto interfieren en la cuantía de estas dos variables. Métodos: Se pretende estudiar la influencia sobre la calidad del semen de la edad. Se estudiaron un total de 156 pacientes. Los integrantes fueron divididos en tres grupos: 20-30 años; 31-40 años; 40-50 años. Se utilizó una cámara Mackler y un microscopio Nickon. Resultados: Se realizó un estudio estadístico no paramétrico (prueba de Kruskall-Wallis) relacionando las variables recuento espermático y movilidad con la edad. Recuento-edad: X2= 8.239 (p = 0.016). Espermatozoides inmóviles-edad: X2= 6.871 (p = 0.032). Espermatozoides móviles-edad: X2=7.378 (p = 0.025). Conclusiones: La edad del paciente está íntimamente relacionada con la disminución del número de espermatozoides, con la disminución del número de formas móviles y con el aumento de las inmóviles (AU)

Objectives: Spermatic count and number of mobile forms are two very important parameters for the measurement of spermatic quality by means of sperm analysis. Numerous factors such as obesity, smoking, environment contamination, stress, or age act modifying the sperm fecundation capacity, therefore they interfere in the numbers of this two variables. Methods: We aim to study the influence of age on semen quality. We studied 156 patients. They were divided into three groups: 20-30 years; 31-40 years; and 40-50 years. A Mackler's camera and a Nikon microscope were used for evaluation. Results: Nonparametric statistical study was performed establishing the relationship between sperm count and mobility and age. Age-count: X2: 8.239 (p = 0.016). Non mobile spermatozoids-age: X2 = 6.871 (p = 0.032). Mobile spermatozoids-age: X2 = 7.378 (p = 0.025). Conclusions: The age of the patient is intimately related to a decrease of the number of spermatozoids, with the decrease of the number of mobile forms and the increase of the non mobile (AU)

[Brucellar orchitis. Case report and bibliographic review]. / Orquitis brucelar. A propósito de un nuevo caso y revisión de la literatura.

OBJECTIVE: We report one case of unilateral epididymo-orchitis secondary to Brucella and perform a bibliographic review. METHODS: We report the case of a 5 1-year-old male with fever, predominantly in the evening hours, over one month associated with a subacute inflammatory process on the right testicle and osteoarticular pain on the left ribs. RESULTS: Treatment was performed with rifampicin 600 mg/day for 45 days and doxicilin 100 mg/12 hours for 45 days. CONCLUSIONS: The brucellar etiology should be taken into consideration in front of an epididymo- orchitis with torpid outcome, mainly in areas of endemic Brucella and patients that have had contact with cattle or non controlled milk derivatives. We emphasize that contact could have been several months before the appearance of clinical epididymoorchitis.

[Inverted papilloma. Report of two cases and bibliographic review]. / Papiloma invertido. Aportación de dos casos y revisión de la literatura.

OBJECTIVE: Inverted papilloma is a rare polypoid lesion of the urothelium, known as a different entity since 1963. Not many more than 100 cases have been published. Although its malignant potential is still unknown, several scientific publications have noted it. METHODS: We report to cases of inverted papilloma and perform a detailed bibliographic review. RESULTS: Both patients were diagnosed by the Pathology Department and entered periodic follow-up visits, being free of recurrence at 24 and 18 months respectively. CONCLUSIONS: The possibility that inverted papilloma is a lesion with malignant potential should be considered in every case, and we suggest that patients with this diagnosis should enter a follow-up protocol like any bladder neoplasia.

[Bladder leiomyoma. Report of two new cases and bibliographic review]. / Leiomioma vesical. A propósito de dos nuevos casos y revisión de la literatura.

OBJECTIVE: Primary mesothelial tumors of the bladder are rare entities, being leiomyoma the most frequent of them. It may grow without any clinical symptoms or with very unspecific ones. METHODS: We report two cases of bladder leiomyoma in 2 patients, and performed a bibliographic review. RESULTS: They were treated by transurethral resection, with an excellent outcome, without incidences over five years of follow-up. CONCLUSIONS: Surgical treatment continues to be the best solution; it is easy to perform and has a very limited number of complications. Prognosis is good in any case and progression is anecdotic.

