ABSTRACT
Cystic lesions at the midline of the prostate are uncommon and they are considered as congenital disorders. Is generally accepted that active treatment should be instituted only in symptomatic patients and watchful waiting in asymptomatic ones. The most common active treatment is minimally invasive surgery by puncture-aspiration or endoscopic unroofing. We are attaching an inmunosupressed patient because of a renal transplantation in which we provided an active treatment by puncture-aspiration of the cystic lesion in spite of being asymptomatic.
Subject(s)
Cysts/etiology , Kidney Transplantation/adverse effects , Prostatic Diseases/etiology , Adult , Humans , MaleABSTRACT
Las lesiones quísticas localizadas en la línea media de la próstata son poco frecuentes y se consideran alteraciones congénitas. Se acepta generalmente que el tratamiento activo se realiza sólo a los pacientes sintomáticos, haciendo observación a los asintomáticos. El tratamiento activo más común es la cirugía mínimamente invasiva por medio de punción-aspiración o la decorticación endoscópica. Aportamos un caso de un paciente inmunosuprimido por un trasplante renal, circunstancia que nos hizo optar por el tratamiento activo con punción aspiración del mismo, a pesar de ser asintomático
Cystic lesions at the midline of the prostate are uncommon and they are considered as congenital disorders. Is generally accepted that active treatment should be instituted only in symptomatic patients and watchful waiting in asymptomatic ones. The most common active treatment is minimally invasive surgery by puncture-aspiration or endoscopic unroofing. We are attaching an inmunosupressed patient because of a renal transplantation in which we provided an active treatment by puncture-aspiration of the cystic lesion in spite of being asymptomatic
Subject(s)
Male , Adult , Humans , Kidney Transplantation/pathology , Kidney Transplantation , Minimally Invasive Surgical Procedures/methods , Biopsy, Needle/methods , Endoscopy/methods , Prostatectomy/methods , Prostatic Neoplasms/complications , Prostatic Neoplasms/surgery , Prostate/pathology , Prostate/surgery , Minimally Invasive Surgical Procedures/trends , Minimally Invasive Surgical Procedures , Immunosuppression Therapy/methods , ProstateABSTRACT
Presentation of an original technique to treat S.U.I. in women. This technique contains in itself many others, both in terms of the conceptual anatomical base on which it is inspired, and in the possibilities of its surgical application. Lisfranc's approach, supra-meatic and infra-clitoridean, allows to section both the pubo-urethral ligament and Colles fascia thus reaching into the Retzius. It makes possible the use of solid anatomical elements (pelvian fascia, elevator, urethro-vaginal septum, etc...) thus allowing to suspend the pelvian base from fascia ligaments or from the abdominal wall muscles. Sixty patient who had simple S.U.I. received treatment, with a 95% efficacy index based on the evaluation of the urodynamic, bacteriological and clinical studies. We conclude with an evaluation on the validity of the results obtained by emphasizing the high efficacy index, simplicity, low morbidity and short hospital stay.
Subject(s)
Urinary Incontinence, Stress/surgery , Female , Follow-Up Studies , Humans , Middle Aged , Surgical Procedures, Operative/methods , VaginaABSTRACT
Our experience in stenosis of the urinary tract after renal transplantation is described. We reviewed the records of 160 consecutive cases of renal transplantation. The data gleaned over a period of 10 years (1982-1992) show a stenosis rate of 4.37%. All the cases were successfully treated by surgery.
Subject(s)
Kidney Transplantation/adverse effects , Ureteral Obstruction/etiology , Adult , Constriction, Pathologic/epidemiology , Constriction, Pathologic/etiology , Constriction, Pathologic/therapy , Female , Humans , Incidence , Male , Middle Aged , Ureteral Obstruction/epidemiology , Ureteral Obstruction/therapyABSTRACT
The present study reports our experience in the endourological treatment of fistulas of the distal ureter in renal transplant patients. The temporary urinary exclusion or dry technique was effective in 8 of the 10 patients. We advocate the use of this simple and safe technique which achieves excellent results.
Subject(s)
Kidney Transplantation/adverse effects , Nephrostomy, Percutaneous/methods , Postoperative Complications/therapy , Ureteral Diseases/therapy , Urinary Fistula/therapy , Humans , Ischemia/therapy , Kidney/blood supply , Transplantation, Heterotopic , Urinary Bladder , Urinary CatheterizationABSTRACT
The surgical treatment of hypospadias is very complex. The objective is to obtain a satisfactory urinary and genital function with an equal morphological, anatomical and aesthetic result. Our contribution covers 22 years of surgical multicentre experience (700 cases). We evaluate the surgical indication, results, complications, associated malformations and study protocols. The anterior forms 590 (82%) were treated using the Duckett Magpi, Mathieu, Duplay and Leveuf techniques. Posterior forms 110 (18%) with a wide variety of techniques. Results have been encouraging in both. We have objectively evaluated the evolution of the indications, as well as the application of different techniques depending on the extent of urethral malformation.
Subject(s)
Hypospadias/surgery , Child , Child, Preschool , Humans , MaleABSTRACT
This paper describes a case of liposarcoma of exceptional paratesticular location (first in the literature described in infancy). The case corresponds to a 5-year-old boy. The influence of the histology, location of the tumour and possibility of complete surgical exeresis is fundamental with regard to prognosis and evolution. Pediatric experience is extremely limited and we may superimpose the treatment in children of that carried out in adults (more case histories), in whom multimodal therapy (surgery, radiotherapy, chemotherapy) concludes with encouraging results. The updating of previously published cases reveals the predominance of myxoid histology, a lower index of relapses in infancy and a high peak of incidence in early infancy.
Subject(s)
Liposarcoma , Spermatic Cord , Child, Preschool , Genital Neoplasms, Male/pathology , Genital Neoplasms, Male/surgery , Humans , Liposarcoma/pathology , Liposarcoma/surgery , Male , Spermatic Cord/pathologyABSTRACT
We report on an 18-year-old patient with embryonal rhabdomyosarcoma of the prostate who presented with urinary retention. An ultrasound-guided percutaneous punction corroborated the presumptive diagnosis. The patient was submitted to the appropriate combined treatment modality of chemotherapy, radiotherapy and surgery; however, the virulence of tumor spread led to a fatal outcome less than one year following treatment.
Subject(s)
Prostatic Neoplasms , Rhabdomyosarcoma , Adolescent , Combined Modality Therapy , Humans , Male , Prostatic Neoplasms/pathology , Prostatic Neoplasms/therapy , Rhabdomyosarcoma/pathology , Rhabdomyosarcoma/therapyABSTRACT
The present study reports the results afforded by the Flores technique, a modification of the Monseur urethroplasty, in the surgical treatment of urethral strictures. The clinical, urodynamic, and biological data from medium-term follow-up are presented.
