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1.
Int. braz. j. urol ; 43(5): 822-834, Sept.-Oct. 2017. tab, graf
Article Dans Anglais | LILACS | ID: biblio-892893

Résumé

ABSTRACT Synthetic suburethral slings have become the most widely used technique for the surgical treatment of stress urinary incontinence. Despite its high success rates, significant complications have been reported including bleeding, urethral or bladder injury, urethral or bladder mesh erosion, intestinal perforation, vaginal extrusion of mesh, urinary tract infection, pain, urinary urgency and bladder outlet obstruction. Recent warnings from important regulatory agencies worldwide concerning safety issues of the use of mesh for urogynecological reconstruction have had a strong impact on patients as well as surgeons and manufacturers. In this paper, we reviewed the literature regarding surgical morbidity associated with synthetic suburethral slings.


Sujets)
Humains , Femelle , Complications postopératoires , Procédures de chirurgie urologique/effets indésirables , Incontinence urinaire d'effort/chirurgie , Bandelettes sous-urétrales/effets indésirables , Procédures de chirurgie urologique/instrumentation
2.
Int. braz. j. urol ; 33(6): 822-828, Nov.-Dec. 2007. tab
Article Dans Anglais | LILACS | ID: lil-476647

Résumé

OBJECTIVES: To evaluate the impact of surgical treatment of stress urinary incontinence on the sexual function of women and to identify whether such treatment can improve their sexual function and overall quality of life. MATERIALS AND METHODS: 64 heterosexual women with such indication were studied using the Female Sexual Function Index (FSFI) questionnaire, modified by introducing one question to evaluate the impact of urine loss. This was applied preoperatively and six months after surgery. RESULT: Among these 64 patients, 60.94 percent had regular sexual activity, while 39.06 percent did not. Among sexually active patients, 59 percent had urine loss during sexual intercourse and, of these, 87 percent had urine losses in half or more of sexual relations. There were no statistically significant differences in assessments of desire, arousal, lubrication, orgasm, satisfaction and pain, or in totaling the scores, between the preoperative period and six months after surgical treatment. However, the scores for urine losses during sexual intercourse were significantly better after the operation. CONCLUSIONS: Analysis of the results allowed the following conclusions to be reached: Urine lost during sexual activity was frequent among patients with stress urinary incontinence. Suburethral support surgery did not jeopardize sexual activity. Patients cured of stress urinary incontinence did not present improvement in sexual function.


Sujets)
Adulte , Sujet âgé , Sujet âgé de 80 ans ou plus , Femelle , Humains , Adulte d'âge moyen , Qualité de vie , Troubles sexuels d'origine physiologique/physiopathologie , Sexualité/physiologie , Urètre/chirurgie , Incontinence urinaire d'effort/chirurgie , Facteurs âges , Coït/physiologie , Orgasme , Enquêtes et questionnaires , Troubles sexuels d'origine physiologique/diagnostic , Troubles sexuels d'origine physiologique/étiologie , Résultat thérapeutique , Urètre/physiopathologie , Incontinence urinaire d'effort/complications
3.
Clinics ; 60(5): 397-400, Oct. 2005. ilus
Article Dans Portugais | LILACS | ID: lil-414789

Résumé

A incontinência urinária de esforço é um problema prevalente em mulheres. As opções para seu tratamento vêm aumentando nos últimos tempos, havendo um direcionamento para as técnicas minimamente invasivas, com auxílio de material sintético. Com a utilização desses procedimentos, surgiram complicações incomuns, como perfuração vesical e uretral. As complicações estudadas foram devido à utilização de material sintético no tratamento de incontinência urinária de esforço e o tratamento endoscópico empregado. MATERIAL E MÉTODO: Onze pacientes foram tratadas com complicações decorrentes do tension-free vaginal tape, seis com faixa de polipropileno dentro da bexiga e cinco com erosão para uretra. Foi realizada ressecção endoscópica em todas as pacientes. RESULTADOS: Uma paciente persistiu com a faixa de polipropileno e foi submetida à nova ressecção endoscópica e cistoscopia controle após três meses era normal. CONCLUSÃO: Realização de ressecção endoscópica de faixas sintéticas intravesicais e intra-uretrais deve ser considerada uma boa alternativa no tratamento dessas complicações.


