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1.
BMJ Case Rep ; 14(1)2021 Jan 19.
Artigo em Inglês | MEDLINE | ID: mdl-33468632

RESUMO

A 53-year-old man presented with lower urinary tract symptoms and recurrent urinary tract infections since last 3 years without being investigated or treated properly. Examination revealed a hard mobile lump in the pelvis, and blood investigations showed raised serum creatinine of 2.9 mg/dL. Subsequent urgent ultrasound scan showed a large urinary bladder stone with bilateral hydroureteronephrosis, and X-ray kidney, ureter and bladder demonstrated a 9 cm×6 cm elliptical radio-opaque shadow in the pelvis. He underwent emergency admission followed by open cystolithotomy on the next day. He was discharged after 48 hours with a urethral catheter. After 2 weeks, his renal function recovered completely; repeat ultrasound scan revealed complete resolution of hydronephrosis. Urethral catheter was removed following a normal cystogram. Uroflowmetry after 6 weeks revealed underlying bladder outlet obstruction, and he was started on alpha blocker which improved his urinary flow.


Assuntos
Hidronefrose/etiologia , Obstrução Ureteral/etiologia , Cálculos da Bexiga Urinária/complicações , Cálculos da Bexiga Urinária/diagnóstico , Humanos , Hidronefrose/diagnóstico por imagem , Hidronefrose/cirurgia , Masculino , Pessoa de Meia-Idade , Obstrução Ureteral/diagnóstico por imagem , Obstrução Ureteral/cirurgia , Cálculos da Bexiga Urinária/cirurgia
2.
BMJ Case Rep ; 14(1)2021 Jan 29.
Artigo em Inglês | MEDLINE | ID: mdl-33514620

RESUMO

Complications after renal allograft transplantation are not so uncommon. Most complications are related to graft rejection, immune-suppressive drug toxicity and the operative procedure. Stents are placed after a transplant to prevent urine leak at the site of ureteric reimplantation, to facilitate an early healing in immune-suppressed individuals and to prevent obstruction at the site of ureteral anastomosis. We report a case of a renal allograft recipient with a forgotten ureteral double J stent. where the stent remained in situ for more than 4 years and further complicated by encrustation and stone formation at both the bladder and renal pelvic ends. The stone over the bladder coil was removed by holmium laser cystolithotripsy while the encrusted renal pelvic coil was removed by percutaneous approach. This case is presented for its rarity and also to emphasise on the need for maintenance of a stent register in order to ensure avoidance of such preventable complications.


Assuntos
Remoção de Dispositivo/métodos , Transplante de Rim/efeitos adversos , Nefrolitotomia Percutânea/métodos , Stents/efeitos adversos , Adulto , Aloenxertos , Humanos , Transplante de Rim/métodos , Lasers de Estado Sólido , Masculino , Transplantados , Resultado do Tratamento , Cálculos da Bexiga Urinária/diagnóstico por imagem , Cálculos da Bexiga Urinária/etiologia , Cálculos da Bexiga Urinária/cirurgia , Cálculos Urinários/diagnóstico por imagem , Cálculos Urinários/etiologia , Cálculos Urinários/cirurgia
3.
BMC Surg ; 20(1): 161, 2020 Jul 21.
Artigo em Inglês | MEDLINE | ID: mdl-32693785

RESUMO

BACKGROUND: Hernia mesh erosion into the urinary bladder is a rare complication of hernioplasty, and mesh immigration is the most probable pathophysiology. There is no report describing mesh erosion induced by fixing tacks in inguinal hernia repair. CASE PRESENTATION: A 37-year-old man was admitted to our hospital with frequency, urgency and odynuria for 3 months. He received open right inguinal hernia repair in September 2014, and right laparoscopic hernioplasty for recurrence of the inguinal hernia in May 2015. In February 2019, he underwent a day-case transurethral cystoscopic operation for urethral and bladder stones. Cystoscopy revealed the existence of bladder stones and part of the eroded mesh on the right anterior wall, for which an open partial cystectomy was performed. The patient was followed up for 3 months postoperatively, during which no further mesh erosion or stone recurrence was detected by cystoscopy. CONCLUSION: This is the first case report describing mesh erosion into the urinary bladder by fixing tacks following laparoscopic inguinal hernia repair. In such a case, the eroded mesh and tacks need to be removed completely, but the effectiveness of a single transurethral procedure needs to be verified in more cases.


