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1.
J Coll Physicians Surg Pak ; 29(8): 780-781, 2019 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-31358105

RESUMO

Isolated spermatic vein thrombosis is an uncommon pathology, mostly involving left side. These patients present with acute scrotal symptoms, and can be misdiagnosed as testicular torsion or incarcerated inguinal hernia. At this point, Doppler ultrasound (US) plays critical role for the prompt and correct diagnosis of this rare clinical entity. Herein, a 54- year-old man having left sided testicular enlargement and tenderness with an unremarkable etiology was reported as a rare case of isolated spermatic vein thrombosis which could easily be diagnosed by colour Doppler US.


Assuntos
Escroto/irrigação sanguínea , Ultrassonografia Doppler em Cores , Trombose Venosa/diagnóstico por imagem , Diagnóstico Diferencial , Humanos , Masculino , Pessoa de Meia-Idade
2.
Andrologia ; 51(9): e13341, 2019 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-31195431

RESUMO

This study aimed to assess the possible correlation between mammalian target of rapamycin (mTOR) gene expression and sperm DNA damage among infertile patients with and without varicocele. The study included sixty infertile males and fifty fertile males as controls. The infertile group was subdivided into the following subgroups: thirty males with varicocele and thirty males without varicocele. All subjects underwent medical history collection, clinical examination, semen analysis, sperm DNA integrity assessment, mTOR gene expression assessment and scrotal colour Doppler ultrasound. The mean mTOR gene expression in infertile patients with varicocele (23.52 ± 14.65) was significantly higher than that in infertile patients without varicocele (12.24 ± 12.44) and fertile control subjects (3.92 ± 3.26; p = 0.003 and p < 0.001 respectively). In the infertile varicocele-positive group, mTOR gene expression showed a significant negative correlation with sperm count (p = 0.028, r = -0.400) and progressive sperm motility (p = 0.038, r = -0.381), as well as a significant positive correlation with the sperm DNA fragmentation index (DFI; p = 0.001, r = 0.578). In the infertile varicocele-negative group, mTOR gene expression showed a significant negative correlation with progressive sperm motility (p = 0.018, r = -0.429) and a significant positive correlation with sperm DFI (p < 0.001, r = 0.673). In conclusion, according to these results, there is a significant positive correlation between mTOR gene expression and sperm DFI among infertile patients with and without varicocele.


Assuntos
Fragmentação do DNA , Infertilidade Masculina/patologia , Espermatozoides/patologia , Serina-Treonina Quinases TOR/metabolismo , Varicocele/patologia , Adulto , Estudos de Casos e Controles , Humanos , Infertilidade Masculina/etiologia , Masculino , Escroto/irrigação sanguínea , Escroto/diagnóstico por imagem , Análise do Sêmen , Ultrassonografia Doppler em Cores , Varicocele/complicações , Varicocele/diagnóstico , Adulto Jovem
3.
Andrologia ; 51(7): e13293, 2019 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-30995701

RESUMO

In the present study, we compared the retroperitoneal high ligation with subinguinal varicocelectomy on the treatment of painful varicocele. A total of 90 patients who underwent retroperitoneal high ligation (n = 45) and subinguinal varicocelectomy (n = 45) for painful varicocele were included in this prospective study. Varicocele in all patients was diagnosed with by physical examination and coloured Doppler ultrasonography. All the patients underwent a conservative treatment for pain for 4 weeks. Patient ages, varicocele grades, preoperative pain scores, postoperative pain scores at 6 months, duration of surgeries, complications and recurrences were recorded. Complete success rate for chronic scrotal pain was found to be 80% in retroperitoneal varicocelectomy group and 71% in subinguinal varicocelectomy group. Partial success rate was 11% for retroperitoneal varicocelectomy group and 18% for subinguinal ligation group. There was no significant difference between two groups in terms of pain and complications. However, the operation time was significantly lower in the Palomo group. Although microsurgical subinguinal varicocelectomy is the current approach for the treatment of varicocele, retroperitoneal high ligation can achieve the same pain resolution with shorter operative duration compared to loupe-assisted subinguinal varicocelectomy.