Orquitis brucelar. A propósito de un nuevo caso y revisión de la literatura / Brucellar orchitis. Case report and bibliographic review

OBJETIVO: Presentamos un caso de orquiepididimitis aguda unilateral secundaria a infección por Brucella y revisamos la literatura al respecto. MÉTODOS: Presentamos el caso de un varón de 51 años con fiebre de predominio vespertino de un mes de evolución asociado a proceso inflamatorio subagudo en teste derecho y dolor osteoarticular costal izquierdo. RESULTADOS: Se trata mediante Rifampicina a una dosis de 600 mg./día durante 45 días y Doxiclina 100 mg. cada 12 horas durante 45 días. CONCLUSIONES: Se debe tener en cuenta la etiología brucelósica ante orquiepididimitis de evolución tórpida, especialmente en áreas donde la Brucella pueda ser endémica y en personas que hayan tenido contacto con ganado o derivados de la leche no sujetos a control. Destacar que el contacto puede haber sido incluso varios meses antes de la clínica de orquiepididimitis

OBJECTIVE: We report one case of unilateral epididymo-orchitis secondary to Brucella and perform a bibliographic review. METHODS: We report the case of a 51-year-old male with fever, predominantly in the evening hours, over one month associated with a subacute inflammatory process on the right testicle and osteoarticular pain on the left ribs. RESULTS: Treatment was performed with rifampicin 600 mg/day for 45 days and doxicilin 100 mg/12 hours for 45 days. CONCLUSIONS: The brucellar etiology should be taken into consideration in front of an epididymo- orchitis with torpid outcome, mainly in areas of endemic Brucella and patients that have had contact with cattle or non controlled milk derivatives. We emphasize that contact could have been several months before the appearance of clinical epididymo-orchitis

Papiloma invertido. Aportación de dos casos y revisión de la literatura / Inverted papilloma. Report of two cases and bibliographic review

Objetivo: El papiloma invertido es una rara lesión polipoidea del urotelio, conocida como entidad diferente desde 1963, desde cuando escasamente se han publicado más de 100 casos en la literatura. Aunque su potencial maligno es todavía desconocido, existen varias publicaciones científicas en las que se denota. Métodos: Presentamos dos casos de papiloma invertido y hacemos una detallada revisión de la literatura científica al respecto. Resultados: Ambos pacientes fueron diagnosticados por el servicio de Anatomía Patológica de papiloma invertido, siguiendo controles periódicos posteriores y no apareciendo recidivas en ninguno de los dos casos, a los 24 y 18 meses de seguimiento respectivamente. Conclusiones: La posibilidad de que el papiloma invertido sea una lesión con potencial maligno debe ser en todo caso considerada y sugerimos que los pacientes con este diagnóstico sean sometidos a los exámenes urológicos de seguimiento en cualquier neoplasia vesical (AU)

Objective: Inverted papilloma is a rare polypoid lesion of the urothelium, known as a different entity since 1963. Not many more than 100 cases have been published. Although its malignant potential is still unknown, several scientific publications have noted it. Methods: We report to cases of inverted papilloma and perform a detailed bibliographic review. Results: Both patients were diagnosed by the Pathology Department and entered periodic follow-up visits, being free of recurrence at 24 and 18 months respectively. Conclusions: The possibility that inverted papilloma is a lesion with malignant potential should be considered in every case, and we suggest that patients with this diagnosis should enter a follow-up protocol like any bladder neoplasia (AU)

Leiomioma vesical. A propósito de dos casos y revisión de la literatura / Bladder leiomyoma. Report of two new cases and bibliographic review

Objetivo: Los tumores mesoteliales primarios de la vejiga son entidades raras, y de entre ellos el más frecuente es el leiomioma vesical, que puede crecer sin apenas manifestaciones clínicas o muy inespecíficas. Métodos: Presentamos el caso de un leiomioma vesical en dos pacientes y la revisión de la literatura. Resultados: El tratamiento fue mediante una resección transuretral, la evolución excelente y el seguimiento en consultas externas tras más de 5 años sin incidencias. Conclusiones: El abordaje quirúrgico sigue siendo la mejor solución, de fácil ejecución y con un porcentaje escaso de complicaciones. El pronóstico es bueno en cualquier caso y las recidivas son anecdóticas (AU)

Objective: Primary mesothelial tumors of the bladder are rare entities, being leiomyoma the most frequent of them. It may grow without any clinical symptoms or with very unspecific ones. Methods: We report two cases of bladder leiomyoma in 2 patients, and performed a bibliographic review. Results: They were treated by transurethral resection, with an excellent outcome, without incidences over five years of follow-up. Conclusions: Surgical treatment continues to be the best solution; it is easy to perform and has a very limited number of complications. Prognosis is good in any case and progression is anecdotic (AU)

[Renal metastases of a squamous cell carcinoma of the lung. Case report and bibliographic review]. / Metástasis renal de carcinoma escamoso de pulmón. A propósito de un nuevo caso y revisión de la literatura.