Assuntos
Hérnia Inguinal , Herniorrafia/efeitos adversos , Telas Cirúrgicas/efeitos adversos , Suturas/efeitos adversos , Doenças da Bexiga Urinária/cirurgia , Bexiga Urinária/lesões , Adulto , Hérnia Inguinal/cirurgia , Herniorrafia/instrumentação , Humanos , Laparoscopia/efeitos adversos , Masculino , Bexiga Urinária/cirurgia , Cálculos da Bexiga Urinária/etiologia , Cálculos da Bexiga Urinária/cirurgia , Doenças da Bexiga Urinária/etiologia
4.
J Urol ; 203(6): 1207-1213, 2020 06.
Artigo em Inglês | MEDLINE | ID: mdl-31951496

RESUMO

PURPOSE: We determined the long-term risks of additional surgery after bladder augmentation in a modern spina bifida cohort accounting for differential followup. MATERIALS AND METHODS: We retrospectively reviewed patients with spina bifida who were born after 1972 and were followed at our institution after augmentation surgery performed between 1979 and 2018. Outcomes included diversion, bladder stones, perforation, reaugmentation, laparotomy for bowel obstruction, and benign and malignant bladder tumors. Survival analysis was used for the entire cohort and the modern cohort (detubularized and reconfigured ileocystoplasty beginning in 2000). RESULTS: A total of 413 patients were included in the study. At a median followup of 11.2 years 80.9% of the patients had undergone ileocystoplasty and 44.1% had undergone 370 additional surgeries. Ten-year risk of any reoperation was 43.9%, with 17.4% of patients undergoing 2 or more and 9.9% undergoing 3 or more additional surgeries. Outcomes included conversion to a diversion (2.7% at 10-year followup) and bladder stones (28.2% with recurrence in 52.4%) irrespective of detubularized reconfigured status (p ≥0.20). Bladder perforation risk was 9.6% for patients undergoing vs 23.7% for those not undergoing detubularized reconfigured ileocystoplasty (p=0.01). Similarly reaugmentation rate was 5.3% for patients undergoing vs 15.2% for those not undergoing detubularized reconfigured ileocystoplasty (p=0.001). Finally, 10-year reperforation risk was 32.1% for patients undergoing vs 73.8% for those not undergoing detubularized reconfigured ileocystoplasty (p=0.053). Other risks included bowel obstruction (4.5% with recurrence in 15.8%), nephrogenic adenoma (2.2% with regrowth in 48.2%) and malignancy (0.0% at 20 years). For 222 patients in the modern cohort (median followup 9.1 years) 10-year risk of any reoperation was 46.0%, which consisted of diversion in 4.0%, stones in 32.9% (recurrence in 44.5%), perforation in 8.8% (recurrence in 42.2%), reaugmentation in 4.3%, obstruction in 4.9% (recurrence in 10.0%), adenoma in 4.7% (regrowth in 40.0%) and cancer in 0.0%. CONCLUSIONS: Bladder augmentation is long-lasting. While benefiting continence and renal outcomes, this operation frequently requires additional surgeries, necessitating close followup. Since survival analysis based risks of alternative management options such as incontinent diversion are unavailable, comparisons with augmentation are unfeasible.


