RESUMO
Purpose: Kidney stone disease affects 5% of the population and is associated with non-negligible morbidity. Retrograde intrarenal surgery and percutaneous nephrolithotomy are the treatments of choice. We analyzed the results from our patients who underwent retrograde intrarenal surgery at controlled pressure. Materials and Methods: We conducted an observational, descriptive, retrospective study of 403 patients who underwent retrograde intrarenal surgery at the Hospital Clínico Universitario Lozano Blesa (Zaragoza, Spain) between January 2013 and December 2019. Results: The mean surgical time was 111.1 minutes, with a mean stone volume of 3.5 cm3 (maximum volume, 38.3 cm3). A total of 70 patients (17.3%) developed postoperative Clavien-Dindo complications64 minor (91.4%) and 6 major (8.6%). In addition, 28 patients (6.9%) presented with an early complication (<3 months), with urinary tract infection and pyelonephritis being the most common. The stone-free rate was 69.0%, with a retreatment rate of 4.7%. Conclusions: Sex was statistically significantly related to the onset of minor Clavien postoperative complications (p = 0.001). Similarly, corticosteroid use was associated with the onset of major Clavien complications (p = 0.030). Neither surgical time nor stone volume was found to be statistically significantly related to the onset of Clavien postoperative complications or early complications (AU)
Assuntos
Humanos , Masculino , Feminino , Adulto , Pessoa de Meia-Idade , Idoso , Duração da Cirurgia , Cálculos Renais/cirurgia , Procedimentos Cirúrgicos Operatórios/efeitos adversos , Procedimentos Cirúrgicos Operatórios/métodos , Estudos Retrospectivos , Complicações Pós-OperatóriasAssuntos
Doenças do Pênis , Induração Peniana , Humanos , Masculino , Necrose , Doenças do Pênis/cirurgia , Ereção Peniana , Pênis , PeleRESUMO
No disponible
Assuntos
Humanos , Masculino , Pessoa de Meia-Idade , Doenças do Pênis/cirurgia , Doenças do Pênis/patologia , NecroseRESUMO
72 year old female with a historyof breast cancer in remission, under study formonosymptomatic haematuria. Cystoscopy studyshows pigmented mucosal areas...
Paciente mujer de 72 años con antecedentede cáncer de mama en remisión, enestudio en urología por hematuria macroscópicamonosintomática. Se realiza cistoscopia observandoáreas de mucosa pigmentada...
Assuntos
Neoplasias da Bexiga Urinária , Idoso , Cistoscopia , Feminino , Hematúria , Humanos , Neoplasias da Bexiga Urinária/diagnósticoRESUMO
No disponible
Assuntos
Humanos , Feminino , Idoso , Neoplasias da Bexiga Urinária/diagnóstico , Achados Incidentais , Cistoscopia , Hematúria , Tomografia Computadorizada de EmissãoRESUMO
No disponible
Assuntos
Humanos , Masculino , Pessoa de Meia-Idade , Esfíncter Urinário Artificial/efeitos adversos , Procedimentos Cirúrgicos Urológicos Masculinos/métodos , Falha de PróteseRESUMO
No disponible
Assuntos
Humanos , Masculino , Pessoa de Meia-Idade , Neoplasias Penianas/diagnóstico por imagem , Disuria/etiologia , Carcinoma Verrucoso/diagnóstico por imagem , Papillomaviridae/patogenicidadeRESUMO
No disponible
Assuntos
Humanos , Masculino , Adulto , Varicocele/terapia , Embolização Terapêutica , Dor Lombar/etiologiaRESUMO
No disponible
Assuntos
Humanos , Masculino , Idoso , Aumento de Peso/fisiologia , Espectroscopia de Ressonância Magnética/métodos , Cistos/patologia , Pelve Renal/metabolismo , Retenção Urinária/metabolismo , Retenção Urinária/patologia , Aumento de Peso/genética , Espectroscopia de Ressonância Magnética/normas , Cistos/complicações , Pelve Renal/patologia , Retenção Urinária/complicações , Retenção Urinária/diagnósticoRESUMO
No disponible
Assuntos
Humanos , Masculino , Adulto , Cistos/metabolismo , Cistos/patologia , Imageamento Tridimensional/métodos , Infecções Urinárias/metabolismo , Infecções Urinárias/urina , Neoplasias da Próstata/diagnóstico , Neoplasias da Próstata/metabolismo , Infecção Pélvica/patologia , Cistos/reabilitação , Cistos/cirurgia , Imageamento Tridimensional/instrumentação , Infecções Urinárias/complicações , Infecções Urinárias/diagnóstico , Neoplasias da Próstata/complicações , Neoplasias da Próstata/genética , Infecção Pélvica/metabolismoRESUMO
OBJECTIVES: To study the efficacy and safety of the Perigee® System for the treatment of anterior vaginal prolapse in our experience with a medium term follow-up. METHODS: Prospective analysis on 48 consecutive patients with stage II-IV cystocele diagnosed from June 2006 until June 2009 using the Pelvic Organ Prolapse Quantitation classification without other associated prolapses. All diagnoses were done by a single urological specialist and follow-up is between 3 to 6 years. The questionnaire Patient Global Impression of Improvement was carried out before surgery, at the first follow up checking at one month, and at 6 and 12 months. The variables evaluated were age, presence of obesity, parity, prior hysterectomy, ASA class and stage of prolapse. RESULTS: The result, evaluating the questionnaire Patient Global Impression of Improvement, was cured or improved in 40 (83.3%) patients and 87.5% according to the Pelvic Organ Prolapse Quantitation, with a recurrence rate of 6.25%. Intraoperative complications were observed in 12.5% of the patients, postoperative in 4.2% and 41.5% after hospital discharge, pain being the most common complication (16.6%). The key variables for procedural failure were age 65 years >, obesity, parity ≥ 2, prolapse stage ≥ III and prior hysterectomy (p <0.05). CONCLUSIONS: In our series the Perigee® System allows anatomic repair with less morbidity, hospital stay and recovery time.
