RESUMO
Experience had with suprapubic cystoscopy and endovesical surgery, performed in a series of twenty-two patients presenting various diseases of the bladder--tumors, mainly of the anterior wall, calculi, foreign bodies, bladder neck sclerosis, defective Foley catheter--is shared. As a sole complication a case of penetrating the abdominal cavity without inflicting lesion to the intestine, is described. The suprapubic approach significantly broadens the scope of transurethral surgery, preserves its advantages, and is furthermore free of the shortcomings associated with open operations.
Assuntos
Cistostomia/métodos , Endoscopia/métodos , Bexiga Urinária/cirurgia , Cistostomia/efeitos adversos , Cistostomia/instrumentação , Endoscópios , Endoscopia/efeitos adversos , Humanos , Complicações Intraoperatórias/epidemiologia , Masculino , Prostatectomia , Cálculos da Bexiga Urinária/cirurgia , Neoplasias da Bexiga Urinária/cirurgia , Cateterismo UrinárioRESUMO
Fracture of the penis is a rare traumatic lesion with typical clinical symptoms. Six cases treated at the Clinic of Urology in the city of Varna from 1985 through 1989 are presented. Five patients were operated and one patient received conservative treatment. There were no significant complications, except one pseudodiverticulum and one slight deformity of the penis; none of them affected normal sexual activity. A review of the literature is made. Immediate surgical treatment is recommended.