Sandro Gaspar

Centro Hospitalar Lisboa Norte | HSM · Urology Department

IntroductionSexual intercourse is often a reason for an emergency room visit because of urinary tract traumas.AimTo present an organized description of the most common urological emergencies during sexual intercourse and its management in emergency settings.Methods We reviewed the most common urological emergencies that occurred related to sexual i...

Malignant priapism is a definition invented in 1938 by Peacock, defined as a persistent erection, not related with sexual activity, caused by cavernous sinus and associated venous systems invasion with malignant cells. Penile secondary lesions are rare entities. Primary locations are usually the pelvic cavity organs, namely the prostate and the bla...

Bladder cancer is responsible for 90-95% of urotelial carcinoma. Prostate Cancer is the most prevalent visceral tumor for males and one of the main oncological death causes. The presence of both tumours in the same individual is considered common. Radical cystoprostatectomy with lymphadenectomy and urinary diversion is the gold standard treatment f...

Objective: To present an updated description of the relation between Crohn's disease (CD) and Urolithiasis. Patients and Methods: A literature search for English-language original and review articles was conducted in Medline, Embase, and Cochrane databases in the month of December 2014 for papers either published or e-published up to that date, ad...

Introduction: Peyronie’s disease, a brotic disorder of the tunica albuginea of the penis, has been associated with penile shortening and some degree of erectile dysfunction. It affects patient’s quality of life, leading to severe psychological, mental, and physical stress. Penile deformation hampers sexual life leading to depression, lack of sexual...

Cavernosal abscess is an uncommon condition. It can be idiopathic or with an underlying cause. Surgical drainage and systemic antibiotics remain the first line of treatment regarding long-term sequelae. The authors report a rare case of a 51-year-old man with a bilateral cavernosal abscess with no underlying cause. The patient was treated with surg...

Background: A urethral diverticulum (UD) constitutes a localised saccular dilation that forms out of any point in the urethra’s length, contiguous with the true urethral lumen through an orifice with a variable size neck. Disturbance of urine drainage from this outpouching leads to urinary stasis, recurrent urinary tract infections, lithiasis forma...

Hereditary leiomyomatosis and renal cell cancer (HLRCC) is a rare genetic disorder in which the affected individuals tend to develop cutaneous leiomyomas, uterine leiomyomas, and renal cell cancer (RCC). Within the spectrum of this syndromic disease, RCC is the most severe manifestation, occurring at a younger age compared to the sporadic form. Pat...

Background/aims: Laparoscopy is a widespread surgical approach for many urological conditions. Achieving prof-ciency in laparoscopic surgery requires considerable effort due to the steep learning curve. Several residency programs include standardized laparoscopic training periods in their curricula. Our aim was to systematically analyze the eviden...

Background/aims: Sacral neuromodulation (SNM) is a well-established treatment in several urinary and bowel dysfunctions, nevertheless its role on sexual dysfunction remains unclear. We evaluate the impact of SNM on sexual function and its association with age at SNM, functional diagnosis and post-void residual urine (PVR) before SNM. Methods: Pa...

(Unstructured) Pelvic fracture urethral injuries (PFUI) are devastating lesions leading to fibrosis and urethral disruption resulting in recurrent strictures, urinary incontinence, fistulae and even erectile dysfunction, representing a management problem for the urologist. Magnetic resonance imaging (MRI) may be a valuable tool in establishing or c...

In 1973, Scott et al. introduced the first inflatable penile prosthesis for the treatment of erectile dysfunction (ED). At that time, mechanical complications were more frequent, specially in the first years after implantation. Currently with technological evolution, is a less common condition, occurring typically more than 5 years after implantati...

A 54-year-old male was referred to our institution harboring a renal tumor with an associated vena cava thrombus, complaining only of gross hematuria. Physical examination was unremarkable for findings. Ultrasonography showed a right renal mass with 7.5 cm of diameter, occupying most of the kidney. Thoraco, abdominal and pelvic computed tomography...

Devido à sua morbilidade e mortalidade consideráveis, a cistite rádica hemorrágica é uma importante complicação da radioterapia pélvica, tendo os atuais tratamentos conservadores uma eficácia muito limitada. O oxigénio hiperbárico tem vindo a demonstrar eficácia no tratamento de lesões induzidas por radiação, como a cistite rádica. Pretende‐se anal...

Introduction: Peyronie's disease, a fibrotic disorder of the tunica albuginea of the penis, has been associated with penile shortening and some degree of erectile dysfunction. It affects patient's quality of life, leading to severe psychological, mental, and physical stress. Penile deformation hampers sexual life leading to depression, lack of sex...

Minimal invasive surgery has well-known advantages. The majority of procedures performed on the kidney are now-a-days laparoscopic, with several advantages over laparotomy: decreased perioperative morbidity and mortality, smaller incisions, faster recovery, shorter hospital stays and earlier return to active life. Postoperative pain is the most com...

INTRODUCTION & OBJECTIVES: Urethral Pressure Profile (UPP) studies allow us to collect additional information about the patient's lower urinary tract that otherwise could be overlooked. Lack of standardisation and technical difficulties in obtaining a reliable and reproducible trace are probably some of the reasons for a less than optimal widesprea...

The publication is an abstract.