• More than 40 years of experience• Responsible in the Urology Institute Serrate of the Ultrasound Diagnostic Unit of the urinary and abdominal apparatus (current)
• Specialist in the Servei Català de Salut specializing in the digestive system simultaneously with care and radiological work in the White Cross• Specialist in Gastroenterology, Nutrition and Digestive Radiology in the Department of Gastroenterology of Professor F. Vilardell in the Hospital of Santa Creu i Sant Pau• Ultrasound training at the Hospital de Sant Pau ...
• Bachelor of Medicine and Surgery from the University of Zaragoza
*Translated with Google translator. We apologize for any imperfection
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Ultrasound is a diagnostic imaging procedure that allows you to view organs and soft structures within the body. It is made using high-frequency
Ultrasound is a diagnostic imaging procedure that allows you to view organs and soft structures within the body. It is made using high-frequency sound waves that are emitted by a transducer that captures the echo of different amplitudes which occurs bounce off the organs. These signals, when processed by a computer, give a series of images of the tissues examined. Today may be two-dimensional, three-dimensional or 4-dimensional images. Ultrasound is a noninvasive technique, in which no radiation used and thus is used to visualize fetuses that are being formed. This procedure can differentiate clearly the shape and size of each structure within the body. In medicine it is used to see the heart, kidneys, liver and blood vessels, among other organs.
It is called andropause to the progressive decrease in sexual function in men. While women experience a rapid change in fertility (menopause ) in men It is called andropause to the progressive decrease in sexual function in men. While women experience a rapid change in fertility (menopause ) in men occurs gradually, and is the process that describes andropause. it loses potency because of natural decrease in testosterone levels in the body. Symptoms include, among others, irritability, insomnia, depression, anxiety, bone deterioration, circulatory problems, decreased sex drive, low sexual desire, and reduction in the strength and volume of ejaculation. The treatment of andropause, which in most cases is not necessary, usually to supply testosterone orally or by intramuscular injections.
Balanitis is an inflammatory disease that occurs on the surface of the glans and foreskin. The causes can be bacterial infection or irritation. The moBalanitis is an inflammatory disease that occurs on the surface of the glans and foreskin. The causes can be bacterial infection or irritation. The most common symptoms are: swelling; itch; erythema; pain; irritation; presence of vesicles; narrowing of the foreskin (phimosis); difficulty urinating; bleeding. Treatment is usually based topical antimicrobials or creams containing cortisone. In particularly severe cases, the patient will have to undergo circumcision surgery.
The bladder is a hollow organ in the lower abdomen whose main function is to store urine before it is expelled from the body. Bladder cancer occurs whThe bladder is a hollow organ in the lower abdomen whose main function is to store urine before it is expelled from the body. Bladder cancer occurs when cells cancersosas in the inner membrane of this body are formed, and its symptoms are painful urination or lower back, frequent urination and blood in the urine. The main risk factors are smoking and exposure to certain chemicals, along with a family history of the disease. This type of cancer can be limited to the lining of the bladder, and then called surface or spread through the lining of the bladder and even to nearby organs, which are called invasive in this case. Treatment depends on the severity and type of cancer, but may generally include radiation therapy, chemotherapy and / or surgery.
Circumcision is the total or partial excision of the foreskin, which is the skin that covers the tip of the penis by a surgical procedure. It is effective to correct disorders such as phimosis (which prevents the foreskin can be retracted and thus discover the glans) and paraphimosis (most often due to an inflammation of the foreskin) treatment. Circumcision is widespread universally, and many parents prefer to practice in their newborns, not a prescription, but for cultural reasons. This is a very simple operation, which lasts only a few minutes, and does not require general anesthesia. The recovery of the patient is also very fast, within a few days and can lead a normal life.
Cystectomy is the removal of the vejiga.Si the reason for the operation is bladder cancer, bladder and all the surrounding tissue is removed. If due to a benign disease, only a portion thereof is removed
Cystitis is inflammation of the urinary bladder. You can be infected or not. Its main symptoms are burning sensation during urination, a strong urge to urinate, blood in urine and discomfort in the pelvic area. Cystitis caused by a bacterial infection is usually treated with antibiotics. Cystitis is more prevalent in women because they have shorter urethra and is closer to the anus.
