Assuntos
Detecção Precoce de Câncer/história , Ilustração Médica/história , Medicina nas Artes/história , Prostatectomia/história , Neoplasias da Próstata/história , Experimentação Humana Terapêutica/história , Biópsia/história , Castração/efeitos adversos , Castração/história , Terapia Combinada/história , Estrogênios/história , Estrogênios/uso terapêutico , História do Século XX , Humanos , Masculino , Próstata/anatomia & histologia , Prostatectomia/efeitos adversos , Neoplasias da Próstata/diagnóstico , Neoplasias da Próstata/terapia , Experimentação Humana Terapêutica/ética , Estados UnidosAssuntos
Biofísica/história , Carcinoma de Células de Transição/história , Neoplasias Induzidas por Radiação/história , Física Nuclear/história , Armas Nucleares/história , Teleterapia por Radioisótopo/história , Neoplasias da Bexiga Urinária/história , Carcinoma de Células de Transição/radioterapia , Carcinoma de Células de Transição/cirurgia , Radioisótopos de Cobalto/uso terapêutico , Terapia Combinada , Cistostomia , História do Século XX , Humanos , Hungria , Neoplasias Induzidas por Radiação/radioterapia , Neoplasias Induzidas por Radiação/cirurgia , Teleterapia por Radioisótopo/métodos , Indução de Remissão , Estados Unidos , Neoplasias da Bexiga Urinária/radioterapia , Neoplasias da Bexiga Urinária/cirurgia , II Guerra MundialRESUMO
OBJECTIVE: To place a suprapubic tube without using specialized instruments. Suprapubic cystostomy is a straightforward urological procedure, which nevertheless may become complicated if the equipment needed to perform the operation is unavailable. Nowadays, in most operating rooms, control of urological instruments has been taken away from a small cadre of dedicated urology nurses, and instead is delegated to a central sterilization department or is even outsourced, leading to an increased rate of instrument misplacement or breakage. Disposable kits are useful, but may not be stocked at all facilities. Hence, the tools needed by the urologist to perform suprapubic cystostomy may not be readily available when they are needed. This reality was the impetus for the development of the following technique for suprapubic tube placement, which relies only upon ordinary instruments. METHODS: A simple method is described for placing a suprapubic catheter using a curved Van Buren sound, a cystoscope, and a minor surgical set. RESULTS: Not only is the operation is easy to do, but is also advantageous in that the catheter may be exchanged over a wire, if necessary, before the establishment of a suprapubic tract. The technique depends on the presence of an intact urethra; therefore, it is contraindicated in the setting of pelvic trauma. CONCLUSION: This suprapubic cystostomy method may be used either as a primary technique or as a back-up procedure if the urologist's preferred instrumentation is not available.
Assuntos
Cistostomia/instrumentação , Cistostomia/métodos , Dilatação/instrumentação , Cateterismo Urinário/instrumentação , Cateterismo Urinário/métodos , Endoscopia/métodos , Humanos , Bexiga UrináriaAssuntos
Infecções por HIV/prevenção & controle , Transmissão de Doença Infecciosa do Paciente para o Profissional/prevenção & controle , Profissionais de Enfermagem/psicologia , Doenças Profissionais/prevenção & controle , Serviços de Saúde do Trabalhador , Profilaxia Pós-Exposição/estatística & dados numéricos , Cirurgia Geral , Humanos , Ferimentos Penetrantes Produzidos por AgulhaAssuntos
Fármacos Anti-HIV/uso terapêutico , Empatia , Infecções por HIV/transmissão , Transmissão de Doença Infecciosa do Paciente para o Profissional/prevenção & controle , Ferimentos Penetrantes Produzidos por Agulha/virologia , Profilaxia Pós-Exposição/normas , Fármacos Anti-HIV/efeitos adversos , Infecções por HIV/sangue , Humanos , Ferimentos Penetrantes Produzidos por Agulha/sangue , Ferimentos Penetrantes Produzidos por Agulha/complicações , Traumatismos Ocupacionais/sangue , Traumatismos Ocupacionais/complicações , Traumatismos Ocupacionais/virologia , Profilaxia Pós-Exposição/métodos , Procedimentos Cirúrgicos Urológicos Masculinos/efeitos adversosRESUMO
BACKGROUND: Congenital unilateral absence of the vas deferens occurs in 0.5%-1.0% of males. It has been associated with various genitourinary abnormalities, including renal agenesis. We report a case of congenital unilateral absence of the vas deferens found incidentally during vasectomy in a patient with known unilateral renal agenesis. CASE PRESENTATION: A 24-year-old male presented to our urology clinic requesting vasectomy. His past history was significant for left renal agenesis. Following successful right vasectomy, several attempts to locate the left vas deferens were unsuccessful. We diagnosed congenital unilateral absence of the vas deferens. Follow-up semen analysis showed azoospermia. CONCLUSION: As vasectomies are increasingly performed in outpatient settings, it is imperative that physicians be aware of this condition, which can be recognized by a simple physical exam. Recognition could prevent unnecessary surgery and prompt providers to investigate for associated abnormalities.
RESUMO
UNLABELLED: News services recently broke the story of a medical hoax perpetrated through the literature involving purported urological symptoms of cellists, referred to as "cello scrotum". The background of this affair was researched in order to place it in an historical perspective. METHODS: The originators of the hoax were interviewed. Literature and internet searches were performed to sift fact from fiction. RESULTS: "Cello scrotum" was a descendant of some very legitimate musicians' maladies, which have been described over the past three centuries. From 1974, when it was first described, until 2009, when it was officially retracted, "cello scrotum" approached the status of an urban legend. CONCLUSIONS: The "cello scrotum" affair should not detract from the very real medical ailments of serious musicians. The entire subspecialty of performance medicine has evolved to treat patients with these concerns.