RESUMO
OBJECTIVE: To establish the incidence of prostate cancer (PCa) in Sicily in patients who entered an early detection protocol. METHODS: From February 2002 to February 2004, 16,298 subjects aged 40-75 entered the protocol. Patients with suspicious DRE, PSA>10 ng/ml, PSAAssuntos
Neoplasias da Próstata/epidemiologia
, Adulto
, Distribuição por Idade
, Idoso
, Biópsia por Agulha
, Humanos
, Incidência
, Masculino
, Pessoa de Meia-Idade
, Razão de Chances
, Palpação/métodos
, Prevalência
, Próstata/diagnóstico por imagem
, Próstata/patologia
, Antígeno Prostático Específico/sangue
, Neoplasias da Próstata/sangue
, Neoplasias da Próstata/diagnóstico
, Estudos Retrospectivos
, Fatores de Risco
, Sicília/epidemiologia
, Ultrassonografia
RESUMO
We report on our experience with 7 pregnancies in 6 women who previously underwent reconstruction of the urinary tract with a continent urinary diversion using an ileo caecal segment (Mainz-Pouch I), ureterosigmoidostomy or bladder augmentation. Urinary tract infection and upper tract dilatation were the only complications during pregnancy which required bilateral nephrostomies in one case. All other sequelae were handled conservatively. The continence mechanisms were not compromised during pregnancy or delivery. Deliveries were vaginal in two cases and by Caesarean section in five. All seven newborn were healthy. Pregnancy is not contraindicated after any type of urinary diversion including continent reservoirs. Close urological and gynaecological observation of these women throughout pregnancy is mandatory. The mode of delivery is in the majority of cases guided by obstetric indications. If Caesarean section is necessary, the obstetrician should be familiar with the intraabdominal situation.
Assuntos
Complicações do Trabalho de Parto/etiologia , Complicações Pós-Operatórias/etiologia , Complicações na Gravidez/etiologia , Derivação Urinária/métodos , Adolescente , Adulto , Cesárea , Feminino , Humanos , Recém-Nascido , Complicações do Trabalho de Parto/terapia , Complicações Pós-Operatórias/terapia , Gravidez , Complicações na Gravidez/terapia , Fatores de Risco , Infecções Urinárias/etiologia , Infecções Urinárias/terapiaRESUMO
Of 485 patients with hypospadias who underwent urethrography, enlarged prostatic utricles were found in 173 (35.7%). Utricles with a higher grade of enlargement were seen mainly in patients with a severe degree of hypospadias. Serum testosterone levels before and after 3 days' treatment with human chorionic gonadotrophin were determined by radioimmunoassay in 97 prepubertal boys with hypospadias and enlarged prostatic utricles. Lower levels of serum testosterone were found after hormonal stimulation in 22 patients with high grade utricular enlargement when compared with 5 controls and 75 patients with low grade enlargement; the difference was statistically significant. This finding supports the hypothesis that utricular enlargement may be due to androgenic insufficiency during the critical period of organogenesis.
