RESUMO
OBJETIVO: Con este trabajo pretendemos establecer unas pautas de recogida de datos en la historia clínica en el paciente con disfunción eréctil, con el fin de caracterizar el problema que se presenta, revelar posibles factores de riesgo asociados, evaluar la necesidad de pruebas complementarias adicionales y decidir si es necesario un abordaje con participación multidisciplinaria.MÉTODOS: Revisión de la literatura sobre las directrices y recomendaciones en el manejo inicial y clínico de la DE.CONCLUSIONES: La historia sexual es la parte más importante de la rutina básica del paciente con disfunción eréctil y la finalidad del andrólogo será identificar el tipo de disfunción sexual, su comienzo, gravedad, duración y las expectativas de tratamiento(AU)
OBJECTIVES: We aim in this work to establish directions for data collection in the chart of the patient with erectile dysfunction (ED), to characterize the presenting problem, reveal possible associated risk factors, evaluate the need of additional complementary tests, and decide if a multidisciplinary approach is necessary.METHODS: Bibliographic review about directions and recommendations on initial and clinical management of ED.CONCLUSIONS: Sexual history is the most important part of the basic routine with a patient with ED, and the purpose of the andrologist is to identify the type of sexual dysfunction, time of start, severity, duration, and treatment expectations(AU)
Assuntos
Humanos , Masculino , Disfunção Erétil/complicações , Disfunção Erétil/diagnóstico , Disfunção Erétil/patologia , Prontuários Médicos/normas , Fatores de Risco , Doenças Cardiovasculares/complicações , Doenças Cardiovasculares/diagnóstico , Doenças Cardiovasculares/patologia , Doenças Respiratórias/complicações , Doenças Respiratórias/diagnóstico , Doenças Respiratórias/patologiaRESUMO
OBJECTIVE: We present a rare localization for a foreing body in the urinary system, and review the bibliography to know about it existence, frequency and localization. METHODS: We present the case of a 49 year old woman who referreds she had introduced a metallic objet in her genital area. RESULTS: After the necessary tests, we could see a metallic cylinder. It was 8 cm long and was localized inside the right pelvic ureter. CONCLUSIONS: The presence of strange bodies in the urinary system is a rare urological emergency. Treatment is the key element of the extraction of the least bloody way possible.
Assuntos
Corpos Estranhos , Uretra , Feminino , Corpos Estranhos/diagnóstico , Corpos Estranhos/cirurgia , Humanos , Pessoa de Meia-IdadeRESUMO
OBJETIVO: Presentar una localización atípica de cuerpos extraños en el interior del aparato urinario, así como revisar en la bibliografía su existencia, frecuencia y localización.MÉTODOS: Presentamos el caso de una mujer de 49 años, que refiere la introducción de un objeto metálico en el área genital.RESULTADO: Tras la realización de las pruebas complementarias pertinentes, se objetiva un cilindro metálico de 8 cm de longitud, localizado en el interior del uréter pelviano derecho.CONCLUSIÓN: La presencia de cuerpos extraños en el interior del aparato urinario es una rara urgencia urológica, su tratamiento fundamental consiste en la extracción del elemento de la manera menos cruenta posible(AU)
OBJECTIVE: We present a rare localization for a foreing body in the urinary system, and review the bibliography to know about it existence, frequency and lo-calization.METHODS: We present the case of a 49 year old woman who referreds she had introduced a metallic objet in her genital area.RESULTS: After the necessary tests, we could see a metallic cylinder. It was 8 cm long and was localized inside the right pelvic ureter.CONCLUSIONS: The presence of strange bodies in the urinary system is a rare urological emergency. Treatment is the key element of the extraction of the least bloody way possible(AU)
