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Salinas Sánchez" "autores" => array:6 [ 0 => array:4 [ "nombre" => "M." "apellidos" => "Cháfer Rudilla" "email" => array:1 [ 0 => "mcharud@telefonica.net" ] "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">1</span>" "identificador" => "cor0005" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "aff0005" ] ] ] 1 => array:3 [ "nombre" => "L." "apellidos" => "Navarro Casado" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "aff0005" ] ] ] 2 => array:3 [ "nombre" => "M.L." "apellidos" => "Quintanilla Mata" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "aff0005" ] ] ] 3 => array:3 [ "nombre" => "M." "apellidos" => "Belilty Araque" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "aff0005" ] ] ] 4 => array:3 [ "nombre" => "C." "apellidos" => "Andrés Fernández" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "aff0005" ] ] ] 5 => array:3 [ "nombre" => "J." "apellidos" => "Salinas Sánchez" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">**</span>" "identificador" => "aff0010" ] ] ] ] "afiliaciones" => array:2 [ 0 => array:3 [ "entidad" => "Laboratorio de Análisis Clínicos" "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Servicio de Urología. Complejo Hospitalario y Universitario de Albacete" "etiqueta" => "<span class="elsevierStyleSup">**</span>" "identificador" => "aff0010" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "1" "correspondencia" => "Correspondencia autor: Dra. M. Cháfer Rudilla Servicio de Análisis Clínicos Complejo Hospitalario y Universitario de Albacete Hermanos Falcó, 37. 02006" ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Evaluation of a guidelines for the assessment of success after vasectomy and needed improvements" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2007-03-01" "fechaAceptado" => "2007-04-01" "PalabrasClave" => array:2 [ "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec88243" "palabras" => array:3 [ 0 => "Control de vasectomía" 1 => "Protocolo de vasectomía" 2 => "Recanalización" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key words" "identificador" => "xpalclavsec88244" "palabras" => array:3 [ 0 => "Vasectomy assessment" 1 => "Vasectomy guidelines" 2 => "Recanalization" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "es" => array:2 [ "titulo" => "Resumen" "resumen" => "<span class="elsevierStyleSectionTitle">Objetivo</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Revisar los resultados de la implantación de un protocolo para el control de la vasectomía en el laboratorio del Hospital General de Albacete y realizar algunas modificaciones que nos permitan reducir el número de controles que deben realizarse nuestros pacientes, pero que esté en concordancia con las recomendaciones internacionales.</p> <span class="elsevierStyleSectionTitle">Material y métodos</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Se revisaron los controles de las vasectomías realizadas desde Enero de 2002 a Diciembre de 2004. Nuestro protocolo consiste en una adaptación a nuestro medio de las guías de la Sociedad Británica de Andrología (BAS) para el control de la vasectomía y de la Organización Mundial de la Salud para el análisis seminal.</p> <span class="elsevierStyleSectionTitle">Resultados</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Durante los 3 años del estudio se han intervenido 984 pacientes de vasectomía, de los cuales el 67% ha acudido a nuestro laboratorio a realizarse algún control, pero solamente un 55,5% de los mismos cumplió los criterios de alta establecidos; el resto, abandonó antes de conseguirlo. Se recibió una media de 2 muestras por paciente, aunque un 39.6% de los mismos sólo trajo una y más del 23% trajeron más de 3. Tuvimos 43 fallos de la cirugía (5,9%), 4 casos de recanalización precoz (0,5%) y uno de recanalización tardía (0,1%), y un total de 13 pacientes fueron reintervenidos (1,7%).</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">Un porcentaje elevado de pacientes vasectomizados no cumplió los criterios de alta recomendados por la BAS y casi la cuarta parte de los mismos debe realizar más de 3 controles. Por este motivo, creemos conveniente modificar nuestro protocolo para control de la vasectomía y proponer que los pacientes reciban en la consulta dos volantes de solicitud de espermiograma para los meses 6º y 7º tras la cirugía y que acudan de nuevo para la valoración conjunta de ambos resultados. En este momento, con tan solo 2 controles, la mayoría de los pacientes estarán en condiciones de conseguir el alta. Aquellos en los que se produjo un fallo de la cirugía o sufrieron una recanalización precoz, con una segunda muestra de confirmación, podrán ser derivados al urólogo sin mayor dilación.</p>" ] "en" => array:2 [ "titulo" => "Abstract" "resumen" => "<span class="elsevierStyleSectionTitle">Objectives</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">The evaluation of a recently established guidelines about the assessment of semen samples after vasectomy in the laboratory of the Hospital General of Albacete and to modify them to optimize the number of semen samples provided per patient but keeping in concordande with the international recommendations.</p> <span class="elsevierStyleSectionTitle">Patients and Methods</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">The records of seminal analysis results from vasectomies performed from January 2002 to December 2004 were reviewed. Our vasectomy guidelines are based upon those of the British Andrology Society (BAS) and those of the World Health Organization for seminal assessment.</p> <span class="elsevierStyleSectionTitle">Results</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">During the 3 years 984 patients underwent vasectomy. At follow up, 67% of them returned postvasectomy semen samples, but just 55,5% of them get the clearance criteria; the other patient abandoned before getting them. A mean of 2 samples per patient were received, but 39,6% of them provided one and more than 23% brought more than 3 semen samples. We had 43 technical failures, 4 early recanalization (0,5%) and one late recanalization (0,1%), and 13 patients underwent revasectomy (1,7%).</p> <span class="elsevierStyleSectionTitle">Conclusion</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">A high percentage of our patients failed to fulfill the clearance criteria recommended by the BAS and almost a quarter of them had to deliver more than 3 semen samples. So we find convenient to modify our guides and propose that our patients should receive 2 request forms from the practitioner for semen analysis in the 6th and the 7th month postoperatively and should return to global evaluation of both reports. In that moment most patients will be able to meet the applied criteria for success with just 2 semen samples. Those who fail to become sterile because of either technical failure or early recanalizatione may be advised to go to the urologist with just 2 semen analysis without unnecesary delay.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "Referencias" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:11 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Protocolo para el control de la vasectomía" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:6 [ 0 => "M. Cháfer" 1 => "L. Navarro" 2 => "O. Fuster" 3 => "C. Andrés" 4 => "J. Vera" 5 => "J.P. 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Journal Information
Evaluación de un protocolo para el control de la vasectomía y modificaciones a realizar
Evaluation of a guidelines for the assessment of success after vasectomy and needed improvements