RESUMEN
OBJECTIVE: To describe an additional case of urinary schistosomiasis, a rare disease in our setting. METHODS/RESULTS: The clinical, radiological and cystoscopic features of urinary schistosomiasis are presented. The patient responded well to treatment with praziquantel. CONCLUSIONS: Urinary schistosomiasis, a condition produced by infection with Schistosoma haematobium, is rare in our setting. However, it should be considered in patients with sporadic episodes of hematuria that have immigrated from or travelled to areas where this disease is endemic. A detailed clinical interview can provide this useful information.
Asunto(s)
Esquistosomiasis Urinaria/diagnóstico , Enfermedades de la Vejiga Urinaria/diagnóstico , Adulto , Animales , Biopsia , Enfermedad Crónica , Hematuria/diagnóstico , Hematuria/tratamiento farmacológico , Hematuria/parasitología , Humanos , Masculino , Praziquantel/administración & dosificación , Schistosoma haematobium/aislamiento & purificación , Esquistosomiasis Urinaria/tratamiento farmacológico , Esquistosomiasis Urinaria/parasitología , Esquistosomicidas/administración & dosificación , Vejiga Urinaria/parasitología , Vejiga Urinaria/patología , Enfermedades de la Vejiga Urinaria/tratamiento farmacológico , Enfermedades de la Vejiga Urinaria/parasitologíaRESUMEN
OBJECTIVES: To evaluate the clinical and urodynamic data of a multicenter study on female urinary stress incontinence undergoing surgical repair with the Ramírez simplified urethropexy. METHODS: Clinical, urodynamic and videocystographic data were analyzed in a multicenter series of 340 female patients with urinary stress incontinence (mean age 51.7 +/- 9.7 years) before and after the Ramírez urethropexy technique (mean follow-up 21.7 months). RESULTS: Post surgical urinary continence was 78.4%. Cystocele repair was demonstrated in 57.7%. Urge incontinence decreased in 17.1%. Daytime frequency statistically significantly decreased in 19%. Urinary obstructive symptoms increased in 19.3%. Bladder instability significantly decreased posturethropexy. Peak urinary flow rate and mean urinary flow rate diminished in 65% and 59%, respectively. Postvoiding residual urine increased significantly. No statistical correlation between posturethropexy continence and videocystographic bladder neck morphology was observed. CONCLUSIONS: The clinical and urodynamic data obtained in our series indicate that the Ramírez urethropexy technique, a simple and fast procedure, may be considered an alternative treatment in female urinary stress incontinence.