RESUMO
Bladder calculi associated or not with early crystalluria or salt deposits can be a common finding after reconstructive bladder surgery. The objective of this study was to characterize calculi and urine of domestic rabbits treated with mesenchymal adipose-derived stem cells (ADSCs) after partial urinary bladder allotransplantation. Twenty-four New Zealand White rabbits were submitted to surgery and treated postoperatively with cyclosporine or ADSCs for immunosuppression. There were no signs of graft rejection in either treatment group 30 days after surgery. Fewer animals presented bladder calculi in the ADSC treated group (33.3%) compared to the cyclosporine treated group (58.3%). Calcium was the predominant component of calculi in both groups. Urinalysis revealed no haematuria or bacteriuria in the ADSC group, in contrast to the results obtained for the cyclosporine group. ADSCs may be an attractive alternative to cyclosporine for immunosuppression after bladder allotransplantation.(AU)
A litíase vesical pode ser um achado comum quando se faz a reconstrução da bexiga, condição que pode estar associada a alterações precoces como cristalúria e presença de depósito de sais. O objetivo deste artigo é caracterizar os cálculos e a urinálise de coelhos domésticos submetidos a alotransplante de vesícula urinária e tratados com células-tronco alogênicas derivadas do tecido adiposo (ADSCs). Foram utilizados 25 coelhos Nova Zelândia Branco, os quais foram submetidos a alotransplante parcial de bexiga e tratados com ciclosporina (GCi) ou células-tronco mesenquimais (GCe) como agentes imunossupressores. Houve menor número de animais com cálculo vesical no grupo tratado com ADSCs (33.3%), sendo cálcio o mineral mais frequentemente observado; na urinálise, os animais tratados com ADSCs não demonstraram hematúria e/ou bacteriúria. As ADSCs podem ser uma alternativa à ciclosporina para imunossupressão após alotransplante de bexiga.(AU)
Assuntos
Animais , Coelhos , Cálculos da Bexiga Urinária/veterinária , Cálculos da Bexiga Urinária/cirurgia , Alotransplante de Tecidos Compostos Vascularizados , Células-Tronco , UrináliseRESUMO
Bladder calculi associated or not with early crystalluria or salt deposits can be a common finding after reconstructive bladder surgery. The objective of this study was to characterize calculi and urine of domestic rabbits treated with mesenchymal adipose-derived stem cells (ADSCs) after partial urinary bladder allotransplantation. Twenty-four New Zealand White rabbits were submitted to surgery and treated postoperatively with cyclosporine or ADSCs for immunosuppression. There were no signs of graft rejection in either treatment group 30 days after surgery. Fewer animals presented bladder calculi in the ADSC treated group (33.3%) compared to the cyclosporine treated group (58.3%). Calcium was the predominant component of calculi in both groups. Urinalysis revealed no haematuria or bacteriuria in the ADSC group, in contrast to the results obtained for the cyclosporine group. ADSCs may be an attractive alternative to cyclosporine for immunosuppression after bladder allotransplantation.
A litíase vesical pode ser um achado comum quando se faz a reconstrução da bexiga, condição que pode estar associada a alterações precoces como cristalúria e presença de depósito de sais. O objetivo deste artigo é caracterizar os cálculos e a urinálise de coelhos domésticos submetidos a alotransplante de vesícula urinária e tratados com células-tronco alogênicas derivadas do tecido adiposo (ADSCs). Foram utilizados 25 coelhos Nova Zelândia Branco, os quais foram submetidos a alotransplante parcial de bexiga e tratados com ciclosporina (GCi) ou células-tronco mesenquimais (GCe) como agentes imunossupressores. Houve menor número de animais com cálculo vesical no grupo tratado com ADSCs (33.3%), sendo cálcio o mineral mais frequentemente observado; na urinálise, os animais tratados com ADSCs não demonstraram hematúria e/ou bacteriúria. As ADSCs podem ser uma alternativa à ciclosporina para imunossupressão após alotransplante de bexiga.
Assuntos
Animais , Coelhos , Alotransplante de Tecidos Compostos Vascularizados , Cálculos da Bexiga Urinária/cirurgia , Cálculos da Bexiga Urinária/veterinária , Células-Tronco , UrináliseRESUMO
Background: Prostatectomy excision is indicated for patients with neoplasm, trauma or recurrent prostatic abscess; Van Velthoven suture have been used in urethrovesical laparoscopic anastomosis in humans. This report aimed to describe the use of Van Velthoven suture after excisional prostatectomy in a canine, which suffered partial loss and deformation of the urinary bladder after complications of perineal hernia. Case: A thirteen-year-old male dog presented dyschezia, hypophagia and had increased water ingestion; furthermore, owner verified a swelling lateral to the anus. On clinical examination it was observed left perineal hernia with incarcerated content, and peritonitis was diagnosed by ultrasonography exam. Antimicrobial and fluid therapy were initiated, and one day after the patient was referred to surgery. Through perineal access was observed retrofl exed urinary bladder partially necrotic and multiple prostatic cysts; due to great extent of the necrotic urinary bladder, associated with impossibility of complete necrotic bladder tissue removal, prostate and urinary vesicle were placed in the peritoneal cavity. It was proceeded hernia reconstruction using polypropylene mesh and monofilament nylon suture. Through median celiotomy, the bladder necrotic tissue was removed; due to hemodynamic patient instability, the total prostatectomy that was initiated was postponed, performing cystopexy and cystostomy with Foley catheter. The prostatectomy was performed at the 21st day. In that time, prostatic urethra stenosis was observed. After probing urethral repair points in the pelvic urethra and urinary bladder, the prostate was resected and was applied a Van Velthoven suture. Omentalization of the anastomotic site was done before cavity washing with NaCl 0,9%. The abdominal access was closed in three layers. The patient remained probed for six days, and after this bladder compression was initiated. After 21 days of the second operative intervention, it was necessary to correct a perineal hernia in the opposite side; reconstruction was performed by mobilizing obturator internus muscle. Discussion: In many cases of perineal herniation it was observed prostatic hypertrophy and cysts, as observed in our clinical case. After castration, prostate involutes in two or three weeks, and occur clinical signs reliefs. But the patient related shows presence of urethral stricture, helding an excisional prostatectomy. After excision of the prostate, special attention should be given to the anastomosis between urinary bladder and urethra. With the circular Van Velthoven suture was observed low incidence of bladder contraction in humans, condition which could lead to, among other things, urinary incontinence. It was observed easy and speed of execution of the technique as well as obtaining an anastomosis without tension and adequate to anastomosis healing, as well appropriated patient recovery. We concluded that Van Velthoven suture is effective to prostatectomy in dogs and that the perineal hernia may be associated with several complications that could be adequately treated by surgery.