ABSTRACT
An asymptomatic pelvic tumor was incidentally found in a 27-year-old man. A CT-guided needle biopsy with a pathologic examination confirmed the diagnosis of a benign schwannoma. We describe the complete robotic resection with the conservation of normal fascicles. The postoperative course was uneventful. No neurological deficit occurred, and the electromyogram was normal 6 weeks and 7 months later.
Subject(s)
Neurilemmoma/surgery , Retroperitoneal Neoplasms/surgery , Robotic Surgical Procedures/methods , Adult , Electromyography , Humans , Male , Neurilemmoma/diagnostic imaging , Neurilemmoma/pathology , Retroperitoneal Neoplasms/diagnostic imaging , Retroperitoneal Neoplasms/pathology , Retroperitoneal Space/innervation , Retroperitoneal Space/surgery , Tomography, X-Ray ComputedABSTRACT
Renal lymphatic fistulas are rare and, in most cases, of parasitic origin. We report a case of a reversible uro-lymphatic fistula, which was demonstrated by CT and was felt to be secondary to a radiolucent calculus.
Subject(s)
Lymph Nodes/abnormalities , Lymph Nodes/diagnostic imaging , Tomography, X-Ray Computed/methods , Urinary Fistula/diagnostic imaging , Urography/methods , Aged , Humans , MaleABSTRACT
OBJECTIVE: This study was designed to evaluate the feasibility, efficacy and complications of treatment of bladder neck obstruction by Memotherm stent. MATERIAL AND METHODS: A Memotherm stent was implanted under local anaesthesia in 53 elderly patients presenting a poor general status and/or cardiopulmonary disease. All patients presented urinary retention, 48 patients presented signs of benign prostatic hyperplasia (BPH) and 5 patients presented neurogenic bladder. RESULTS: Micturition was restored immediately after implantation in 40 patients, implantation failed immediately in 3 patients and 3 patients required stent modification. Seven patients required prolonged bladder drainage before resumption of spontaneous micturition. Forty patients have long-term follow-up with a mean follow-up of 42 months and a maximum follow-up of 75 months. The stent was conserved throughout follow-up in 36 (90%) patients. The following complications were observed: 1 case of major intolerance, 1 case of early migration, 3 cases of late migration, 1 case of partial encrustation and 1 case of obstruction of the stent lumen by prostatic tissue. CONCLUSION: When conventional BPH surgery is contra-indicated, the Memotherm stent can safely relieve bladder neck obstruction with satisfactory functional results.