Assuntos
Disrafismo Espinal/complicações , Bexiga Urinaria Neurogênica/cirurgia , Bexiga Urinária/cirurgia , Adenoma/epidemiologia , Adenoma/cirurgia , Adolescente , Criança , Feminino , Seguimentos , Humanos , Obstrução Intestinal/epidemiologia , Obstrução Intestinal/cirurgia , Masculino , Reoperação/estatística & dados numéricos , Estudos Retrospectivos , Bexiga Urinária/lesões , Cálculos da Bexiga Urinária/epidemiologia , Cálculos da Bexiga Urinária/cirurgia , Neoplasias da Bexiga Urinária/epidemiologia , Neoplasias da Bexiga Urinária/cirurgia , Bexiga Urinaria Neurogênica/etiologia , Derivação Urinária/estatística & dados numéricos , Adulto Jovem
6.
BMC Vet Res ; 15(1): 273, 2019 Aug 01.
Artigo em Inglês | MEDLINE | ID: mdl-31370897

RESUMO

BACKGROUND: Struvite urolithiasis with bacterial urinary tract infection (UTI) is commonly reported in dogs; few data exist to describe successful dissolution protocols in dogs with naturally occurring disease. We hypothesized that a dry therapeutic urinary diet combined with targeted antimicrobial therapy can effectively dissolve presumptive struvite cystolithiasis in dogs with naturally occurring urease-producing bacterial UTI. RESULTS: Ten dogs with presumed infection-induced struvite cystolithiasis based on lower urinary tract signs (LUTS), radiodense cystoliths, and urease-producing bacterial UTI were enrolled. At enrollment, antimicrobials and dry therapeutic urinary diet were dispensed. In addition to lack of radiographic resolution of urolithiasis, dogs with persistent clinical signs were considered non-responders. There was no significant difference in pH between responders and non-responders; USG was significantly higher in the responder group. Recheck visits continued until radiographic dissolution or failure was documented. Five of the 10 dogs achieved radiographic dissolution of cystolithiasis within a median of 31 days (range 19-103). In the other 5 dogs, surgical urolith removal was necessary due to persistent LUTS (3 dogs within 2 weeks) or lack of continued dissolution noted radiographically (1 dog with numerous cystoliths failed at day 91; 1 dog failed by day 57 with questionable owner compliance). CONCLUSIONS: Dissolution of urinary tract infection induced struvite cystoliths can be accomplished in some dogs fed this dry therapeutic urinary diet in conjunction with antimicrobial therapy. Case selection could increase the likelihood of successful dissolution; however, if calcium phosphate is present, this could also prevent stone dissolution. If clinical signs persist despite diet and antimicrobials, stone removal is advised.


Assuntos
Anti-Infecciosos/uso terapêutico , Doenças do Cão/dietoterapia , Doenças do Cão/tratamento farmacológico , Estruvita/química , Cálculos da Bexiga Urinária/veterinária , Urolitíase/veterinária , Animais , Doenças do Cão/cirurgia , Cães , Resultado do Tratamento , Cálculos da Bexiga Urinária/dietoterapia , Cálculos da Bexiga Urinária/tratamento farmacológico , Cálculos da Bexiga Urinária/cirurgia , Infecções Urinárias/complicações , Infecções Urinárias/veterinária , Urolitíase/dietoterapia , Urolitíase/tratamento farmacológico , Urolitíase/cirurgia
7.
Urology ; 132: 213, 2019 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-31238047

RESUMO

OBJECTIVE: To describe a novel surgical option for cystolithiasis management in female patients with no urethral access and prior abdominal surgeries. We present a 51-year-old female with a history of traumatic spinal cord injury with pelvic fractures and resultant neurogenic bladder. She underwent transabdominal bladder neck closure and bladder augmentation with continent diversion 2 years prior. CT abdomen/pelvis demonstrated a 3 cm stone and significant amount of bowel anterior to the bladder. METHODS: Pouchoscopy was performed via ureteroscope through the catheterizable stoma to assess stone location and mobility. A 14F-Foley was inserted for intraoperative decompression. An inverted-U incision was made on the anterior vaginal wall overlying the bladder base. Sharp and blunt dissection was performed in an avascular plane to dissect the vagina off of the bladder. Electrocautery was utilized to open perivesical tissue and the detrusor layer transversely. Further sharp dissection of perivesical tissue was achieved using Metzenbaum scissors. The bladder was filled via stoma Foley to improve visualization of bladder mucosa. Cystotomy was made and the 3 cm stone was removed, intact, using a Babcock. The bladder was closed in 2 layers with absorbable suture in running fashion. The bladder was refilled and the closure was watertight. The outer detrusor layer was closed with running locking 2-0 Polysorb, and a separate layer of perivesical tissue was closed over our 2-layer bladder closure using simple interrupted stitches. The vaginal flap was closed with running-locking 2-0 Polysorb. RESULTS: Operative time was 55 minutes. Estimated blood loss was 25 cc. The patient was discharged on postoperative-day 0 with a 14F-Foley in the catheterizable channel. The Foley was removed at the 3-week postoperative visit and patient resumed self-catheterization. No postoperative imaging was required. No complications were reported within 1 year. CONCLUSION: We demonstrate the feasibility of transvaginal cystolithotomy in females with bowel overlying bladder and no urethral access.


