José Antonio Portillo Martín

Enfermedad de Mondor versus Linfangitis Esclerosante de Pene

OBJETIVOS Resaltar la diferencia entre Enfermedad de Mondor y Linfangitis Esclerosante del Pene mediante el analisis de tres casos clinicos y la revision de la literatura existente. METODOS Describimos dos casos clinicos compatibles con el diagnostico de enfermedad de Mondor y otro compatible con Linfangitis. RESULTADOS La buena y muchas veces espontanea resolucion de estas dos patologias dificulta el diagnostico y seguimiento de estos pacientes. CONCLUSIONES La abstinencia sexual es una de las medidas mas efectiva para la pronta resolucion de ambos procesos. Para el diagnostico diferencial entre ambas entidades es de gran utilidad el eco-doppler peneano. El tratamiento farmacologico principal se basa en antiinflamatorios.

Aspectos quirúrgicos y complicaciones derivadas de la reutilización de la fosa iliaca en los terceros y cuartos retrasplantes renales

Resumen es: OBJETIVO: Analizar los aspectos quirurgicos y las complicaciones derivadas de la reutilizacion de la fosa iliaca para realizar terceros y cuartos retrasp...

Vasovasostomía: Nuestra experiencia

Resumen es: OBJETIVO: Desde agosto de1997 hasta diciembre de 2004 hemos realizado 47 vasovasostomias con la finalidad de revertir la vasectomia, de las que conocemos...

Seminoma en paciente con Síndrome de Kartagener

Resumen es: Objetivo: Presentar la asociacion de seminoma en paciente afecto de SK y su relacion con la fertilidad. Metodos: Se describe la presencia de un seminoma ...OBJECTIVE: To present the association between Seminoma and Kartageners Syndrome (KS), and its relation with infertility. METHODS: We report one case of Seminoma in a patient with Kartageners Syndrome, focussing on the possible relation between both pathologies and fertility. Bibliographic references are discussed. RESULTS: Orchyectomy was performed on a patient with Kartageners Syndrome and testicular tumour. The pathology result was Seminoma. Azoospermia was obtained twice in the post operative espermiogram, not being easy to establish the implication of each pathology (KS or Seminoma) in infertility. CONCLUSIONS: A patient with KS and Seminoma plus azoospermia is reported, with a great outcome from the oncological point of view. Bibliographic references are described. The association between KS and Seminoma is exceptional in the literature.

Sexual activity in COPD patients included in a pulmonary rehabilitation program

Introduction: Impact of COPD in sexual activity has an important role in quality of life. The aim of this study is to analyse sexual activity of male patients included in pulmonary rehab; to determine the role of sexual hormones in sexual activity and to determine if pulmonary rehab improves sexual activity in these patients. Methods: 62 COPD patients who atended pulmonary rehab were included in this study. Testosterone, LH, FSH, Estradiol and progesterone were determined in these patients. IIEF (International Index of erectile function) test was performed before and after pulmonary rehab to see changes in activity and sexual desire. Results: Are shown in table 1 and 2. Conclusion: Patients with COPD included in pulmonary rehab showed low sexual activity. No hormonal differences were detected among sexual active patients compared to non active. Pulmonary rehab showed improvement in sexual activity but not in sexual desire using IIEF.

An Expert System for Cardiopulmonary Diseases in Primary Health Care

This paper shows the steps we have taken in order to define and design a first prototype of an expert system aimed at the general practitioner. The first part is devoted to analyze the systemic approach we gave to the definition problem. Also are given the results we reached from a delphi analysis which we accomplished in order to get the medical aspects and specifications that defined the system.