RESUMO
El objetivo del presente trabajo es cuantificar el daño renal producido por la litotricia, identificar a que nivel se produce y establecer el tiempo de recuperación de los daños producidos. Material y método: Se realizó un estudio prospectivo y aleatorio a un grupo de enfermos afectos de litiasis renal y que iban a ser tratados con litotricia. Se establecieron unos parámetros de exclusión e inclusión para los pacientes realizándose a los elegidos unos estudios analíticos previos al tratamiento, repitiendo las mismas determinaciones a las 24 horas, cuarto día y décimo día. Resultados: Se observan elevaciones transitorias en microalbuminuria, excreción urinaria de N-acetil glucosamina y alanino-amino-peptidasa. Conclusiones: Se aprecia que tras una sesión de litotricia se produce daño renal tanto a nivel glomerular como tubular, estableciéndose la recuperación del daño glomerular en cuatro días mientras que la recuperación tubular es mas lenta no regresando a valores normales hasta el décimo día (AU)
Assuntos
Humanos , Litotripsia a Laser/efeitos adversos , Cálculos Renais/cirurgia , Estudos Prospectivos , Glomérulos Renais/lesões , Complicações Pós-Operatórias/epidemiologia , Túbulos Renais/lesõesRESUMO
Report case of a Wunderlich syndrome due to spontaneous rupture of a simple renal cyst. The patient is a 77-year old, hypertensive female who was on routine treatment with Aspirin. The rarity of retroperitoneal haemorrhage with this origin is documented; also the influence of aspirin as predisposing factor for this condition is ruled out. Brief evaluation of the various diagnostic means available. An accurate evaluation that may allow to adopt a conservative aptitude is recommended.
Assuntos
Hematoma/etiologia , Doenças Renais Císticas/complicações , Idoso , Feminino , Humanos , Hidronefrose/diagnóstico , Doenças Renais Císticas/cirurgia , Espaço Retroperitoneal , Ruptura , SíndromeRESUMO
OBJECTIVE: To analyze the clinical indications of double-J ureteral catheters. METHODS: The most relevant studies published in the literature since the self-retained indwelling catheter was first described in 1967 are reviewed. RESULTS: The experience and results reported in the most relevant studies are presented. CONCLUSIONS: The double J ureteral catheter is essential in urological practice. Although its clinical indications are well-established, its use depends on the urologist's experience in most of the cases.
Assuntos
Cateteres de Demora , Doenças Ureterais/terapia , Obstrução Ureteral/terapia , Cateterismo Urinário/instrumentação , Fístula Urinária/terapia , Humanos , Transplante de Rim/efeitos adversos , Cálculos Ureterais/complicações , Cálculos Ureterais/terapia , Obstrução Ureteral/cirurgiaRESUMO
We evaluated the efficacy of local anesthesia for endoscopic urethrotomy in 20 cases of urethral stricture. Patient clinical features and maximum urine flow data before and after the procedure were compared. The technical difficulties encountered are described. Bladder neck sclerosis and/or stricture of the posterior urethra complicated the procedure. Endoscopic urethrotomy using local anesthesia is effective in the treatment of urethral stricture.