Assuntos
Cálculos da Bexiga Urinária/cirurgia , Feminino , Humanos , Pessoa de Meia-Idade , Procedimentos Cirúrgicos Urológicos/métodos , Vagina
8.
J Coll Physicians Surg Pak ; 29(6): S62-S64, 2019 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-31142426

RESUMO

We report and discuss a rare case of inguino-scrotal urinary bladder herniation (IBH) complicated with a big urinary bladder stone and contralateral indirect inguinal bowel hernia. A 68-year male patient presented to the outpatient urology department with a 4-year history of right inguino-scrotal pain and swelling, which was gradually increasing in size, and of intermittent swelling in the left groin. Physical examination revealed right irreducible inguino-scrotal hernia and reducible left inguinal hernia extending to the groin. Computerised Tomography (CT) revealed that the right side of urinary bladder was herniating through the inguinal canal into the right hemiscrotum along with a 22 mm urinary bladder stone. The patient underwent bilateral Lichtenstein tension-free mesh hernioplasty through inguinal incisions and transurethral laser cystolithotripsy in the same session. To the best of the authors' knowledge, this is the first reported case of bilateral inguinal hernia with concomitant bladder stone in the literature.


Assuntos
Hérnia Inguinal/cirurgia , Herniorrafia/métodos , Escroto/patologia , Tomografia Computadorizada por Raios X/métodos , Cálculos da Bexiga Urinária/cirurgia , Doenças da Bexiga Urinária/cirurgia , Bexiga Urinária/diagnóstico por imagem , Idoso , Hérnia Inguinal/diagnóstico por imagem , Humanos , Canal Inguinal/diagnóstico por imagem , Masculino , Escroto/cirurgia , Telas Cirúrgicas/efeitos adversos , Resultado do Tratamento , Cálculos da Bexiga Urinária/diagnóstico por imagem , Doenças da Bexiga Urinária/complicações , Doenças da Bexiga Urinária/diagnóstico
10.
Pediatr Surg Int ; 35(6): 737-741, 2019 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-30972489

RESUMO

Surgeons removed bladder stones by perineal lithotomy in ancient times. The first surgeon who dared to invade a body cavity knew human anatomy and was skilled in the use of surgical instruments. The operation probably originated in India since the Sushruta Samhita, a surgical text, antedates Hippocrates by several hundred years. Sushruta's knowledge of bladder of stones, surgical complications and instrumentation identifies him as originator of vesicolithotomy. Why did Hippocrates advise his students to leave operations for bladder stones to practitioners who were skilled in the art? Who were these practitioners and how did knowledge of vesicolithotomy reach Greece from India? Our research suggests that the operation came to Greece from India over ancient trade routes and with surgeons who accompanied Alexander the Great's army. The Sushruta Samhita was translated in Arabic and may have reached Europe during the dark ages by way of Arabian surgeons such as Albucasis. Chelseldon, an eighteenth century English surgeon, brought Sushruta's vesicolithotomy to a peak of perfection.


