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F Sole-Balcells

Publications and source records attributed to F Sole-Balcells.

At least 19 recordsLinked to original sources
PubMed1998

[Should hernioplasty be combined with surgery of the prostate?].

OBJECTIVE: In some patients consulting for a prostatic condition, inguinal hernia might be incidentally discovered during evaluation. The results achieved by simultaneous prostatectomy and hernia repair are presented. METHODS: 52 patients with hyperplasia of the prostate and inguinal hernia underwent treatment for both conditions during the same surgical procedure. Patient ages ranged from 56-88 years. All patients underwent suprapubic prostatectomy and hernia repair. RESULTS: 35 patients had indirect and 17 direct inguinal hernia; 13 were bilateral and 39 unilateral. The hernia had been present from one month of 22 years (mean 46 months). Symptoms related with prostate enlargement had been present from one month to 22 years (mean 40 months). Herniorrhaphy was performed through the inguinal incision in 13 cases, prostatectomy was performed through a midline incision in 50 cases, and the Pfannenstiel incision was utilized in two cases. Pathological analysis showed 49 cases had BPH and 3 had cancer of the prostate. Hernia repair was done using the Bassini procedure in 35 cases, 18 cases had a Mac Vay procedure, preperitoneal herniorrhaphy was performed in one case, and closure and ligation of the sac in 11 cases. There were 15 cases of recurrence (28.8%). CONCLUSIONS: In patients with BPH or prostatic cancer and inguinal hernia, prostatectomy and herniorrhaphy can be performed during the same session without increasing patient morbidity and mortality. Urological surgeons should be familiar with this combined procedure.

Aged↗
PubMed1992

Postsurgical management of the patient undergoing radical prostatectomy.

Radical prostatectomy is a useful procedure for the treatment of prostate cancer limited to the gland; however, failure may occur as a result of the immediate or delayed complications of surgery, or to disease recurrence related to incomplete tumour excision. Seventy-nine radical prostatectomies were performed between April 1985 and August 1991 in patients with prostate cancer (primarily stage B1) who averaged 63 years of age. Immediate post-operative complications included vesicocutaneous fistulae, cystic lymphangiomas, abdominal wall abscesses, extraperitoneal haematoma, acute cholecystitis, and enterocutaneous fistula. Massive pulmonary embolism accounted for 2 deaths. Of the 77 surviving patients followed up for an average of 34 months, 79.2% (61) were continent, 15.6% had stress-related incontinence or severe incontinence and 5.2% were lost to follow-up. Sexual potency was preserved in 13 of the 33 patients (39%) who were pre-operatively potent. A favourable outcome as defined by no recurrence was seen in 69 patients (87.3%). Four patients (5.1%) are living with recurring prostatic cancer and 1 patient has died of the disease 46 months after surgery.

Aged↗
PubMed1983

[Isolated renal angiomyolipoma. Study of 10 cases].

The authors review 10 cases of isolated renal angiomyolipoma collected from the archives of the Institute of Urology, Nephrology and Andrology, Barcelona, Spain (Fundacion Puigvert) which contain a total of 170,000 records collected between 1930 and 1980. They describe the clinical, laboratory, histopathological and therapeutic characteristics, as well as the course of the cases studied in comparison with parenchymatous renal tumours, angiomyolipomas accounting for 2.07%. The attention of the reader is drawn to the fact that all the cases presented here were of isolated renal angiomyolipomatosis, in the absence of any context of phakomatosis and no possibility of preoperative diagnosis by conventional methods of investigation. It is felt that a preoperative diagnosis would be possible by computed tomography using the scanner by virtue of the adipose content of the angiomyolipoma.

Adult↗
PubMed1979

The spermiogram in urogenital tuberculosis.

In 50 patients, all under 40 years old, with a diagnosis of urinary tuberculosis, a spermiogram, in order to see if there was any cytomorphological or biochemical alteration, was performed. They were divided into two groups: the first one including patients showing clinical alteration of the genital tract, and the second one including patients without any clinical symptomatology, eg. at the external genitalia. The modification of the spermiogram in accordance with the evolution of the urinary tuberculous lesion and the specific treatment employed, have also been evaluated. All patients with clinical alterations in the genital tract, showed also alterations in the cytomorphological and/or in the biochemical studies. 75% of the patients without genital lesions showed oligoasthenozoospermia. In spite of the treatment established, no improvements were observed in the spermiogram.

Adult↗
PubMed1978

Treatment of pyonephrosis: a comparative study.

Our study is a comparison of treatments used for 97 patients with pyonephrosis. The patients were divided into 3 groups: 1) cases in which a primary nephrectomy was done, 2) cases in which nephrectomy was secondary to drainage through a nephrostomy and 3) cases in which nephrectomy was secondary to drainage through a translumbar percutaneous puncture with an Ingram catheter indwelling. Patients in whom nephrostomy and puncture were used had the highest percentage of complications, while primary nephrectomy produced the best results. Therefore, we believe that primary nephrectomy is the procedure of choice, using drainage through a puncture only when the general status of the patient does not permit primary nephrectomy.

Drainage↗
PubMed1977

Tuberculosis and infertility in men.

In 50 patients, all under 40, a diagnosis of urinary tuberculosis and a spermiogram have been made in order to see if there was any cytomorphological or biochemical alteration. We have divided them into two groups: the first one including the patients showing clinical alterations of the genital structures, and the second one including those for whom it had not been possible to demonstrate any clinical symptomatology, e.g. at the external genitalia. The modification of the spermiogram in accordance with the evolution of the urinary tuberculosis lesion and the specific treatment employed has also been evaluated. All patients with clinical alterations in the genital structures showed alterations in the cytomorphological and/or in the biochemical study. 75% of the patients without genital lesions showed oligoasthenozoospermia. We have not been able to observe any improvement whatsoever in the spermiogram in spite of the treatment established.

Adult↗
PubMed1977

Anorchi.

Anorchia was diagnosed in 3 patients after a hormonal study entailing the basic determination of FSH, LH and testosterone by a radioimmunoassay technique and by later stimulation with HCG. 2,000 IU are administered during 3 consecutive days with a new testosterone determination 24 and 72 h after the last administration. If the result is negative, the test is repeated but the HCG dose is doubled. A new negative response confirms the diagnosis of anorchia. If the results are positive a spermatic phlebography allows localization of the testicles or the remains of Wolffian origin in order to simplify surgery.

Adolescent↗