Cystocele hernia is a protrusion or bladder into the vaginal canal. It occurs when the muscle that supports the bladder wall is so weak that it is unable to maintain its normal position, so the bladder tends to move down. This weakness can cause urine leakage from the bladder when abdominal pressure increases, which is what happens when you cough or sneeze, for example. Cystocele is relatively common in women after age 40 disorder, and the likelihood increases with age at menopause, after a particularly difficult birth and when obesity, among other reasons. In mild cases, treatment consists in performing Kegel exercises, which strengthen the pelvic floor muscles. Surgery is needed in severe cases or when they fail those years.
Under the term endoscopic surgery, various techniques of direct observation of the inside of a body cavity or grouped using an optical instrument (lighted tube connected to a video camera and a television monitor) that is inserted through natural orifices human body or abdominal wall, such as hysteroscopy and laparoscopy. Gynecological endoscopic surgery allows diagnosis and treatment of diseases peculiar to this field. It is a minimally invasive surgery that has meant an advance over traditional open surgery, because it is a much more reliable and accurate technique, have fewer subsequent traumas and also the aesthetic results are better.
¿Qué es una endoscopia digestiva?
Una endoscopia digestiva, conocida también como gastroscopia, es una prueba que se utiliza para diagnosticar e iniciar el tratamiento de enfermedades del aparato digestivo superior: esófago, estómago y el duodeno.
La endoscopia se lleva a cabo a través de un endoscopio que se introduce por la boca hasta que llega al intestino y permite a los especialistas observar por la cámara que se encuentra en su extremo.
A su vez, el propio endoscopio cuenta con diversos canales en su interior por el cual se pueden introducir instrumentos que dan la posibilidad de realizar a la vez otras pruebas, como por ejemplo una biopsia o llegar a hacer tratamientos, como serían la extirpación de pólipos o nódulos y la cauterización de vasos sanguíneos sangrantes.
¿En qué consiste una endoscopia?
Una endoscopia digestiva consiste principalmente en una exploración del tubo digestivo superior, es decir, estómago, esófago y duodeno a través de la introducción de un endoscopio a través de la boca. El endoscopio es un instrumento flexible con una lente y una cámara en su parte final. Las imágenes que capta en tiempo real se muestran en monitor conforme avanza el endoscopio.
Su duración gira en torno al cuarto o a la media hora, aunque en el caso de que se encuentren aspectos inesperados o se ha de tomar algún tipo de tratamiento terapéutico o biopsia.
¿Por qué se realiza una endoscopia digestiva?
Existen diversos motivos por los cuales se puede llevar a cabo una endoscopia digestiva. Son los siguientes:
Analizar problemas del esófago, tales como esofagitis, estrechamientos o tumores
Analizar problemas del estómago: gastritis, tumores y úlceras gástricas
Diagnóstico de hernia de hiato y/o de reflujo gastroesofágico
Cirrosis hepática: en estos casos pueden darse engrosamiento en las venas del estómago y del esófago, las llamadas varices esofágicas
Hematemesis: para encontrar la causa de los vómitos con sangre
Se utiliza en casos de anemias por falta de hierro y existe sospecha de que hay pérdida de sangre en el tubo digestivo
Muestras para diagnosticar celiaquías o infecciones bacterianas
Para llegar a la salida de la vía biliar del duodeno y diagnosticar enfermedades.
A su vez, la endoscopia digestiva posee otras particularidades al margen de diagnosticar problemas en el aparato digestivo, ya que se puede utilizar para fines terapéuticos en algunos casos:
Retirar cuerpos extraños que se pueden haber quedado en el intestino superior
Dilatar el esófago en el caso de que exista un estrechamiento
Extirpar pólipos del intestino
Cauterizar vasos sangrantes o ligando varices esofágicas que puedan sangrar
Preparación para una endoscopia digestiva
La endoscopia digestiva o gastroscopia no es un procedimiento que requiera una gran preparación para llevarla a cabo.
El paciente debe evitar ingerir comida o bebida durante las ocho horas anteriores al examen, así como dejar su medicación habitual salvo que el especialista indique lo contrario.
Por otro lado, salvo norma general, al paciente no se le administrará ninguna medicación antes de la prueba, aunque en ocasiones se puede aplicar un anestésico local en la garganta para reducir las posibles náuseas.
Existen también casos en los que se administrará sedación intravenosa para relajar al paciente.
¿Qué se siente durante el examen?
La gastroscopia es una prueba indolora, y apenas dura entre tres y cinco minutos. Pese a tratarse de una prueba que no es dolorosa, el paciente notará molestias mientras se introduce el endoscopio, sintiendo constantes náuseas.