Assuntos
Posicionamento do Paciente/história , Cálculos da Bexiga Urinária/história , Arábia , Criança , Grécia , História do Século XV , História do Século XVI , História Antiga , História Medieval , Humanos , Índia , Instrumentos Cirúrgicos/história , Cálculos da Bexiga Urinária/cirurgia , Ocidente
11.
Cir Cir ; 86(1): 99-106, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-30951035

RESUMO

Here, two papers are presented, which constitute the first reports of surgical procedures in Mexican children performed at the 19th century. The two publications refer to surgical operations for the extraction of bladder stones. At that time, there was no anesthesia, so part of the description alludes to the suffering of the patients and the operative difficulties. The first case, is referred to as a lithotomy in a 17-year-old girl, performed by surgeon José Victoriano Guerrero in Guadalajara in 1822. The publication is not an academic report, but a pamphlet written as a gift to Emperor Augustin I to celebrate his ascension to the throne. The second work, is a lateral lithotomy in a 5-year-old boy, published by Dr. Luis Jecker in the first issue of the Periódico de la Academia de Medicina de Mégico in 1836.


Assuntos
Pediatria/história , Procedimentos Cirúrgicos Urológicos/história , Urologia/história , Criança , História do Século XIX , Humanos , México , Cálculos da Bexiga Urinária/história , Cálculos da Bexiga Urinária/cirurgia
12.
Urol Clin North Am ; 46(2): 193-205, 2019 May.
Artigo em Inglês | MEDLINE | ID: mdl-30961853

RESUMO

Next-generation holmium laser systems provide the user with a range of parameters that can help optimize fragmentation efficiency. Ureteroscopic strategies broadly consist of fragmentation with active retrieval, or dusting, which uses low pulse energy settings to break stones into fine fragments for spontaneous passage. Techniques for dusting include dancing, chipping, and popcorning. The Moses technology is a multipulse mode that may help reduce retropulsion and increase fragmentation. The thulium fiber laser is an emerging laser technology that provides an extensive parameter range for dusting. Future studies are needed to define the role of these technologies and techniques for laser lithotripsy.


Assuntos
Cálculos Renais/cirurgia , Lasers de Estado Sólido/uso terapêutico , Litotripsia a Laser/métodos , Cálculos da Bexiga Urinária/cirurgia , Previsões , Humanos , Litotripsia a Laser/instrumentação , Litotripsia a Laser/tendências , Ureteroscopia
14.
BMJ Case Rep ; 12(2)2019 Feb 01.
Artigo em Inglês | MEDLINE | ID: mdl-30709885

RESUMO

We present our experience of two cases: one of a 28-year-old male patient who presented with recurrent episodes of urinary tract infection (UTI) with passage of pus flakes in urine and a history of open cystolithotomy about 10 months ago. The second patient was a 26-year-old woman who underwent bladder exploration for a retained Double-J stent about 10 months ago and presented with recurrent UTI. The first case was treated with open surgery and in the second case, the gauze piece was retrieved endoscopically.


Assuntos
Corpos Estranhos/complicações , Litotripsia/efeitos adversos , Complicações Pós-Operatórias/etiologia , Stents/efeitos adversos , Infecções Urinárias/etiologia , Adulto , Lista de Checagem , Feminino , Humanos , Masculino , Ureter/cirurgia , Bexiga Urinária/cirurgia , Cálculos da Bexiga Urinária/cirurgia
15.
Tunis Med ; 97(12): 1338-1344, 2019 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-32173802

RESUMO

AIM: To evaluate the contribution of parecoxib to the protocol of multimodal analgesia for simple vesicular lithiasis by laparoscopy. METHODS: A prospective, randomized, double-blind study was carried out at Habib Thameur Hospital (Tunis). We included 60 patients, ASA I or II, scheduled for cholecystectomy by laparoscopy. The patients were randomized to 2 groups. The parecoxib group (PG) receiving parecoxib 40 mg 30 minutes before the induction and the control group (CG) receiving physiological saline. Data were collected during hospitalization and a follow-up was done one year after the operation by a questionnaire. RESULTS: The pain scores at rest and at cough were significantly lower in the PG than in the CG during the first postoperative day (p < 10-3). Ten percent of the patients of the CG and no patient of the GP required Morphine in the recovery room (p = 0,07). The requirement of Tramadol was significantly less frequent in the PG (70 % of the PG, 16,6 % of the CG and p < 10-3). A chronic pain was found in 37,5 % and 8 %, respectively, in the GC and GP (p = 0,013). This pain was intense in 2 GC patients requiring analgesics and a work stoppage. CONCLUSIONS: The results of our study are in favor of the use of Parecoxib 40 mg 30 minutes before laparoscopic cholecystectomy for its effects on acute pain, opioid sparing and chronic pain.


