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Your search keyword '"Pacheco-Bru JJ"' showing total 2 results
Start Over Author "Pacheco-Bru JJ" Topic urinary incontinence
2 results on '"Pacheco-Bru JJ"'

1. [Necrosis of the skin of the penis as a complication of the use of a urine collector].

Author

Palmero Martí JL, Bonillo García MA, Pacheco Bru JJ, Alapont Alacreu JM, García Reboll L, and Jiménez Cruz JF

Subjects
Accidents, Traffic, Adult, Anti-Bacterial Agents therapeutic use, Cervical Vertebrae, Combined Modality Therapy, Debridement, Edema etiology, Equipment Design, Humans, Ischemia etiology, Male, Necrosis, Penile Diseases surgery, Penis blood supply, Skin pathology, Skin Ulcer surgery, Spinal Cord Injuries complications, Thoracic Vertebrae, Urinary Bladder, Neurogenic complications, Urinary Catheterization instrumentation, Penile Diseases etiology, Skin Ulcer etiology, Urinary Catheterization adverse effects, Urinary Incontinence therapy
Abstract

We illustrate a case of penile skin necrosis in a patient suffering from urinary incontinence caused by a secondary neurogenic bladder that, in turn, results from a spinal cord injury. The skin necrosis developed out of continuous pressure from the condom catheter. We report the case bearing into consideration that these complications are extremely rare and that references in the literature to the topic are likewise scarce. However, due to the high frequency of patients suffering from incontinence who use these devices, we believe it necessary to account for the possible consequences which might derive from an incorrect use of them.

Published
2003
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2. Fístulas vesicouterinas. nuestra experiencia tras 25 años

Author

Alapont Alacreu Jm, Jiménez Cruz Jf, Arlandis Guzmán S, Bonillo García Ma, Alonso Gorrea M, Pacheco Bru Jj, and Palmero Martí Jl

Subjects
Surgical repair, medicine.medical_specialty, business.industry, Urology, Fistula, medicine.medical_treatment, Retrospective cohort study, Urinary incontinence, medicine.disease, Asymptomatic, Surgery, medicine, Caesarean section, medicine.symptom, Risk factor, business, Full Term
Abstract

OBJECTIVE To determine the current state of vesicouterine fistulae in our hospital, the factors associated with their development and the findings obtained from the treatments used. MATERIAL AND METHODS We carry out a retrospective study on a group of patients suffering from vesicouterine fistulae who were treated in our service for the last 25 years with a 2 year minimum follow-up. RESULTS 6 cases of vesicouterine fistulae were evaluated. In 83.3% (5/6) of the cases occurred following caesarean section. The average age of the patients was 36.5 years old. In 50% of the cases, urinary incontinence immediately after surgery determined an early diagnosis. In 5 patients deferred abdominal surgical approach was carried out. All of the patients remained asymptomatic during the follow-up years. Two pregnancies were recorded 24 months after repair with a full term delivery. CONCLUSIONS The vesicouterine fistula, despite being infrequent, is no longer an exceptional diagnosis. Currently, the low segmentarian caesareans constitute the major isolated risk factor for fistula development. We recommend a deferred surgical repair without discarding a conservative approach for those cases of small and early fistula.

Published
2003

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