Assuntos
Dor Crônica/terapia , Microcirurgia/efeitos adversos , Procedimentos Cirúrgicos Urológicos Masculinos/métodos , Varicocele/cirurgia , Procedimentos Cirúrgicos Vasculares/efeitos adversos , Adolescente , Adulto , Dor Crônica/diagnóstico , Dor Crônica/etiologia , Humanos , Ligadura/efeitos adversos , Ligadura/métodos , Masculino , Microcirurgia/métodos , Duração da Cirurgia , Medição da Dor , Complicações Pós-Operatórias/epidemiologia , Complicações Pós-Operatórias/etiologia , Estudos Prospectivos , Recidiva , Espaço Retroperitoneal , Estudos Retrospectivos , Escroto/irrigação sanguínea , Escroto/diagnóstico por imagem , Escroto/cirurgia , Resultado do Tratamento , Ultrassonografia Doppler , Procedimentos Cirúrgicos Urológicos Masculinos/efeitos adversos , Varicocele/complicações , Varicocele/diagnóstico por imagem , Procedimentos Cirúrgicos Vasculares/métodos , Adulto Jovem
4.
Andrologia ; 51(5): e13256, 2019 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-30820998

RESUMO

After varicocelectomy, complications such as hydrocele, testicular atrophy and recurrence can be seen. Our case was a 29-year-old male patient who had a fistula mouth laterally on the left scrotum. In the examination and scrotal ultrasonography (USG), a foreign body was detected under the skin. The patient had a history of varicocelectomy, suggesting suture reaction. Our case is interesting because it is the first reported suture granuloma case after varicocelectomy.


Assuntos
Granuloma de Corpo Estranho/diagnóstico , Complicações Pós-Operatórias/diagnóstico , Suturas/efeitos adversos , Procedimentos Cirúrgicos Urológicos Masculinos/efeitos adversos , Procedimentos Cirúrgicos Vasculares/efeitos adversos , Adulto , Granuloma de Corpo Estranho/etiologia , Humanos , Masculino , Complicações Pós-Operatórias/etiologia , Escroto/irrigação sanguínea , Escroto/diagnóstico por imagem , Escroto/cirurgia , Ultrassonografia , Procedimentos Cirúrgicos Urológicos Masculinos/métodos , Varicocele/cirurgia , Procedimentos Cirúrgicos Vasculares/métodos
5.
BMJ Case Rep ; 12(2)2019 Feb 21.
Artigo em Inglês | MEDLINE | ID: mdl-30796076

RESUMO

Juvenile gangrenous vasculitis of the scrotum is a rare entity, of which to our knowledge we describe the first documented case in the UK. It follows a typical disease course, demonstrated by an 18-year-old male who presented with three necrotic scrotal lesions; proceeded by 3 days of fever, pharyngitis and lethargy. Previous cases have been managed successfully with systemic steroids. On this occasion, surgical debridement was made of the necrotic areas under antibiotic cover and complete resolution was achieved with excellent wound healing and no evidence of recurrence. This case report discusses the importance of disease recognition and the merits of surgical management. We also add to the debate as to whether this disease is a variation of pyoderma gangrenosum or a distinct entity itself within the pantheon of scrotal gangrene.


