Assuntos
Síndrome de Li-Fraumeni , Neoplasias da Próstata , Masculino , Humanos , Síndrome de Li-Fraumeni/genética , Síndrome de Li-Fraumeni/terapia , Aconselhamento Genético , Mutação em Linhagem Germinativa , Proteína Supressora de Tumor p53/genética , Neoplasias da Próstata/genética , Neoplasias da Próstata/cirurgia , Predisposição Genética para DoençaRESUMO
OBJECTIVE: Urinary tract obstruction is one of the most prevalent diseases in urology. The handling of it includes conservative (analgesia and fluid therapy) and invasive (urinary diversion) measures. Ureteral stent is the method currently employed for urinary tract diversion. Complications of urinary tract stents maintenance have already been studied and are well known. We report a case of ureteral stent migrated to the bladder, calcified and embedded and we review the existing literature. METHODS: A 28 year-old man with the diagnosis of ureteral stent coiled in bladder and calcified. The patient was successfully operated of suprapubic cystolithotomy. We conducted a Medline search using the terms "ureteral stent "+" embedded stent, "" bladder ureteral stent, "incrusted bladder stent" and "ureteral stent complicactions". RESULTS: He is currently free of disease. We found a total of 45 articles that responded to the search criteria, from which we select the highest citation index. CONCLUSIONS: The use of ureteral stents for urinary diversion of the upper urinary tract is safe and well tolerated but not without complications, that is why we have to raise awareness among patients of the need to undergo periodic inspections and instruct them to possible symptoms and / or signs that may indicate changes in position and / or state of the stent.
Assuntos
Catéteres/efeitos adversos , Migração de Corpo Estranho/patologia , Stents/efeitos adversos , Bexiga Urinária/patologia , Cateterismo Urinário/efeitos adversos , Adulto , Cistoscopia , Migração de Corpo Estranho/diagnóstico por imagem , Humanos , Masculino , Radiografia , Ureter/diagnóstico por imagem , Ureter/patologia , Bexiga Urinária/diagnóstico por imagem , Procedimentos Cirúrgicos Urológicos/efeitos adversosRESUMO
OBJECTIVES: Hyperbaric oxygen therapy (HBO) has been successfully used in several disorders derived from tissue hypoxia, due to the extra oxygen supply to the tissues it enables. In this manuscript we performed a systematic review including all the existing data published until 2010 about HBO in urologic disorders. METHODS: We performed a Medline search using the terms "hyperbaric oxygen", "radical cystitis", "interstitial cystitis", "hemorrhagic cystitis", "urological/pelvic fistula"and "Fournier's gangrene". The search was restricted to human clinical trials published in any language. RESULTS: We found 56 papers: 1 randomized controlled trial, 7 reviews and 48 case reports; only one of them was a prospective study. A total of 695 patients were included. Just one study used tissue oxygen measurement to define hypoxia. The number of hyperbaric oxygen therapy sessions ranged from 4 to 44 (mean 19.2 sessions/patient). CONCLUSIONS: The level of evidence from most reviewed papers is low because most of them are case series. Nevertheless, results of most of those studies regarding patient management are good or very good. So it seems that HBO can be very useful in urological diseases related to tissue hypoxia.
Assuntos
Oxigenoterapia Hiperbárica , Doenças Urológicas/terapia , Urologia/métodos , Cistite/terapia , Fasciite Necrosante/terapia , Gangrena de Fournier/terapia , História do Século XX , Humanos , Oxigenoterapia Hiperbárica/efeitos adversos , Oxigenoterapia Hiperbárica/história , Oxigenoterapia Hiperbárica/instrumentação , Oxigenoterapia Hiperbárica/métodosRESUMO
We report a 60-years-old patient with a not repaired exstrophic bladder, who develops an adenocarcinoma on his bladder and review of the literature.