ABSTRACT
El priapismo es una afección patológica que consiste en una erección peneana persistente más allá de la estimulación sexual. Presentamos el caso de un paciente de 80 años, diagnosticado inicialmente, por la historia clínica, valores gasométricos de los cuerpos cavernosos y ultrasonografía doppler color peneana, de priapismo de bajo flujo que durante la realización de la técnica de Winter se produce iatrogénicamente la laceración bilateral de las arterias dorsales, originando una fístula arteriolacunar y en consecuencia un priapismo de alto flujo. Se realizó arteriografía selectiva de la pudenda, al no ser la eco-doppler color concluyente, que puso de manifiesto dicha fístula y permitió la embolización supraselectiva con microcoils...
Priapism is a pathology consisting of prolonged penile erection unrelated to sexual stimulation. We present an 80-year-old patient with relevant clinical history; corpora cavernosa blood gas analysis and penile Doppler ultrasound examination confirmed low-flow priapism. The Winter procedure was performed, which provoked iatrogenic laceration of the dorsal artery, leading to an arterio-lacunar fistula and high-flow priapism. A second Doppler ultrasound was inconclusive, and so a selective angiography was performed to observe the pudendal artery, following which selective embolization with microcoils was carried out...
Subject(s)
Humans , Male , Aged, 80 and over , Embolization, Therapeutic , Iatrogenic Disease , Arteriovenous Fistula , Priapism/etiology , Priapism/therapy , Arteries/injuries , LacerationsABSTRACT
Se presenta una rara complicación pos operatoria, la formación de pseu dodivertículo uretral, que se produce después de una prostatectomía radical laparoscópica con preservación de nervios, procedimiento llevado a cabo con la colocación de Hem-o-lok sobre los pedículos látero-prostáticos, en un paciente con cáncer de próstata clínicamente localizado. Por tanto, estos dispositivos deben utilizarse con precaución en la región de la anastomosis vesicouretral...
We present a rare postoperative complication, pseudodiverticulum urethral formation, occurring after a laparoscopic radical prostatectomy with nerve-sparing procedure carried out with the placement of Hem-o-lok c in the latero-prostatic pedicles, in a patient with clinically localized prostate cancer. As such, these devices should be used with caution in the region of the vesicourethral anastomosis...
Subject(s)
Humans , Male , Aged , Surgical Instruments/adverse effects , Laparoscopy/methods , Prostatic Neoplasms/surgery , Prostatectomy/methods , Postoperative Complications , Laparoscopy/instrumentation , Prostatectomy/instrumentationSubject(s)
Antiemetics/adverse effects , Dexamethasone/adverse effects , Perineum , Postoperative Complications/chemically induced , Postoperative Nausea and Vomiting/prevention & control , Pruritus/chemically induced , Adult , Antiemetics/administration & dosage , Breast/surgery , Dexamethasone/administration & dosage , Female , Humans , Injections, Intravenous , Middle Aged , Postoperative Complications/prevention & controlABSTRACT
OBJECTIVES: To emphasize the diagnostic difficulty in some cases of intradiverticular transitional cell tumor of the bladder. METHODS/RESULTS: A patient with intradiverticular transitional cell tumor is described. The clinical features and diagnostic aspects are discussed. Despite the use of different diagnostic procedures (X-ray, US, CT, retrograde cystography), diagnosis could only be made after surgery. CONCLUSION: In patients suspected as having intradiverticular transitional cell tumor, the definitive diagnosis can only be made following surgery.
Subject(s)
Carcinoma, Transitional Cell/complications , Diverticulum/complications , Urinary Bladder Diseases/complications , Urinary Bladder Neoplasms/complications , Aged , Aged, 80 and over , Humans , MaleABSTRACT
We report on a 16-year-old patient with stricture of the pyeloureteric junction (PUJ) that had been incidentally discovered following trauma to the lumbar region. The literature is briefly reviewed.