OBJECTIVE: We report a new case of renal metastasis of a lung carcinoma. METHODS: 59-year-old male presenting to the outpatient clinic with a clinical picture compatible with renal colic and hematuria. RESULTS: Ultrasound showed a solid-cystic tumor in the lower pole of the kidney without hydronephrosis. Abdominal-pelvic CT scan reported retroperitoneal adenopathies > 1 cm in the area of the aorta-cava and a 5 cm heterogeneous mass. CONCLUSIONS: Renal metastatic lesions of patients with lung cancer present more frequently due to the higher accuracy of radiological tests and have, as well as the primary tumors, very poor survival rates.

Metástasis renal de carcinoma escamoso de pulmón. A propósito de un nuevo caso y revisión de la literatura / Renal metastases of a squamous cell carcinoma of the lung. Case report and biblographic review

OBJETIVO: Comunicar un nuevo caso de metástasis renal de un carcinoma pulmonar. MÉTODOS: Varón de 59 años estudiado en consultas externas de urología por clínica compatible con cólico renal asociado a hematuria. RESULTADOS: En la ecografía se aprecia una tumoración sólido-quística del mismo tamaño en el polo inferior sin ectasia de la vía excretora. El T.A.C. abdominopélvico informa de adenopatías retroperitoneales en el territorio aorto-cava mayores de 1 cm. de diámetro y masa renal heterogénea de 5 cm. de diámetro mayor. CONCLUSIONES: Las lesiones metastásicas renales de los pacientes diagnosticados de cáncer de pulmón, se presenta con más frecuencia dada la precisión de los estudios radiológicos, y, presentan, como los tumores primitivos, unas cifras muy pobres de supervivencia

OBJECTIVE: We report a new case of renal metastasis of a lung carcinoma. METHODS: 59-year-old male presenting to the outpatient clinic with a clinical picture compatible with renal colic and hematuria. RESULTS: Ultrasound showed a solid-cystic tumor in the lower pole of the kidney without hydronephrosis. Abdominal-pelvic CT scan reported retroperitoneal adenopathies > 1 cm in the area of the aorta-cava and a 5 cm heterogeneous mass. CONCLUSIONS: Renal metastatic lesions of patients with lung cancer present more frequently due to the higher accuracy of radiological tests and have, as well as the primary tumors, very poor survival rates

[Primary bladder neck obstruction in males]. / Obstrucción primaria del cuello vesical en el varon.

OBJECTIVES: To report our experience on the diagnosis and treatment of this rare type of infravesical functional obstruction. METHODS: Over the last ten years we diagnosed and treated 32 males with this entity. We evaluate previous treatments and time to diagnosis. Clinical, radiological, endoscopic, and urodynamic features are evaluated, as well as results obtained with the administration of alpha-adrenergic blockers and endoscopic transurethral incision of the bladder neck. RESULTS: Patient age ranged from 26 to 48 years (Mean 38.2). All patients presented significant long-lasting lower urinary tract symptoms, having received various non-specific treatments. Uroflowmetry showed a peak of mean flow of 9.8 +/- 3.2 cc/s, being the voiding detrusor pressure 98 +/- 25 cm H2O, with significant post void residual volume in 21 patients (188 +/- 62 cc). Medical treatment with alpha-adrenergic blockers only achieved significant subjective improvement in four patients. Twenty one patients underwent unilateral endoscopic bladder neck incision, obtaining objective and subjective improvements all of them. CONCLUSIONS: Endoscopic bladder neck incision is the treatment of choice of this dysfunction, being imperative to inform the patient of the risk of retrograde ejaculation as a postoperative sequel, since this entity appears in young males, for whom fertility may be a priority.

[Leydig cell tumor. Case report and review of the literature]. / Tumor de células de Leydig. A propósito de un nuevo caso y revisión de la literatura.