Assuntos
Antibacterianos/uso terapêutico , Gangrena/etiologia , Doenças dos Genitais Masculinos/patologia , Necrose/etiologia , Escroto/irrigação sanguínea , Vasculite/complicações , Adolescente , Desbridamento/métodos , Gangrena/patologia , Gangrena/terapia , Doenças dos Genitais Masculinos/terapia , Humanos , Masculino , Necrose/patologia , Necrose/terapia , Escroto/patologia , Resultado do Tratamento , Vasculite/tratamento farmacológico , Vasculite/patologia
6.
Urology ; 127: 113-118, 2019 05.
Artigo em Inglês | MEDLINE | ID: mdl-30779890

RESUMO

OBJECTIVE: To study the effect of testicular vessel division on testicular volume during laparoscopic staged Fowler Stephens orchiopexy (LSFSO). METHODS: Testicular dimensions were prospectively measured intraoperatively at both first (S1) and second stages (S2) of LSFSO, and with scrotal ultrasound 3-12 months postoperatively. Testicular volumes were compared to reference ranges. Volume changes were tracked with a change of >20% considered clinically significant. RESULTS: A total of 52 nonpalpable testes treated with LSFSO between 2008 and 2018 were included in the study. After a median follow-up of 6.8 (3-91.3) months, 46 (88.5%) testes were palpable in a scrotal location without adjunctive procedures and 39 (75%) maintained vascular flow on duplex ultrasound. One testis retracted to an inguinal position and was successfully treated with inguinal orchiopexy for an overall success of 90.4% (47/52). Of 36 testes with intra- and postoperative testicular volume documentation, only 2 (5.6%) had significant volume loss after S1. Both testes had catch-up growth after S2. Eight (22.2%) testes had significant volume loss after S2. At follow-up, 24 (66.7%) testes were smaller than the mean for age, of which 20 (83.3%) were small at baseline. Only 41.7% of testes larger than mean for age at follow-up, were small at baseline (P = .02). CONCLUSION: Significant testicular volume loss does not occur after testicular vessel division at S1, but expected in approximately 1 quarter of testes after S2. We propose that testicular atrophy after LSFSO is primarily due to defective testicular development and rarely due to vascular compromise during S2.


Assuntos
Criptorquidismo/cirurgia , Laparoscopia/métodos , Orquidopexia/métodos , Testículo/anatomia & histologia , Estudos de Coortes , Criptorquidismo/diagnóstico , Bases de Dados Factuais , Seguimentos , Humanos , Recém-Nascido , Cuidados Intraoperatórios/métodos , Laparoscopia/efeitos adversos , Masculino , Orquidopexia/efeitos adversos , Tamanho do Órgão , Complicações Pós-Operatórias/epidemiologia , Complicações Pós-Operatórias/fisiopatologia , Estudos Retrospectivos , Medição de Risco , Escroto/irrigação sanguínea , Escroto/cirurgia , Estatísticas não Paramétricas , Fatores de Tempo , Resultado do Tratamento
7.
Reprod Domest Anim ; 54(2): 270-274, 2019 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-30246894

RESUMO

Ultrasonography was used to capture a coronal-sagittal image of the veins of the pampiniform plexus (PP) and the testicular artery of 327 maternal-line boars at approximately 6 months of age at the University of Nebraska-Lincoln. Varicocoele was diagnosed by two methods. Method 1 diagnosed varicocoele when the average vessel area on one side of the scrotum was 1.5 times larger than the average vessel area on the other side of the scrotum. Method 2 diagnosed varicocoele when the average vessel area on one side of the scrotum of a boar was 1.5 times larger than the average vessel on the same side of the scrotum of the boar's cohorts (same population and year). Varicocoele was diagnosed in 23.17% and 15.1% of boars measured using method 1 and method 2, respectively. Ultrasonography showed to be an effective means to measure PP vessel size in boars and may even allow for earlier detection of varicocoele than by using palpation. Animal models were employed to estimate the heritability for: average area of right PP vessels (0.52), average area of the left PP vessels (0.46), varicocoele presence using method 1 (0.26) and varicocoele presence using method 2 (0.25). These heritability estimates suggest that vessel size and varicocoele could be selected against in breeding programmes to potentially improve boar semen quality.


