RESUMEN
A case of a clear cell carcinoma of the urinary bladder is reported. A 48-year-old female was referred to our hospital complaining of gross hematuria and terminal dysuria. She had a nodular tumor, 3x4cm in diameter, located on the bladder neck, trigone and posterior urethra. The patient underwent anterior pelvic exenteration and urinary diversion with an ileal conduit. A histopathological examination revealed a tumor composed of cells with eosinophilic cytoplasm, and partly of cells with clear cytoplasm or hobnail-shaped cells, arranged in tubular and papillary architectures. This showed the findings of a clear cell adenocarcinoma of the bladder and urethra. The patient underwent 6 courses of adjuvant chemotherapy with cisplatin and 5-FU. The patient shows no evidence of recurrence or metastasis at the 8 month postoperative follow-up.
Asunto(s)
Femenino , Humanos , Persona de Mediana Edad , Adenocarcinoma de Células Claras , Quimioterapia Adyuvante , Cisplatino , Citoplasma , Disuria , Eosinófilos , Fluorouracilo , Estudios de Seguimiento , Hematuria , Cuello , Metástasis de la Neoplasia , Exenteración Pélvica , Recurrencia , Uretra , Vejiga Urinaria , Derivación UrinariaRESUMEN
PURPOSE: Patients that had undergone transurethral resection of the prostate (TURP) for benign prostate hyperplasia (BPH) were evaluated to assess the influence of the amount of resected tissue on the symptomatic improvement. MATERIALS AND METHODS: 42 men, with symptomatic BPH that had undergone TURP, were enrolled in this retrospective study. 20 and 22 patients with prostate volumes equal or less 30ml (group I) and greater than 30ml (group II), respectively, were evaluated. The resected tissue weight (RTW) and the resected tissue weight ratio (RTWR) were taken as preoperative parameters. The percent changes in the International Prostate Symptom Score (IPSS) and in the Quality of Life, and the satisfaction score, were used as measures of the symptomatic outcomes. The symptomatic outcomes of the two groups were compared, and the correlations between the RTW and RTWR and the outcomes in each group assessed. RESULTS: All the symptomatic outcomes of group II were more favorable than those of group I. There were significant correlations between the RTW (and RTWR) and all three outcomes in group II, but there were no correlations between groups I and II. CONCLUSIONS: The patients with the smaller prostate volume (equal or less than 30ml in volume) had less symptomatic improvement after TURP, with no benefit in increasing the amount of resected tissue during TURP. It is recommended excessive resection for BPH should be avoided with a small prostate.
Asunto(s)
Humanos , Masculino , Hiperplasia , Próstata , Hiperplasia Prostática , Calidad de Vida , Estudios Retrospectivos , Resección Transuretral de la PróstataRESUMEN
PURPOSE: During the last 10 years, a multitude of different ileal neobladders have been reported. The ureterointestinal anastomotic site stricture has been shown to be one of the most common late complications. To avoid the stricture, a new orthotopic ileal neobladder was constructed, with two chimneys and two afferent ileal limbs beside the reservoir. MATERIALS AND METHODS: Twenty-six men, with invasive bladder cancer, underwent a radical cystectomy, with the creation of a two chimney ileal neobladder. The mean follow-up was 18 months. The complications were assessed and divided into those related or unrelated to the urinary tract. The continence was evaluated using patient questionnaires. RESULTS: There was no case of an ureteroileal anastomotic site stricture. Five cases of vesicoureteral reflux were noted in the 52 ureteral units. Good, or satisfactory, day- and nighttime urinary continence was reported at the 6 month follow-up by 92.3 and 69.2% of patients, respectively. CONCLUSIONS: The ileal neobladder with two chimneys would be an appropriate technique for the reduction of the ureteroileal anastomotic stricture rate and to overcome some of limitations of the ureteral length.
Asunto(s)
Humanos , Masculino , Constricción Patológica , Cistectomía , Extremidades , Estudios de Seguimiento , Encuestas y Cuestionarios , Uréter , Neoplasias de la Vejiga Urinaria , Derivación Urinaria , Sistema Urinario , Reflujo VesicoureteralRESUMEN
Crossed testicular ectopia is an uncommon anatomical abnormality in which both gonads migrate toward the same hemiscrotum. We report a case of crossed testicular ectopia associated with bilateral cryptorchism. The crossed ectopic and intra-abdominal testis was fixed in it's own hemiscrotum by laparoscopic orchiopexy.