ABSTRACT
Different surgical treatments for the ureteroceles were reviewed, but their comparison is difficult. Frequently the results are different, due to the type of patients treated, the different techniques and the recovery criteria used. We present and analyze the results in 61 patients treated during 23 years at the Children's Hospital in Panama City. 25% of our cases were reoperated (statistically acceptable). There is not one surgical technique for all cases. Each one has to be treated according to the type of lesion they present
Subject(s)
Humans , Male , Female , Child , Ureterocele/surgery , Time Factors , Hospitals, Pediatric , PanamaABSTRACT
Partial nephrectomy combined with chemotherapy has been the most effective treatment in bilateral Wilms tumors. We present two cases. The bilateral synchronous tumor are present in 4.2% and the metachronous tumor in 1.6%, in the world statistics. The synchronous bilateral Wilms tumor, Stage V, have an excellent prognosis: over 87% survival, compared to 40% of the metachronous bilateral Wilms tumors
Subject(s)
Humans , Male , Female , Infant , Wilms Tumor/therapy , Neoplasms, Multiple Primary/therapy , Kidney Neoplasms/therapy , Nephrectomy/methods , Wilms Tumor/pathology , Neoplasms, Multiple Primary/pathology , Kidney Neoplasms/pathology , Antineoplastic Combined Chemotherapy Protocols/therapeutic use , Combined Modality TherapyABSTRACT
The author reports 12 girls, 4 to 8 years of age, and 2 boys, a newborn and a 6 year old, with ectopic ureter diagnosed at the Children's Hospital in Panama City. In 7 of the girls the ureter drained into the vaginal vestibule and in 5, into the urethra. In the boys, the ureter drained into the prostatic urethra in one and in the perineal region in the other. All the patients had had incontinence and urinary tract infection. The author present the clinical history of a 3 year old girl with the diagnosis of right renal agenesis, absence of the right ureteral meatus and urinary incontinence, in whom resection of the hypoplastic, dysplastic right kidney and the atretic right renal artery was done. The distal ureterogram, performed during the operation, showed drainage into a Gartner's cyst (residual of a Wolff's cyst) which then drained into the vagina