RESUMO
A prospective study was done on the erectile function of 35 randomly-selected patients undergoing transurethral prostatectomy for benign prostatic hypertrophy. A preoperative sexual history was obtained, and the erectile function of each patient was recorded using a nocturnal penile tumescence monitor. Four to six weeks postoperatively, a repeat sexual history was taken and the erectile function was reassessed. In 12 of the 35 patients we noted a discordance between the erectile potency they reported in their sexual histories and the objective testing. There was no significant difference between the preoperative and postoperative nocturnal penile tumescence recordings for any given patient.
Assuntos
Disfunção Erétil/etiologia , Prostatectomia/efeitos adversos , Idoso , Humanos , Masculino , Pessoa de Meia-Idade , Pênis/fisiologia , Complicações Pós-Operatórias , Estudos Prospectivos , Hiperplasia Prostática/cirurgiaAssuntos
Doenças da Bexiga Urinária/cirurgia , Feminino , Humanos , Masculino , Métodos , Postura , Equipamentos CirúrgicosRESUMO
We report our 3-year experience of ureteroneocystostomy without either ureteral stents or vesical catheters. There were 87 ureters repaired in 52 children. Complete followup was obtained in all cases. The operative success rate was 94.2 per cent. The postoperative complication rate was 11 per cent. None of the failures or complications seemed to be directly related to the omission of catheters. The routine omission of catheters postoperative discomfort and markedly shortened the hospital stay.
Assuntos
Ureter/cirurgia , Bexiga Urinária/cirurgia , Doenças Urológicas/cirurgia , Refluxo Vesicoureteral/cirurgia , Criança , Pré-Escolar , Estudos de Avaliação como Assunto , Feminino , Humanos , Lactente , Masculino , Métodos , Complicações Pós-OperatóriasRESUMO
Our over-all results with intermittent clean catheterization in attaining continence and limiting the occurrence of significant infection while preserving renal function in children with neurologic bladder dysfunction have been gratifying and compare favorably to other series. The program has not only resulted in satisfactory continence in the majority but also it has been associated with marked improvements in personality, sociability and self-image in several of our older patients who are free from the odor, shame and discomfort of the incontinence for the first time in their lives. From our results and those of others it appears that intermittent clean catheterization is a safe, reversible and effective means of management of children with neurogenic bladders.
Assuntos
Bexiga Urinaria Neurogênica/reabilitação , Cateterismo Urinário/métodos , Adolescente , Criança , Pré-Escolar , Feminino , Humanos , Masculino , Cooperação do Paciente , Bexiga Urinaria Neurogênica/psicologia , Incontinência Urinária/terapia , Infecções Urinárias/prevenção & controle , Refluxo Vesicoureteral/prevenção & controleRESUMO
We report on a female newborn with the VATER association and an ectopic labium majus in the right inguinal area. An ectopic labium majus is homolgous to an ectopic scrotum in the male subject. The latter anomaly is associated with renal agenesis or dysplasia. The possible relationship between ectopic labia and renal agenesis is discussed.
