RESUMO
El priapismo es una afección patológica que consiste en una erección peneana persistente más allá de la estimulación sexual. Presentamos el caso de un paciente de 80 años, diagnosticado inicialmente, por la historia clínica, valores gasométricos de los cuerpos cavernosos y ultrasonografía doppler color peneana, de priapismo de bajo flujo que durante la realización de la técnica de Winter se produce iatrogénicamente la laceración bilateral de las arterias dorsales, originando una fístula arteriolacunar y en consecuencia un priapismo de alto flujo. Se realizó arteriografía selectiva de la pudenda, al no ser la eco-doppler color concluyente, que puso de manifiesto dicha fístula y permitió la embolización supraselectiva con microcoils...
Priapism is a pathology consisting of prolonged penile erection unrelated to sexual stimulation. We present an 80-year-old patient with relevant clinical history; corpora cavernosa blood gas analysis and penile Doppler ultrasound examination confirmed low-flow priapism. The Winter procedure was performed, which provoked iatrogenic laceration of the dorsal artery, leading to an arterio-lacunar fistula and high-flow priapism. A second Doppler ultrasound was inconclusive, and so a selective angiography was performed to observe the pudendal artery, following which selective embolization with microcoils was carried out...
Assuntos
Humanos , Masculino , Idoso de 80 Anos ou mais , Embolização Terapêutica , Doença Iatrogênica , Fístula Arteriovenosa , Priapismo/etiologia , Priapismo/terapia , Artérias/lesões , LaceraçõesRESUMO
Se presenta una rara complicación pos operatoria, la formación de pseu dodivertículo uretral, que se produce después de una prostatectomía radical laparoscópica con preservación de nervios, procedimiento llevado a cabo con la colocación de Hem-o-lok sobre los pedículos látero-prostáticos, en un paciente con cáncer de próstata clínicamente localizado. Por tanto, estos dispositivos deben utilizarse con precaución en la región de la anastomosis vesicouretral...
We present a rare postoperative complication, pseudodiverticulum urethral formation, occurring after a laparoscopic radical prostatectomy with nerve-sparing procedure carried out with the placement of Hem-o-lok c in the latero-prostatic pedicles, in a patient with clinically localized prostate cancer. As such, these devices should be used with caution in the region of the vesicourethral anastomosis...
Assuntos
Humanos , Masculino , Idoso , Instrumentos Cirúrgicos/efeitos adversos , Laparoscopia/métodos , Neoplasias da Próstata/cirurgia , Prostatectomia/métodos , Complicações Pós-Operatórias , Laparoscopia/instrumentação , Prostatectomia/instrumentaçãoRESUMO
INTRODUCTION: The bladder cancer is an important disease by its morbi-mortality and its multifactorialidad. At the moment, between the possible aetiology agents that they have been indicated is the infection by the virus of papilloma human (VPH). The objective study is to analyse, by meta-analysis, the relationship between bladder cancer and infection by human papillomavirus. MATERIAL AND METHODS: We made a search in the electronic data base MEDLINE of the articles published until September of the 2004 that relate the infection of the VPH to the bladder tumors. Of 414 listed articles, we selected 38 articles. RESULTS: The articles were classified in two groups, according to they use or non methods based on the detection of the DNA. In articles based on the detection of the DNA, it was that the global proportion from the cases that had contact with the virus, through the detection of the genome was of the 19.4% (95% CI 0.160 to 0.228). Of the total of studies based on the detection of the DNA 8 were selected, to show to a group defined control, in which, the OR was investigated. If we combined the ORs, we obtain an OR estimation of 3.2 (95% CI 1.19 to 8.60) and p = 0.02. CONCLUSIONS: Most of these studies showed the relation rose at the beginning of the study. Although the majority lacked a group defined control, is possible to analyze the value of the Odds global ratio due to the homogenous behaviour of the studies with defined cases and controls affluent. This demonstrated to association between VPH and the bladder cancer.
Assuntos
Carcinoma de Células Escamosas/virologia , Carcinoma de Células de Transição/virologia , Infecções por Papillomavirus/complicações , Neoplasias da Bexiga Urinária/virologia , Humanos , Infecções por Papillomavirus/epidemiologiaRESUMO
The iatrogenic trauma of ureter is a complication that appears according to the different series between the 0.05-30% from the abdominal or pelvic surgeries. It the same affects to both ureters, being the rare bilateral ureteral trauma. The most frequent location is in the lower ureter. Maybe this fact must to that that is the patron of ureter more related by viacinity to the structures or organs in wich surgery is made. The most frequent causes are the gynecological ones, followed of the surgery of colon and vascular surgery. The reconstruction techniques depend on the level of the injury. The maneuvers of support and the endourology treatment can be useful for the resolution of these injuries.