RESUMEN
The authors report two cases of endoscopic treatment of vesico-ureteral reflux by submeatic injection of autologous fat. We describe the technique of prelevement and injection. The immediate results confirm the efficacity of this procedure. The long-term follow-up will allow us to adopt it and to give it some modifications.
Asunto(s)
Tejido Adiposo , Reflujo Vesicoureteral/terapia , Adolescente , Adulto , Endoscopía , Femenino , Humanos , MasculinoRESUMEN
Between July 1990 and December 1995, 52 patients with lower ureteral calculi were treated by rigid ureteroscopy in the "B" Urology department of Avicenne Hospital. The use of ureteroscopy facilitated Dormia extraction (58%) or ultrasonic lithotripsy fragmentation (17%) or removal of the stone with the two procedures (21%). The overall success rate was 92.3% with a 2% retreatment rate. Complications were rare (3 of 52: 5.8 percent). The mean hospital stay was 3.3 days. Based on our findings, we conclude that rigid ureteroscopy for lower ureteral stone removal is effective with low morbidity and shorter hospital stay.
Asunto(s)
Cálculos Ureterales/terapia , Ureteroscopía , Adolescente , Adulto , Anciano , Estudios de Evaluación como Asunto , Femenino , Humanos , Litotricia , Masculino , Persona de Mediana EdadRESUMEN
Nine female patients with a urethral diverticulum were admitted to our center over a six period: The clinical symptomatology was not specific. The diagnosis has been performed by voiding and retrograde cysto-uretrogram. The surgical treatment consisted in the excision of the diverticula, with the patient in the supine position. No perioperative morbidity was observed.
Asunto(s)
Cistitis/etiología , Diverticulitis/cirugía , Enfermedades Uretrales/cirugía , Adulto , Diverticulitis/complicaciones , Diverticulitis/diagnóstico por imagen , Femenino , Humanos , Persona de Mediana Edad , Ultrasonografía , Enfermedades Uretrales/complicaciones , Enfermedades Uretrales/diagnóstico por imagen , UrografíaRESUMEN
Urinary drainage by indwelling double J ureteral stent is well documented in the urologic literature. We used these stents in 91 patients. The majority of stents were placed endoscopically (68%). Indications were: -Ureteral obstruction (39 cases) such as tuberculous ureteral strictures, obstruction due to urolithiasis and pelvic malignancies. -Upper urinary tract surgery (29 cases) mainly pyeloplasty, pyelolithotomy, ureterovaginal fistula repair and ureteroneocystostomy. -Adjunct to endourologic treatment (16 cases) such as ureteroscopy and endopyelotomy. -Preparation for extracorporeal lithotripsy (7 cases). The complication rate associated with placement of double J stents was minimal (6.6%). The major complication was migration (3 cases). The average drainage time was 5.8 weeks. In view of these results we conclude that double J stent is safe, effective and has minimal complications.
Asunto(s)
Stents , Obstrucción Ureteral/terapia , Cateterismo Urinario/instrumentación , Adolescente , Adulto , Anciano , Femenino , Migración de Cuerpo Extraño/etiología , Humanos , Masculino , Persona de Mediana Edad , Estudios Retrospectivos , Stents/efectos adversos , Factores de Tiempo , Obstrucción Ureteral/diagnóstico por imagen , Ureteroscopía , UrografíaRESUMEN
About three cases of ovarian vein syndrome and a review of the literature, on overall study of this rare entity is done addressing its different pathogenie, clinical, radiological and therapeutic aspects. The authors stress the importance of ureteroscopy with biopsy in order to confirm the diagnosis of the ovarian vein syndrome.