RESUMO
Muscular haematoma of the straight muscles of the abdomen are very rare to observe and, although there is a possibility of the haematoma extending to the retroperitoneum, they very rarely cause oligoanuria by compression of the urinary tract. Presentation of one case of spontaneous haematoma of the straight muscles of the abdomen with urologic damage by ureteral compression inducing oligoanuria and bilateral ureterohydronephrosis.
Assuntos
Músculos Abdominais , Hematoma/complicações , Obstrução Ureteral/etiologia , Anuria/etiologia , Feminino , Humanos , Hidronefrose/etiologia , Pessoa de Meia-Idade , Doenças Musculares/complicações , Obstrução Ureteral/complicações , Obstrução Ureteral/patologiaRESUMO
Report on one case of lithiasis in a transplanted kidney treated successfully with extracorporeal shockwave lithotrity. This is considered to be the choice therapeutical method when there are no bone interposition or urinary tract obstruction which may preclude the correct removal of lithiasis fragments.
Assuntos
Cálculos Renais/terapia , Transplante de Rim , Litotripsia , Complicações Pós-Operatórias/terapia , Humanos , Masculino , Pessoa de Meia-IdadeRESUMO
Endoscopic trigonocervicoprostatotomy incision has become a minimally aggressive alternative to surgical treatment of early benign prostatic hypertrophy (BPH). The present article analyzes its indications, advantages and disadvantages. We describe the technique utilized and report on the results achieved in 146 patients (mean age 62.7 years, mean follow-up 15.7 months). Clinically, the results were completely satisfactory in 78.1% of the cases, symptomatology improved in 15.7%, and 4.8% warranted a second procedure. The incidence of retrograde ejaculation was observed to be only 20.5%. With regard to the urodynamics, the preoperative mean maximum flow rate of 9 ml/sec. increased to almost 20 ml/sec. postoperatively. The results of urethral evaluation support the hypothesis of Turner-Warwick which ascribes the obstructive symptomatology in these patients to cervical dysfunction.
Assuntos
Próstata/cirurgia , Hiperplasia Prostática/cirurgia , Bexiga Urinária/cirurgia , Adulto , Idoso , Carcinoma/diagnóstico , Carcinoma/cirurgia , Ejaculação , Seguimentos , Humanos , Incidência , Masculino , Pessoa de Meia-Idade , Complicações Pós-Operatórias/epidemiologia , Neoplasias da Próstata/diagnóstico , Neoplasias da Próstata/cirurgia , UrodinâmicaAssuntos
Adenocarcinoma/secundário , Neoplasias da Próstata/patologia , Neoplasias Testiculares/secundário , Adenocarcinoma/química , Adenocarcinoma/terapia , Idoso , Antígenos de Neoplasias/sangue , Biomarcadores Tumorais/sangue , Neoplasias Ósseas/secundário , Terapia Combinada , Humanos , Masculino , Antígeno Prostático Específico , Neoplasias da Próstata/terapia , Neoplasias Testiculares/sangue , Neoplasias Testiculares/terapiaRESUMO
Trigono-cervico-prostatotomy (TCP) incision was performed endoscopically in 102 patients, 99 for benign hypertrophy of the prostate (BHP) less than 35 g., and 3 for bladder neck obstruction. Good results were achieved in 81.4%, symptom relief was achieved in 12.7%, and 5.8% required reoperation. The incidence of retrograde ejaculation was only 20.6%. Patient follow-up was one year. Our findings show the usefulness of ultrasound, urethroscopy and urodynamics in determining the size of the adenoma and in assessing the results achieved by the surgical technique.