Browsing by Autor "M Rojas-Rivillas"

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    215 - Assessing the Influence of Urinary Incontinence on Caregiver Burden in Patients with Normal Pressure Hydrocephalus After Shunt Surgery
    (Elsevier BV, 2025) Julián Azuero; M Rojas-Rivillas; Alexandra Ramos-Márquez; Mauricio Plata; Ana Gutiérrez; Julio Ramirez; Rocío Núñez; J Romero-Bustos; O Ordoñez-Rubiano; D Gomez
    Figure 1. Baseline patient characteristics Figure 2. ICIQ-UI-SF and ZBI scores over follow-up Figure 3. Figure A. ICIQ-UI-SF Scores Over Time by Baseline UI Severity Description: ICIQ-UI-SF scores decreased after surgery, especially at 1 and 3 months, with the largest drop in the very severe UI group. Mild and moderate groups remained stable over time.
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    (PNM-34) Subcoronal approach for inflatable penile prosthesis: a narrative review of indications and outcomes
    (Elsevier BV, 2026) S P García Nader; M Rojas-Rivillas; María Paula Herrera-Peña
    Abstract The subcoronal (SC) approach for inflatable penile prosthesis (IPP) placement has gained attention as an alternative to traditional penoscrotal or infrapubic methods. This review aimed to summarize the current evidence regarding surgical technique, patient selection, and clinical outcomes. A narrative review was conducted through PubMed, Scopus, and Cochrane data bases using the terms: “penileprosthesis,” “coronal approach,” and “outcomes.” Articles in English orSpanishreportingon SC IPP were included. Eleven studies were selected. The SC approach allows for full degloving of the penis, offering excellent exposure for concurrent procedures such as Peyronie’s repair or circumcision. Reported advantages include improved cosmesis, potential for reduced urethral injury, and suitability for outpatient surgery under local anesthesia. Challenges include longer operative time, a steeper learning curve, and potential forglans-related complications in high-risk patients. Clinical outcomes are comparable to other techniques, with infection rates between 0.7% and 4.8%, and patient satisfaction over 85%. Most reported complications were minor and technique-related. The SC approach represents a safe and effective alternative for appropriately selected patients. Its adoption may benefit surgeons treating complex cases, although further prospective studies are needed to define its long-term outcomes and compare it directly to traditional approaches. Financing No conflict.