ABSTRACT
OBJECTIVES: The aim of the present study is to analyze the results achieved with the ileal bladder according to the VIP (vescica ileale Padovana) procedure. METHODS/RESULTS: We compared the results obtained in 31 patients with invasive bladder cancer who underwent radical surgery (22 underwent the ileal conduit procedure and 9 were treated by orthotopic bladder substitution) and analyzed the early complications, long-term results and physiological data of the group submitted to the VIP procedure. In the patient group submitted to the VIP procedure, there was only one case who required removal of the new bladder due to an enteroneovesical fistula. Another case developed medium serrate anular stricture of the bulbar urethra about 8 months postoperatively and was treated by endoscopic urethrotomy. The uroradiologic and urodynamic evaluations confirmed urinary tract stability integrity of renal function and good adaptation of the new reservoir. The andrological studies showed complete sexual potency in 2 of 9 patients. CONCLUSIONS: The VIP procedure appears to be a good technique, with complications no greater than those of traditional urinary diversion, and improves the quality of life of patients undergoing radical surgery for invasive bladder cancer.
Subject(s)
Cystectomy , Urinary Bladder Neoplasms/surgery , Urinary Reservoirs, Continent/methods , Follow-Up Studies , Humans , Ileum/surgery , Urinary Diversion/methodsABSTRACT
UNLABELLED: We report on two children with hemihypertrophy and ipsilateral hemimegalencephaly. Vascular lesions in one were consistent with a diagnosis of the Klippel-Trénaunay-Weber Syndrome. MRI performed in the first days of life and at 1 month of age revealed the presence of the neuronal anomaly. CONCLUSION: The occurrence of hemimegalencephaly in our patients indicates that hemihypertrophy and vascular dysplasia are pathogenetically related phenomena of a continuous spectrum in which this brain disorder may appear.
Subject(s)
Brain/abnormalities , Klippel-Trenaunay-Weber Syndrome/diagnosis , Blood Vessels/abnormalities , Female , Humans , Hypertrophy , Infant, NewbornSubject(s)
Antibodies, Bacterial/analysis , Antibodies, Viral/analysis , Borrelia/immunology , Hepatovirus/immunology , Leptospira/immunology , Orthohantavirus/immunology , Adolescent , Adult , Enzyme-Linked Immunosorbent Assay , Hantavirus Infections/epidemiology , Hepatitis A/epidemiology , Hepatitis A Antibodies , Hepatitis Antibodies/analysis , Humans , Italy/epidemiology , Leptospirosis/epidemiology , Lyme Disease/epidemiology , Middle Aged , OccupationsABSTRACT
The authors report a case of ureterocolic fistula secondary to diverticulitis of left colon. The pathological findings of this uncommon case is described.
