ADENOCARCINOMA TÚBULOVELLOSO DE LA PELVIS RENAL. A PROPÓSITO DE UN CASO.

Arch Esp Urol. 2006 Nov;59(9):916-9. [Tubulovillous adenocarcinoma of the renal pelvis. Case report] [Article in Spanish] Palacios A, Lima O, Massó P, Osório L, Versos R, Soares J, Marcelo F. Servicio de Urología, Hospital Geral de Santo Antonio, Porto, Portugal. [email protected] Abstract OBJECTIVE: To present a case of tubulovillous renal pelvis adenocarcinoma. METHODS/RESULTS: An 81 year-old patient presented at Emergency Department with sepsis. CT scan showed a staghorn calculus with signs suggestive of pyonefrosis. A nephrectomy was performed and pathological exam revealed tubulovillous renal pelvis adenocarcinoma. CONCLUSIONS: Renal pelvis adenocarcinoma is a rare disease. It is usually accompanied by chronic urinary infections, on inflammatory state and staghorn calculi. The best therapeutic option is nephrectomy and the prognosis is poor. PMID: 17190219 [PubMed - indexed for MEDLIN

ADRENALECTOMÍA TRANSPERITONEAL LAPAROSCÓPICA: EXPERIENCIA

Arch Esp Urol. 2006 Nov;59(9):893-7. [Transperitoneal laparoscopic adrenalectomy: initial experience] [Article in Spanish] Palacios A, Lima E, Massó P, Versos R, Autorino R, Ramos M, Soares J, Marcelo F. Servicio de Urología, Hospital Geral de Santo António, Porto, Portugal. [email protected] Abstract OBJECTIVES: Since the first published report in 1992, laparoscopic adrenalectomy has been widespread and it is now accepted as the standard treatment option in most of benign diseases of the adrenal gland. Aim of the present study is to describe our initial experience with laparoscopic adrenalectomy. METHODS: Between May 2001 and December 2005, 15 patients were submitted to laparoscopic adrenalectomy for benign diseases of the adrenal gland. We analyzed patients characteristics (sex, age, initial diagnosis), operative and perioperative results (operative time, blood loss, time to first oral intake) and complications. RESULTS: Mean operative time was 143 minutes. Blood loss was minimal. Mean hospital stay was 90 hours. There was no need for open conversion and complication rate was low. CONCLUSIONS: Laparoscopic surgery of the adrenal gland is a safe and effective option which offers quality of life benefits to the patients. PMID: 17190212 [PubMed - indexed for MEDLIN

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

Transvesical peritoneoscopy with rigid scope: feasibility study in human male cadaver

BACKGROUND: Transvesical port refers to the method of accessing the abdominal cavity through a natural orifice (i.e., urethra) under endoscopic visualization. Since its introduction in 2006, various reports have been published describing different surgical interventions using a rigid ureteroscope in a porcine model. The aim of this study was to test the access and feasibility of peritoneoscopy by using a rigid ureteroscope in a human male cadaver. METHODS: Two adult male cadavers were used to perform the procedures. A rigid ureteroscope was used for the creation of transvesical access into the peritoneal cavity. Peritoneoscopy, liver biopsy, and identification and manipulation of the ileocecal appendix were performed. RESULTS: Transvesical access into the peritoneal cavity was quickly established. The rigid ureteroscope easily allowed visualization of the abdominal cavity with good image quality. Liver biopsy and manipulation of ileocecal appendix were carried out without difficulties. CONCLUSIONS: Peritoneoscopy, liver biopsy, and ileocecal appendix manipulation using a rigid ureteroscope through a transvesical port is feasible in a cadaver model. The development of a specific rigid scope for the transvesical port might herald a promising future for this NOTES access

ÚLCERA DE PRESIÓN POR PRÓTESIS DE PENE”

Arch Esp Urol. 2007 Nov;60(9):1.143. [Pressure ulcer secondary to penile prostheses] [Article in Spanish] Palacios A, Soares J, Massó P, Versos R, Marcelo F. Servicio de Urología, Hospital Geral de Santo António, Porto, Portugal. [email protected] PMID: 18077876 [PubMed - indexed for MEDLIN

Bladder exstrophy adenocarcinoma in an adult woman. Case report

Arch Esp Urol. 2007 Mar;60(2):198-200. [Bladder exstrophy adenocarcinoma in an adult woman. Case report] [Article in Spanish] Palacios A, Versos R, Massó P, Cavadas V, Soares J, Marcelo F. Servicio de Urología, Hospital Geral de Santo Antonio, Porto, Portugal. [email protected] Abstract OBJECTIVE: To report a clinical case of bladder exstrophy adenocarcinoma. METHODS: 57-year-old female presenting with a hypogastric mass. The biopsy of the mass revealed bladder adenocarcinoma. We performed radical cystectomy. RESULTS: Pathologic study was compatible with moderately differentiated adenocarcinoma. CONCLUSIONS: After six months of follow-up patient is disease-free. PMID: 17484491 [PubMed - indexed for MEDLIN

Emergency ureteroscopic management of ureteral stones: why not?

Urology. 2007 Jan;69(1):27-31; discussion 31-3. Emergency ureteroscopic management of ureteral stones: why not? Osorio L, Lima E, Soares J, Autorino R, Versos R, Lhamas A, Marcelo F. Department of Urology, Santo Antonio General Hospital, Oporto, Portugal. [email protected] Abstract OBJECTIVES: To describe a single-center experience in the emergency ureteroscopic management of ureteral stones. METHODS: We retrospectively considered the data from 144 patients (mean age 49.6 years, range 23 to 82) who had had obstructive ureteral stones and had undergone emergency ureteroscopy with stone retrieval. Intracorporeal pneumatic lithotripsy was performed when necessary. At the end of the procedure, a ureteral catheter was systematically left in place in 100 patients (69.4%) and removed within 24 hours. In the remaining 44 patients, a double-J stent was preferred and was removed within 30 days, depending on the clinical course. Stone-free status was defined as the complete absence of fragments at 1 month of follow-up. RESULTS: The calculi were more frequently localized in the distal ureter than in the proximal one (90.3% versus 9.7%, respectively). The overall mean stone diameter was 9.1 mm (range 5 to 20). The overall stone-free rate was 92.4%. A greater stone-free rate was obtained in those with stones less than 10 mm (95.8%) than in those with stones larger than 10 mm (89%, P = 0.002). Similarly, a significantly better outcome occurred for those with stones located in the distal ureter (94.6%) than for those with stones in the proximal one (71.4%, P = 0.004). The overall complication rate was 4.2%. The mean hospital stay was 2.5 days (range 1 to 7). CONCLUSIONS: In our experience, emergency ureteroscopy in cases of obstructive ureteral stones proved to be safe and effective. It has the main advantage of offering both immediate relief from pain and stone fragmentation. Additional extensive studies are warranted to corroborate these findings. PMID: 17270606 [PubMed - indexed for MEDLIN