ABSTRACT
ABSTRACT Introduction and Objective: Several studies have focused on the treatment and recurrence of urethral diverticulum (UD). However, few investigations have addressed sexual function in patients with UD. Therefore, we sought to examine sexual function in women affected by UD. Materials and Methods: There were 108 accepted cases involving transvaginal diverticulectomy at our institution. Ultimately, 83 women were included for further analysis, only 61 of these women had sexual partners. We collected data for the Female Sexual Function Index (FSFI) from the female patients and the Male Sexual Health Questionnaire (MSHQ) from their male partners before and after surgery. Results: Preoperatively, the UD size affected the female patient's arousal and lubrication (p=0.04), and the UD location affected their satisfaction. However, no significant between-group differences were found in the total FSFI score. For all women, sexual activity improved after surgery (p=0.0087). In addition to improvements in arousal for women with a large UD, improvements in lubrication were affected by the UD size, number and shape, increases in satisfaction scores were impacted by the UD location and shape, and pain relief was linked to the UD number and shape. Analysis of the MSHQ results revealed no between-group differences among the male partners. Conclusion: Only the UD size and location affected sexual function in women with a small UD. Surgery could improve female sexual function but did not affect the sexual function of the patient's partners.
Subject(s)
Humans , Male , Female , Adult , Postoperative Complications/etiology , Sexual Dysfunction, Physiological/etiology , Urethral Diseases/surgery , Diverticulum/surgery , Postoperative Complications/physiopathology , Reference Values , Sexual Dysfunction, Physiological/physiopathology , Urethral Diseases/physiopathology , Sexual Partners , Sex Factors , Surveys and Questionnaires , Retrospective Studies , Risk Factors , Patient Satisfaction , Diverticulum/physiopathology , Ejaculation/physiology , Middle AgedABSTRACT
A doença diverticular do cólon (DDC) é um distúrbio comum e, apesar de causar sintomas inespecíficos ou pouco relevantes na maioria dos casos, pode desenvolver complicações potencialmente fatais em alguns pacientes. Neste artigo säo discutidos aspectos relacionados à abordagem e atualidades no acompanhamento do paciente portador de DDC
Subject(s)
Humans , Diverticulitis, Colonic/diagnosis , Diverticulitis, Colonic/physiopathology , Diverticulitis, Colonic/therapy , Diverticulum/complications , Diverticulum/physiopathology , Diagnosis, Differential , Homeopathic Therapeutic ApproachesABSTRACT
A prevalência de divertículos do intestino delgado, em autópsias, varia de 0,26 por cento a 1,3 por cento, embora possam ser encontrados em até 2,3 por cento dos pacientes, por meio de estudos radiológicos. Os pacientes säo assintomáticos em cerca de 90 por cento dos casos. No entanto, podem apresentar sintomas inespecíficos ou desenvolver complicaçöes que requeiram tratamento, como diverticulite. Outras complicaçöes incluem síndrome de mal absorçäo, obstruçäo e hemorragias intestinais, entre outras. Os autores apresentam dois casos de diverticulose do intestino delgado que evoluíram com sintomas de obstruçäo intestinal. Um paciente apresentou aderências peritoniais (bridas), desenvolvidas provavelmente após diverticulite prévia. O outro paciente apresentou quadro de suboclusäo intestinal, tratada clinicamente. Säo discutidos a patogênese
Subject(s)
Humans , Middle Aged , Male , Female , Diverticulum/physiopathology , Intestine, Small/injuriesABSTRACT
Se presentan los hallazgos clínicoradiológicos de tres pacientes con diagnóstico de diverticulosis apendicular, encontrados en la revisión de 3,100 expedientes clínicos del Hospital Español de la Ciudad de México. Se resume por otro lado la fisiopatología y clasificación de esta enfermedad, así como su presentación clínica
Subject(s)
Humans , Male , Adult , Aged , Diverticulum/physiopathology , Diverticulum , Enema , Appendix/physiopathology , AppendixABSTRACT
Se comunica el caso de un paciente del sexo masculino de 22 años de edad, que se admitió en el hospital por un cuadro de apendicitis aguda. El cuadro clínico, de dolor abdominal intenso, de corta evolución se considera el característico para este frecuente padecimiento que significa quizá la urgencia quirúrgica más común. Sin embargo, es demasiado poco frecuente la presencia de diverticulosis en el apéndice cecal, que complica el padecimiento. El resultado del tratamiento quirúrgico, así como del lavado exhaustivo de la cavidad abdominal, fue muy satisfactorio en este paciente, que evolucionó hacia la curación. Se revisa la literatura en virtud de la rareza de esta enfermedad
Subject(s)
Humans , Male , Adult , Appendectomy , Diverticulum/surgery , Diagnostic Techniques, Surgical , Diverticulum/physiopathology , Appendix/physiopathologyABSTRACT
Se describe un paciente adulto de 48 años que tuvo divertículo ventricular variedad *B* de Gerlis, asociado a defecto septal interventricular, comprobado en el acto quirúrgico. Se justifica la comunicación, debido a la rareza de la entidad en la literatura especializada y en nuestro medio