ABSTRACT
A reconstrução do escroto, com adeqüada proteção dos testículos, representa um desafio após síndrome de Fournier. Os autores relatam o caso, de um paciente de 20 anos, apresentando lesão extensa acometendo escroto e pênis, devido a síndrome de Fournier. O tratamento do pênis consistiu de enxerto de pele, disposto de forma helicoidal, para evitar retrações. O escroto foi reconstruído utilizando-se um retalho fasciocutâneo de região supéro-medial da coxa, de pedículo inferior, 43 dias após o primeiro desbridamento. O resultado mostrou-se satisfatório, funcional e esteticamante, apesar do tratamento não estar finalizado.
Scrotal reconstruction with adequate protection of the testicles remains the challenge following Fourniers gangrene. The author report on a 20-years-old man presented with an extensive defect of the scrotum and penile caused by Fourniers gangrene. The penile coverage was gained by grafts helicoidally placed to avoid retractions. The scrotum was reconstructed using a fasciocutaneous supermedial thigh inferiored based flap, 43 days after the first debridement.The results were satisfactory both functionally and cosmetically, although the treatment is not complete.
Subject(s)
Humans , Male , Adult , Fournier Gangrene , Penile Diseases , Penile Diseases/complications , Penile Diseases/physiopathology , Fournier Gangrene/surgery , Fournier Gangrene/complications , Fournier Gangrene/diagnosis , Fournier Gangrene/pathology , Fournier Gangrene/rehabilitationABSTRACT
O objetivo do trabalho é mostrar a experiência do serviço de penioscopia do Centro de Referência em DST-AIDS da Vila Prudente com os pacientes sob suspeita de doença sexualmente transmissível (DST) ou que tiveram contato com parceira com DST. Concluiu-se que a penioscopia, a citologia e a histologia são métodos importantes para o diagnóstico e tratamento das formas não-verrucosas (subclínicas) de papiloma vírus humano (HPV); que esses métodos diagnósticos, ao possibilitarem a detecção e tratamento dessas formas no homem, tornam-se essenciais na epidemiologia do HPV; que incluem fatores individuais no tipo de manifestação clínica do HPV e na proteção quanto à transmissão
Subject(s)
Male , Penile Diseases/diagnosis , Penile Diseases/physiopathology , Sexually Transmitted Diseases/diagnosis , Sexually Transmitted Diseases/epidemiology , Sexually Transmitted Diseases/physiopathology , Sexually Transmitted Diseases/prevention & control , Papillomaviridae , Papillomavirus Infections/diagnosis , Papillomavirus Infections/epidemiology , Papillomavirus Infections/physiopathology , Papillomavirus Infections/prevention & control , Cytological Techniques , Histological TechniquesABSTRACT
Se hace una breve revisión de la literatura y se presentan 3 casos de Balanitis de Zoon. El diagnóstico se confirmó por estudio histopatológico. La circuncisión es el tratamiento de elección
Subject(s)
Humans , Male , Adult , Aged , Circumcision, Male/statistics & numerical data , Penile Diseases/surgery , Penile Diseases/diagnosis , Penile Diseases/physiopathologyABSTRACT
Pudenal somatosensory evoked potential (PSEP) and bulbocavernosus reflex (BCR) testing have been reported to be useful in the evaluation of erectile dysfunction and neurogenic bladder. 461 patients with sexual dysfunction were studied to determine the usefulness of the above tests. Abnormality of PSEP was found significantly in upper motor neuron (UMN) type spinal cord patients and average prolonged P1 latency was 47.4 +/- 9.8 msec. Lower motor neuron (LMN) type spinal cord patients revealed great abnormality in BCR latency with an average value of 44.9 +/- 14.5 msec on the right and 44.2 +/- 15.6 msec on the left. Additionally significant differences were obtained in patients with diabetes mellitus, pelvic trauma and spinal cord lesion of the UMN type in the study of PSEP. There was also a significant difference in the patients with diabetes mellitus, pelvic trauma and spinal cord lesion of the LMN type in the BCR study. The findings of our study suggest that PSEP together with BCR study is useful in assessing the integrity of the sacral reflex arc and the central afferent pathway, in differentiating the lesion site and in providing basic data for the management plan in sexual rehabilitation. Furthermore, because erection is under the influence of both the somatic and autonomic nervous system, BCR study and PSEP combined with currently studied electrical activity of the corpus cavernosum would provide a more accurate evaluation of the neurogenic erectile dysfunction patients.
Subject(s)
Adult , Humans , Male , Evoked Potentials, Somatosensory , Genitalia, Male/physiopathology , Middle Aged , Penile Diseases/physiopathology , Penile Erection , Reaction Time , Reflex/physiology , Urethra/physiopathologyABSTRACT
Se realiza el análisis preliminar de los resultados de los primeros 15 pacientes intervenidos quirúrgicamente que padecen de impotencia sexual vasculogénica o mixta. Se realizaron tres procederes quirúrgicos, el de Michal II en dos pacientes; la técnica de Virag se hizo en diez pacientes y en tres, endarteriectomía iliohipogástrica. En el 87 % de los pacientes mejoró la flujometría peneana posquirúrgica, y en el 80 % la erección se restituyó o mejoró con respecto al preoperatorio. Se hace una revisión del tema, enumerando los medios diagnósticos utilizados. Se enfatiza en la necesidad de un equipo multidisciplinario para abordar este complejo capítulo de la medicina, que es la disfunción sexual eréctil del pene