OBJECTIVE: To report a new case of the rare Leydig cell tumor, and to perform bibliographic review. METHODS: We report the case of a 38-year-old male with the clinical and ultrasound diagnosis of testicular tumor, and normal hormonal and extension studies. He underwent inguinal radical orchyectomy and the pathology report of the specimen showed a Leydig cell tumor. It was staged as T1N0M0, not receiving any further treatment with chemotherapy or radiotherapy. Five years after surgery there is no evidence of disease on follow-up. RESULTS: The patient does not show evidence of recurrence after chest x-rays, abdominal-pelvic CT scan, ultrasound of the contralateral testis, and tumor markers. CONCLUSIONS: We recommend a long-term follow-up with contralateral testicle ultrasound, CT scan, chest x-ray, and tumor markers.

[Bladder endometriosis. Case report and review of the literature]. / Endometriosis vesical. A propósito de un nuevo caso y revisión de la literatura.

OBJECTIVE: To report a new case of bladder endometriosis and to perform a bibliographic review. METHODS: We report the case of a 34-year-old female with the diagnosis of bladder endometriosis treated by transurethral resection and subsequent hormonal therapy with good outcome one year after diagnosis. RESULTS: Treatment with analogs was started after TUR, in conjunction with the Gynecology Department, and maintained six months. The patient remained asymptomatic one year after diagnosis, with a negative cystoscopic study. CONCLUSIONS: We emphasize the need of early diagnosis due to the increased morbidity and health-care expenses; also the need of surgical treatment of all urological lesions before any hormonal therapy, mainly ureteral lesions. We finally emphasize that definitive treatment should be performed by the gynecologist.

Obstrucción primaria del cuello vesical en el varón / Primary bladder nexk obstruction in males

OBJETIVO: Presentar nuestra experiencia en el diagnóstico y tratamiento de esta infrecuente modalidad de obstrucción funcional infravesical. MÉTODO: Durante los últimos 10 años hemos diagnosticado y tratado a 32 varones afectos de esta entidad. Se evalúan los diversos tratamientos previos recibidos así como el tiempo transcurrido hasta la realización del diagnóstico. Se valoran las manifestaciones clínicas, radiológicas, endoscópicas y urodinámicas así como los resultados obtenidos con la administración de bloqueadores alfa-adrenérgicos y con la incisión transuretral endoscópica del cuello vesical. RESULTADOS: La edad de los pacientes osciló entre 26 y 48 años (media 38,2). Todos ellos presentaban síntomas significativos del tacto urinario inferior de larga evolución, habiendo recibido diversos tratamientos inespecíficos. El estudio flujométrico evidenció un pico de flujo medio de 9,8 ± 3,2 cc/s, siendo la presión del detrusor durante el vaciado de 98 ± 25 cm H20, existiendo un residuo postmiccional significativo en 21 pacientes de 188 ± 62 cc. Con tratamiento médico mediante la administración de bloqueadores alfa-adrenérgicos únicamente obtuvimos mejorías subjetivas significativas en 4 pacientes. En 21 casos realizamos incisión unilateral endoscópica del cuello vesical, obteniendo mejorías objetivas y subjetivas en todos ellos. CONCLUSIONES: La incisión endoscópica del cuello vesical representa el tratamiento de elección de esta disfunción, siendo imperativo informar al paciente del riesgo de eyaculación retrógrada como secuela postoperatoria, ya que esta entidad ocurre en sujetos jóvenes, en los que la fertilidad puede ser una prioridad

OBJECTIVES: To report our experience on the diagnosis and treatment of this rare type of infravesical functional obstruction. METHODS: Over the last ten years we diagnosed and treated 32 males with this entity. We evaluate previous treatments and time to diagnosis. Clinical , radiological, endoscopic, and urodynamic features are evaluated, as well as results obtained with the administration of alpha-adrenergic blockers and endoscopic transurethral incision of the bladder neck. RESULTS: Patient age ranged from 26 to 48 years (Mean 38.2). All patients presented significant long-lasting lower urinary tract symptoms, having received various non-specific treatments. Uroflowmetry showed a peak of mean flow of 9.8+- 3.2 cc/s, being the voiding detrusor pressure 98+- 25 cm H2O, with significant post void residual volume in 21 patients (188+- 62 cc). Medical treatment with alpha-adrenergic blockers only achieved significant subjective improvement in four patients. Twenty one patients underwent unilateral endoscopic bladder neck incision, obtaining objective and subjective improvements all of them. CONCLUSIONS: Endoscopic bladder neck incision is the treatment of choice of this dysfunction, being imperative to inform the patient of the risk of retrograde ejaculation as a postoperative sequel, since this entity appears in young males, for whom fertility may be a priority

