ABSTRACT
We present a review of 1245 patients undergone to ultrasound guided transperineal prostatic biopsy. We examined the complications' incidence of this technique to confirm or exclude presence of prostate cancer. Indications to a prostatic biopsy include an abnormal digital rectal examination, TRUS or PSA values increased. Single biopsy or systematic mapping of prostate were performed. For prostate biopsy a "Biopsy Gun" with 18 G. needle was used. Of 1245 patients, only 31 (2.48%) showed complications. Our experience demonstrates that ultrasound guided transperineal prostatic biopsy is a safe and easy technique and it is well accepted by the patient.
Subject(s)
Biopsy, Needle/adverse effects , Hematuria/etiology , Prostate/diagnostic imaging , Prostate/pathology , Urinary Tract Infections/etiology , Aged , Aged, 80 and over , Biopsy, Needle/instrumentation , Biopsy, Needle/methods , Fever/etiology , Humans , Male , Middle Aged , Prostatic Diseases/diagnostic imaging , Prostatic Diseases/pathology , Prostatic Neoplasms/diagnostic imaging , Prostatic Neoplasms/pathology , Retrospective Studies , Shock, Septic/etiology , UltrasonographyABSTRACT
From January 1983 to December 1993, on 1917 ptz who underwent to operations for BPH, 1532 pts (80%) had transurethral adenomectomy, and 385 pts (20%) had retropubic adenomectomy. The prostatic weight, obtained by ultrasound, is the factor which determines the kind of operations: transurethral adenomectomy if the prostate weight is lower than 50 gr, open surgery if it is more than 50 gr. In our experience about retropubic adenomectomy (Millin) we never had patient's death during operation or in the immediate post-operatively period. The early complications were 13.7%, and the late complications were 3.8%. The retropubic adenomectomy, when performed with right indications, is still valid.
Subject(s)
Prostatectomy/methods , Prostatic Hyperplasia/surgery , Aged , Aged, 80 and over , Evaluation Studies as Topic , Humans , Male , Middle Aged , Postoperative Complications , Prostatic Hyperplasia/diagnostic imaging , Prostatic Hyperplasia/pathology , UltrasonographyABSTRACT
Ureteral malformations that concern adults are very few. The aim of this review is to value the real clinical incidence and to illustrate etiology, diagnosis and therapeutical management advised in the literature.
Subject(s)
Ureter/abnormalities , Ureteral Diseases/diagnosis , Adult , Age Factors , Diagnosis, Differential , Humans , Male , Ureter/physiopathologyABSTRACT
The injuries to the ureter, whether from external trauma or iatrogenic, are rare. Some problems are common to this type of pathology, independently from the causes of injuries. It is necessary a prompt diagnosis of the lesion to avoid the urinar leakage, the infection and the fibrosis of the ureteral's stumps. If the diagnosis is not prompt, the clinical pattern may be silent for some days; after, many complications will arise up: sepsis, urinomas and fistulas. When the lesion is incomplete, and there is no devascularization, the urine drainage alone, positioned above the level of the lesion, is indicated for spontaneous repairing. When the ureteral tissue loss is extensive, it is not enough a simple anastomosis between the ureteral's stumps; in these cases is necessary a more complex repair surgery or ureteral substitution.
