RESUMO
A 69-year-old man who had undergone a transurethral resection of the prostate for benign prostatic hyperplasia developed necrosis of the glans penis following traction of the urethral catheter
Assuntos
Doenças do Pênis/etiologia , Complicações Pós-Operatórias/etiologia , Prostatectomia , Idoso , Humanos , Masculino , Necrose , Doenças do Pênis/patologia , Pênis/patologia , Complicações Pós-Operatórias/patologia , Hiperplasia Prostática/cirurgia , Tração , Cateterismo Urinário/efeitos adversosRESUMO
A group of 30 patients with chronic abacterial prostatitis or prostatodynia, all of whom were unresponsive to conventional treatments, underwent transurethral neodymium: YAG laser therapy. The patients were evaluated with both objective and subjective parameters before and after treatment. Following treatment, the preliminary results at six months showed positive response (complete plus partial) rates in subjective parameters ranging from 47% to 86%. On the other hand, objective parameters including mean international prostate symptom scores (IPSS), mean quality of life indexes (QoL), mean uroflowmetric measurements and mean leukocyte count in expressed prostatic secretions showed marked improvements which were meaningful statistically. In 4 of 7 patients who underwent needle biopsy of the prostate, histology revealed definite inflammatory infiltration changes. Control biopsies following treatment showed almost complete disappearance of these changes. These preliminary results open up a new treatment modality in the management of this condition which has so far responded poorly to conventional therapy.
Assuntos
Terapia a Laser , Prostatite/radioterapia , Adulto , Doença Crônica , Humanos , Masculino , Pessoa de Meia-Idade , Prostatite/diagnóstico por imagem , Prostatite/fisiopatologia , Qualidade de Vida , Ultrassonografia , UrodinâmicaRESUMO
To establish the prevalence of enuresis in Turkish children and to identify common methods of managing enuresis, a self-administered questionnaire was distributed to parents of 5754 children aged 7-12 years. From a response rate of 96% the overall prevalence of any reported nocturnal enuresis was 11.5% and diurnal enuresis was 0.5%. The prevalence of enuresis was higher in boys than in girls. Turkish parents primarily administered behavioural techniques for the management of enuresis. These results suggest that prevalence rates for nocturnal enuresis in Turkish children are similar to those in previous studies reported from Western Europe, the USA and Australia.
