RESUMO
We examine some surgical techniques proposed for phallic reconstruction. Together with cutaneous flaps, muscle-cutaneous flaps, who present the advantage of more constant results, are progressively listed. We also present a personal technique of phallic reconstruction with double prosthesis: one external, vascular and one internal, for the erection.
Assuntos
Pênis/cirurgia , Humanos , Masculino , Músculo Esquelético/transplante , Implante Peniano , Neoplasias Penianas/cirurgia , Prótese de Pênis , Pênis/lesões , Desenho de Prótese , Transplante de Pele/métodos , Retalhos Cirúrgicos , Transplante Heterotópico , Transexualidade/cirurgiaRESUMO
In this work the Authors speak about topical treatment in diagnosis and therapy of erectile deficit with prostaglandin, papaverine, phentolamine, V.I.P., nitroglycerine, minoxidil and others. These drugs must have some chemicophysical trait to be adsorbed by the skin. The concepts of microangiotettonic, microangiopathy, microangiokinesis are very important in erectile dysfunctions. For the future there are perspectives to use microvasculokinesic and antiperossidasic complex, alone or in association with intravenous pharmacotherapy.
Assuntos
Disfunção Erétil/tratamento farmacológico , Administração Cutânea , Humanos , Masculino , Minoxidil/administração & dosagem , Papaverina/administração & dosagem , Fentolamina/administração & dosagem , Peptídeo Intestinal Vasoativo/administração & dosagem , Vasodilatadores/administração & dosagem , Ioimbina/administração & dosagemRESUMO
The authors present the long-term of adjuvant chemotherapy using M-VEC scheme (Mtx 20 mg/mq; vinblastine 0.1 mg/kg; CDDP 40 mg/mq; epirubicin 30 mg/mq each 21 day for six cycles) effected in 28 patients (21 males and 7 women with average age of 67) undergone radical cystectomy for invasive bladder carcinoma p G2-3 T-4 N + M0. Total survival after 5 years was 28.6% while disease-free survival is 18.8%; in 71.3% there are been clinical progression and the mortality to 5 years was 62%.
Assuntos
Protocolos de Quimioterapia Combinada Antineoplásica/uso terapêutico , Neoplasias da Bexiga Urinária/tratamento farmacológico , Idoso , Quimioterapia Adjuvante , Cisplatino/administração & dosagem , Epirubicina/administração & dosagem , Feminino , Seguimentos , Humanos , Masculino , Metotrexato/administração & dosagem , Pessoa de Meia-Idade , Invasividade Neoplásica , Taxa de Sobrevida , Neoplasias da Bexiga Urinária/mortalidade , Neoplasias da Bexiga Urinária/patologia , Neoplasias da Bexiga Urinária/cirurgia , Vimblastina/administração & dosagemRESUMO
Authors show results of adjuvant chemoimmunotherapeutic approach (0, 10 mg/kg Vinblastine every three weeks plus INF - alpha 2a - and INF - alpha 2b in a dose of 3 x 10(6) U.I. three times a week) adopted after radical nephrectomy in 45 patients with renal carcinoma (p. T3/4. NO.MO; pT3/4. N+/O. M+/O). The treatment may be summed up: 1# to effect a regression of metastasis that is not possible surgically to remove either because of its location or extent; 2) to limit micrometastatic diffusion in patients with N+. 3) It is important to perform this treatment in stage T3 N0M0 where clinical progression is (21.1%) in our group.
Assuntos
Carcinoma/terapia , Fatores Imunológicos/uso terapêutico , Interferon-alfa/uso terapêutico , Neoplasias Renais/terapia , Vimblastina/uso terapêutico , Carcinoma/mortalidade , Carcinoma/patologia , Quimioterapia Adjuvante , Terapia Combinada , Humanos , Interferon alfa-2 , Neoplasias Renais/mortalidade , Neoplasias Renais/patologia , Metástase Neoplásica , Estadiamento de Neoplasias , Neoplasias Primárias Múltiplas , Nefrectomia , Proteínas Recombinantes , Taxa de Sobrevida , Resultado do TratamentoRESUMO
The authors report the results of the hyperthermic treatment employed from January 1989 to April 1991 in 60 patients with BPH, PR and NP. Analysis of the results shows a determinant role for prostatitis (RC: 73.91%); the results for BPH are equally valid (RC: 56.25%). The authors used the same treatment for BPH with initially obstructive urinary symptomatology.