Assuntos
Característica Quantitativa Herdável , Escroto/irrigação sanguínea , Testículo/irrigação sanguínea , Varicocele/genética , Varicocele/patologia , Animais , Masculino , Escroto/diagnóstico por imagem , Análise do Sêmen , Suínos , Testículo/diagnóstico por imagem , Ultrassonografia , Varicocele/diagnóstico por imagem , Veias
8.
Reprod Domest Anim ; 54(2): 131-137, 2019 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-29989218

RESUMO

There is a paucity of information on the relationships of testicular morphology, echotextural attributes, and blood flow dynamics with pubertal development of rams raised in a subtropical climate. Forty-five Dorper rams (24 rams aged 8-11 months and 21 rams aged 12-24 months) were examined using a portable ultrasound scanner connected to a 7.5-MHz transducer. Computer-assisted analyses of testicular ultrasonograms utilized commercially available Image ProPlus® analytical software. Spectral Doppler scans of testicular arteries were performed immediately after scrotal (B-mode) ultrasonography to determine peak systolic velocity (PSV), end-diastolic velocity (EDV), resistive index (RI = [PSV-EDV]/PSV), and pulsatility index (PI = [SPV-EDV]/mean velocity) of the blood vessels. The length of the testes (9.7 ± 0.3 compared with 9.0 ± 0.2 cm) and scrotal circumference (33.3 ± 0.5 compared with 31.8 ± 0.4 cm) were greater (p < 0.05) but testicular depth (4.5 ± 0.1  compared with 4.9 ± 0.08 cm) was less (p < 0.05) in sexually mature compared with peripubertal rams. [Corrections added on 9 Jan 2019 after initial online publication: The testicular size values in the sentence were corrected.] There were no differences (p > 0.05) between the two age groups of Dorper rams in blood flow indices of testicular arteries. Mean numerical pixel values (100.5 ± 4.1 compared with 89.2 ± 4.8) and pixel heterogeneity (25.6 ± 0.6 compared with 23.6 ± 0.5) of testicular parenchyma were greater (p < 0.05) in peripubertal than in postpubertal rams. Semen volume was negatively correlated with PI of testicular arteries (r = -0.57, p = 0.04). In summary, the attainment of sexual maturity in the rams of the present study was associated with significant changes in testicular length and depth, scrotal circumference, and parenchymal echogenicity/hetrogeneity but not in testicular volume and blood perfusion rates. Testicular artery PI can be used to predict the volume of ejaculate in rams.


Assuntos
Escroto/fisiologia , Maturidade Sexual , Carneiro Doméstico , Testículo/fisiologia , Animais , Clima , Hemodinâmica , Masculino , Escroto/irrigação sanguínea , Análise do Sêmen , Testículo/irrigação sanguínea , Ultrassonografia Doppler
9.
Andrologia ; 50(10): e13105, 2018 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-30039568

RESUMO

In this study, was evaluated the outcomes of patients undergoing microsurgical varicocelectomy to treat scrotal pain due to recurrent varicocele were evaluated. A total of 27 patients who underwent microsurgical varicocele ligation for recurrent varicocele and scrotal and/or testicular pain were included in this retrospective study. Recurrent varicocele in all patients was diagnosed with by physical examination and coloured Doppler ultrasonography (CDUSG). All patients underwent pre-operative follow-up and post-operative follow-up at 3 and 6 months by physical examination, assessment of using the Visual Analog Scale (VAS) score, and CDUSG. The rRecurrent varicocele was grade 3 in 24 patients (88.9%) and grade 2 in 3 patients (11.1%). In all cases, the varicocele was on the left side. The mean VAS score was 6.5 (range 5-8) pre-operatively, 0.7 (range 0-5) at 3 months post-operatively, and 0.3 (range 0-4) at 6 months post-operatively (p < 0.001). Post-operative complete responseresolution, partial resolutionponse, and non-responsiveness rates were 85.2%, 11.1%, and 3.7% at the 3rd month post-operatively, respectively, and 88.8%, 7.5%, and 3.7% at the 6th month post-operatively, respectively. During follow-up, there was recurrence in 1 patient (3.7%) and hydrocele in 1 patient (3.7%). Microsurgical subinguinal varicocelectomy is an effective treatment for patients with scrotal pain caused by recurrent varicocele.


