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M Amat Cecilia

Publications and source records attributed to M Amat Cecilia.

At least 19 recordsLinked to original sources
PubMed2004

[Vasectomy: study of 300 interventions. Review of the national literature and of its complications].

OBJECTIVES: The aims of this paper are: 1. To study the demand and reasons why of the vasectomy in area 12 of Valencian Community. 2. To analyse the adverse effects of our series and the predictable risk factors. 3. To review the adverse effects in the national series. 4. To review the adverse effects referred to in international publications. PATIENTS AND METHODS: A retrospective study was made of 300 patients who had submitted themselves to a vasectomy between january 1992 and december 2000. All the clinical dossiers were reviewed according to 10 pre-established variables. age, number of offspring, reasons why, pre-vasectomy anticontraceptives; date of operation, type of anaesthesia used, pathologic anatomy, semen analysis after vasectomy, adverse effects and their possible causes (risk factors). The basic statistic study was done using a data base of Microsoft Access and the interpretations of the different variables using a table of Excel. RESULTS: The demand for contraceptive attention (vasectomy) is the 8th cause for external urological consulting and the 4th for urological local ambulatory surgery of our area. 300 operations were done during that period. The average age of the patients was 37.5 years old (ranging from 25 to 51). The number of offspring ranged from 1 to 7, with a promedia of 2.41 children/patient. The reasons why were: voluntary family planning (86%), medical illnesses of the female which contraindicated gestation (9%), genetic reasons (4.33%) and social-sanitary problems (0.66%). Contraceptive methods used by 71.63% are known: The widest-used method being IUD (49.74%) and the preservative (25.88%). 30 patients (10%) had adverse effects, 29 patients having light adverse effects. The most frequent were: 12 orchiepididymitis (4%), 5 spermatic granulomas (1.66%), 3 chronic scrotal pain (1%), 2 scrotal haematoma (0.66%) and 2 bleeding (0.66%). There was one serious complications and of all the cases mentioned above only one needed hospitalization (impetigo-sepsis) and another needed surgery due to a spermatic granuloma. There were no pregnancies or post-vasectomy court cases. 81% of the patients had been declared azoospermic within 45 to 60 days after the vasectomy in one or two consecutive semen analysis. CONCLUSIONS: The vasectomy is a safe and simple way for male sterilization. It's the most widely done urologic operation in Spain. The technique isn't extent of adverse effects (0 to 18%) and its seriousness varies from a simple ecchymosis to Fournier's gangrene, endocarditis or sepsis. A doctor would be considered negligent if he/she didn't inform the patient about the remote possibility of a spontaneous recanalisation of the vas deferens leading to renewed fertility (failure of the vasectomy). It is imperative to give post-vasectomy information where the patient must continue using his habitual anticonceptive method until the azoospermia shown in 2 semen analysis confirm the sterility of the patient so that the urologist has no legal problem.

Adult↗
PubMed2000

[Significance of simple radiography of the abdomen in nephritic colic].

BASIS: The utility of the abdominal plain film in the emergency department to evaluate urolithiasis is questionable. Between another things, there are influence of the different formation of distinct examinators. METHODS: A retrospective study in 65 patients referrals to urology in 1997 and 1998 by suspicion of renal colic was carried out. The radiography of abdomen took in the emergency room the day of the income is reviewed with a protocol, by a resident of Familiar and Community Medicine and by the urologist, separately and without information of the medical records. RESULTS: We have excluded three patients. At last, we diagnose 49 patients as renal colic with certainty, 6 patients with doubtful diagnosis and 7 patients with distinct diagnosis. The urologist achieved the most adequate reading in 11 cases; in 7 was best the resident, to equal in 31, and in 13 the differences were not important. The resident obtained of radiography a sensitivity of the 67% and a specificity of the 42% and the urologist 71% and 57% respectively. CONCLUSIONS: There are few differences of reading, at least when the resident dispose a protocol of interpretation. Despite to the almost null diagnostic utility of the radiography, supply additional ation, and permit to value the evolution with a few aggressive technique.

Adult↗
PubMed1998

[Acute scrotum without technology].

The highly developed diagnostic technologies of our time applied to acute scrotum is not readily available in many of our hospitals. With the purpose of evaluating our results in the diagnosis and treatment of this nosologic entity, and to compare them with those reported by other hospitals where modern technologies are being used, our group revised all patients referring this condition who were given emergency treatment by the urologist on call during the first 100 months of our unit. An analysis is made of the etiology, patient's age, disease location, time of evolution, diagnosis, treatment received and final outcome. The epidemiological data obtained is similar to other series published, except for the hydatid torsion, which was more frequent than previously reported. In cord's torsion, a similar background should be considered a poor prognostic factor. In summary, the left testicle is more exposed to the various acute scrotal diseases. Surgery is an attractive option for hydatid torsion. Finally, an earlier intervention in the event of suspicious cord torsion remains the most important factor in the prognosis. Our results, using no state-of-the-art diagnostic technologies, are similar to other series and we see no trend towards unnecessary surgical examination.

