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Search Results: 1 - 10 of 199377 matches for " Fermín; Hidalgo Togores "
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Balones parauretrales (Pro-ACT TM) en la incontinencia urinaria postquirúrgica del cáncer de próstata
García Matres,María Justa; Cansino Alcaide,José Ramón; Monasterio,Sara; Rodríguez de Bethencourt,Fermín; Hidalgo Togores,Luis; Pe?a Barthel,Jesús de la;
Archivos Espa?oles de Urología (Ed. impresa) , 2009, DOI: 10.4321/S0004-06142009001000012
Abstract: objectives: prostate cancer early detection campaigns have led to the diagnosis of a greater number of patients with organ-confined disease candidates for intention-to-cure treatment. radical prostatectomy is one of these treatments; despite the technical advances with the development of laparoscopic or robotic operations it still has urine incontinence as a side effect affecting patient's quality of life. methods/results: based on the experience in the urology department at hospital la paz we describe the technique and our results, comparing with a bibliographic review of other techniques used for the treatment of urinary incontinence after radical prostatectomy from the medline database. conclusions: the insertion of the paraurethral proacttm is the treatment of choice for mild-moderate incontinence after radical prostatectomy in our environment due to its high success rate and low morbidity, technical easiness, and adequate cost and resources requirements.
Implante de balones parauretrales como tratamiento de la incontinencia urinaria masculina: Experiencia del Hospital Universitario La Paz
Cansino Alcaide,José Ramón; álvarez Maestro,Mario; Martín Hernández,Mario; Cabrera Castillo,Pedro Manuel; Pérez-Utrilla Pérez,Manuel; Rodríguez de Bethencourt,Fermín; Hidalgo Togores,Luís; Pe?a Barthel,Jesús Javier De la;
Archivos Espa?oles de Urología (Ed. impresa) , 2007, DOI: 10.4321/S0004-06142007000600005
Abstract: objectives: we want to show our experience with paraurethral balloon implantation in the treatment of male urinary incontinence. methods: we retrospectively reviewed our series from march 2003 to march 2007, including 69 male patients with urinary incontinence, most of them after radical prostatectomy. results: 6 patients did not have their first follow-up visit after surgery. mean follow-up was 22 months (3-48). 57.14% of the patients (36/63 do not need pads, and 12.69% use one safety pad (8/63); therefore 69.83% (44/63) of the patients are dry or use one safety pad. if we stratify patients by incontinence severity, 81.25% of the patients with mild incontinence and 59.25% with moderate incontinence are dry. nevertheless, only 35% of the patients with severe incontinence are dry (no protection). conclusions: in our experience, we believe that paraurethral balloon implantation could be the first therapeutic option for mild and moderate male urinary incontinence.
Cirugía retroperitoneal laparoscópica: experiencia de los 6 primeros meses del Hospital La Paz
Aguilera Bazán,A.; Alonso y Gregorio,S.; Cansino Alcaide,R.; Hidalgo Togores,L.; Cisneros Ledo,J.; Pe?a Barthel,J. de la;
Actas Urológicas Espa?olas , 2005, DOI: 10.4321/S0210-48062005000700004
Abstract: we present the initial results of retroperitoneal laparoscopic surgery in the hospital universitario la paz from july 2004 to december 2004. the program started after 2 years of pelvic laparoscopy surgery practice. the initial experience has been so good that we have reduced the contraindications for this technique and we have increased the number of laparoscopic surgery cases.