Una vez terminada la exploración, el paciente sentirá molestias en su garganta, que estará entumecida. El paciente puede tener gases debido al aire ingerido, pero estos desaparecerán rápidamente.
Significado de resultados anormales
La de la endoscopia digestiva es una prueba bastante segura en la que apenas aparecen complicaciones. De hecho, las posibles complicaciones aumentan en el momento en el que el endoscopio se utiliza para aplicar algún tipo de tratamiento.
Las posibles complicaciones serían la perforación, reacciones medicamentosas, hemorragias, alteraciones cardiopulmonares…
Avances en endoscopia
Los avances tecnológicos permiten explorar vías que antaño eran imposibles, como la vía biliar o la vía pancreática. Así, gracias a esto se pueden diagnosticar y tratar problemas que antes requerían una intervención quirúrgica.
En las zonas en las que el endoscopio no llega, existe la llamada cápsula endoscópica, que se ingiere como si fuese una pastilla y trasmite imágenes del interior del aparato digestivo a un monitor sin que el paciente sienta molestia alguna.
Endourology is the set of techniques used in minimally invasive surgery in urology. Diagnostic, therapeutic, transurethral, percutaneous, endoscopic or imaging maneuvers are some techniques that can be performed in Endourological. This treatment is implemented through the urinary tract.
Erectile dysfunction is the difficulty or inability to achieve or maintain a penile erection resulting in a successful sexual intercourse. It is also known as impotence, but now it has stopped using the term in the medical field. It affects many men and increases with age, but to consider an alteration is necessary to manifest persistently. The most common causes of erectile dysfunction can be both physical and psychological, or a combination of both. They can be of vascular type: men with an index of high cholesterol, smoking, diabetes or who have been treated with radiotherapy. Neurological disorders (Alzheimer's, for example) and hormonal (by utilizing medication) are given a lesser extent. There may also be a cause of affective: patients with severe forms of depression or anxiety often have erectile dysfunction. The treatments besides medication, usually include changes in lifestyle, such as quitting smoking and exercising regularly.
Extracorporeal Lithotripsy is a medical procedure that uses chocque waves (ESWL) to break up stones in the kidney, vegija or ureter (the tube that carries urine to the bladder). After the process, the tiny pieces of stones pass out of the body through the urine. Extracorporeal shock wave lithotripsy (ie outside the body) shock wave is the most common type of lithotripsy. Often, patients are placed under general anesthesia during the process, which usually lasts between 45 minutes and an hour.
The green laser is a minimally invasive prostate therapy to treat benign prostatic hypertrophy. It is an extremely effective and safe method for patients. In addition, its advantages, there is no bleeding after surgery and produces necrosis.
Cystitis is inflammation of the urinary bladder. The term interstitial cystitis (also called interstitial cystic) is used to designate cases in which the condition is chronic. It is far more common in women than in men, and the cause is unknown, although it is known that it is not caused by bacterial or viral infections. People affected by this type of cystitis wall have completely swollen and painful bladder, which causes scarring of the bladder or causes stiffness, resulting in the inability to expand as it fills with urine. Symptoms vary widely, but typically include pulse urgency to urinate, urinary frequency, and even pain during intercourse. There is no definitive cure for interstitial cystitis, so treatments are usually focused on improving symptoms, and may include diet, exercise bladder control, medication, physical therapy, etc.
Kidney cancer is a malignant tumor that involves the uncontrolled spread of cancer cells in the renal tubules. It is a disorder that affects mainly to adults over age 50 and men generally. The most common risk factors include smoking, hemodialysis and other genetic reasons (the exact causes are unknown). Symptoms of a kidney tumor usually the appearance of blood in the urine, pain in the lumbar area (near the diseased kidney), weight loss and abdominal weight gain. However, the majority of renal tumors are asymptomatic and tend to randomly detected from an x-ray test done for other reasons. It is a cancer that is detected early can be cured, and that because humans can live with one kidney, you can proceed to the removal of the malignant tumor organ to stop. But, when it is detected metastases (tumor spread to other organs) other specific treatments should be made to halt the spread of cancer cells.
Kidney stones or kidney stones are small crystals that form in the kidney. Symptoms appear when the stones down the ureters, the tubes that carry urine to the bladder.