Sujets)
Humains , Femelle , Cystoscopie , Incontinence urinaire d'effort/chirurgie , Filet chirurgical , Vessie urinaire/chirurgie , Études de suivi , Polypropylènes , Complications postopératoires , Urètre/traumatismes , Urètre/chirurgie
5.
Femina ; 33(1): 9-12, jan. 2005. ilus
Article Dans Portugais | LILACS | ID: lil-417573

Résumé

A sexualidade feminina possui características próprias, que a diferenciam da masculina. Sua função, na cultura ocidental, durante séculos, esteve voltada para a procriação. Os autores apresentam uma revisão dos aspectos anatômicos relacionados à função sexual feminina, procurando correlacionar essa função com a anatomia. Esta revisão contribui para o entencimento da resposta sexual feminina, bem como para identificar possíveis disfunções associadas com anormalidades ou lesões anatômicas


Sujets)
Humains , Femelle , Trompes utérines , Système génital de la femme/anatomie et histologie , Ovaire , Sexualité , Utérus/anatomie et histologie , Vagin , Vulve
6.
Int. braz. j. urol ; 30(6): 479-486, Nov.-Dec. 2004. tab
Article Dans Anglais | LILACS | ID: lil-397809

Résumé

OBJECTIVE: To evaluate the concurrent validity, internal consistency and responsiveness of King's Health Questionnaire (KHQ) in patients who underwent sling procedures for the treatment of stress urinary incontinence. MATERIALS AND METHODS: We performed a prospective open label multicenter study in 4 tertiary referral centers. Sixty-eight female patients were enrolled with urodynamically diagnosed urinary stress incontinence. Patients were treated using surgical procedures, mostly (73 percent) with the synthetic sling procedure, which has been considered one of the gold standard methods for the treatment of urinary incontinence. The patients were assessed before and after one month of postoperative follow up, using the KHQ in its validated Portuguese version. Patients also underwent preoperative urodynamic test, Stamey incontinence grading, pad usage and the assessment of number of pads used per day. After surgery, patients underwent stress test, Stamey incontinence grading pad usage and the assessment of number of pads used per day. RESULTS: The concurrent validity showed good correlations in some domains of KHQ to clinical parameters. The internal consistency was higher after treatment compared to preoperative values. Objective parameters, such as pad usage and the assessment of number of pads used per day, had significant correlation with changes in post-treatment scores on KHQ. The responsiveness expressed in terms of standardized effect size (SES) and standardized response mean (SRM) was large. CONCLUSION: The results showed moderate concurrent validity, strong internal consistency and high responsiveness for KHQ, indicating that it is suitable for measuring outcomes in clinical trials among female patients with stress urinary incontinence.


Sujets)
Femelle , Humains , Indicateurs d'état de santé , Enquêtes et questionnaires , Incontinence urinaire d'effort/chirurgie , Période postopératoire , Études prospectives , Prothèses et implants , Qualité de vie , Reproductibilité des résultats
8.
J. bras. urol ; 23(1): 33-5, jan.-mar. 1997. ilus
Article Dans Portugais | LILACS | ID: lil-219895

Résumé

Feocromocitoma vesical é um tumor raro, representando 1 por cento dos feocromocitomas extra-adrenais. Foram descritos 117 casos na literatura. É apresentado o caso de uma jovem com hipertensäo arterial sem causa aparente controlada com enalapril. Três anos depois, realizou-se ultrasonografia para avaliaçäo de queixa abdominal de origem näo-urinária, quando diagnosticou-se tumor vesical. Por näo se tratar de tumor urotelial, optou-se por cistectomia parcial cujo exame anatomopatológico revelou feocromocitoma. Um ano após a cirurgia, a paciente apresentava níveis pressóricos de 140 x 100 mmHg, sendo controlados com 1 mg de prazosim


Sujets)
Humains , Femelle , Adulte , Hypertension artérielle/étiologie , Phéochromocytome/diagnostic , Tumeurs de la vessie urinaire/diagnostic , Acide vanilmandélique/urine , Acide vanilmandélique , Antihypertenseurs/usage thérapeutique , Énalapril/usage thérapeutique , Hypertension artérielle/traitement médicamenteux , Métanéphrine , Phéochromocytome/complications , Phéochromocytome/chirurgie , Prazosine/usage thérapeutique , Tumeurs de la vessie urinaire/complications , Tumeurs de la vessie urinaire/chirurgie
9.
Rev. paul. med ; 106(1): 14-20, jan.-fev. 1988. ilus, tab
Article Dans Portugais | LILACS | ID: lil-60477

Résumé

Os autores analisaram 43 casos de câncer inflamatório, estabelecem sua freqüência e faixa etária, sua classificaçäo clínico-patológica e enfatizam a necessidade de biópsia incisional, com retirada de fragmento de pele. Justificam plenamente a terapêutica inicial pela quimioterapia, para controle local e sistêmico, bem como potencializaçäo da RT, que deve ter fracionamento diário. Caracterizam o uso de medidas cirúrgicas nos casos em que somente há comprometimento clínico, sem invasäo linfática dérmica, ou como caráter higiênico nas mamas ulceradas ou em vias de ulceraçäo. Mostram a evoluçäo desfavorável destes casos, malgrado qualquer terapêutica, e a sobrevida de menos de 5% em cinco anos


Sujets)
Adulte , Adulte d'âge moyen , Humains , Femelle , Tumeurs du sein/anatomopathologie , Carcinomes/anatomopathologie , Brésil , Tumeurs du sein/mortalité , Tumeurs du sein/thérapie , Carcinomes/mortalité , Carcinomes/thérapie , Protocoles de polychimiothérapie antinéoplasique/usage thérapeutique
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