RESUMEN
Vesical neck contractures occur following 5 to 10 per cent of transurethral prostatectomies and an even smaller number of enucleative prostatectomies. Recurrences following both conservative and surgical treatment are common and present management problems to the urologist. Seven patients with recurrent vesical neck contractures were managed with reresection and steroid injection. One hundred per cent of patients responded to this although 1 patient required two procedures. The use of hydrocortisone sodium succinate (Solu-Cortef) versus triamcinolone acetonide (Kenalog) preparations are discussed.
Asunto(s)
Contractura/terapia , Hidrocortisona/uso terapéutico , Prostatectomía/efectos adversos , Triamcinolona Acetonida/uso terapéutico , Vejiga Urinaria , Contractura/tratamiento farmacológico , Contractura/etiología , Contractura/cirugía , Humanos , Masculino , Vejiga Urinaria/lesiones , Vejiga Urinaria/cirugíaRESUMEN
An unusual case in which a complete bilateral ureteral transection due to a single low velocity gunshot wound occurred. This case illustrates that in gunshot wounds to the abdomen involving the retroperitoneum, ureteral inspection is imperative especially in view of the fact that preliminary diagnostic workup during trauma resuscitation may be inadequate.
Asunto(s)
Traumatismos Abdominales/complicaciones , Uréter/lesiones , Heridas por Arma de Fuego/complicaciones , Adulto , Urgencias Médicas , Humanos , Masculino , Resucitación , UrografíaRESUMEN
Twelve cryptorchid patients had sonographic evaluation of the inguinal region prior to surgical orchiopexy. When the testis was within the inguinal canal, the gonad was localized preoperatively by sonography in eight of nine patients. One patient had an associated inguinal hernia in which loops of bowel concealed the gonad. There were no false positive cases. The authors were not able to show abdominal or pelvic maldescended testes.