Subject(s)
Hydronephrosis/congenital , Kidney/injuries , Adolescent , Humans , Kidney Pelvis , Male , Ureteral Obstruction/etiologyABSTRACT
A case of transitional cell carcinoma of the prostate is described which had been diagnosed following TUR of the prostate due to cervico-prostatic obstruction. Subsequent cystoscopic and cytological controls, as well as multiple bladder biopsies have discarded a concomitant urothelial tumor. We underscore the rarity of transitional cell tumor of the prostate, its response to chemotherapy and the possibility of suspecting this tumor type when there is massive invasion of the prostate following TUR.
Subject(s)
Antineoplastic Combined Chemotherapy Protocols/therapeutic use , Carcinoma, Transitional Cell/drug therapy , Prostatic Neoplasms/drug therapy , Carboplatin/administration & dosage , Carcinoma, Transitional Cell/diagnosis , Humans , Male , Methotrexate/administration & dosage , Middle Aged , Prostatic Neoplasms/diagnosis , Vinblastine/administration & dosageABSTRACT
A case of giant retroperitoneal liposarcoma is described. Treatment was by radical surgery, using the anterior approach, with preservation of the renal unit. The diagnostic procedure is briefly discussed and the literature reviewed.
Subject(s)
Liposarcoma , Retroperitoneal Neoplasms , Aged , Female , Humans , Liposarcoma/diagnosis , Liposarcoma/surgery , Retroperitoneal Neoplasms/diagnosis , Retroperitoneal Neoplasms/surgeryABSTRACT
We present two cases of spontaneous rupture of the excretory tract within the context of reno-ureteral colic due to lithiasis. We comment on the etiopathogenic aspects and underscore the need for emergency evaluation in patients with very severe nephric colic and/or symptoms of peritoneal irritation (ileus, abdominal guarding), and temporary urinary diversion must be performed via nephrostomy as a palliative procedure for the symptoms and to avoid complications.
Subject(s)
Kidney Calices , Kidney Pelvis , Urine , Adult , Colic/etiology , Female , Humans , Kidney Diseases/complications , Kidney Diseases/diagnosis , Kidney Diseases/therapy , Male , Middle Aged , Rupture, SpontaneousABSTRACT
Two cases of retroperitoneal abscess that had recently been treated in our service are described. The primary infection was localized to the psoas muscle in one patient with a previous injury to the right lumbar region. The other case was secondary to an ascending urinary infection. Staph aureus were isolated in the first case and E. Coli in the second. The different clinical course and treatment of each case are described.
Subject(s)
Escherichia coli Infections , Psoas Abscess , Staphylococcal Infections , Aged , Aged, 80 and over , Escherichia coli Infections/diagnosis , Humans , Male , Psoas Abscess/diagnosis , Retroperitoneal Space , Staphylococcal Infections/diagnosisABSTRACT
We report a case of penile trauma that had been treated early by surgery. The value of ultrasound in diagnosing rupture of the corpus cavernosum albuginea is highlighted. The good functional and cosmetic results afforded by early surgical treatment is underscored.
Subject(s)
Penis/injuries , Wounds, Nonpenetrating/surgery , Adult , Humans , Male , Penis/surgery , RuptureABSTRACT
A 5-year-old boy with intrascrotal rhabdomyosarcoma arising from the epididymis is described. The patient was submitted to radical orchidectomy via the inguinal approach and high ligation of the spermatic cord. The anatomopathological examination revealed germ cell rhabdomyosarcoma of the epididymis with no testicular or spermatic cord involvement, which corresponded to stage I of the IRS classification (Intergroup Rhabdomyosarcoma Study). Its clinical and histological features and treatment are discussed.
