RESUMO
An asymptomatic pelvic tumor was incidentally found in a 27-year-old man. A CT-guided needle biopsy with a pathologic examination confirmed the diagnosis of a benign schwannoma. We describe the complete robotic resection with the conservation of normal fascicles. The postoperative course was uneventful. No neurological deficit occurred, and the electromyogram was normal 6 weeks and 7 months later.
Assuntos
Neurilemoma/cirurgia , Neoplasias Retroperitoneais/cirurgia , Procedimentos Cirúrgicos Robóticos/métodos , Adulto , Eletromiografia , Humanos , Masculino , Neurilemoma/diagnóstico por imagem , Neurilemoma/patologia , Neoplasias Retroperitoneais/diagnóstico por imagem , Neoplasias Retroperitoneais/patologia , Espaço Retroperitoneal/inervação , Espaço Retroperitoneal/cirurgia , Tomografia Computadorizada por Raios XRESUMO
Renal lymphatic fistulas are rare and, in most cases, of parasitic origin. We report a case of a reversible uro-lymphatic fistula, which was demonstrated by CT and was felt to be secondary to a radiolucent calculus.
Assuntos
Linfonodos/anormalidades , Linfonodos/diagnóstico por imagem , Tomografia Computadorizada por Raios X/métodos , Fístula Urinária/diagnóstico por imagem , Urografia/métodos , Idoso , Humanos , MasculinoRESUMO
OBJECTIVE: This study was designed to evaluate the feasibility, efficacy and complications of treatment of bladder neck obstruction by Memotherm stent. MATERIAL AND METHODS: A Memotherm stent was implanted under local anaesthesia in 53 elderly patients presenting a poor general status and/or cardiopulmonary disease. All patients presented urinary retention, 48 patients presented signs of benign prostatic hyperplasia (BPH) and 5 patients presented neurogenic bladder. RESULTS: Micturition was restored immediately after implantation in 40 patients, implantation failed immediately in 3 patients and 3 patients required stent modification. Seven patients required prolonged bladder drainage before resumption of spontaneous micturition. Forty patients have long-term follow-up with a mean follow-up of 42 months and a maximum follow-up of 75 months. The stent was conserved throughout follow-up in 36 (90%) patients. The following complications were observed: 1 case of major intolerance, 1 case of early migration, 3 cases of late migration, 1 case of partial encrustation and 1 case of obstruction of the stent lumen by prostatic tissue. CONCLUSION: When conventional BPH surgery is contra-indicated, the Memotherm stent can safely relieve bladder neck obstruction with satisfactory functional results.