The calculations are solid pieces of variables aspects mainly form at the expense of salts contained in body fluids. When the calculations are formed or accommodated in any area tract or urinary tract it speaks of urolithiasis. More specifically, when formed in the kidney, they called renal or kidney stones, and form due to waste products from the urine. They vary in size from the size of a grain of sand to a stone of considerable proportions. Moreover, in most cases, kidney stones leave the body without medical intervention, but can also remain in the kidney or urinary tract scroll through and get stuck, blocking the urinary tract and causing great pain. As for treatment, they are usually given painkillers, but has caused a blockage, it is necessary to resort to surgery.
Kidney transplant is an operation that involves removing a kidney from a previously healthy individual (from a living donor or a cadaver) for placement in a patient who requires, usually caused by chronic kidney disease in the terminal phase. During the operation, the surgeon connects the artery and renal vein of the lower abdomen to the new kidney. The transplanted kidney begins to produce urine as blood starts to flow and makes the spoils function which was deficient, which can suspend the dialysis treatment. The operation is technically simple and after it the patient can lead a normal life, but need to take drugs for the rest of his life to prevent his body from rejecting the new kidney.
Lithotripsy is an intervention designed to achieve a bladder stone broken into fragments smaller. Laser lithotripsy is a new technique that allows the fragmentation and removal of stone in a single surgical procedure. Has significant advantages over traditional techniques, such as extracorporeal lithotripsy, because it is less invasive, they can treat all types of calculations and achieved total fragmentation of the calculation in a single session.
Infertility is the inability to father children after a period of 12 months or more keeping unprotected sex. This term should be distinguished from sterility, which is the absolute inability to achieve pregnancy. According to the World Health Organization, infertility affects 15% of couples. In approximately 40% of cases, it is male infertility; in another 40%, the problem comes from the woman, and the remaining 20% either of the two, or unspecified causes. The causes may be varied: genetics, immune, endocrine, toxic, infectious, etc. So both partners must undergo medical tests. Treatment may include techniques such as in vitro fertilization, artificial insemination, transfer of zygotes to the fallopian tubes, intracytoplasmic sperm injection.
Kidney removal surgery or nephrectomy is to remove all or part of a kidney. This surgery is done in the hospital while you are asleep and pain-free (general anesthesia). The procedure can take 3 hours or more.
No-scalpel vasectomy and needles is an intervention without surgical incision to perform the partial removal of the vas deferens, which are the tubes that carry sperm out of the testes. It is one of the most simple and effective contraceptive methods. Unlike a traditional vasectomy, which knife is used, this technique is performed with collets, causing the opening of the skin separating the fibers, not by cutting. The advantage is that patients have less pain and bleeding during surgery and less bruising, infections and other possible postoperative complications. In addition, not having to make cuts, no scarring.
Enuresis is the medical to describe what is commonly known as bedwetting term. It is quite common during childhood, and is more common in boys than in girls. Bedwetting is not caused by taking too much fluid before bedtime, or by a mental or behavioral problem, but has other causes: genetic factors, difficulty waking, urinary tract infections and slow development of the central nervous system , among others. Childhood nocturnal enuresis can occur because the child's bladder is too small; also because the amount of urine produced at night is greater than your bladder you can hold, or simply because they need more time to learn to control this body. As for treatment, usually drugs that help the bladder hold more urine only when the previous behavior therapy has not worked is used.
Pediatric urology and pediatric urology is the subspecialty within urology dedicated to the prevention, diagnosis and treatment of congenital malformations of the genital and urinary tract of children and adolescents. Most urological clinical problems in childhood are different in many respects to those seen in adults, there is the need for a specialized medical staff who care for them. Pediatric urology pathologies handles and processes such as phimosis, varicocele, urinary tract infection, vesicoureteral reflux, hydronephrosis, undescended testes, hypospadias, stones, trauma, congenital genitourinary malformations, typical tumors of childhood, etc. However, testicular cancer, cancer of the bladder and urethra cancer are more suited to adults than children.
What is pelvic floor reconstructive surgery?
Reconstructive surgery of the pelvic floor is a surgical intervention oriented to the repositioning of the internal organs of the female genital tract.
Reconstructive surgery of the pelvic floor can be performed in different ways: via vaginal, abdominal, laparoscopic or by combining the previous ones
Why is it done?
The objective of pelvic floor reconstructive surgery is to position the pelvic structures in order to correct urinary and / or faecal incontinence, pelvic pathologies and pelvic symptoms, as well as to protect sexual function.
What does it consist of?
