ABSTRACT
The improvement of surgical utensils, the development of endoscopic techniques, the simplification of many surgical procedures and the increasing substitution of classic surgery with treatments using the physical effects originated from innovative devices, together with the evolution of anaesthetic techniques, make possible for urological operations to be now simpler and less aggressive. All of what, whenever both the hospital and the social environment so allow it, can let us in many cases dispense with hospitalizations which, up to now, were considered essential or, at any rate, significantly reduce the patient's stay in hospital.
Subject(s)
Ambulatory Surgical Procedures , Urologic Diseases/surgery , HumansABSTRACT
Skin metastasis of prostatic carcinoma are extremely rare. Presentation of one significant case of these spread.
Subject(s)
Adenocarcinoma/secondary , Prostatic Neoplasms/pathology , Skin Neoplasms/secondary , Aged , Humans , MaleABSTRACT
The combination of percutaneous nephrolitotomy and renal extracorporeal litothricy, is currently considered to be the best choice for the treatment of complex renal lithiasis. This procedure, however, quite frequently needs the use of adjuvant maneouvers (urethroscopy, catheterization, large number of sessions, etc.), and there is a considerable proportion of residual lithiasis. We present here our series using a new therapeutic sequence: first, we perform extracorporeal litothricy (ESWL) of calices not accessible to the nephroscope, followed by percutaneous nephrolitotomy which has revealed to be a simplification of the percutaneous surgical technique since it decreases the movements of the nephroscope and the use of ultrasounds. Calyceal lithiasis previously fragmented are then extracted through the nephrostomic channel and so no lithiatic paths are induced, the percentage of residual lithiasis being also lower.
Subject(s)
Kidney Calculi/therapy , Kidney/surgery , Lithotripsy , Adult , Aged , Combined Modality Therapy , Female , Follow-Up Studies , Humans , Kidney Calculi/diagnostic imaging , Male , Middle Aged , RadiographyABSTRACT
A study of 16 patients who underwent intralbugineous testicular implants during the practice of orchiectomy is presented. In 14 cases of prostatic carcinoma, after bilateral subcapsular orchiectomy intralbugineous prostheses were implanted and in 2 other cases of testicular torsion unilateral prosthesis was implanted. With this new, easily executed technique the size, mobility and testicular sensibility are maintained.
Subject(s)
Orchiectomy/methods , Prostheses and Implants , Humans , Male , Orchiectomy/psychology , Prostatic Neoplasms/surgery , Spermatic Cord Torsion/surgeryABSTRACT
Congenital curvature of the penis without hypospadias is not an uncommon condition whose treatment is by surgery. We report on 10 cases with congenital penile curvature submitted to the Nesbit procedure using our modified approach, which has achieved good results.
Subject(s)
Penile Diseases/congenital , Penile Erection , Penis/abnormalities , Adolescent , Adult , Humans , Male , Penile Diseases/surgery , Penis/surgeryABSTRACT
A study of ureteral blockage by Candida in a patient suffering from urinary derivation is presented. It has been favourably resolved by medical treatment and nephrostomy. The increasing medical importance of urinary infections by fungi, especially in weak patients and catheter carriers, makes it important to employ more aggressive treatment. Regarding urinary derivation and Candida infection, in the case of urinary blockage the possibility must be considered that blockage may be due to fungi, since it can be successfully treated medically without the need of surgery.
