ABSTRACT
We present a case of recurring gigantic calcifications of both extreme of a double-J ureteral catheter, with long permanency of the same. We expose the technical maneuvers that were specified for the managing of so important complication. We emphasize the renal functional conservation found in spite of the magnitude of the calcifications. We check the national literature in this regard of this complication and we expose the etiological mechanisms, prophylactic recommendations and therapeutic managing of this complication to the extended use of ureteral catheters.
Subject(s)
Calcinosis/etiology , Ureteral Diseases/etiology , Urinary Catheterization/adverse effects , Adult , Calcinosis/diagnostic imaging , Calcinosis/therapy , Female , Humans , Lithotripsy , Radiography , Recurrence , Time Factors , Ureter/diagnostic imaging , Ureteral Diseases/diagnostic imaging , Ureteral Diseases/therapy , Urinary Catheterization/instrumentationABSTRACT
Urological emergencies, except those occurring in children, seen in a General Hospital were studied for one year. The retrospective study, both descriptive and comparative, conducted has allowed to know that there had been 3,244 emergencies (4.2% of total cases) though the urologist acted only in 1,410 (43.4%). A predominance of males (76.10%) in their sixth and seventh decade (33% of total) was seen. Presentation increased slightly (2%) above average during the summer months. 80.9% came to the Emergency Ward of their own accord and 70% were discharged soon after assistance. Nephritic colic (19.08%), haematuria (14.04%) and U.T.I. (13.83%) were the most common causes for presentation. A total of 284 patients (20.14%) required hospitalization. 96.6% were given medical and/or instrumental treatment, versus 3.4% (49) who underwent surgery basically due to testicular disease (34.69%), sepsis (24.50%), traumatic injury of male genitalia (20.3%), etc. The most frequent conditions were analyzed by age, sex, and seasonal distribution. Also, an analysis was made on the concept of "Urological Emergency" to evaluate incidence and types in our environment.
Subject(s)
Urologic Diseases/epidemiology , Adult , Age Distribution , Aged , Aged, 80 and over , Emergencies , Female , Humans , Male , Middle Aged , Retrospective Studies , Sex Distribution , Urologic Diseases/therapyABSTRACT
Presentation of one case of mixed testicular tumour in a 31-year-old male patient. Since this is the association in the same organ of an "organoid" teratoma plus a seminoma, the histological diversity, frequency, as well as the analysis of the controversies and criteria for its therapeutical approach are all discussed. Also, several histological theories on the genesis of mixed testicular tumours are explained. Prognosis and evolution after treatment of the present case is included.
Subject(s)
Neoplasms, Germ Cell and Embryonal , Testicular Neoplasms , Adult , Humans , Male , Neoplasms, Germ Cell and Embryonal/pathology , Testicular Neoplasms/pathologyABSTRACT
This article reports our case series of testicle germinal cell tumours, consisting of 14 cases, between 1974-1991. 42.85% (6 cases) were seminomas, 4 (66.6%) in Stage I. There was one case (16.6%) in Stage III and another one in Stage IV. 14.29% (2 cases) were embryonic carcinomas, one in Stage I and one in Stage II. Teratomas represented 14.29% (2 cases), in Stages I and IV respectively. There were 4 cases of mixed tumours (2 cases) in which teratomatous components (3 out of 4) were predominant. 50% were in Stage I and 50% in Stage III. Inguinal orchiectomy was performed in all cases, and three received radiotherapy (seminomas in Stages I (2 cases) and III), with survival ranging from 1 to 7 years. Two cases (seminoma and embryonic carcinoma) received chemotherapy under different regimes depending on the time of diagnosis. One patient has survived 11 years following rescue lymphadenectomy while the other one died 14 months later from pulmonary metastasis. Among the mixed tumours, 50% (2 cases in Stages II and III) died 5 and 11 months afterwards without further treatment due to overall affectation at diagnosis. An abstentionist approach in Stage I (seminomas and non-seminomas), which was "strictly" applied in 5 cases showing disease-free survival ranging from 1 to 5 years, is defended. Follow-up was not feasible in 2 cases (14.2%). Both the diagnostic means and a review of treatment by Stages, reflecting the evolution of chemotherapy and the results obtained, are analyzed. Also the most widely accepted approaches in the management of these tumours.
Subject(s)
Dysgerminoma/surgery , Testicular Neoplasms/surgery , Combined Modality Therapy , Dysgerminoma/drug therapy , Dysgerminoma/pathology , Humans , Lymph Node Excision , Lymphatic Metastasis , Male , Neoplasm Metastasis , Neoplasm Staging , Survival Rate , Testicular Neoplasms/drug therapy , Testicular Neoplasms/pathology , Treatment OutcomeABSTRACT
Two additional cases of complete testicular feminization syndrome or Morris syndrome are described. The patients had consulted for primary amenorrhea. Patient work up revealed a female phenotype, hormone profile and 46,XY karyotype. They were submitted to abdominal surgical exploration and orchidectomy of the cryptorchid male gonads. The potential etiologic factors, pathogenesis, incidence and clinical features of this syndrome are discussed. Furthermore, the surgical treatment and outcome are described, highlighting the incidence of gonadal malignancy if these are not removed early.
Subject(s)
Androgen-Insensitivity Syndrome/diagnosis , Adult , Androgen-Insensitivity Syndrome/pathology , Androgen-Insensitivity Syndrome/surgery , Humans , Male , Orchiectomy , Testis/pathologyABSTRACT
Attendance generated in an urology outpatients office, reaching up to 6564 visits, was studied for a complete year. Considering only the initial visits handled during that period (1968), we evaluated the following parameters: age, sex, mode of remission, data presented, type of consultation, most common type of urological pathology. No particular period of life has come out as showing greater incidence of urological pathology. Males represented twice as many visits as women. 84.29% patients had been correctly referred to the office. Sixty percent of visits happened without appropriate clinical data to support the case. Emergencies represented 13.31%, but 90% of those actually lacked such condition. Renal-ureteral lithiasis (25.57%) was the most frequently present pathology in our office, followed by benign hypertrophy of the prostate (16.07%). Urinary lower tract infections (15.59%) and inflammatory and/or congenital prepuce pathologies (14.09%) were the second most frequent ones. In this paper, we emphasize the increasing prevalence of male-related sterility visits in the outpatients environment, as well as nephrological.
