Carcinoma epidermoide de uretra y glande ¿dos tumores independientes? / Epidermoid carcinoma of the urethra and glans penis two independent tumors?

Un varón de 64 años fue tratado en nuestro hospital por presentar una gran tumoración en el glande peneano. Durante el acto quirúrgico se detectó otra neoformación en la uretra. El estudio microscópico mostró un carcinoma epidermoide concomitante en glande peneano y uretra sin tejido afectado entre ambos tumores

A 64 years-old man is treated in our hospital presenting a big tumor in glans penis. During the surgical act, another neoplasm is detected in the urethra. The microscopic study showed a concomintant epidermoid carcinoma of glans penis and urethra with non-affected tissue between both tumors

Carcinoma transicional y priapismo metastásico / Transitional carcinoma and malignant priapism

El priapismo metastático es una rara entidad clínica que suele ser secundaria a tumores del aparato genitourinario y que se asocia a un mal pronóstico debido a que su presencia suele indicar diseminación metastática multiorgánica. Presentamos un caso de priapismo secundario a metástasis peneana por carcinoma transicional y realizamos una revisión de la literatura médica

Malignant priapism is rare and usually secondary to genitourinary tumors. The prognosis is poor since it generally indicates the presence of multiorgan metastasis. A case of malignant priapism or priapism secondary to penile metastasis from transitional carcinoma is presented and the literature is reviewed

[Transitional carcinoma and malignant priapism]. / Carcinoma transicional y priapismo metastático.

Malignant priapism is rare and usually secondary to genitourinary tumors. The prognosis is poor since it generally indicates the presence of multiorgan metastasis. A case of malignant priapism or priapism secondary to penile metastasis from transitional carcinoma is presented and the literature is reviewed.

[Epidermoid carcinoma of the urethra and glans penis: two independent tumors?]. / Carcinoma epidermoide de uretra y glande: dos tumores independientes?

A 64 years-old man is treated in our hospital presenting a big tumor in glans penis. During the surgical act, another neoplasm is detected in the urethra. The microscopic study showed a concomintant epidermoid carcinoma of glans penis and urethra with non-affected tissue between both tumors.

[Pelvic recurrence of urothelial tumor, after radical cysto-prostatectomy with orthotopic neo-bladder]. / Recidiva pélvica de tumor urotelial, tras cistoprostatectomía radical con neovejiga ortotópica.

We present a case of an urothelial tumor pelvic recurrence, five months after radical cystoprostatectomy. No fat infiltration was demonstrated in the pathological study of the transurethral resection pieces. The treatment was a radical cystoprostatectomy with an ileal ortothopic Hautmann type neo-bladder. The pathological study of the surgical piece demonstrated fat infiltration in some points but urethra and lymphatic nodes free.

[Idiopathic superinfected giant hematocele]. / Hematocele gigante sobreinfectado idiopático.

A 45 year old male patient is attended for a marked increase in the size of the left hemiscrotum totally painless. The diagnosis was haematocele, but no cause was found for the bleeding. Orchidectomy and complete exeresis of the tunica vaginalis was carried out.

[Kidney transplantation. Technique and complications]. / Transplante renal. Técnica y complicaciones.

We want to make in this article, a deep review of our experience in kidney transplantation since the moment we started the technique in 1986 to the end of the year 2000. We also want to make a compilation of the most important points of the surgical technique, patients selection criteria, and the most common and uncommon complications that can appear in kidney transplantation, analizing our results all along this time.

Transplante renal. Técnica y complicaciones / Kidney transplantation. Technique and complications

En este artículo, queremos llevar a cabo una profunda revisión de nuestra experiencia en el transplante renal desde el momento en el que iniciamos la técnica en el año 1986 hasta finales del año 2000.Asímismo queremos compilar los aspectos más importantes de la técnica quirúrgica, criterios de selección de pacientes y las más frecuentes e infrecuentes complicaciones que pueden aparecer en el transplante renal, analizando nuestros resultados a lo largo de estos años (AU)

Recidiva pélvica de tumor urotelial, tras cistoprostatectomía radicalcon neovejiga ortotópica / Urotelial tumor pelvic recurrence after radical cystoprostatectomy and ortothopic neobladder

Presentamos un caso de recurrencia pelviana de un tumor urotelial, cinco meses después de la cistoprostatectomía radical. El estudio patológico de los fragmentos de resección transuretral no demostró afectación de la grasa. El tratamiento fue cistoprostatectomía radical con neovejiga ileal tipo Hautmann. El estudio patológico de la pieza quirúrgica reveló infiltración de la grasa en varios puntos pero con uretra y ganglios linfáticos sin afectación (AU)

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Hematocele gigante sobreinfectado idiopático / Infected giant idiopathic haematocele

Varón de 45 años que es atendido por un marcado aumento de tamaño del hemiescroto izquierdo totalmente asintomático. El diagnóstico fue de hematocele aunque no se encontró causa evidente del sangrado. Se llevó a cabo orquiectomía y exéresis completa de la túnica vaginal. (AU)

[Retroperitoneal fibrosis caused by pancreatitis in an HIV+ patient]. / Fibrosis retroperitoneal por pancreatitis en paciente VIH+.