Donante vivo renal: Experiencia de cirugía abierta y laparoscópica. Hospital La Paz
Aguilera Bazán,Alfredo; Pérez Utrilla,Manuel; Alonso,ángel; Jaureguizar Monereo,Enrique; Hidalgo Togores,Luis; Pe?a Barthel,Javier de la;
Actas Urológicas Espa?olas , 2009, DOI: 10.4321/S0210-48062009000100010
Abstract: laparoscopic live donor nephrectomy is a rare operation in our country because the complexity of the technique and the expansion of the cadaveric donor. we present our open and laparoscopic live donor nephrectomy from 1984. material and methods: from 1984 to 2007 we have done 84 live donor nephrectomies; 64 open, 20 laparoscopic surgeries. the transperitoneal approach is preferred in laparoscopy and lumbotomy for the open surgery. results: in the open technique the operating time is 112min (70-155), ischaemia time 20 seconds (15-47) and postoperative hospital stay 4,8 days (3-9). laparoscopic cases, the operating time is 146 min (90-210), ischaemia time 3 min 15 sec (2-3,25 min) and postoperative hospital stay 3,4 days (2-9). conclusions: the laparoscopic live donor nephrectomy is a difficult and demanding technique. it should be done by experienced team in laparoscopic renal surgery. the kidney from a live donor is a very good alternative for the cronic renal failure. it should be offered in our main hospitals.
Characterization of Peaks and Valleys of Electricity Demand. Application to the Spanish Mainland System in the Period 2000-2020  [PDF]
Fermín Moreno
Energy and Power Engineering (EPE) , 2011, DOI: 10.4236/epe.2011.34066
Abstract: Energy planning must anticipate the development and strengthening of power grids, power plants construction times, and the provision of energy resources with the aim of increasing security of supply and its quality. This work presents a methodology for predicting power peaks in mainland Spain’s system in the decade 2011-2020. Forecasts of total electricity demand of Spanish energy authorities set the boundary conditions. The accuracy of the results has successfully been compared with records of demand (2000-2010) and with various predictions published. Three patterns have been observed: 1) efficiency in the winter peak; 2) increasing trend in the summer peak; 3) increasing trend in the annual valley of demand. By 2020, 58.1 GW and 53.0 GW are expected, respectively, as winter and summer peaks in a business-as-usual scenario. If the observed tendencies continue, former values can go down to 55.5 GW in winter and go up to 54.7 GW in summer. The annual minimum valley of demand will raise 5.5 GW, up to 23.4 GW. These detailed predictions can be very useful to identify the types of power plants needed to have an optimum structure in the electricity industry.
Tratamiento endourológico percutáneo de litiasis ureteral obstructiva en injerto renal
Ramón de Fata Chillón,F.; Nú?ez Mora,C.; García Mediero,J.Ma.; Alonso Dorrego,J.Ma.; Hidalgo Togores,L.; Pe?a Barthel,J.J. de la;
Actas Urológicas Espa?olas , 2003, DOI: 10.4321/S0210-48062003000100008
Abstract: donor graft lithiasis is a unusual complication of renal transplantation, however, it is associated to a high morbidity. this pathology is due to several causes such us: metabolic factors, infectious disease, drugs, foreign bodies or transferred in the donor graft. the objetive of the treatment is to remove the lithiasis without damaging the renal unit. we report the succesful percutaneous anterograde treatment of an ureteral obstructive hard calculi, in renal allograft.
Ureterorrenoscopia (URS) flexible: técnica y resultados
Cansino Alcaide,José Ramón; Reinoso Elbers,Javier; López Sánchez,David; Pérez González,Sonia; Aguilera Bazán,Alfredo; Rando Tous,Alberto; Hidalgo Togores,Luís; Pe?a Barthel,Javier De La;
Archivos Espa?oles de Urología (Ed. impresa) , 2010, DOI: 10.4321/S0004-06142010001000006
Abstract: objectives: this paper has two main objectives: first, to expose the urs technique used in our department because there are important differences with respect to others centres published, explaining same aspect that can benefit to the better development of the technique. second, we present the results of a series of 100 cases. flexible ureterorenoscopy (flex urs) has been little used to date, mainly because of the technical difficulties created by the deficient quality of the instruments used, such as ureteroscopes offering scant visibility, poor illumination, a small working channel, deficient quality of the forceps and baskets, etc. methods: we present our recent series of flexible urs for the treatment of renal lithiasis. we performes a retrospective analysis of this treatment corresponding to the period between january 2007 and march 2010. in this period we have treated 100 patients. the medium size of the stone treated is 1.5cm (0.5-6cm) and we used ureteroscopic protector sheath in all cases. the lithotripter system used in all cases was ho:yag laser with 200 and 365 micras fibers results: the stone-free rate (sfr) in the immediate postoperative period was 77% (77/100 patients). residual stones, defined as stone fragments visualized in the operating room via fluoroscopy and directly with the flexible ureteroscope. three months after surgery, the sfr was 92.7% (89/96 patients) confirmed by intravenous urography. regarding complications, we had 5 patients with ureteral lesions during protector sheath pass and 9 patients that presented at the emergency room with pain secondary to the double j catheter. conclusions: flexible urs for of renal lithiasis can be defended in stones measuring up to 2 cm in diameter, based on our treatment algorithm.