Subject(s)
Epididymis , Rhabdomyosarcoma , Testicular Neoplasms , Child, Preschool , Epididymitis/diagnosis , Epididymitis/etiology , Humans , Male , Rhabdomyosarcoma/complications , Rhabdomyosarcoma/diagnosis , Rhabdomyosarcoma/surgery , Testicular Neoplasms/complications , Testicular Neoplasms/diagnosis , Testicular Neoplasms/surgeryABSTRACT
Contribution of one left renal adenocarcinoma in a 54-year old women, where the initial data was the finding of erythrocytosis discovered during routine laboratory tests performed by her gynaecologist. Review of the diagnostic and therapeutic procedures followed in this case, establishing a differentiation between erythrocytosis and polyglobulia. Normalization of the hemogram following extended nephrectomy is emphasized. This case history is considered to be of interest due to its presentation pattern. Finally, we believe that faced to an erythrocytosis of unknown etiology, a renal tumoral disease, more specifically a renal adenocarcinoma, should be suspected.
Subject(s)
Adenocarcinoma/complications , Kidney Neoplasms/complications , Polycythemia/etiology , Female , Humans , Middle AgedABSTRACT
We report a case of colloid carcinoma of the prostate, a rare tumor type whose diagnosis is exclusively based on the anatomopathological findings. The case described herein is a primary prostatic tumor. Patient work up revealed no tumor localized to other organs. The total acid phosphatase and prostate acid phosphatase levels were elevated. Subsequent analyses revealed metastases.
Subject(s)
Adenocarcinoma, Mucinous/diagnosis , Prostatic Neoplasms/diagnosis , Adenocarcinoma, Mucinous/pathology , Aged , Humans , Male , Prostate/pathology , Prostatic Neoplasms/pathologyABSTRACT
We report a case of uterovesical fistula that had been diagnosed by cystoscopy, vaginoscopy and ultrasonography. Fistulorrhaphy via the transperitoneal transvesical approach resolved the passage of urine to the vagina. The decision to perform a conservative or more aggressive approach is determined by the site of the fistula.
Subject(s)
Fistula/diagnosis , Urinary Bladder Fistula/diagnosis , Uterine Diseases/diagnosis , Adult , Cystoscopy , Female , Fistula/surgery , Humans , Hysterosalpingography , Ultrasonography , Urinary Bladder/diagnostic imaging , Urinary Bladder/surgery , Urinary Bladder Fistula/surgery , Uterine Diseases/surgery , Uterus/diagnostic imaging , Uterus/surgeryABSTRACT
Review of 36 trigone-cervix-prostatectomies, performed in our services. Studies made before and after the procedure. Indications for trigone-cervix-prostatectomies. Complications and results obtained. Trigone-cervix-prostatectomies as an alternative to prostate transurethral resection, in a highly selected group of patients, because of its simplicity and better results.
Subject(s)
Prostatectomy/methods , Prostatic Hyperplasia/surgery , Aged , Aged, 80 and over , Humans , Male , Middle AgedABSTRACT
Five prostatic abscesses treated in our Unit over the last three years (1988, 89, 90) are presented. Both the mode of presentation and symptoms as well as the course of treatment followed (three percutaneous drainage through the perineum, lead by ultrasound scanning, one endoscopic abscess incision with Collins' knife and one resolved with antibiotics subsequently needing TUR of the prostatic adenoma) are reviewed. The change of attitude in the treatment of prostatic abscesses (Ultrasound-lead percutaneous drainage) and the major usefulness of ultrasound scanning for diagnosis, treatment and subsequent follow-up are emphasized.
Subject(s)
Abscess , Prostatic Diseases , Abscess/diagnosis , Abscess/therapy , Aged , Escherichia coli Infections/diagnosis , Escherichia coli Infections/therapy , Humans , Male , Middle Aged , Prostatic Diseases/diagnosis , Prostatic Diseases/therapy , Staphylococcal Infections/diagnosis , Staphylococcal Infections/therapyABSTRACT
A case of diverticulum of the female urethra is presented which was successfully treated surgically. The diagnostic methods used are described, highlighting the usefulness of ultrasound in making the topographic diagnosis. Furthermore, because it is a non-invasive imaging technique, it can be used in screening the cases. Performing positive pressure urethrography is advocated. If the catheter for this purpose is unavailable, a substitute can be easily assembled.
