[Laparoscopic extraperitoneal suspension of the neck of the bladder in stress incontinence: midterm results]. / Suspensión extraperitoneal laparoscópia del cuello vesical en la incontinencia de esfuerzo: resultados a medio plazo.

OBJECTIVE: There are few reports on the medium- and long-term outcomes of laparoscopic suspension of the bladder neck. METHODS: Our medium-term results in 24 patients with genuine stress urinary incontinence who underwent surgery from March, 1994 to July, 1996 are presented. The patients had a mean follow-up of 18 months. RESULTS: Although the initial results were encouraging, some failures appeared in the medium-term and incontinence recurred in 20%. CONCLUSIONS: The overall outcomes of laparoscopic suspension of the bladder neck did not differ from those achieved with the original technique of Pereyra-Stamey and the mean operating time was longer. The mean length of stay did not decrease and the rate of postoperative complications was similar. All the foregoing reasons have led us to abandon this procedure in the treatment of genuine stress urinary incontinence.

[Endoscopic resection of tumor of the renal pelvis]. / Resección endoscópica de tumor de pelvis renal.

We report on a patient who was submitted to percutaneous resection of a solitary, low grade urothelial transitional cell tumor of the renal pelvis. A review of the literature shoned endourologic treatment to be a valid in carefully selected cases. The measures to minimize the risk of tumor spread and the good results obtained are discussed. However, a longer follow up and larger series are necessary in order to draw definitive conclusions.

[Unique incision vasectomy: review of 1,800 cases]. / Vasectomía por única incisión: revisión de 1.800 casos.

We reviewed 1,800 vasectomy procedures using the double lateral scrotal incision and single incision of the raphe that had been performed at the Family Planning Center. The number of complications were minimal for both techniques: 6.5% for the patients submitted to the double incision and 5.5% for those submitted to the single incision procedure. The advantages of the single incision procedure are: it is easy to perform, less anesthesia is required, there are less complications, and the operating time is reduced.

[Monoclonal gammopathy and osteolytic lesions as the initial manifestation of a metastatic hypernephroma]. / Gammapatía monoclonal y lesiones osteolíticas como primera manifestación de un hipernefroma metastásico.

We report on a patient with metastatic renal adenocarcinoma that had been detected following evaluation for monoclonal gammopathy associated with osteolytic lesions. When the foregoing associated conditions present, we must discard the presence of a myeloma. No objective data relating gammopathy with tumor behaviour are currently available.

[Bladder bilharziasis: report of a case]. / Bilharziosis vesical: a propósito de un caso.

Herein we describe a case of vesical bilharziasis in a Spanish patient who became infected during a trip to an endemic area. The characteristic features of the disease and particularly its relationship to squamous type bladder tumors are discussed with a special focus on treatment with Praziquantel.

[Spontaneous rupture of endo-ureteral catheter]. / Rotura espontánea de catéter endourológico.

A patient with bilateral staghorn calculi treated by ESWL and endourologic placement of a double-J catheter is described. The patient was lost to follow-up for 18 months after catheter placement. When the patient was seen again, examination revealed a fractured catheter which warranted retrieval by combined nephrectomy and URS.