RESUMEN
Purpose. Our aim was to determine the success of urethroplasty using a free graft of buccal or bladder mucosa for the treatment of complex anterior urethral stricture in adults. MATERIALS AND METHODS. From October 2000 to February 2005, 11 patients with complex anterior urethral stricture underwent substitution urethroplasty, using mucosal grafts, 6 buccal and 5 bladder. RESULTS. The mean follow-up time was 50 months for 8 out of 11 patients (range 24 to 72). The procedure was successful for 6 patients (75%). Urethral stricture recurred in 2 patients (25%) and was treated by urethrotomy or meatoplasty with positive outcomes. CONCLUSION. Our limited experience with the reconstruction of a complex stricture of the anterior urethra confirmed that buccal and bladder mucosa grafts are excellent materials for substitution urethroplasty but that case selection is important.
RESUMEN
40 varicoceles were treated by occlusion of the internal spermatic vein using detachable balloons: the main indications were subfertility and abnormal spermatogenesis. The procedure was successful in 39 patients, with one complication; limited preocclusion venograms allowed precise balloon placement relative to collateral veins which could cause recurrence. This is a safe and effective nonsurgical method of obliterating varicoceles in outpatients.
Asunto(s)
Angioplastia de Balón , Varicocele/terapia , Adolescente , Adulto , Angioplastia de Balón/métodos , Humanos , Incidencia , Infertilidad Masculina/etiología , Infertilidad Masculina/prevención & control , Masculino , Radiografía , Recurrencia , Varicocele/complicaciones , Varicocele/diagnóstico por imagen , Varicocele/epidemiologíaRESUMEN
The improvement of the endoscopic strumentation and technique has permitted a large diffusion of the transurethral resection of the vesical (TURV) for malignant neoplasms. We report the complications of this method described in literature and a review of the cases observed at the Urological Division of Niguarda Hospital in Milan from January 1985 to December 1989 has presented. The adequate treatment of the complications permits to minimize the damage for the patient.
Asunto(s)
Cistoscopía/efectos adversos , Neoplasias de la Vejiga Urinaria/cirugía , Adolescente , Adulto , Anciano , Anciano de 80 o más Años , Femenino , Humanos , Masculino , Persona de Mediana Edad , UretraRESUMEN
The authors present their experience with 120 patients investigated for erection disorders. The clinical evaluation of this multidisciplinary approach includes endocrine assessment, neurological and vascular examination, which includes measurement of nocturnal erections (NPT test). From the vascular viewpoint, bilateral velocimetric curves of the dorsal, cavernous and bulbo urethral arteries are recorded in the basal state (six derivations) the PBPI (Penile Brachial Pressure Index) is then calculated. The group included 17 patients with vascular pathology, 94 with psychogenic pathology and 9 with mixed pathology. In the cases due to vascular pathology only 34.04% of penile arterial flow rates were within the normal range: out of the 6 measurements almost 4 were outside the normal range. A statistically significant difference was noted between the mean velocity data and the PBPI of the "psychogenic" and "vascular" patients. This examination enables the andrologist to take into account the state of vascularisation of the penis and to continue with new forms of examination (dynamic Doppler) which provide the most precise possible etiological diagnosis.