Assuntos
Microcirurgia/efeitos adversos , Dor/cirurgia , Complicações Pós-Operatórias/epidemiologia , Escroto/cirurgia , Varicocele/cirurgia , Procedimentos Cirúrgicos Vasculares/efeitos adversos , Adulto , Seguimentos , Humanos , Masculino , Microcirurgia/métodos , Dor/diagnóstico , Dor/etiologia , Medição da Dor , Complicações Pós-Operatórias/etiologia , Recidiva , Estudos Retrospectivos , Escroto/irrigação sanguínea , Escroto/diagnóstico por imagem , Hidrocele Testicular/epidemiologia , Hidrocele Testicular/etiologia , Resultado do Tratamento , Ultrassonografia Doppler , Varicocele/complicações , Varicocele/diagnóstico por imagem , Procedimentos Cirúrgicos Vasculares/métodos , Adulto Jovem
10.
Andrologia ; 50(10): e13118, 2018 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-30043529

RESUMO

Varicocele repair (VR) is associated with improved sperm parameters in subfertile patients. We examined the association of the levels of reproductive hormones, scrotal colour Doppler ultrasound (CDU) and seminal parameters in subfertile men, before and after VR. Fifty subfertile males, with left-side varicocele, were enrolled in this retrospective study. The serum levels of FSH, LH and total testosterone (TT), along with continuous left spermatic venous reflux (SVR) and testicular volumes at CDU were evaluated, before and six months after VR by a left-side retrograde internal spermatic vein sclero-embolisation (SVE). Left-side SVR was either no longer present or significantly reduced in all patients after VR (p < 0.0001). Sperm parameters, in particular, the total sperm motile count (TMC), were found significantly improved after VR (p < 0.0001). Post-VR, no differences were observed in the baseline values of the reproductive hormones. Only SVR change was seen to predict TMC change (p = 0.026) in the univariate analysis, while reproductive hormones change had no effect on TMC change (FSH:p = 0.85;LH:p = 0.44;TT:p = 0.76). In conclusion, the improved sperm parameters were associated with the disappearance or reduction in SVR and not with changes in the levels of reproductive hormones after SVE. Thus, SVR change at CDU was the only predictor of improved sperm quality after VR in subfertile males.


Assuntos
Embolização Terapêutica/métodos , Infertilidade Masculina/sangue , Escleroterapia/métodos , Escroto/irrigação sanguínea , Varicocele/terapia , Adulto , Hormônio Foliculoestimulante/sangue , Humanos , Infertilidade Masculina/etiologia , Infertilidade Masculina/fisiopatologia , Infertilidade Masculina/prevenção & controle , Hormônio Luteinizante/sangue , Masculino , Estudos Retrospectivos , Escroto/diagnóstico por imagem , Contagem de Espermatozoides , Motilidade Espermática , Espermatozoides , Testosterona/sangue , Resultado do Tratamento , Ultrassonografia Doppler em Cores , Varicocele/complicações , Varicocele/diagnóstico por imagem , Varizes/diagnóstico por imagem , Varizes/fisiopatologia
11.
Urologe A ; 57(8): 947-950, 2018 Aug.
Artigo em Alemão | MEDLINE | ID: mdl-30014277

RESUMO

Segmental testicular infarction is a rare cause of acute scrotum and only a few cases have been reported. Torsion of the testis, testicular tumor and infection are important differential diagnoses. The present case report describes a 61-year-old man with left-sided testicular pain increasing over 24 h. The diagnosis of segmental testicular infarction was considered after color Doppler ultrasound of the left scrotum and it was confirmed by surgical exploration and pathological examination. Although it is uncommon, segmental testicular infarction should be taken into consideration when acute scrotal pain is encountered, especially for younger patients, since a testis-sparing treatment strategy can be performed.


