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array:24 [ "pii" => "S0210480609742329" "issn" => "02104806" "doi" => "10.1016/S0210-4806(09)74232-9" "estado" => "S300" "fechaPublicacion" => "2009-01-01" "aid" => "74232" "copyright" => "Asociación Española de Urología (AEU)" "copyrightAnyo" => "2009" "documento" => "article" "crossmark" => 0 "subdocumento" => "fla" "cita" => "Actas Urol Esp. 2009;33:794-800" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 3305 "formatos" => array:3 [ "EPUB" => 8 "HTML" => 1859 "PDF" => 1438 ] ] "itemSiguiente" => array:18 [ "pii" => "S0210480609742330" "issn" => "02104806" "doi" => "10.1016/S0210-4806(09)74233-0" "estado" => "S300" "fechaPublicacion" => "2009-01-01" "aid" => "74233" "copyright" => "Asociación Española de Urología (AEU)" "documento" => "article" "crossmark" => 0 "subdocumento" => "fla" "cita" => "Actas Urol Esp. 2009;33:801-5" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 2180 "formatos" => array:3 [ "EPUB" => 7 "HTML" => 1225 "PDF" => 948 ] ] "es" => array:10 [ "idiomaDefecto" => true "titulo" => "Incontinencia de orina durante la actividad sexual coital. Síntomas asociados y gravedad de la incontinencia" "tienePdf" => array:2 [ 0 => "es" 1 => "en" ] "tieneTextoCompleto" => 0 "tieneResumen" => array:2 [ 0 => "es" 1 => "en" ] "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "801" "paginaFinal" => "805" ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Coital Urinary Incontinence. Associated Symptoms And Severity Of Incontinence" ] ] "contieneResumen" => array:2 [ "es" => true "en" => true ] "contienePdf" => array:2 [ "es" => true "en" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Montserrat Espuña-Pons, Montserrat Puig-Clota" "autores" => array:2 [ 0 => array:2 [ "nombre" => "Montserrat" "apellidos" => "Espuña-Pons" ] 1 => array:2 [ "nombre" => "Montserrat" "apellidos" => "Puig-Clota" ] ] ] ] ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0210480609742330?idApp=UINPBA00004N" "url" => "/02104806/0000003300000007/v1_201304251940/S0210480609742330/v1_201304251940/es/main.assets" ] "itemAnterior" => array:18 [ "pii" => "S0210480609742317" "issn" => "02104806" "doi" => "10.1016/S0210-4806(09)74231-7" "estado" => "S300" "fechaPublicacion" => "2009-01-01" "aid" => "74231" "copyright" => "Asociación Española de Urología (AEU)" "documento" => "article" "crossmark" => 0 "subdocumento" => "fla" "cita" => "Actas Urol Esp. 2009;33:778-93" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 3863 "formatos" => array:3 [ "EPUB" => 8 "HTML" => 2393 "PDF" => 1462 ] ] "es" => array:10 [ "idiomaDefecto" => true "titulo" => "Análisis de las aguas embotelladas y de grifo españolas y de las implicaciones de su consumo en la litiasis urinaria" "tienePdf" => array:2 [ 0 => "es" 1 => "en" ] "tieneTextoCompleto" => 0 "tieneResumen" => array:2 [ 0 => "es" 1 => "en" ] "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "778" "paginaFinal" => "793" ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Spanish bottled and tap water analysis and their relation with urinary lithiasis" ] ] "contieneResumen" => array:2 [ "es" => true "en" => true ] "contienePdf" => array:2 [ "es" => true "en" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Félix Millán Rodríguez, Silvia Gracia García, Rocío Jiménez Corro, Miriam Serrano Liesa, Ferran Rousaud Barón, Francisco Sánchez Martín, Oriol Angerri Feu, Roberto Martínez Rodríguez, Humberto Villavicencio Mavrich" "autores" => array:9 [ 0 => array:2 [ "nombre" => "Félix" "apellidos" => "Millán Rodríguez" ] 1 => array:2 [ "nombre" => "Silvia" "apellidos" => "Gracia García" ] 2 => array:2 [ "nombre" => "Rocío" "apellidos" => "Jiménez Corro" ] 3 => array:2 [ "nombre" => "Miriam" "apellidos" => "Serrano Liesa" ] 4 => array:2 [ "nombre" => "Ferran" "apellidos" => "Rousaud Barón" ] 5 => array:2 [ "nombre" => "Francisco" "apellidos" => "Sánchez Martín" ] 6 => array:2 [ "nombre" => "Oriol" "apellidos" => "Angerri Feu" ] 7 => array:2 [ "nombre" => "Roberto" "apellidos" => "Martínez Rodríguez" ] 8 => array:2 [ "nombre" => "Humberto" "apellidos" => "Villavicencio Mavrich" ] ] ] ] ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0210480609742317?idApp=UINPBA00004N" "url" => "/02104806/0000003300000007/v1_201304251940/S0210480609742317/v1_201304251940/es/main.assets" ] "es" => array:14 [ "idiomaDefecto" => true "titulo" => "Estenosis uretral en la mujer: Etiología, diagnóstico y tratamiento" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "794" "paginaFinal" => "800" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "Cristina Gutiérrez Ruiz, Fernando Rodríguez-Escovar, Carlos Errando Smet, Pedro Arañó Bertrán, Humberto Villavicencio Mavrich" "autores" => array:5 [ 0 => array:4 [ "nombre" => "Cristina" "apellidos" => "Gutiérrez Ruiz" "email" => array:2 [ 0 => "cgutiruiz@yahoo.es" 1 => "cgutierrez@fundacio-puigvert.es" ] "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">1</span>" "identificador" => "cor0005" ] ] ] 1 => array:2 [ "nombre" => "Fernando" "apellidos" => "Rodríguez-Escovar" ] 2 => array:2 [ "nombre" => "Carlos" "apellidos" => "Errando Smet" ] 3 => array:2 [ "nombre" => "Pedro" "apellidos" => "Arañó Bertrán" ] 4 => array:2 [ "nombre" => "Humberto" "apellidos" => "Villavicencio Mavrich" ] ] "afiliaciones" => array:1 [ 0 => array:3 [ "entidad" => "Servicio de Urología. Fundació Puigvert. Barcelona, España" "etiqueta" => "<span class="elsevierStyleSup">1</span>" "identificador" => "aff0005" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "1" "correspondencia" => "Correspondencia autor: Dra. Cristina Gutiérrez Ruiz Servicio de Urología. Fundación Puigvert Cartagena, 340-3 0 - 0802 Barcelona Tel.: 934 169 700" ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Female Urethral Stricture: Etiology, diagnostic and treatment" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2008-09-01" "fechaAceptado" => "2009-04-01" "PalabrasClave" => array:2 [ "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec89069" "palabras" => array:4 [ 0 => "Uretra femenina" 1 => "Estenosis" 2 => "Tratamiento" 3 => "Uretroplastia" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Keywords" "identificador" => "xpalclavsec89068" "palabras" => array:4 [ 0 => "Female urethra" 1 => "Stricture" 2 => "Treatment" 3 => "Urethroplasty" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "es" => array:2 [ "titulo" => "Resumen" "resumen" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">La estenosis uretral en la mujer es una causa poco frecuente de obstrucción infravesical, entidad ya de por sí poco habitual en el sexo femenino. La mayoría de los casos son secundarios a procedimientos quirúrgicos del área urogenital, la fibrosis periuretral es el mecanismo de acción implicado independientemente de la causa. Existe cierta controversia en cuanto a los criterios diagnósticos pero parece claro que se trata de obstrucciones estructurales que afectan al tercio medio y distal de la uretra. No existe un consenso en cuanto al tratamiento, pero maniobras menos agresivas como las dilataciones o la uretrotomia interna son las técnicas de elección para las estenosis primarias, teniendo en cuenta el alto porcentaje de recidivas que presentan. Las técnicas de reconstrucción uretral mediante el uso de diversos tipos de injertos o flaps estarían indicadas en aquellos casos recidivados o bien en los que existe un defecto parcial o total uretral.</p>" ] "en" => array:2 [ "titulo" => "Abstract" "resumen" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Female urethral stricture is an infrequent cause of bladder outlet obstruction, which is also a rare clinical entity in women. The most frequent etiology is the previous urogenital surgery. Periurethral fibrosis is the final cause regardless the etiology. Considerably controversie sorrounds in the diagnostic criteria but the estrictures are structural obstructions which involve media and distal third of the female urethra. There is no treatment consensus, but less agresive maneuvers such as dilatations and urethrotomies are chosen to treat primary estrictures, although the high recurrence rates. Reconstructive tecniques with the use of several flaps and grafts should be considered in recurrent cases and when there is a partial or total urethral defect.