Fractura de pene con rotura asociada de uretra

Ibarguren, Roberto Llarena; Mateos, Ainara Villafruela; Arin, Igor Azurmendi; Fernández, Jorge García; Peña, Carlos Pertusa

doi:10.4321/s0004-06142006000700010

Cited by 6 publications

(1 citation statement)

References 17 publications

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“…Typically, actin muscle specific and desmin immunomarkers are positive, while reactivity to vimentin and protein S100 are negative. [Llarena Ibarguren et al 2004]. Interestingly, some spermatic cord leiomyosarcomas have been found to produce β human chorionic gonadotropin [Llarena Ibarguren et al 2004].…”

Section: Histological Typesmentioning

confidence: 99%

Management of spermatic cord tumors: a rare urologic malignancy

Rodríguez

Olumi

2012

Therapeutic Advances in Urology

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Primary spermatic cord tumors are rare yet clinically significant urologic lesions that affect patients of all ages. They are the most common tumors of the paratesticular region and generally present as asymptomatic, slow growing, firm, palpable paratesticular masses. Although most of them are benign comprised primarily of lipomas, approximately 25% are potentially life-threatening malignant tumors. The most common reported malignant histological types include liposarcomas, leiomyosarcomas, rhabdomyosarcomas, malignant fibrous histiocytoma, and fibrosarcomas. Management of these malignant tumors has been difficult because of their rarity, therefore there is little consensus regarding optimal surgical and adjunctive treatment strategies. It is recommended that radiological techniques such as scrotal ultrasound (US), computed tomography, and magnetic resonance be used to evaluate these masses before surgery. The curative treatment of choice is radical orchiectomy with high cord ligation and wide excision of surrounding soft tissue structures within the inguinal canal. Patients with inadequately resected disease should undergo a reoperative procedure for wide inguinal re-resection. Retroperitoneal lymphadenectomy is recommended when there is preoperative evidence of retroperitoneal lymph node metastasis and as an adjuvant treatment for rhabdomyosarcomas since they have a higher propensity for lymphatic spread. Adjuvant treatments, such as radiotherapy and chemotherapy, have shown little efficacy, except in the management of patients with local recurrence or high-grade rhabdomyosarcomas. Long-term follow up is recommended given their high recurrence rates.

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Section: Histological Typesmentioning

confidence: 99%

Management of spermatic cord tumors: a rare urologic malignancy

Rodríguez

Olumi

2012

Therapeutic Advances in Urology

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Fractura de pene. A propósito de dos casos

Moratalla-Charcos

Navarro

Cortés

et al. 2010

Actas Urológicas Españolas

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Se presentan dos casos clínicos de fractura peneana, el segundo de ellos asociada a lesión uretral.El caso clínico 1 es de un paciente varón de 41 años que acudió a Urgencias por haber notado, mientras realizaba el acto sexual, un chasquido peneano con inmediato dolor y detumescencia peneanos. En la exploración se evidenciaba un hematoma peneano, sin participar el periné. No asociaba uretrorragia ni dificultad miccional. Se practicó un sondaje uretral a su llegada a Urgencias, sin complicaciones, y la exploración quirúrgica a las 6 horas reveló incisión

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