RESUMO
The use of radiologically guided percutaneous procedures has greatly reduced the morbidity and mortality of gynaecological oncology patients. Certain procedures, previously requiring major surgery, can now be performed with little patient discomfort, with conscious sedation instead of general anaesthesia, and frequently on an outpatient basis. In this chapter, diagnostic and therapeutic arteriography and venography will be discussed as well as radiologically guided genitourinary interventions. This represents an overview of what is available to the gynaecologist from the interventional radiologist in his/her practice.
Assuntos
Neoplasias dos Genitais Femininos/radioterapia , Cuidados Paliativos/métodos , Radiologia Intervencionista/métodos , Angiografia , Embolização Terapêutica , Feminino , Humanos , Flebografia , Derivação Urinária , Retenção Urinária/radioterapia , Útero/irrigação sanguínea , Fístula Vesicovaginal/etiologia , Fístula Vesicovaginal/cirurgiaRESUMO
The transurethral needle ablation (TUNA) of the prostate was performed in 8 patients in chronic urinary retention, all of whom were a poor surgical risk. A special catheter device was used to deliver low-level radiofrequency energy to heat tissue within the prostate to 100 degrees C. After treatment, uroflowmetry, symptom score and quality of life score were evaluated. Tolerance of the procedure with topical anesthesia was satisfactory. Of the 8 patients, 6 (75%) resumed voiding within a mean time of 9.2 days (range 1-21). The mean maximal flow rate was 9.8 +/- 3.2 ml/s (range 5.9-14). Failure to void was associated with a decompensated detrusor function. We conclude that TUNA is effective for patients with urinary retention due to benign prostatic hyperplasia. It seems particularly suitable for treating elderly patients with a high surgical risk.