Assuntos
Infarto/diagnóstico por imagem , Dor/diagnóstico por imagem , Escroto/diagnóstico por imagem , Doenças Testiculares/diagnóstico por imagem , Ultrassonografia Doppler em Cores , Diagnóstico Diferencial , Humanos , Masculino , Pessoa de Meia-Idade , Dor/etiologia , Escroto/irrigação sanguínea , Escroto/patologia , Torção do Cordão Espermático , Resultado do Tratamento
12.
Int Braz J Urol ; 44(3): 563-576, 2018.
Artigo em Inglês | MEDLINE | ID: mdl-29570260

RESUMO

Men have most likely been affected by varicocele since the assumption of the upright position. In De Medicina, written during the first century AD, Celsus credits the Greeks with the first description of a varicocele, and he recorded his own acute observation: "The veins are swollen and twisted over the testicle, which becomes smaller". Celsus himself is credited with the distinction between varicocele (dilation of surface veins) and "cirsocele" (dilation of deep veins). There has been a long history of treatment attempts and failures, some of which are remarkably strange, that have sometimes culminated in tragedy, as in the case of French professor Jacques-Mathieu Delpech (1772- 1832). Although some questions regarding the etiopathology and treatment of varicocele remain unanswered, a succession of more or less conservative attempts involving all medical cultures has been performed throughout history. The report by W.S. Tulloch in 1952 brought varicocele into the era of modern evidence-based medicine, and varicocele surgery finally progressed beyond the aim of merely relieving scrotal pain and swelling. From 1970 to 2000, varicocelectomies gained worldwide attention for the treatment of male infertility. Several innovative procedures to correct varicoceles began to appear in the world's literature as interventional radiology, microsurgery, laparoscopy, and robotics, while comprehensive review articles were also published on the subject of varicocelectomies. Microsurgery is nowadays used worldwide and it can be considered to be the gold standard for correcting infertility linked to varicocele.


Assuntos
Varicocele/história , História do Século XVI , História do Século XVIII , História do Século XIX , História do Século XX , História do Século XXI , História Antiga , História Medieval , Humanos , Masculino , Ilustração Médica/história , Escroto/irrigação sanguínea , Escroto/cirurgia , Varicocele/cirurgia
13.
BMJ Case Rep ; 20172017 May 05.
Artigo em Inglês | MEDLINE | ID: mdl-28476905

RESUMO

Scrotal haematoma is an extremely rare complication after cardiac catheterisation (CC) with only few cases reported in literature. We report a 56-year-old patient who developed large scrotal haematoma after CC via transfemoral approach requiring blood transfusion due to haemodynamic instability. After an uneventful elective procedure, he was discharged with a collagen plug-based vascular closure device (Angio-Seal). He developed sudden onset, excruciating groin pain with scrotal swelling and shock. Bleeding was stopped with manual compression over the femoral artery and 2 units of packed red blood cells were transfused. CT angiogram revealed scrotal haematoma without active bleeding. Testicular blood supply remained intact. Scrotal swelling improved with conservative management and patient got discharged 3 days later in a stable condition. The review of literature suggests that penoscrotal haematoma is unusual after CC but may result from arterial injury or bleeding into the fascial planes. Majority of patients require observation but surgery is indicated in selected cases for vascular complications.


Assuntos
Cateterismo Cardíaco/efeitos adversos , Doenças dos Genitais Masculinos/complicações , Hematoma/complicações , Escroto/irrigação sanguínea , Testículo/diagnóstico por imagem , Hematoma/terapia , Humanos , Masculino , Pessoa de Meia-Idade , Escroto/patologia , Testículo/patologia , Resultado do Tratamento , Ultrassonografia Doppler/métodos , Dispositivos de Oclusão Vascular/efeitos adversos
14.
Urol Int ; 99(1): 36-42, 2017.
Artigo em Inglês | MEDLINE | ID: mdl-28285314

