ABSCESO DEL PENE. A PROPÓSITO DE UN CASO.

Arch Esp Urol. 2006 Oct;59(8):809-11. [Penile abscess. Case report] [Article in Spanish] Palacios A, Massó P, Versos R, Osorio L, Carvalho LF, Soares J, Marcelo F. Servicio de Urología, Hospital Geral de Santo Antonio, Porto, Portugal. [email protected] Abstract OBJECTIVE: To report one case of penile abscess, with special reference to diagnostic and therapeutic aspects. METHODS: One case of penile abscess is presented in a patient referred for penile swelling. RESULTS: During surgical exploration it showed to be a corpora cavernosum rupture with drainage of a small volume of purulent fluid. CONCLUSIONS: Penile abscess is uncommon. High frequency ultrasonography is a reliable diagnostic imaging method. We were able to incise the affected area of the corpus cavernosum and glans safely, and with appropriate antibiotics this patient was treated successfully. PMID: 17153501 [PubMed - indexed for MEDLIN

A tale of two species: the importance of native ecosystems for long-term conservation on Príncipe Island, Gulf of Guinea

Since it was first described in 1901, the Príncipe thrush Turdus xanthorhynchus has been rare and restricted to the native forest in the south of Príncipe Island. The Obô giant land snail Archachatina bicarinata, however, was widespread across the island and at least locally abundant until the 1990s. Since then its population has collapsed, and now, like the thrush, it is also restricted to the native forest in the south of the island. Using species distribution modelling, we show that both species are currently strongly associated with rugged and remote areas of native forest at high altitudes. We argue that their current distribution might be negatively affected by anthropogenic pressures, as both are harvested, and also because invasive alien species are expected to have deleterious effects on these species, although further studies are needed to clarify interactions between these native and introduced species. The diachronic stories of these species highlight an overlooked value of native ecosystems: their role in the conservation of widespread species that might be unable to use anthropogenic landscapes in the future. They also reinforce the need for protected areas that strive to exclude most human activities in the context of particularly sensitive biodiversity, as is often the case on oceanic islands.info:eu-repo/semantics/publishedVersio

Clinical, multicentric, and open study to evaluate the efficacy of and tolerance to sildenafil in patients with erectile dysfunction

Acta Med Port. 2002 Jul-Aug;15(4):249-56. [Clinical, multicentric, and open study to evaluate the efficacy of and tolerance to sildenafil in patients with erectile dysfunction] [Article in Portuguese] Palha AP, Gomes FA, Martins AS, Pimenta A, Neves J, Gonçalves R, Ramos L, Abrantes P, Canhão A, Santos G, Carvalho LF, Soares J, Lima E, Rosa G. Serviço de Psiquiatria e Urologia do Hospital de S. João, Instututo de Ciências Bimédicas, Hospital Geral de S. António, Porto. Abstract Erectile dysfunction (ED), defined by the Impotence-NIH Consensus Conference as the "persistent inability to achieve and/or maintain erection sufficient for satisfactory sexual activity" affect more than 100 million men worldwide, at particular severity levels. The global prevalence of ED is estimated to affect about 10%, but has been found to increase significantly with age (39% in men 40 years of age and 67% at 70 years of age). In men aged 40 to 70 years, the severe ED prevalence increased of three folds, 5 to 15%. In order to evaluate the efficacy and tolerance of sildenafil, it was conducted a national open, multicentre study on a portuguese population affected by ED. Subjects under ambulatory treatment were recruited in Psychiatry/Sexology Clinical units and Urology/Andrology. The results of the study carried out on a group of 62 men with ED, demonstrate that sildenafil was effective in the recovering of erectile function, increasing the number of attempts to sexual activity and improving their success rates (mainly in severe dysfunction). Fifty one patients treated with sildenafil, at the end of the study referred a global improvement in their erections (92.2%). Doses of 50 mg and 100 mg sildenafil were used and were well tolerated and also effective in the treatment of this pathology (70% and 69% respectively). Being this study a flexible dose one and taking into consideration that the final dose used was found the more suitable to the patients, can be concluded that 43.1% of the patients elected dose of 50 mg whereas 56.9% elected the maximum prescribed dose of 100 mg. Over and above global efficacy experimented by patients, a significant improvement in the sexual activity with partners was occurred. These results make possible a final conclusion--in the studied patients group affected by Erectile Dysfunction, aside from associated somatic pathology, sildenafil use provided a remarkable clinical profit, in what concerns global efficacy, by erectile function mechanisms improvement, concerning patients sensitivity of improvement, occurring in the major part of them, being these of high importance to the lifting up of their self-esteem. PMID: 12525018 [PubMed - indexed for MEDLIN