Endometriosis vesical. A propósito de un nuevo caso y revisión de la literatura / Bladder endometriosis. Case report and bibliographic review

OBJETIVO: Describir un nuevo caso de endometriosis vesical y hacer una revisión de la literatura MÉTODOS: Presentamos el caso de una enferma de 34 años diagnosticada de endometriosis vesical tratada mediante R.T.U. y soporte hormonal posterior con buenos resultados al año del diagnostico. RESULTADOS: Tras la R.T.U. se instaura conjuntamente con el Servicio de Ginecología, un tratamiento con análogos durante seis meses, estando la enferma asintomática al año del diagnóstico y con un estudio cistoscópico normal. CONCLUSIONES: Como conclusiones, destacar la necesidad de diagnóstico precoz dado el evidente aumento de morbilidad y gasto sanitario, así como la necesidad del tratamiento quirúrgico de todas las lesiones urológicas, antes de toda maniobra hormonal, fundamentalmente las lesiones ureterales. Destacar finalmente que el tratamiento definitivo corresponde, por lógica y por derecho, al ginecólogo

OBJECTIVE: To report a new case of bladder endometriosis and to perform a bibliographic review. METHODS: We report the case of a 34-year-old female with the diagnosis of bladder endometriosis treated by transurethral resection and subsequent hormonal therapy with good outcome one year after diagnosis. RESULTS: Treatment with analogs was started after TUR, in conjunction with the Gynecology Department, and maintained six months. The patient remained asymptomatic one year after diagnosis, with a negative cystoscopic study. CONCLUSIONS: We emphasize the need of early diagnosis due to the increased morbidity and health-care expenses; also the need of surgical treatment of all urological lesions before any hormonal therapy, mainly ureteral lesions. We finally emphasize that definitive treatment should be performed by the gynecologist

Tumor de células de Leydig. A propósito de un nuevo caso y revisión de la literatura / Leydig cell tumor. Case report and bibliographic review

OBJETIVO: Presentar un nuevo caso del infrecuente tumor de células de Leydig, junto a na revisión de la literatura. MÉTODOS: Presentamos el caso de un varón de 38 años de edad con u diagnostico clínico y ecográfico de tumoración testicular, con estudio hormonal y de extensión normal. Se interviene practicándose orquiectomía radical vía inguinal y la pieza fue informada como un tumor de células de Leydig. Estudiado como T1N0M0 no recibió tratamiento posterior con quimioterapia ni radioterapia. Tras 5 años de seguimiento no se ha evidenciado recidiva. RESULTADOS: El enfermo no presenta recidiva de la enfermedad, habiéndose realizado estudios radiológicos de Radiografía de Tórax, T.C. abdominopélvico, Ecografía del teste contralateral, así como estudio de marcadores tumorales. CONCLUSIONES: Como conclusión, se aconseja el seguimiento a largo plazo con la práctica de ecografia del teste contralateral, otros estudios radiológicos como T.A.C y radiografía de tórax, así como marcadores tumorales

OBJECTIVE: To report a new case of the rare Leydig cell tumor, and to perform bibliographic review. METHODS: We report the case of a 38-year-old male with the clinical and ultrasound diagnosis of testicular tumor, and normal hormonal and extension studies. He underwent inguinal radical orchyectomy and the pathology report of the specimen showed a Leydig cell tumor. It was staged as T1N0M0, not receiving any further treatment with chemotherapy or radiotherapy. Five years after surgery there is no evidence of disease on follow-up. RESULTS: The patient does not show evidence of recurrence after chest x-rays, abdominal-pelvic CT scan, ultrasound of the contralateral testis, and tumor markers. CONCLUSIONS: We recommend a long-term follow-up with contralateral testicle ultrasound, CT scan, chest x-ray, and tumor markers

[Urological works and biography of Dr. Felipe Alcalá Santaella Nuñez (1927-1977). Historical documentary analysis]. / Obra urológica y biografía del doctor Felipe Alcala-Santaella Núnez (1927-1977). Análisis documental histórico.