Adolescent↗
PubMed1998

[Primary epidermoid carcinoma of the renal pelvis].

Epidermoid carcinomas account for 9 to 17% of primitive pyelocaliceal tumours. Key predisposing factor are infections and lithiasis, pre-operative diagnosis being difficult due to insidious growth and absence of pathognomonic syndrome. The paper introduces one case of epidermoid pyelocaliceal carcinoma where diagnosis was supported by intravenous urography, ultrasound and CAT, and where the catheter-obtained cytology was definite in terms of diagnostic value. Ureteropyeloscopy can be a crucial examination in case of diagnostic doubt. Choice therapy is nephroureterectomy with vesical collar resection when the tumour's anatomical state or the subtotal nephrectomy allow it. Prognosis of these tumours is very poor, mean survival of patients being of about 4 months. Our patient died one month after surgery.

Aged↗
PubMed1997

[Acute scrotal hematoma in Schoenlein-Henoch purpura. Infrequent urologic manifestation].

Schönlein-Henoch purple is a systemic vasculitis due to hypersensitivity. It is typical of childhood and more unusual in adults. The etiology is unknown. It is identified by the presence of skin purpura, joint involvement, abdominal colic pain and quite often renal involvement (nephropathy). Urological manifestations are uncommon and include: haematuria, scrotal swelling, cord haematoma, signs and symptoms mimicking cord or hydatid torsion, testicular pain due to intratesticular segmented infarction, painful ecchymotic induration of the scrotum, or testicular necrosis. Contribution of one case of Schönlein-Henoch purpura developed in adulthood with scrotal-perineal haematoma associated to skin purpura and abdominal colic pain in a 75-year old patient.

Acute Disease↗
PubMed1996

[Adrenal myelolipoma. Report of a case and review of the literature].

OBJECTIVES: Herein we describe an additional case of myelolipoma of the adrenal gland, an uncommon tumor of the adrenal cortex, that had been incidentally discovered during abdominal US evaluation of the biliary tree. The clinical features, diagnosis and treatment of the condition are discussed. METHODS: Surgical treatment of the biliary tree and myelolipoma was performed through a Chevron transversal incision during the same surgical session. RESULTS: Surgery achieved good results and the postoperative course was unremarkable. CONCLUSIONS: Myelolipoma is a benign nonfunctioning tumor of the adrenal cortex comprised of adipose and hematopoietic tissue. It is usually asymptomatic and incidentally discovered during diagnostic evaluation for other pathologies. The diagnosis is made by US, CT and MRI. There is no agreement on whether surgical treatment is warranted.

Adrenal Gland Neoplasms↗
PubMed1996

[Lumbago-sciatica syndrome as the first manifestation of metastatic renal adenocarcinoma].

Presentation of one case of metastatic renal adenocarcinoma with iliac bone and soft parts involvement which presented as a lumbosciatic picture. A comment is made on the different diseases which can result in painful lumbar syndrome, reaching an agreement on the need to conduct more extensive studies given the lack of response to standard medical treatment.

Biopsy, Needle↗
PubMed1996

[Adipose retroperitoneal tumors. Apropos a giant myxoid liposarcoma].

Liposarcomas are the most frequent retroperitoneal tumours, second only to lymphomas. We present a new case of giant retroperitoneal liposarcoma treated in our hospital. A discussion is presented on the most peculiar aspects of this tumour, such us: multicentricity, tendency to local relapse, and need to post-operative (adjuvant) radiotherapy. A review of all nationwide cases over the last few years is included.

Chemotherapy, Adjuvant↗
PubMed1996

[Epididymal adenomatoid tumor. Review of the national literature and report of a case].

Benign epididymal epithelial tumours are very uncommon. Their frequency rating is as follows: adenomatoid tumour, leiomyoma and papilliferous cystoadenoma. This paper contributes a new case of epididymal adenomatoid tumour in a 29-year old male who presented with testicular pain. Diagnosis was achieved through physical examination and echography. A simple tumourectomy was performed. As a result of this case, a review was made of the Spanish literature.

Adenomatoid Tumor↗
PubMed1996

[Inguinoscrotal bladder hernia. Report of a case].

Presentation of one case of scrotal vesical hernia in a 66-year old patient who presented with scrotal mass, micturition difficulty and two-phase micturition that improved when pressure was exerted on the scrotum. Diagnosis was established by physical examination and CUMS. The patient underwent surgery during which a direct inguinal hernia due to paraperitoneal vesical sliding was found. Right herniorrhaphy was performed with Shouldice's technique. Postoperative radiological monitoring showed normal vesical morphology. The pathogeny, classification and treatment, as well as the differential diagnosis uncommonly reported by the authors consulted, are commented.