Assuntos
Analgesia/métodos , Colecistectomia Laparoscópica , Isoxazóis/administração & dosagem , Litíase/cirurgia , Cálculos da Bexiga Urinária/cirurgia , Adulto , Analgésicos Opioides/administração & dosagem , Colecistectomia Laparoscópica/efeitos adversos , Colecistectomia Laparoscópica/métodos , Terapia Combinada , Método Duplo-Cego , Feminino , Humanos , Isoxazóis/efeitos adversos , Litíase/epidemiologia , Masculino , Morfina/administração & dosagem , Manejo da Dor/métodos , Medição da Dor , Dor Pós-Operatória/epidemiologia , Dor Pós-Operatória/etiologia , Dor Pós-Operatória/prevenção & controle , Sala de Recuperação , Tunísia , Cálculos da Bexiga Urinária/epidemiologia
16.
BMC Urol ; 19(1): 139, 2019 Dec 30.
Artigo em Inglês | MEDLINE | ID: mdl-31888583

RESUMO

BACKGROUND: Urolithiasis is a clinically common benign disease in urology. Surgical treatments that are widely used in urolithiasis are percutaneous nephrolithotomy, rigid/flexible ureteroscopy, laparoscopic surgery, and endoscopic combined intrarenal surgery. The da Vinci surgical system is rarely used in the treatment of urolithiasis. In the current study, we report a case of multiple urinary tract calculi treated by robot-assisted laparoendoscopic single-site (RA-LESS) surgery. CASE PRESENTATION: A 49-year-old male patient was admitted to our hospital and diagnosed with multiple urinary tract calculi. He previously underwent right ureterolithotomy, laparoscopic cholecystectomy, and extracorporeal shockwave lithotripsy. Computed tomography (CT) scan and three-dimensional reconstruction CT image showed that multiple calculi were located in the right kidney, right upper ureter, and bladder. The preoperative glomerular filtration rate (GFR) were 17.81 ml/min (right kidney) and 53.11 ml/min (left kidney). We utilized the da Vinci system docking with a single-site port to perform pyelolithotomy, ureterolithotomy, and cystolithotomy, simultaneously. The operative time was 135 min and estimated blood loss was 30 ml. The postoperative hospital stay was 5 days. Three months after surgery, the serum creatinine and urea nitrogen levels dropped to a normal range, and no residual fragments were found in the CT scan. The postoperative GFR were 26.33 ml/min (right kidney) and 55.25 ml/min (left kidney). CONCLUSIONS: RA-LESS surgery is a safe and effective surgical procedure in the treatment of multiple urinary tract calculi; however, further investigation is needed to validate its long-term therapeutic effect.


Assuntos
Cálculos Renais/cirurgia , Laparoscopia/métodos , Procedimentos Cirúrgicos Robóticos/métodos , Cálculos Ureterais/cirurgia , Cálculos da Bexiga Urinária/cirurgia , Taxa de Filtração Glomerular , Humanos , Cálculos Renais/diagnóstico por imagem , Masculino , Pessoa de Meia-Idade , Duração da Cirurgia , Tomografia Computadorizada por Raios X , Cálculos Ureterais/diagnóstico por imagem , Cálculos da Bexiga Urinária/diagnóstico por imagem
17.
Int Braz J Urol ; 45(2): 410, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-30521162

