RESUMO
After a historical summary on the development of urethral catheters, this article analyzes various aspects about catheters. These aspects include: types of catheters and their recommended use, their counterindications, their classification, how to select the appropriate catheter, the information which a patient should be provided regarding the use of a catheter, the techniques and equipment necessary for their use, the most common problems encountered and how to solve them,...
Assuntos
Cateteres de Demora , Cateterismo Urinário/instrumentação , Cateteres de Demora/efeitos adversos , Cateteres de Demora/classificação , Cateteres de Demora/provisão & distribuição , Contraindicações , Humanos , Educação de Pacientes como Assunto/métodos , Seleção de Pacientes , Cateterismo Urinário/enfermagemRESUMO
Malacoplakia is a chronic inflammatory disease the etiology of which remains obscure. It has a very low incidence and affects primarily the genitourinary tract, although it has been described in some other organs. This paper presents a historic insight of the clinical cases diagnosed in this centre, and includes a review and update of several issues related to this entity such as pathogenesis, pathological anatomy and treatment. Also, the peculiarities related to the involvement of each separate organ with regard to diagnosis, prognosis and treatment are described.
Assuntos
Doenças Urogenitais Femininas , Malacoplasia , Doenças Urogenitais Masculinas , Idoso , Feminino , Doenças Urogenitais Femininas/diagnóstico , Doenças Urogenitais Femininas/etiologia , Doenças Urogenitais Femininas/terapia , Humanos , Malacoplasia/diagnóstico , Malacoplasia/etiologia , Malacoplasia/terapia , Masculino , Pessoa de Meia-IdadeRESUMO
The currently growing importance of prostate cancer (PC) is given by the large increase in the number of cases diagnosed with this condition, to a great extent due to the diffusion of the most recent diagnostic techniques. Together with the traditional rectal examination, we have available today the PSA (prostate specific antigen) and the transrectal ultrasound, which allow to diagnose tumours undetectable with palpation. This paper presents the case of a male patient with high levels of PSA (in metastatic values), normal rectal examination and three series of negative prostate biopsies in spite of a high suspicion of PC, the diagnosis being confirmed after adenomectomy, with a subsequent PSA levels normalization, these levels remaining below 3 ng/ml after 22 months follow-up, which allows to think of a "recovery" (?) with just the removal of the prostate adenoma.