RESUMO
El síndrome de Youssef es una complicación infrecuente, habitualmente secundaria a una cesárea con incisión en el segmento inferior. Consiste en una fístula vesicouterina en la zona supraístmica del útero. Se analizan su sintomatología, la clásica tríada de cesárea, amenorrea y hematurias cíclicas o menurias con continencia urinaria conservada, su diagnóstico y su tratamiento, habitualmente quirúrgico, mediante la resección del trayecto fistuloso e interponiendo un parche de epiplón (AU)
Youssef´s syndrome is a rare complication commonly secondary to lower segment caesare an section. It consists of a vesicouterine fistula situated above the isthmus of the uterus. Its symptomatology is analysed, which includes the classical triad of caesarean section, amenorrhoe a and cyclic haematuria or menurias in the absence of urinary incontinence, together with its diagnosis and treatment, usually surgical, with excision of its fistulous tract and interposition of an omentalpedicle (AU)
Assuntos
Humanos , Feminino , Adulto , Fístula da Bexiga Urinária/complicações , Fístula da Bexiga Urinária/diagnóstico , Hematúria/complicações , Hematúria/diagnóstico , Complicações na Gravidez/diagnóstico , Fístula da Bexiga Urinária , Dilatação Patológica/complicações , Dilatação Patológica/diagnósticoRESUMO
En este trabajo analizamos las complicaciones de las diferentes aplicaciones del láser en urología. La búsqueda de una menor agresión en un intento de disminuir las complicaciones ha desarrollado esta energía en las patologías mas frecuentes de Urología. La utilización en la fragmentación de cálculos ureterales con láser Holmium ha modificado los algoritmos terapéuticos. En patología prostática analizamos las diferentes opciones desde la enucleación (Holep) y la fotovaporización con láser verde revisando las referencias bibliográficas y comparándolos con nuestra experiencia. Existen otras aplicaciones terapéuticas que utilizan esta energía como instrumento de corte en estenosis uretral, ureteral, unión pielo-ureteral o cervicotomía (AU)
In this paper we analyze the complications of various applications of laser in urology. The search of a minor aggression trying to diminish complications have lead the development of the use of this energy in the most frequent urologic pathologies. Its use in the fragmentation of ureteral stones has modified the therapeutic algorithms. In prostatic diseases we analyze the various options from enucleation (HoLEP) to green laser photovaporization, reviewing the bibliographic references and comparing them with our experience. There are other therapeutic applications that use this energy as a cutting instruments for urethral, ureteral, ureteropyelic junction stenosis, or bladder neck section (AU)
Assuntos
Humanos , Masculino , Terapia a Laser/métodos , Lasers/efeitos adversos , Lasers/uso terapêutico , Terapia a Laser/efeitos adversos , Estreitamento Uretral/cirurgia , Constrição Patológica/complicações , Procedimentos Cirúrgicos Urológicos/métodos , Neoplasias Urológicas/complicações , Neoplasias Urológicas/cirurgia , Hematúria/complicações , Neoplasias Urológicas/patologia , Estreitamento Uretral/diagnóstico , Constrição Patológica/diagnóstico , Neoplasias Urológicas/fisiopatologia , Neoplasias Urológicas , Extravasamento de Materiais Terapêuticos e Diagnósticos/complicações , Fibrose/complicações , Próstata/patologia , Próstata/cirurgia , PróstataRESUMO
In this paper we analyze the complications of various applications of laser in urology. The search of a minor aggression trying to diminish complications have lead the development of the use of this energy in the most frequent urologic pathologies. Its use in the fragmentation of ureteral stones has modified the therapeutic algorithms. In prostatic diseases we analyze the various options from enucleation (HoLEP) to green laser photovaporization, reviewing the bibliographic references and comparing them with our experience. There are other therapeutic applications that use this energy as a cutting instruments for urethral, ureteral, ureteropyelic junction stenosis, or bladder neck section.