Assuntos
Adenocarcinoma/terapia , Hipertermia Induzida , Hiperplasia Prostática/terapia , Neoplasias da Próstata/terapia , Prostatite/terapia , Adenocarcinoma/complicações , Adenocarcinoma/tratamento farmacológico , Adulto , Idoso , Idoso de 80 Anos ou mais , Terapia Combinada , Seguimentos , Humanos , Masculino , Pessoa de Meia-Idade , Hiperplasia Prostática/complicações , Hiperplasia Prostática/tratamento farmacológico , Neoplasias da Próstata/complicações , Neoplasias da Próstata/tratamento farmacológico , Prostatite/complicações , Prostatite/tratamento farmacológico , Resultado do Tratamento , Transtornos Urinários/etiologiaRESUMO
The Authors report their experience of topical and intracavernous treatment with papaverine and phentolamine in patients with erectile dysfunction from May 1988 to March 1992. Topical application of drug cream proves efficacious both alone or combined with intracavernous injection with PGE1. Topical treatment besides may be carried out without systemic or local complications.
Assuntos
Disfunção Erétil/tratamento farmacológico , Papaverina/administração & dosagem , Fentolamina/administração & dosagem , Administração Cutânea , Adolescente , Adulto , Idoso , Alprostadil/administração & dosagem , Alprostadil/uso terapêutico , Combinação de Medicamentos , Quimioterapia Combinada , Disfunção Erétil/diagnóstico , Géis , Humanos , Injeções , Masculino , Pessoa de Meia-Idade , Papaverina/uso terapêutico , Pênis , Fentolamina/uso terapêuticoRESUMO
Transitional cell carcinoma of the urethra in men after radical cystectomy for bladder carcinoma have an incidence which varies from 4 to 18%. The Authors present their experience of 6 cases (6/196; 3.06%) analysing the characteristics of the urethral neoplasm and confirming the systematic cystourethrectomy when there is a urethra prostatic and bladder neck infiltration or when there is a urethral ca in situ. It also underlines the role of the clinical, radiological, cytological and urethro-endoscopical follow-up in patients who have undergone a cystoprostatovesciculectomy.
Assuntos
Carcinoma de Células de Transição/secundário , Cistectomia , Recidiva Local de Neoplasia/cirurgia , Neoplasias Uretrais/secundário , Neoplasias da Bexiga Urinária/cirurgia , Idoso , Idoso de 80 Anos ou mais , Amputação Cirúrgica , Carcinoma in Situ/secundário , Carcinoma in Situ/cirurgia , Carcinoma de Células de Transição/epidemiologia , Carcinoma de Células de Transição/cirurgia , Humanos , Incidência , Masculino , Invasividade Neoplásica , Neoplasias Penianas/secundário , Neoplasias Penianas/cirurgia , Período Pós-Operatório , Prostatectomia , Glândulas Seminais/cirurgia , Uretra/cirurgia , Neoplasias Uretrais/epidemiologia , Neoplasias Uretrais/cirurgia , Derivação UrináriaRESUMO
The choice of the tissue to build up the neovagina is an important step in the surgical treatment of transsexualism. Both the penile skin and an intestinal segment are possible solutions to the problem. However intestinal segments have some defects like continuous secretions and painful intercourse. For these reasons the authors prefer the penile skin with the neuro-vascular bundle preserved. One hundred cases of this surgery are presented.
Assuntos
Pênis/cirurgia , Cirurgia Plástica/métodos , Transexualidade/cirurgia , Vagina/cirurgia , Feminino , Humanos , MasculinoRESUMO
The surgery for both male and female transsexuals causes great difference in the behavior of operated patients. Then it is very important to analyze the variations of three parameters before and after operation: 1) the presence and the character of sexual feeling and the modality of sexual intercourse; 2) possibility of orgasm; 3) working behavior. The authors present the results of their study on 16 male transsexuals and 4 female transsexuals.
Assuntos
Sexo , Transexualidade/cirurgia , Trabalho , Adulto , Feminino , Seguimentos , Humanos , Masculino , Pessoa de Meia-Idade , Transexualidade/psicologiaRESUMO
The therapeutic efficacy of chemotherapy in bladder's carcinoma is today supported by many statistical reports; the response rates are ranging from 35% to 45%. Results of the treatment with adjuvant chemotherapy (M-VEC in 22 patients with or without metastatic tumor are presented. Favourable objective responses were seen in 25% of the patients. The conclusion is drawn that this therapy is very useful in the treatment of metastatic diseases, but it can be used also in non-metastatic (M0) patients to prevent the growth of micrometastasis.