ABSTRACT
PURPOSE: Reports on the clinical findings and treatments for pelvic masses are rare. Here, the clinical characteristics of pelvic masses are retrospectively evaluated. MATERIALS AND METHODS: A total of 10 patients, 5 men and 5 women, with a mean age of 47.1 years (range 16 to 65), were retrospectively reviewed through their histories, clinical symptoms, laboratory findings, pathological classifications and treatment methods. RESULTS: The most common symptoms were related to the lower urinary tract (LUTS), such as the frequency, dysuria, urinary retention and hesitancy. The mean lag time, from the initial symptoms to diagnosis, was 11 months (2-60 months). The mass mean size was 13.3cm (3.5-21cm). Of the 10 pelvic masses, 7 were benign (fibromatosis in 2, leiomyoma in 2, neurilemoma in 1, chronic inflammation in 1, and cyst in 1) and 3 were malignant (liposarcoma in 2 and leiomyosarcoma in 1). Complete and partial resections of the mass were performed as the treatments in 6 and 3 cases, respectively; with the other case being inoperable due to distant metastasis. CONCLUSIONS: These results suggest that the presenting symptoms of a pelvic mass are LUTS and slow progression, thus an early diagnosis is difficult. A pelvic mass tends to be benign rather than malignant.
Subject(s)
Female , Humans , Male , Classification , Diagnosis , Dysuria , Early Diagnosis , Inflammation , Leiomyoma , Leiomyosarcoma , Neoplasm Metastasis , Neurilemmoma , Pelvis , Retrospective Studies , Urinary Retention , Urinary TractABSTRACT
PURPOSE: We report an initial experience with a retroperitoneal laparoscopic ablation of a peripelvic renal cyst. MATERIALS AND METHODS: Five patients (2 males, 3 females), with a mean age of 47 years (22 to 65) underwent a laparoscopic unroofing of a symptomatic peripelvic cyst. All patients complained of flank pain and an obstruction was observed in 3 patients. A laparoscopic ablation was performed retroperitoneally in all patients. Clinical parameters evaluated included the operative time, hospital stay, analgesic use, oral intake and complication rate. RESULTS: The mean operative time was 179 minutes (160-210 minutes). The mean postoperative hospital stay was 2.8 days (2-3 days). The mean analgesic requirement was 44mg of Piroxicam. Oral intake was started on postoperative day 1.4 (1-2 days). Complications included 1 case of subcutaneous emphysema and 1 case of peritoneal tearing, which were managed conservatively. The mean follow-up was 9.2 months (3-18 months) with no evidence of recurrence. CONCLUSIONS: A retroperitoneal laparoscopic ablation of a peripelvic renal cyst is technically feasible and effective alternative to an open cyst unroofing. However, it should be performed by an experienced urologic laparoscopist because of the location and association of these cysts with vessels of the renal hilum and collecting system.
Subject(s)
Humans , Male , Flank Pain , Follow-Up Studies , Laparoscopy , Length of Stay , Operative Time , Piroxicam , Recurrence , Subcutaneous EmphysemaABSTRACT
PURPOSE: We report an initial experience with a retroperitoneal laparoscopic ablation of a peripelvic renal cyst. MATERIALS AND METHODS: Five patients (2 males, 3 females), with a mean age of 47 years (22 to 65) underwent a laparoscopic unroofing of a symptomatic peripelvic cyst. All patients complained of flank pain and an obstruction was observed in 3 patients. A laparoscopic ablation was performed retroperitoneally in all patients. Clinical parameters evaluated included the operative time, hospital stay, analgesic use, oral intake and complication rate. RESULTS: The mean operative time was 179 minutes (160-210 minutes). The mean postoperative hospital stay was 2.8 days (2-3 days). The mean analgesic requirement was 44mg of Piroxicam. Oral intake was started on postoperative day 1.4 (1-2 days). Complications included 1 case of subcutaneous emphysema and 1 case of peritoneal tearing, which were managed conservatively. The mean follow-up was 9.2 months (3-18 months) with no evidence of recurrence. CONCLUSIONS: A retroperitoneal laparoscopic ablation of a peripelvic renal cyst is technically feasible and effective alternative to an open cyst unroofing. However, it should be performed by an experienced urologic laparoscopist because of the location and association of these cysts with vessels of the renal hilum and collecting system.