ABSTRACT
Diverticula of the urethral wall are not common. Generally, in the male, congenital urethral diverticulum is located in the anterior urethra. We report a twenty-one year old man who referred to our department for dysuria, micturition in two times, small stream urination. Sometimes he also presented a dry ejaculation. The exams showed, at the bulbous portion of the urethra, an urethral diverticulum. The diverticulum was probably congenital because the patient had no history of urinary infection, catheterization or trauma. A surgery procedure was performed. 9 months later, the result is good.
Subject(s)
Diverticulum/congenital , Urethral Diseases/congenital , Adult , Diverticulum/complications , Diverticulum/surgery , Humans , Male , Urethral Diseases/complications , Urethral Diseases/surgery , Urination Disorders/etiologyABSTRACT
22 patients affected by BPH have been treated with a spiral urethral prosthesis under local anesthesia with ultrasonic guidance and endoscopic technique. All the patients either refused the surgical procedure or had high operative risk. Insertion guided by ultrasound and endoscopic technique was successful in 19 patients (86%) with a follow-up of 12 months. In our experience the insertion of this prosthesis is a favorable alternative to an indwelling catheter in selected patients.
Subject(s)
Prostatic Hyperplasia/complications , Prostheses and Implants , Urinary Retention/therapy , Aged , Aged, 80 and over , Endoscopy , Follow-Up Studies , Humans , Male , Prostatic Hyperplasia/diagnostic imaging , Prosthesis Design , Ultrasonography , Urinary Retention/diagnostic imaging , UrodynamicsABSTRACT
285 affected by BPH have been evaluated by transrectal ultrasound. All the patients had a palpably normal prostate without abnormality suggestive of cancer. 56 patients (19.6%) presented ultrasonic abnormality areas. Under ultrasound guidance, biopsy was done by the transperineal route and biopsy material showed the presence of prostatic carcinoma in 24 patients (8.3%). 6 of these had neoplasm in the non peripheral zone. The study suggests the validity of ultrasound, in particularly transrectal ultrasound, in the identification of non palpable prostatic cancer. In conclusion ultrasound appears very useful in the preoperative evaluation of the patients affected by BPH in order to identify neoplasms non detectable with other methods.
