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Biomedical subjects

G Server Pastor

Publications and source records attributed to G Server Pastor.

40 records · Page 3Linked to original sources

[Value of bone gammagraphy and pain in the follow-up of carcinoma of the prostate].

We reviewed 382 bone scans from 161 patients with prostatic adenocarcinoma submitted to scintigraphic evaluation over the period 1980 to 1988. Each patient had a mean of 2.37 bone scans (1 to 9 scans). Seventy-three patients had positive scans (64 initially and 9 in the course of patient follow-up). Sixty-four presented bone pain (56 initially and 8 in the course of the disease). The remaining 17 patients were asymptomatic throughout follow-up; however, bone metastasis was undemonstrable. In our view, pain is a reliable indicator of the appearance or progression of bone metastasis. Routine follow-up bone scans are unnecessary in patients with positive or negative scintiscans who remain asymptomatic.

Adenocarcinoma↗

[Therapeutic effectiveness and safety of prazosin in the symptomatic treatment of benign prostatic hypertrophy].

74 patients diagnosed as suffering from benign prostatic hypertrophy (BPH) were treated with prazosin for 8 weeks. We look at the evolution of the symptomatology and the urodynamic and morphologic parameters during the treatment and they are compared with the basal ones. The irritative symptoms (nocturia, pollakiuria, imperiosity and dysuria), evaluated by means of a quantitative scale, undergo significant statistical improvement. The same occurred with the obstructive symptoms. Urodynamically, an increase took place in total vesical capacity, maximum, and mean flow, as well as a drop or reduction in non-inhibited contractions. 27 patients suffered adverse effects, which obliged 8 of them to abandon the treatment. Global efficacy was excellent in 20% and good in 52%, whilst it was fair and ineffective in 19 and 9%, respectively.

Aged↗

[Priapism of low flow].

The results obtained after treating 13 patients with low flow priapism diagnosed by cavernous gasometry, penile ecodoppler and cavernosography are explained. Seven cases of priapism (53%) developed following intracavernous injection of vasoactive drugs and had a good response to aspiration lavage and alpha-agonist medication. None of the cases needed shunt technique to achieve detumescence and all showed good evolution with regard to the erectile function. Six cases of priapism (47%) were idiopathic and they all needed some type of venous by-pass. Later, only one had normal erections.

Adult↗

[The phenomenon of obstructive uropathy with minimal or no dilatation].

Obstructive anuria does not necessarily show a marked dilatation of the urinary tract on evaluation with imaging techniques. A case with acute renal failure of this type is presented. We discuss why this condition is caused and how diagnosis can be made quickly. Likewise, we discuss the length of time we can defer renal diversion before rupture of the collecting system supervenes and, consequently, urinary extravasation.

Adult↗