RESUMEN
A variety of indications have made the use of double J stents routine in urology. Minimal and moderate side effects of ureteral stent are common, when the indwelling time exceeds 6 weeks the incidence of severe complications, like fragmentation increase. We report a case of stent fragmentation after an indwelling period of 12 months. Despite the variety of complications the severity requires close monitoring of the patient.
Asunto(s)
Stents/efectos adversos , Uréter , Adulto , Migración de Cuerpo Extraño/etiología , Migración de Cuerpo Extraño/terapia , Humanos , Cálculos Renales/cirugía , Masculino , Nefrectomía , Complicaciones Posoperatorias , Factores de TiempoAsunto(s)
Enfermedades de las Glándulas Suprarrenales/diagnóstico , Quistes/diagnóstico , Enfermedades de las Glándulas Suprarrenales/epidemiología , Enfermedades de las Glándulas Suprarrenales/cirugía , Glándulas Suprarrenales/patología , Biopsia , Quistes/epidemiología , Quistes/cirugía , Diagnóstico por Imagen , Femenino , Humanos , Persona de Mediana EdadRESUMEN
OBJECTIVE: To investigate the urodynamic variables of the patients with renal, upper and lower ureteric stones and compare the results according to the location of the stone. PATIENTS AND METHODS: Pre-operatively, 49 patients with kidney, upper and lower ureteric stones were evaluated to determine bladder capacity, compliance and urine volume at first sensation. Patients with urinary tract infection, neurogenic pathology and bladder outlet obstruction were excluded. The patients were divided into two groups; 20 patients with kidney and upper ureteric stones and 29 patients with lower ureteric stones. RESULTS: The mean bladder compliance, bladder capacity and volume at first sensation were all significantly lower in patients with lower ureteric stones (P = 0.026, P = 0.005 and P = 0.042, respectively). These patients also had more prominent irritative symptoms, urgency and frequency. However, the mean values of bladder capacity, compliance and volume at first sensation were within normal limits in both groups. CONCLUSION: Lower ureteric stones cause more irritative bladder symptoms than do renal and upper ureteric stones and lower ureteric stones should be considered as a possible cause of sensory urgency.
Asunto(s)
Cálculos Ureterales/fisiopatología , Urodinámica , Adulto , Humanos , Estudios Prospectivos , Trastornos Urinarios/fisiopatologíaAsunto(s)
Fenestración del Laberinto/clasificación , Miringoplastia/clasificación , Cirugía del Estribo , Timpanoplastia/clasificación , Oído/anomalías , Enfermedades del Oído/cirugía , Oído Medio , Humanos , Yunque/cirugía , Martillo/cirugía , Otitis/complicaciones , Otosclerosis/cirugía , Movilización del EstriboAsunto(s)
Oído Medio/cirugía , Humanos , Mastoiditis/cirugía , Otitis Media/cirugía , Otosclerosis/cirugíaAsunto(s)
Pruebas de Impedancia Acústica , Pérdida Auditiva/diagnóstico , Adolescente , Factores de Edad , Niño , Preescolar , Diagnóstico Diferencial , Femenino , Pérdida Auditiva Conductiva/diagnóstico , Pérdida Auditiva Sensorineural/diagnóstico , Humanos , Lactante , Masculino , Otitis Media/diagnóstico , Otitis Media Supurativa/diagnósticoAsunto(s)
Osículos del Oído/cirugía , Anquilosis/cirugía , Enfermedades del Oído/cirugía , Humanos , MétodosAsunto(s)
Trompa Auditiva , Timpanoplastia/métodos , Drenaje , Oído Medio , Humanos , Prótesis e ImplantesRESUMEN
The authors present a case of tympanic cavity salivary gland adenochoristoma in association with an abnormal course of the facial nerve, absence of the oval and round windows, absence of the stapes, hypoplasia of the long process of the incus, and the existence of a subtympanic bony lamina.