RESUMO

INTRODUCTION AND OBJECTIVE: Perforation of the bladder or urethra and erosion of the mesh after cystocele repair surgery are not uncommon and have potentially serious complications. Traditionally, surgical management of such complications has involved excision of the mesh using either a transurethral approach or open surgery. In this video, we present our experience of laparoscopic transvesical surgery for exposed mesh and stone. MATERIALS AND METHODS: Patient was placed in the lithotomy position under general anesthesia and a 30° operating cystoscope was inserted under direct vision. After filling the bladder with 300 mL normal saline, a 5 - mm VersaStep™ bladeless trocar was placed 2 cm above the pubic symphysis. Two more 5 mm trocars were placed bilaterally at 3 cm intervals from the initial trocar site. The pneumovesicum state was maintained at 8 - 12 mmHg and a 5 mm telescope was introduced. Using a curved dissector and curved Mayo scissors, the exposed mesh was mobilized and removed. Interrupted 4 - 0 Vicryl sutures were used to close the defect. To localize the ureteral orifice, intravenous Indigo Carmine was used. The bladder stones were removed through the urethra using a stone basket, guided using a ureteral stent pusher. RESULTS: Total operation time was 55 min and the Foley catheter was removed at post - operative day 5 after postoperative cystography. CONCLUSIONS: Excellent visualization of mesh exposure and ureteral orifice was possible under aparoscopic transvesical surgery, and reconstruction including the mucosa and muscle layer was able to be achieved. This method is useful and feasible, with minimal invasiveness and an early post - operative recovery.


Assuntos
Cistotomia/métodos , Laparoscopia/métodos , Cálculos da Bexiga Urinária/cirurgia , Idoso , Feminino , Humanos , Masculino , Telas Cirúrgicas
18.
Urol Int ; 102(4): 495-498, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-30343289

RESUMO

Bladder migration of a Hem-o-lok® clip, due to robotic-assisted radical prostatectomy (RARP), is uncommon, and would form a foreign body in the bladder and present as lower urinary tract symptoms after the early postoperative period. We hereby report a rare, delayed appearance of a secondary bladder stone due to the migration of a Hem-o-lok® clip that occurred 5 years after RARP.


Assuntos
Adenocarcinoma/cirurgia , Corpos Estranhos/cirurgia , Prostatectomia/efeitos adversos , Neoplasias da Próstata/cirurgia , Instrumentos Cirúrgicos/efeitos adversos , Bexiga Urinária/cirurgia , Adenocarcinoma/diagnóstico por imagem , Idoso , Migração de Corpo Estranho/diagnóstico , Humanos , Masculino , Período Pós-Operatório , Neoplasias da Próstata/diagnóstico por imagem , Procedimentos Cirúrgicos Robóticos , Bexiga Urinária/diagnóstico por imagem , Cálculos da Bexiga Urinária/diagnóstico por imagem , Cálculos da Bexiga Urinária/cirurgia
20.
Urol Int ; 102(1): 1-12, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-30176666

RESUMO

The middle of the 19th century marks the beginning of a global process of science and knowledge transfer from -Europe to the rest of the world. During the phase of globali-zation, Austrian physician and ethnographer Jacob E. Polak (1818-1891) played a key role in the transmission of practical and scientific reasoning, leading to the development of medical science and clinical care in Persia. In 1851, Polak was commissioned by the Persian court to work as an academic teacher at the first secular institution of higher learning in Teheran, the Dar al-Fonun. After 4 years of teaching and working as a doctor and surgeon, Polak was appointed personal physician to the Qajar king, Naser-ad-Din Shah (r. 1848-1896). During Polak's 9 year stay in Persia, he performed numerous surgical operations with specific focus on lithotomies on men and women of all ages. He documented each operation and collected samples of bladder calculi for the purpose of chemical analysis. After his return to Austria, he published a detailed report on his practice of lithotomy in Persia. This extensive documentation is, we believe, the only known historical evidence that currently exists of the introduction of modern urology to Persia. This study will present Polak's role as a pioneer of modern medicine and lithotomy, and will examine how he introduced the latest achievements of Viennese medicine in the field of operative urology to Persia.


Assuntos
Litotripsia/história , Urologia/história , Áustria , História do Século XIX , Cooperação Internacional , Pérsia , Cirurgiões , Cálculos da Bexiga Urinária/cirurgia
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