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1.
Arch Esp Urol ; 54(7): 713-5, 2001 Sep.
Artigo em Espanhol | MEDLINE | ID: mdl-11692437

RESUMO

OBJECTIVE: To present a rare site of schwannoma and review the literature. METHODS/RESULTS: A case of a young male patient who consulted for removal of a penile lipoma is presented. The small, regular, well-circumscribed tumor localized under Buck's fascia on the dorsal penile aspect was excised. The anatomopathological analysis showed a schwannoma. CONCLUSION: A review of the literature showed schwannoma of the penis to be very uncommon. For this reason, we were prompted to report this case.


Assuntos
Neurilemoma/patologia , Neoplasias Penianas/patologia , Adulto , Humanos , Masculino
2.
Arch Esp Urol ; 54(2): 109-21, 2001 Mar.
Artigo em Espanhol | MEDLINE | ID: mdl-11341114

RESUMO

OBJECTIVE: To analyze the care process and treatment outcomes from the perspective of patients undergoing prostatectomy. METHODS: A qualitative study based on depth interviews was performed in 12 of 14 patients who had undergone prostatectomy for localized prostate cancer at a regional hospital. An intentional survey was carried out. Patients were informed about the survey through a letter and by telephone and were asked to decide where they wished the interview to be held. All patients were interviewed by one of the authors who was unrelated with the hospital. The interviews were recorded and transcribed with the patients' consent and the assurance of confidentiality. We performed qualitative analysis of the transcriptions, interviewer's notes and patient hospital discharge reports, and validation through discussion of the results after deleting all identity-related data. RESULTS: Transmission of the care process experiences transcends the presumable adequacy to the conventional phases of diagnosis, treatment and outcome. Patient assessment varied according to the functional results achieved, previous symptoms, patient expectations and interpretation of the information provided. Due to this variability, the urologist's approach should be individualized to each patient from the outset, before the definitive diagnosis is made, and should continue long after surgery. In this regard, substantial shortcomings in urologist-patient communication were found. CONCLUSIONS: The approach to the perspectives of patients with localized prostate cancer is a necessary component that has not been sufficiently developed by the urologist during the clinical management of this disease or its subsequent assessment. Apart from the changes in attitude that the foregoing may entail, it is advisable to incorporate quantitative and qualitative measures that support patient assessment of quality of life and its variability, into the daily practice of all the health professionals involved.


Assuntos
Avaliação de Processos e Resultados em Cuidados de Saúde , Satisfação do Paciente , Prostatectomia/normas , Neoplasias da Próstata/cirurgia , Adulto , Idoso , Humanos , Masculino , Pessoa de Meia-Idade , Prostatectomia/psicologia , Autoeficácia
3.
Arch Esp Urol ; 52(4): 385-7, 1999 May.
Artigo em Espanhol | MEDLINE | ID: mdl-10380330

RESUMO

OBJECTIVE: To present a case of inflammatory pseudotumor of the urinary bladder, with special reference to the differential diagnosis. METHODS/RESULTS: A 26-year-old patient with a history of gross hematuria and voiding syndrome underwent partial cystectomy for a bladder tumor. Pathological analysis disclosed an inflammatory pseudotumor of the bladder. The patient's postoperative course has been satisfactory.


Assuntos
Granuloma de Células Plasmáticas/diagnóstico , Doenças da Bexiga Urinária/diagnóstico , Adulto , Cistectomia , Diagnóstico Diferencial , Feminino , Granuloma de Células Plasmáticas/patologia , Hematúria/complicações , Hematúria/patologia , Humanos , Doenças da Bexiga Urinária/patologia , Neoplasias da Bexiga Urinária/complicações , Neoplasias da Bexiga Urinária/diagnóstico
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