ABSTRACT
OBJECTIVE: To verify and compare the results of behavioral modification plus pelvic floor muscle training and behavioral modifications plus oxybutynin chloride in children with nonmonosymptomatic enuresis. METHODS: A total of 47 children were randomized using opaque and sealed envelopes sequentially numbered. Group I was composed of 21 children who underwent antimuscarinic treatment (oxybutynin), and Group II was composed of 26 patients who underwent pelvic floor muscle training. Both groups were instructed as to behavioral modifications. RESULTS: The voiding diary results were compared each month between Groups I and II. In the first month of treatment, children in Group I presented 12.2 dry nights, 13.4 in the second month, and 15.9 in the last month. In Group II, the results were: 14.9 dry nights in the first month, 20.8 dry nights in the second and 24.0 dry nights in the last month. There was a significant difference between the groups in second and third months. CONCLUSION: Pelvic floor exercises associated with behavioral changes were more effective than pharmacological treatment in children with urinary incontinence.
OBJETIVO: Verificar e comparar os resultados da modificação comportamental associado ao treinamento dos músculos do assoalho pélvico e modificação comportamental associado ao uso de cloridrato de oxibutinina em crianças com enurese não monossintomática. MÉTODOS: Foram randomizadas 47 crianças por meio de envelopes opacos e selados com numeração sequencial. O Grupo I foi composto por 21 crianças que receberam tratamento com antimuscarínico (oxibutinina) e o Grupo II por 26 pacientes que receberam treinamento dos músculos do assoalho pélvico. Ambos os grupos foram instruídos em relação à modificação comportamental. RESULTADOS: Os resultados do diário miccional foram comparados cada mês entre os Grupos I e II. No primeiro mês de tratamento, as crianças do Grupo I apresentaram 12,2 noites secas, 13,4 no segundo mês e 15,9 no último mês. No Grupo II, os resultados foram: 14,9 noites secas no primeiro mês, 20,8 no segundo mês e 24,0 no último mês. Houve diferença significativa entre os grupos no segundo e no terceiro mês. CONCLUSÃO: Os exercícios do assoalho pélvico associados a mudança comportamental foram mais efetivos do que o tratamento farmacológico em crianças com incontinência urinária.
Subject(s)
Enuresis , Physical Therapy Modalities , Urinary IncontinenceABSTRACT
The authors present a rare case of spermatocytic seminoma associated to rhabdomyosarcoma of the testicle. The anatomopathological examination after radical left orchiectomy revealed cells that are characteristics of rhabdomyosarcoma. The diagnosis was confirmed by an immunohistochemical study that showed as stron positive for specific muscle actin (HHF35) and sarcomeric actin. In other areas of the tumor, there were cells resembling seminoma, some of them more voluminous and with spermatocyte characteristics, leading to a diagnosis of spermatocytic seminoma. During staging examinations, the patient shown a retroperitoneal lymphadenomegaly in the computed tomography scan and was submitted to 3 cycles of polichemotherapy with cisplatin, etoposide and bleomycin (BEP), followed by radiotherapy on the left iliac and paraortic lymphatic ganglions. The control through computed tomography after chemotherapy and radiotherapy shown regression of the lymphadenomegaly. The patient continues to be rigorously followed, since the sarcomatous component ordinarily has high recurrence rates and poor prognosis
Subject(s)
Humans , Male , Adult , Neoplasms , Rhabdomyosarcoma , Seminoma , TestisABSTRACT
Os autores apresentam um caso de linfoma maligno de testículo. Fazem também uma revisäo de literatura e discutem o caso