OBJECTIVES: In the middle of the 20th century, Urology in Valencia was fully consolidated as a surgical speciality since Prof. Molla started it about the end of the 19th century; Dr. Felipe Alcala Santaella Nuñez stands out as the chairman of the Department of Urology of the "Hospital Provincial de Valencia", after his father Dr. Rafael Alcalá Santaella. He achieved to form a group of renowned professionals, some of which still are in active practice. METHODS: We reviewed all his scientific work and the journals it was published in, mainly Archivos Espaioles de Urologia, through the Department of Medical History of the University of Valencia. His biography was reconstructed using the "Biographic and Bibliographic History of Spanish Urology" by Drs. E. Maganto Pavón and M. Pérez Albacete, as well as direct interviews with family members. DISCUSSION: We emphasize the magnificent approach to the clinical presentations of tuberculosis he does in his doctoral thesis, analyzing its types by location, main features, and most adequate treatment. He also emphasized the importance of relapse in lithiasic patients and recommendations to be follow, as well as the condition of bladder neoplasias. CONCLUSIONS: We consider Dr. Felipe Alcalá Santaella Nuñez as a wide-experience-professional who mode solid contributions to the regional urology in his times, thanks to his excellent surgical abilities and dedication.

Obra urológica y biografía del doctor Felipe Alcalá-Santaella Núñez (1927-1977). Análisis documental histórico / Urological works and biography of Dr. Felipe Alcalá Santaella Núñez (1927-1977). Historical documentary analysis

OBJETIVO: A mediados del S. XX, con una Urología en Valencia ya plenamente consolidada como especializada desde que el Profesor Mollá iniciara tal menester a finales del S. XIX, encontramos al Dr. Felipe Alcalá-Santaella Núñez, quien destacó como jefe del servicio de Urología del Hospital Provincial de Valencia, sustituyendo a su padre, D. Rafael Alcalá Santaella. En dicho ámbito logró formar un grupo de profesionales de renombre en el ámbito nacional, algunos de los cuales todavía ejercen en la actualidad. MÉTODOS: Revisamos a través del Departamento de Historia de la Medicina de la Universidad de Valencia toda su obra científica y las revistas en la que ha sido publicada, fundamentalmente la revista Archivos Españoles de Urología. Su biografía ha sido reconstruida usando como fuente la obra Historia Biográfica y Bibliográfica de la Urología Española de los Dres. E. Maganto Pavón y M. Pérez Albacete, así como entrevista con familiares directos. RESULTADOS: Destaca el magnífico abordaje que hace en su tesis doctoral de las formas clínicas de la tuberculosis renal, donde analiza sus tipos según localización, principales características y terapéutica mas adecuada. Realza también la importancia de la recidiva en los enfermos litiásicos y las recomendaciones a seguir, así como, en otro trabajo, la misma condición de las neoplasias vesicales. CONCLUSIONES: Consideramos a Felipe Alcalá-Santaella Núñez como un profesional de amplio bagaje y de sólida aportación en la Urología Regional de sus tiempos, dadas, según quienes le conocieron personalmente, sus excelentes capacidades quirúrgicas y dedicación a su profesión

OBJECTIVES: In the middle of the 20th century, Urology in Valencia was fully consolidated as a surgical speciality since Prof. Molla started it about the end of the 19th century; Dr. Felipe Alcala Santaella Nuñez stands out as the chairman of the Department of Urology of the “Hospital Provincial de Valencia”, after his father Dr.Rafael Alcalá Santaella. He achieved to form a group of renowned professionals, some of which still are in active practice. METHODS: We reviewed all his scientific work and the journals it was published in, mainly Archivos Españoles de Urología, through the Department of Medical History of the University of Valencia. His biography was reconstructed using the “Biographic and Bibliographic History of Spanish Urology” by Drs. E. Maganto Pavón and M. Pérez Albacete, as well as direct interviews with family members. DISCUSSION: We emphasize the magnificent approach to the clinical presentations of tuberculosis he does in his doctoral thesis, analyzing its types by location, main features, and most adequate treatment. He also emphasized the importance of relapse in lithiasic patients and recommendations to be follow, as well as the condition of bladder neoplasias. CONCLUSIONS: We consider Dr.Felipe Alcalá Santaella Nuñez as a wide-experience-professional who made solid contributions to the regional urology in his times, thanks to his excellent surgical abilities and dedication