RESUMO
Pyogenic granulomas are benign vascular proliferations of the skin and mucous membranes. We present a case report of a 13-year-old uncircumcised boy with phimosis and a pyogenic granuloma of the glans penis. The relationship between these lesions, phimosis, smegma, and circumcision is discussed. When the lesion is found in conjunction with phimosis, consideration should be given for circumcision. Close follow-up to rule out recurrence is necessary.
Assuntos
Granuloma Piogênico/etiologia , Doenças do Pênis/etiologia , Esmegma , Adolescente , Circuncisão Masculina , Granuloma Piogênico/patologia , Granuloma Piogênico/cirurgia , Humanos , Masculino , Doenças do Pênis/patologia , Doenças do Pênis/cirurgiaRESUMO
STUDY OBJECTIVE: A review of our experience with the surgical treatment of labial adhesions refractory to medical treatment. DESIGN: Retrospective review. SETTING: University tertiary care hospital same-day surgery center. PARTICIPANTS: Nine prepubertal females, age 3-6 yrs, presenting with thick, symptomatic labial adhesions refractory to medical management. INTERVENTION: All patients underwent surgical lysis of labial adhesions under general anesthesia. Adhesions were incised sharply and the cut edges were reapproximated with 7-0 chromic suture by a pediatric urologist (JGB). MAIN OUTCOME MEASURES: Duration of recurrence-free follow-up. RESULTS: No patient had recurrence in an average of 8.6 months of follow-up. Surgery was well tolerated in all cases. CONCLUSION: This technique effectively treats and prevents the recurrence of moderate to severe labial adhesions that are unresponsive to medical therapy.
Assuntos
Aderências Teciduais/cirurgia , Doenças da Vulva/cirurgia , Administração Tópica , Anestesia Geral , Pré-Escolar , Estrogênios/administração & dosagem , Feminino , Seguimentos , Humanos , Pomadas , Recidiva , Estudos Retrospectivos , Fatores de Tempo , Aderências Teciduais/tratamento farmacológico , Doenças da Vulva/tratamento farmacológicoRESUMO
Infundibular stenosis is a rare condition marked by dilation of one or more calices proximal to a stenotic infundibulum. Contrary to older reports, more recent information suggests that progressive renal dysfunction occurs in a significant number of these patients. We present a case of incidentally discovered infundibular stenosis. On the basis of the existing published reports, we make several recommendations. Close monitoring for a decline in renal function secondary to hyperfiltration injury is essential, and a worsening should prompt referral to a pediatric nephrologist. Progressive hydronephrosis should be corrected surgically, although proof of effect on the disease process is lacking in the evidence-based reports.