Pelvic floor reconstruction surgery is performed to hold the internal organs of the female pelvis: uterus, bladder and rectum. This procedure is performed with a polypropylene mesh, so that genital problems are corrected. It can be performed in different ways: vaginal, abdominal, laparoscopic (minimally invasive) or by combining the previous ones. The most usual way to do it is through the vaginal route.
Preparation for pelvic floor reconstructive surgery
The best option for the patient before facing pelvic floor surgery is to undergo a vaginal physiotherapy treatment, in order to strengthen the musculature of the area for the intervention.
Care after the intervention
Being a minimally invasive surgery, recovery is faster and better with less time in the operating room. Patients can return to their daily life a week after having undergone the operation.
A prosthesis is specially designed to replace a body part either missing or to make it work better device. In the case of penile prosthesis it serves to hold this body straightening and also helps them erections last longer. When other medical treatments for impotence have not proved satisfactory and comfortable, the penile prosthesis is often a good choice. There are two main groups: the flexible and inflatable. The first, of silicone or polyurethane, are introduced into number two within the corpora cavernosa of the penis, allowing an erection firm enough for penetration to occur. The size of the prosthesis fits the penis, and all parts are invisible as are inserted under the skin. Such air or hydraulic work by a similar mechanism that occurs during erection and allow natural sagging state. The choice of one type or another depending on the type of patient.
The penis enlargement is a treatment that involves applying traction mechanisms for increasing the size of the flaccid penis. The penis, like any other organ, may differ in their morphology (length and diameter). According to statistics, flaccid length is between 6 and 10 cm; when erect, between 12 and 18 cm. Although only considered micropenis who has a long erect exceeding 8 cm, above which does not give rise to problems during sex, many men are obsessed with the size to the point of making it a psychological problem.
Peyronie's disease (also known as Peyronie syndrome) occurs when the area of fibrosis (scar) in the corpus cavernosum penis is formed. That area loses elasticity, and not stretch when the corpora cavernosa to fill in the erection, the penis is bent toward the scar. This curvature can become painful and even prevent intercourse. Although the average age of men affected is 50, also it occurs in young people. The exact cause of this disease is unknown, but can result from trauma when the penis is erect, such as during intercourse. Studies have linked the syndrome of Peyronie with an impaired immune system of man. In an initial phase, the treatment consists of drugs, but if the disease progresses and continues bowing of the penis, surgery may be necessary.
Phimosis is a condition in which there is congenital or accidental of the foreskin of the penis ring narrow, which makes it impossible to retract to show the glans. It is common in children and can sometimes be caused by forced retraction of the foreskin at an early age. It can also be caused by an infection or scars that form after injury. Phimosis can be corrected by a simple surgical procedure called circumcision, which involves removing excess skin around the glans (bridle), permanently leaving it exposed. Instead, parafimosis is unable to return the foreskin over the glans. Usually causes pain and some swelling, and usually occurs in children or the elderly who have not been circumcised.
Early or premature ejaculation is a dysfunction that is premature expulsion of semen during intercourse. It occurs when there has been minimal sexual stimulation or when not controlled enough to maintain vaginal penetration for the desired time. It is relatively common and the causes are usually psychological, rather than physical: such as stress, depression, lack of confidence with a sexual partner, nervousness, excessive excitement, etc. Physical causes may originate in a low amount of serotonin. In this case, drugs that regulate the production of this substance in the brain are used. But usually the treatment involves psychological therapy.
Cryosurgery is a minimally invasive treatment that is currently used to treat prostate and renal cancer, in order to avoid undergoing surgery or radiotherapy. Besides being used when patients do not want to be treated by open surgery or radiation therapy, it can also be used as secondary treatment when the above fail. This technique is less invasive because it uses ultrafine needles small size, similar to those used in biopsies, to destroy the tumor. This is an intervention that does not exceed two hours, which does not avoid contact with others affected, which allows a speedy recovery and is usually done with epidural anesthesia. In the case of prostate tumors, it is customary to use cryosurgery in patients who have a high degree of malignancy, and with small prostates. The aim is to freeze the entire prostate to destroy all the cancer detected inside. With regard to kidney tumors, cryosurgery is also used to freeze all cancer contained in said body and can only be applied in small tumors (less than 4 cm).
