Gram-negative bacilli were the most frequent microorganisms in our retroperitoneal abscesses. CT was the imaging technique that produced the most reliable and rapid diagnosis. Radiographically-guided percutaneous drainage was a safe and effective therapeutic alternative when used as definitive treatment or preoperatively.

Objectives: We present a new surgery based on the round ligament anatomy that is called laparoscopic abdominopexy, which uses a synthetic mesh without fixation at any pelvic point. The aim of this study is to provide a step-by-step description of the laparoscopic abdominopexy technique and present the first anatomical and functional results of the procedure. Methods: This prospective cohort study included patients with apical and anterior vaginal prolapse who were subjected to laparoscopic abdominopexy. Before and after surgery, the Pelvic Organ Prolapse Quantification (POP-Q) scale, Overactive Bladder Questionnaire-Short Form (OABq-SF), and Pelvic Organ Prolapse/Urinary Incontinence Sexual Questionnaire (PISQ-12) were used to evaluate the vaginal prolapse stage, storage, and sexual symptoms, respectively. The surgical technique is described step by step. Results: Twenty patients were included with follow-up times between 6 and 25 months. The mean surgical time was 78.4 minutes. A statistically significant improvement was observed in the Aa ( P ≤ 10 −5 ), Ba ( P ≤ 10 −5 ), C ( P = 5 × 10 −5 ), D ( P = .002) and tvl ( P = .02) POP-Q points and in OABq-SF (22.2%; P = .02). Successful surgery was observed in 100% of patients for the apical compartment and 90% of patients for the anterior compartment. Conclusion: Laparoscopic abdominopexy is a quick, safe, and reproducible surgical technique with beneficial anatomical and functional results that preserve the pelvic floor anatomy.

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RESUMENADENOCARCINOMA VESICAL PRIMARIO: NUESTRA EXPERIENCIA El adenocarcinoma vesical es un tumor infrecuente. Se clasifica según su origen en: primario, secundario y uracales. Generalmente se caracteriza por crecer hacia el espesor de la pared provocando manifestaciones clínicas tardías, esto demora el diagnóstico y así, pese a tratamiento agresivo, suele tener muy mal pronóstico.Existen pocas series amplias publicadas por lo que no están establecidas claras pautas de actuación con este tipo de tumores. Presentamos los once casos de adenocarcinoma vesical primario en nuestro centro entre el año 1986 y el 2003 y revisamos la bibliografía.Palabras clave: Adenocarcinoma. Vejiga. Uraco. Cistectomía. ABSTRACTPRIMARY ADENOCARCINOMA OF THE URINARY BLADDER:OUR EXPERIENCE Adenocarcinoma of the bladder is an uncommon neoplasm. Depending on its origin it is classified in: primary, secondary and urachal. Generally it grows to the density of the wall, so its clinical aparience is delayed, with the subsequent delayed diagnosis and although an agressive treatment is performed, it frequently has a very bad prognosis.Since there are very few publications of this kind of neoplasm in the literature the lines of actuation in this pathology are not well established.We report the eleven cases of adenocarcinoma neoplasm of the bladder treated in our centre and review the literature. ORIGINALEl adenocarcinoma vesical es un tumor muy poco frecuente caracterizado por su diagnóstico tardío, tratamiento agresivo y pronóstico sombrío. Se clasifican en primarios, de uraco y metastásicos siendo estos últimos los más frecuentes. Existen pocas series amplias publicadas no estando claramente estandarizados los criterios de actuación. Se describe nuestra serie y se revisa la literatura publicada.

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