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "Referencias" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:26 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Bladder outlet obstruction in women: definition and characteristics" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "A. Groutz" 1 => "J.G. Blaivas" 2 => "D.C. 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Delmas" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1016/j.eururo.2005.01.001" "Revista" => array:7 [ "tituloSerie" => "Eur Urol" "fecha" => "2005" "volumen" => "47" "numero" => "5" "paginaInicial" => "627" "paginaFinal" => "633" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/15826754" "web" => "Medline" ] ] ] ] ] ] ] ] 4 => array:3 [ "identificador" => "bib0025" "etiqueta" => "5." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Vestibular Flap Urethroplasty for Strictures of the Female Urethra" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "F. Montorsi" 1 => "A. Salonia" 2 => "A. Centemero" 3 => "G. Guazzoni" 4 => "L. Nava" 5 => "L.F. Da Pozzo" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "64353" "Revista" => array:7 [ "tituloSerie" => "Urol Int" "fecha" => "2002" "volumen" => "69" "numero" => "1" "paginaInicial" => "12" "paginaFinal" => "16" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/12119432" "web" => "Medline" ] ] ] ] ] ] ] ] 5 => array:3 [ "identificador" => "bib0030" "etiqueta" => "6." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "The Significance of Smooth and Striated Muscles in the Sphincter Function of the Urethra in Healthy Women" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "P. 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Cosciani Cunico" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "65554" "Revista" => array:7 [ "tituloSerie" => "Urol Int" "fecha" => "2002" "volumen" => "69" "numero" => "2" "paginaInicial" => "95" "paginaFinal" => "98" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/12187036" "web" => "Medline" ] ] ] ] ] ] ] ] 10 => array:3 [ "identificador" => "bib0055" "etiqueta" => "11." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Estenosis uretral femenina por distrofia vulvar" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "P. Romero Pérez" 1 => "E. Schiefenbusch Munne" 2 => "J.J. Lobato Encinas" 3 => "A. Mira Llinares" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:7 [ "tituloSerie" => "Arch Esp Urol" "fecha" => "1990" "volumen" => "43" "numero" => "4" "paginaInicial" => "341" "paginaFinal" => "346" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/2200351" "web" => "Medline" ] ] ] ] ] ] ] ] 11 => array:3 [ "identificador" => "bib0060" "etiqueta" => "12." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Female urethral strictures: successful management with long-term clean intermittent catheterization after urethral dilatation" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "A.L. Smith" 1 => "V.J. Ferlise" 2 => "E.S. 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"referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Stricture of the female urethra" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "D. Brannan" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:7 [ "tituloSerie" => "J Urol" "fecha" => "1951" "volumen" => "66" "numero" => "2" "paginaInicial" => "242" "paginaFinal" => "253" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/14861948" "web" => "Medline" ] ] ] ] ] ] ] ] 15 => array:3 [ "identificador" => "bib0080" "etiqueta" => "16." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Stricture of the female urethra" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "W.S. 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