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1.
Artigo | IMSEAR | ID: sea-217083

RESUMO

Malakoplakia (from Greek Malako “soft” + Plako “plaque”) is a rare inflammatory condition that presents as a papule, plaque, or ulceration that usually affects the genitourinary tract. The most frequently affected organ is the urinary bladder. This condition has features of granulomatous inflammation. The pathogenesis of the disease is not completely understood. It is often misdiagnosed as malignancy. In this case report, we present a case of urinary bladder malakoplakia which presented with obstructive uropathy and acute kidney injury (AKI)

2.
Artigo em Inglês | IMSEAR | ID: sea-177212

RESUMO

Urethral duplication is a rare congenital anomaly. Although a number of theories have been proposed to describe the embryology of the condition, the actual mechanism of the disorder is still unclear. A case of urethral duplication in a 25-year-old male complaining of poor flow of urine and double stream has been discussed. The patient was treated successfully with simple meatal correction surgery.

3.
Artigo em Inglês | IMSEAR | ID: sea-177171

RESUMO

Adverse reactions associated with parenteral use of contrast agents are widely recognized, but reactions to contrast agents following retrograde urethrography are much less common. A rare case of local allergic reaction to ionic contrast during retrograde urethrography in a 25-year-old male patient, who was treated conservatively, has been described.

4.
Int. braz. j. urol ; 36(2): 183-189, Mar.-Apr. 2010. tab
Artigo em Inglês | LILACS | ID: lil-548378

RESUMO

INTRODUCTION: Transurethral resection syndrome is an uncommon but potentially life threatening complication. Various irrigating solutions have been used, normal saline being the most physiological. The recent availability of bipolar cautery has permitted the use of normal saline irrigation. MATERIAL AND METHODS: In a randomized prospective study, we compared the safety and efficacy of bipolar cautery (using 0.9 percent normal saline irrigation) versus conventional monopolar cautery (using 1.5 percent glycine irrigation). Pre and postoperative hemoglobin (Hb) and hematocrit values were compared. Hemodynamics and arterial oxygen saturation were monitored throughout the study. Safety end points were changes in serum electrolytes, osmolarity and Hb/PCV (packed cell volume). Efficacy parameters were the International Prostate Symptom Score (IPSS) and Qmax (maximum flow rate in mL/sec) values. RESULTS: Mean preoperative prostate size on ultrasound was 60 ± 20cc. Mean resected weight was 17.6 ± 10.8 g (glycine) and 18.66 ± 12.1 g (saline). Mean resection time was 56.76 ± 14.51 min (glycine) and 55.1 ± 13.3 min (saline). The monopolar glycine group showed a greater decline in serum sodium and osmolarity (4.12 meq/L and 5.14 mosmol/L) compared to the bipolar saline group (1.25 meq/L and 0.43 mosmol/L). However, this was not considered statistically significant. The monopolar glycine group showed a statistically significant decline in Hb and PCV (0.97 gm percent, 2.83, p < 0.005) as compared to the bipolar saline group (0.55 gm percent and 1.62, p < 0.05). Patient follow- up (1,3,6 and 12 months postoperatively) demonstrated an improvement in IPSS and Qmax in both the groups. CONCLUSION: We concluded that bipolar transurethral resection of prostate is clinically comparable to monopolar transurethral resection of prostate with an improved safety profile. However, larger number of patients with longer follow up is essential.


Assuntos
Humanos , Masculino , Pessoa de Meia-Idade , Próstata/cirurgia , Hiperplasia Prostática/cirurgia , Sódio/sangue , Ressecção Transuretral da Próstata/métodos , Glicinérgicos/uso terapêutico , Glicina/metabolismo , Cuidados Pós-Operatórios , Cuidados Pré-Operatórios , Potássio/sangue , Hiperplasia Prostática/sangue , Hiperplasia Prostática/patologia , Cloreto de Sódio/uso terapêutico , Resultado do Tratamento , Irrigação Terapêutica/métodos , Ressecção Transuretral da Próstata/efeitos adversos , Ressecção Transuretral da Próstata/normas
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