Estenosis ureterointestinales: Tratamiento endourológico
Cansino Alcaide,José Ramón; Pacios Cantero,José Carlos; Alonso y Gregorio,Sergio; Cáceres Jimenez,Felipe; Sánchez Rodriguez,Carlos; Aguilera Bazán,Alfredo; Hidalgo Togores,Luis; Pe?a Barthel,J. Javier De la;
Archivos Espa?oles de Urología (Ed. impresa) , 2005, DOI: 10.4321/S0004-06142005000500009
Abstract: objectives: to review the outcomes of the ureteroenteric strictures treated by endourological techniques in our department, and to compare our long-term results with other reported series with similar follow-up and number of patients. methods: we retrospectively reviewed 27 ureteroenteric strictures treated from march 1994 to june 2003, with a mean follow-up of 30.2 months (1 day-53 months). 13 cases underwent ballon dilation + permanent double j catheter(3 of them antegrade) 8 patients underwent endoscopical incision + double j catheter (5 of them with acucise? results: 12/21(57,14%) renal units improved and/or remained stable. we emphasize the absence of peroperative complications except 1 case that had a very poor oncological prognosis and died of septicemia 1 day after balloon dilation. conclusions: endourological treatment of ureteroenteric strictures has demonstrated to provide good fuctional results on the short and midterm in patients that open surgery, although being the treatment of choice, would be too aggressive due to their disease, age, morbid conditions,…
Tratamiento de la litiasis con láser en condiciones especiales
Cansino Alcaide,J. R.; Hidalgo Togores,L.; Cabrera Castillo,P. M.; álvarez Maestro,M.; Aguilera Bazán,A.; Rodríguez de Bethencourt Codes,F.; Pe?a Barthel,J. J. De la;
Archivos Espa?oles de Urología (Ed. impresa) , 2008, DOI: 10.4321/S0004-06142008000900022
Abstract: during the last decade there has been a rapid development in flexible nephroscopy, flexible ureterorenoscopy, laser lithotripsy and instruments for stone manipulation. we are going to review the use of laser in the management of lithiasis in different situations. efforts should be made to minimize renal injury and lasers play a significant role in patients with urolithiasis and horseshoe kidneys, chronic renal failure, neurological patients.
Schramm,Fermín Rolando;
Acta bioethica , 2003, DOI: 10.4067/S1726-569X2003000100009
Abstract: to evaluate the promises of human cloning, both therapeutic and reproductive, we can start from two pertinent points of view: health and secular bioethics. under the point of view of health, though public prevention and health promotion policies, adequate to objective existing conditions, they try to protect human population from unnecessary diseases. secular bioethics seeks to understand the ethics of cloning through rational analysis, free from the moral implications of its use; and if the conclusion is that it is legitimate, to propose it like a tool to protect human health. in spite of their apparently very different functions, both therapeutic cloning and reproductive cloning seek to respond to the challenge of unnecessary human suffering: therapeutic cloning, thanks to the technique that uses totipotent stem cells, seek to grow organs and tissues to eliminate avoidable suffering; reproductive cloning may also diminish forms of unnecessary human suffering and if can, therefore, to be considered a particular case of therapeutic approach
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