RESUMO
Eosinophilic granuloma of the bladder, a rare and certainly poorly known disease, simulates bladder neoplasms. Clinical aspects, histology, and therapy in a young boy are described.
Assuntos
Granuloma Eosinófilo/diagnóstico , Doenças da Bexiga Urinária/diagnóstico , Neoplasias da Bexiga Urinária/diagnóstico , Adolescente , Diagnóstico Diferencial , Granuloma Eosinófilo/terapia , Humanos , Masculino , Doenças da Bexiga Urinária/terapiaRESUMO
Based on 15 cases of inverted urothelial papilloma, we present the clinical significance of these lesions in view of the current literature. An inverted papilloma should raise suspicion with respect to the whole urothelial surface. However, approaching every lesion of this type as a (pre-)neoplastic tumor does not seem justified, since 90 percent of all cases reported so far do not present any clinical or histologic feature of malignancy. Some factors, such as the patient's history, eventually associated urothelial carcinomas, or histologic features of malignant transformation within an inverted papilloma, must be taken into consideration. If no single indication in favor of malignancy has been disclosed, we believe follow-up with yearly endoscopic investigations, in addition to regular urine cytologies, may suffice.
Assuntos
Papiloma/patologia , Neoplasias da Bexiga Urinária/patologia , Idoso , Cistoscopia , Epitélio/patologia , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Recidiva Local de Neoplasia/diagnóstico , Recidiva Local de Neoplasia/patologia , Papiloma/diagnóstico , Bexiga Urinária/patologia , Neoplasias da Bexiga Urinária/diagnósticoRESUMO
A total of 15 patients with proved chronic bacterial prostatitis underwent bilateral seminal vesiculography to determine the morphological appearance of the seminal vesicles and the ampulla ducti deferentis in this condition. A pathological condition, such as segmental stenosis or complete shriveling of the seminal vesicles, was obvious in 21 of 24 vesiculograms (87.5 per cent), while malformations of the ampulla were seen in 7 (29.1 per cent). The role of chronic bacterial prostatitis as an important pathogenetic factor in the history of epididymo-orchitis is discussed.
Assuntos
Infecções Bacterianas/diagnóstico por imagem , Prostatite/diagnóstico por imagem , Glândulas Seminais/diagnóstico por imagem , Adulto , Idoso , Doença Crônica , Humanos , Masculino , Pessoa de Meia-Idade , Radiografia , Ducto Deferente/diagnóstico por imagemRESUMO
The authors made a comparative study (intravenous urography, loopography and loopomanometry) between patients with inverted antireflux anastomosis, as proposed by Melchior, and 12 patients with classical uretero-ileostomy (Bricker bladder). Inverting the anastomosis results in greater incidence of obstruction, while less complications were seen using the classical technique. The importance of reflux in ileal loops and the validity of the classical and manometry loopogram is discussed. Antireflux procedure is only indicated in cases with dilated ureters.