Aged↗
PubMed1995

[Necrosis of undescended testis caused by incarcerated inguino-scrotal hernia in a newborn].

Presentation of an uncommon case referring necrosis of an ectopic inguino-femoral testis caused by an incarcerated inguino-scrotal hernia in a 15-days old baby with a permeable peritoneum-vaginal process. In this case, the hernial incarceration episode was responsible for the organ necrosis due to an haemorrhagic infarction. Orchiectomy was performed, and the pathoanatomical diagnosis was testicular haemorrhagic infarction. Review of the pathogenic mechanisms of testicular ectopia, associated anomalies and likely acute complications: torsion, hernial strangulation, traumatism and infections simulating acute abdomen which, in spite of their rarity, may have serious consequences with regard to testicular viability.

Cryptorchidism↗
PubMed1995

[Cystic pyeloureteritis. A review of the literature in the period of 1946-1994 and a report of a new case].

Presentation of a new case of unilateral cystic pyeloureteritis in a 46-year old female patient. The condition presented as a right renoureteral colic. A revision is made of the 69 national cases published on such an uncommon condition, of obscure etiologic, pathogenic and therapeutical features. The accent is placed on its most significant aspects, such as: difficulties of differential diagnosis with other repletion defect imagen in the excretory tract and their frequent association to other diseases.

Cysts↗
PubMed1995

[Brucellar orchiepididymitis in acute brucellosis].

The most frequent orchiepididymitis are those of non-specific infectious nature. Specific and granulomatous forms are rarer. Brucellar orchiepididymitis is an uncommon cause of specific infection of the testis and the epididymis. It occurs in around 5-10% of all brucellosis as a result of urine brucellas removal or as a blood-borne septic metastasis. In our experience with a total of 150 acute orchiepididymitis studied in 7 years, we have observed only one case of brucellar epididymitis. The one case being reported happened to a 23-year old shepherd who was referred to the emergency service because of an evening fever of 3 months evolution, associated with pain over the last 4 days and increased size of right teste.

Acute Disease↗
PubMed1994

[Adverse reactions following transurethral resection of the prostate. Etiopathogenic considerations and report of a case of transient amaurosis]].

CNS changes following transurethral resection of the prostate are uncommon, but not insignificant. The foregoing condition may result from different causes including hemolysis, hyponatremia, brain edema, the use of atropine, or even postoperative vascular accidents, transient blindness being one of the most striking symptoms. The different etiologies are reviewed and a case of transient amaurosis, which we ascribe to brain edema, is analyzed. We underscore the importance of a detailed examination by the different specialists in order to institute the appropriate treatment and benefit patient recovery.

Aged↗
PubMed1994

[Nephritic colic. Analysis of 140 cases].

A nephritic colic is one of the most common pictures of urologic conditions, a primary causes being the occurrence of lithiasis concretions along the urinary tract. A series of 140 cases of nephritic colic diagnosed in the emergency ward and later referred to our office for follow-up are presented here. The relevance of the physical examination is emphasized, pointing out that with practice the simple performance of abdominal X-ray, ultrasound and urinary sediments is usually enough to reach a certainty diagnosis. There is, however, near 10% cases where it is necessary to carry out contrast studies or endoscopic manoeuvres to be able to differentiate a nephritic colic from other conditions. The primary aim of treatment is to overcome pain, facilitate the advance of the lithiasis obstacle and to preserve the renal function. A description is made of the various drugs used, while endoscopic manoeuvres are reserved for the more selected cases of compromised kidney or when the patient's general condition so requires.

Adult↗
PubMed1994

[Lithiasis of the prostatic loge].

Lithiasis may develop in the prostate loge following prostate surgery. Calculus formation in the prostate can be ascribed basically to foreign bodies, residual adenomatous spheroids and clots or fragments of sphacelous mucosa in the presence of a stenotic area after surgery and/or infection. The diagnosis is based on the physical examination and particularly on the radiological findings. Treatment is by open surgery or endoscopic or extracorporeal lithotripsy.

Aged↗
PubMed1994

[Lymphomas of the urogenital system. Review of the entirety and report of 2 cases with testicular localization].

Lymphomas comprise a group of diseases of the lymphoreticular system arising from any of the cellular elements of lymph nodes, but they can also affect other organs or systems such as the urogenital system. This is the normal process, but there exist some diseases diagnosed as lymphomas within the urogenital system with no evidence of generalized involvement that are classified as primary lymphomas. We analyzed the different urogenital tract organs that may be affected, with special reference to the most interesting aspects of this pathology. Furthermore, two cases of testicular lymphoma are described. In one of them, testicular involvement was the presenting feature of lymphomatosis. The other case was a patient with a diagnosed prostatic adenocarcinoma. The diagnosis was made on the pathological findings of the orchidectomy specimen. The outcome was poor in both cases.

Adenocarcinoma↗