Prostate biopsy is a test that involves obtaining small samples of the prostate to see if this growth is benign or malignant. Thus, it is possible to determine and ascertain whether or not the patient has prostate cancer. During the process, the doctor inserts a needle through the wall of the rectum into the prostate. When removing the needle, a small cylinder of prostate tissue is removed. This action is repeated 8 to 18 times, although in general the most common is to be performed 12 times. To carry out the test, which lasts only 10 minutes, the patient will need to have taken antibiotics the days before and the day after surgery to prevent infection.
Prostate cancer occurs when abnormal cells grow in the prostate, which is a male sex gland located below the bladder and above the rectum, responsible for producing seminal fluid. It is one of the most common cancers in men, and the odds of suffering increases with age. In its initial stage, symptoms such as difficulty and pain when urinating, frequent urination, inability to urinate, blood in urine, painful ejaculation, pain in the lower back and pelvis that does not go away with time, loss Unintentional weight, etc. Treatment options depend on the stage of the cancer and health status of the patient, but usually include surgery, chemotherapy and radiotherapy.
La prostatectomia è l’intervento con il quale si rimuove, parzialmente o totalmente, la ghiandola prostatica. Solitamente, la prostatectomia rappresenta il trattamento principale per il tumore alla prostata. L’operazione può venire effettuata con tecniche tradizionali, a cielo aperto, o con tecnica laparoscopica.
The prostate is a male sex gland located below the bladder and above the rectum, and is responsible for producing the seminal fluid. The BPH occurs when you increase the size of the prostate gland due to a hormonal imbalance in men: increase female hormones (estrogen) on male hormones (testosterone). Usually occurs in people over 70 years and among the symptoms that appear gradually, are: difficulty urinating, frequent urination, urgent feeling to urinate, need to press for emptying the bladder, etc. In severe cases, prostate hypertrophy can produce absolute inability to urinate, blood in urine or impaired kidney function. Is usually treated with medications (hormones) and, in more severe cases, surgery.
Prostatitis is inflammation of the prostate, a gland below the bladder of man, and that helps make semen. It is one of the most common disorders of the male genitourinary system, caused, in most cases, by bacterial infection, either chronic or acute. Other inflammatory conditions of the prostate may be chronic nonbacterial prostatitis (producing perineal or pelvic pain) and asymptomatic inflammatory prostatitis (the symptoms are not obvious). The most common symptoms that can lead us to think that there is an inflammation of the prostate are associated with urinary disorders. When the cause is an infection, it is treated with antibiotics for several weeks to remove bacteria from the prostate.
Robotics and robotic surgery is that surgery done using robots. It is a very technologically advanced technique that allows the surgeon to perform surgical procedures in a very precise way. The surgical instrument is attached to the robot arms, and the specialist handled by remote control, ie, no need to be in the operating room in person, since you can control everything through a computer station. The robot reproduces the movements of the surgeon. The advantages of robotic surgery over traditional open surgery is that, to make minor and precise incisions, recovery time and pain associated with surgery is less. Robotic surgery in urology is used as a treatment in prostate cancer and bladder cancer, among other diseases.
Shock waves have a therapeutic effect and causing a regeneration of injured or diseased tissues. Shock waves are acoustic waves having high power mechanical and biological effects. Such treatments are primarily used for treatment of diseases which require tissue regeneration.
Penile frenulum is the skin fold task of binding the underside of the glans with the inner surface of the foreskin. Its function is to help contract the prepuce over the glans. We speak short or short bridle when the frenulum is so short that restricts movement to do the foreskin, leading to discomfort during sexual activity. One consequence is that you can get to tearing, causing pain and some bleeding, which is not a medical emergency if complicated but requires medical treatment. There are different methods for this: from the use of corticosteroid creams and conducting exercises bridle manual extension until restorative plastic surgery (fenuloplastía), elimination (frenectomy) or circumcision.
A ectopia is an anomaly of the situation of an organ or a part thereof. When we talk about testicular ectopia, we refer to the anomalous position of a testicle caused by the lack of decline. That is, the testis has taken a different approach and have fallen through the abdominal cavity to settle in the area prepubiana in perineal position, etc., rather than in the scrotum. The difference between the testicular ectopia and cryptorchidism (or hidden testicle) is that in the latter case the testicle has not descended completely, so not in its normal position within the scrotum either. In the one case as in the other, you can perform early surgical treatment, from two years old to correct this anomaly.