Retroperitoneal fibrosis is a rare inflammatory disease, in which the fibrosis plate leads to the compression of the affected structures. There are several causes of retroperitoneal fibrosis like specific and unspecific inflammatory diseases. In the specific group of retroperitoneal fibrosis we find the one due to pancreatitis. We do present a rare case of retroperitoneal fibrosis caused by a pancreatitis in a HIV+ patient.

Fibrosis retroperitoneal por pancreatitis en paciente VIH+ / Retroperitoneal fibrosis due to pancreatitis in HIV+ pattent

La fibrosis retroperitoneal es un raro proceso inflamatorio crónico, que provoca la compresión de estructuras debido al desarrollo de una placa fibrótica. Existen diferentes etiologías, entre las que destacan las enfermedades inflamatorias, tanto específicas como inespecíficas. Dentro de las primeras se situaría la producida por la pancreatitis. Presentamos un raro caso de fibrosis retroperitoneal debido a una pancreatitis en un paciente VIH+ (AU)

Prolapso uretral tras esfuerzo físico. Corrección quirúrgica / Urethral prolapse after physical effort surcial treatment

Queremos presentar un caso de prolapso uretral, en mujer mayor, tras un esfuerzo físico. Esta situación es poco frecuente en la literatura, siendo más común en niñas y en chicas antes de la menarquia. La forma más frecuente de presentación es el sangrado genital con presencia de una masa. Si se trata de un prolapso grande, puede llegar a estrangularse apareciendo síntomas urinarios en forma de retención aguda de orina. Queremos describir el tratamiento quirúrgico (AU)

[Urinary diversions and bladder enlargements]. / Derivaciones urinarias y ampliaciones vesicales.

Overall review that offers an integrated insight of the importance and repercussions of urinary by-pass and bladder replacement. Over the last decades there has been a growing interest in the possibility of reconstructing the urinary system and there are now an almost infinite number of surgical solutions. The history of the development of using the intestine for by-passes and the reconstruction of the urinary system is described. The secondary metabolic alterations, the possibility of secondary intestinal tumours and the rudiments of ureterointestinal anastomosis are dealt with. Bladder substitution techniques are highlighted, and the vast experience of the Urology Department of Hospital Miguel Servet explained, including criteria and conclusions that help to choose from the many urological surgery alternatives headed by urinary by-pass and bladder complications.

[Secondary prostatic lymphoma in a kidney transplant patient]. / Linfoma de próstata secundario en paciente trasplantado renal.

Lymphoma involving the prostate is rare, both as a primary and as a secondary presenting. Usually the prognosis remains poor. The clinical presentation is similar to that of other lower urinary tract obstructions, in fact prostatic lymphoma must be considered in patients with these symptoms, particularly in patients with prior history of systemic lymphoma. We report a case of a kidney transplantation in a male patient, diagnosis of lymphoma non Hodgkin, with later recurrence in prostate.

[Laparoscopic diagnosis of Hodgkin's disease. Report of a case]. / Diagnóstico mediante laparoscopia de enfermedad de Hodgkin. A propósito de un caso.

Laparoscopic Surgery with diagnosis objectives in Urology, has many others indications related with different medical specialties, apart from the ones for the urologic area (ectopic test, linfadenectomy, etc...). In our case, the Services of Urology and Hematology, diagnosed a Hodgkin's disease case. The Service of Hematology realized treatment and evolution. Sometimes, the unspecific clinical presentations of the Hodgkin's disease, shows adenopatics masses, detected by Ecografy or TAC. Treatment and prognosis of the Hodgkin's disease, are related with the histological subtype and its spreading.

Linfoma de próstata secundario en paciente trasplantado renal / Secondary prostatic lymphoma in renal with transplant recipient

La afectación prostática por linfomas, tanto de origen primario como secundario, es una entidad poco frecuente y que habitualmente conlleva mal pronóstico. Su forma de presentación no difiere de cualquier causa de obstrucción del tracto urinario inferior, Por lo que debe sospecharse en todo paciente con antecedentes de linfoma y sintomatología obstructiva de tracto urinario inferior.Presentamos un caso de un paciente trasplantado renal, con afectación posterior de linfoma no Hodgkin, con recidiva a nivel prostático (AU)

[Appendix mucinous cystadenoma]. / Cistoadenoma mucinoso apendicular.

Mucous cystadenomas are benign epithelial tumours with great mucous content inside. Despite being non-malignant, they acquired great size, compressing and displacing important structures and organs of the zone, with theirs unlucky outcomes. Surgical exeresis is very difficult, being almost impossible its total exeresis, showing great frequency of relapse. We present an appendix mucous cystadenoma case in a 54 years old patient.

[Endoscopic ureteral resection in radical nephroureterectomy: report of our experience]. / Desinserción ureteral endoscópica en la nefroureterectomía radical: presentación de nuestra experiencia.

We want to present our clinic and chirurgical experience in eight patients, using the radical nephroureterectomy with endoscopical resection of the ureter, as a safe and valid technique, in urothelial tumours localized in the upper urinary tract.