This surgery involves removing the affected area, followed by a reconstruction of the urethra. Results vary depending on the size and location of the stenosis, and the surgeon's experience. In cases of acute urinary retention, you can place a super-pubic catheter as emergency treatment. This allows the bladder to drain through the abdomen. There is currently no drug treatment for the disease. If no other treatment works, it can perform a urinary diversion, called a appendicovesicostomy (Mitrofanoff procedure). This allows you to drain the bladder through the abdominal wall via a catheter.
Urinary incontinence is the inability to control the bladder, which means that you can not always hold urine. It can affect anyone, but is most common in people over 50 years. Most control problems occur because the muscles that keep the bladder are too weak or too active. If they are weak, small amounts of urine to perform actions such as laughing or coughing are lost, which is known as stress incontinence. On the contrary, if they are too active, you can have an urgent need to go to the bathroom while having little urine in the bladder (urge incontinence or overactive bladder). Other causes include prostate problems and neurological damage. The treatment of urinary incontinence depends on the cause and type, but in general usually includes simple exercises, medicines and special devices. Surgery may be helpful at times.
Urodynamics or urodynamics study is a test to know the functioning of the lower urinary tract, that is, how it is stored and eliminates urine. It is used to diagnose diseases such as urinary incontinence, neurological diseases affecting the urinary tract, urinary infections, etc. The test consists of several parts. First, the patient must urinate into a container called a flow meter, which measures the amount and speed of urine. After a probe is placed through the urethra using a numbing gel that reaches the bladder, and is used to measure pressure and filled with sterile saline. Finally, urinate around the tube, which is then removed. This is a total which lasts about 30 minutes simple procedure.
Trauma is an injury to an organ or tissue due to actions or external causes. Urogenital trauma refers to injuries in the genital and / or urinary. In this case, the organ is damaged more often is the kidney, followed by the bladder, urethra, testicles and ureters. In addition, there are two types of urogenital trauma. On the one hand, they are called closed, which are the most common, and include injuries from falls from heights, traffic accidents, sports injuries and direct hits on the external genitalia. Moreover, open trauma, caused mainly by stab wounds and fire or abdominal surgery is contemplated.
Laparoscopy is a surgical technique inspection of the abdominal cavity that does not require large incisions. During the procedure, the abdomen is introduced into a laparoscope, which is a tube containing an optical system coupled to a light source. The camera allows the doctor to inspect, from a monitor, the pelvic organs and, if necessary, introduce other instruments through the same laparoscope to correct any problems. The advantages of laparoscopy in urology are many, such that shorter hospital and recovery is required, there is less chance of infectious complications, decreases postoperative pain and no visible scarring. Laparoscopy is mainly used in processes such as prostate cancer or some renal diseases.
A varicocele is a varicose vein tumor formed by an (unusually swollen vein) or a group of varices, usually located in the scrotum or in the spermatic cord. Usually develops during the course of puberty, most often on the left side of the scrotum, and although it is usually not harmful, in some people it can damage the testicles or decrease sperm production. If testicular varicocele causes infertility, surgery, called varicocelectomy, which involves cutting the affected veins for blood flow is performed. An alternative to surgery is varicocele embolization, which makes a much smaller incision and involves placing a catheter into the vein.
Vasectomy is the partial or total removal of the vas deferens of man, which are the tubes that carry sperm out of the testes. What it does is clog the channel sperm, and therefore prevent sperm out of the testes. So it is an effective method for birth control, since women can not become pregnant, but is not recommended in the short term, because for a while there remain stored sperm. This is a simple outpatient surgery, in most cases, in which local anesthesia is used. Recovery takes less than a week. After vasectomy, the man can still have orgasms and ejaculate semen.
Vasovasostomy refers to surgery that is used to reverse a vasectomy and restore fertility to recover the ability to have children. The surgical technique is to rejoin the sealed segments during vasectomy to allow the passage of sperm during sex and pregnancy consent. The main reason to reverse a vasectomy is the desire to have children with a new partner. The operation is complex, so it must be done with a specialist andrologist in microsurgery. The procedure lasts 2 to 4 hours, and discomfort can be extended to 2 or 3 weeks after surgery. May again not have sex until 10 days after surgery.
Source: All information contained on this page as well as office hours available, are provided directly by the doctor who has the ability to update them at all times in order to keep the information as accurate as possible.
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Tue 24 Jul.
Wed 25 Jul.
El Dr. Vericat Porcar no atiende a pacientes, sólo realiza pruebas diagnósticas. Sus citas serán atendidas por otro miembro del equipo médico.
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