RESUMO

Background/Aims/Objectives: To report the outcome of staged urethroplasty with buccal mucosa and vascularised scrotal flap after failed hypospadias surgery. METHODS: n = 35. INCLUSION CRITERIA: destroyed urethral plate, deficient local skin, fistula and penile deviation. Five out of 35 patients also had a secondary proximal stricture. Stage 1: excision of scarred tissue and fistulae, correction of the penile deviation through dorsal plication and the ventral placement and quilting of buccal graft. Stage 2: tubularisation of the neourethral plate; in 20 patients with deficient penile skin a vascularised scrotal flap was developed and transferred on the tubularised urethra. In 5 patients, the proximal stricture was repaired during a separate operation by using buccal graft, the distal urethra was marsupialised. The repair of the distal urethra was performed later as described above. RESULTS: Thirty-three patients are recurrence-free without further interventions; successful reoperation was done in 2 cases. COMPLICATIONS: 1 graft necrosis; 1 coronary fistula; 1 scrotal flap necrosis and 1 case of hematoma. CONCLUSIONS: Complicated strictures after multiple failed hypospadias repair are well managed by using buccal graft. The vascularised scrotal flap is a very useful tool in case of deficient and scarred penile skin and could explain the low rate of fistula formation in our series.


Assuntos
Hipospadia/cirurgia , Mucosa Bucal/transplante , Pênis/cirurgia , Escroto/irrigação sanguínea , Escroto/cirurgia , Retalhos Cirúrgicos/irrigação sanguínea , Uretra/cirurgia , Estreitamento Uretral/cirurgia , Fístula Urinária/cirurgia , Procedimentos Cirúrgicos Urológicos Masculinos/efeitos adversos , Adolescente , Adulto , Criança , Intervalo Livre de Doença , Humanos , Hipospadia/diagnóstico , Masculino , Pessoa de Meia-Idade , Pênis/patologia , Complicações Pós-Operatórias/etiologia , Estudos Prospectivos , Recidiva , Reoperação , Retalhos Cirúrgicos/efeitos adversos , Fatores de Tempo , Falha de Tratamento , Uretra/diagnóstico por imagem , Estreitamento Uretral/diagnóstico por imagem , Estreitamento Uretral/etiologia , Fístula Urinária/diagnóstico por imagem , Fístula Urinária/etiologia , Adulto Jovem
17.
Int Braz J Urol ; 42(5): 1028-1032, 2016.
Artigo em Inglês | MEDLINE | ID: mdl-27583357

RESUMO

Report case (s) relevant aspects: Man, 27 years old, complaining of acute testicular pain by 2 hours in the remaining left testicle. Denies fever, lower urinary tract symptoms such as dysuria, urinary frequency, concommitant or prior urethral discharge to the painful condition. He underwent right orchiectomy 13 years ago by testicular torsion. He is a chronic user of cocaine for 15 years and during the last three days the drug use was continuous and intense. Proposed premise substantiating case (s) description: Initial diagnostic hypothesis: Syndromic: Acute Scrotum Syndrome (SEA) • Main Etiologic (testicular torsion) • Secondary Etiologic (acute orchiepididymitis) Briefly delineates what might it add? Lines of research That Could be Addressed: In this challenging clinical case we presented an alternative and new etiologic diangosis for the acute scrotum which the main etiologic factor remains testicular torsion. This new diangosis is acute testicular ischemia as a complication of cocaine abuse.


Assuntos
Dor Aguda/etiologia , Transtornos Relacionados ao Uso de Cocaína/complicações , Isquemia/etiologia , Escroto/irrigação sanguínea , Doenças Testiculares/etiologia , Testículo/irrigação sanguínea , Adulto , Cocaína/envenenamento , Diagnóstico Diferencial , Humanos , Isquemia/patologia , Masculino , Escroto/patologia , Torção do Cordão Espermático/patologia , Doenças Testiculares/patologia , Testículo/patologia , Vasoconstritores/envenenamento
20.
Urology ; 85(5): e39-e40, 2015 May.
Artigo em Inglês | MEDLINE | ID: mdl-25799175

RESUMO

Workup of acute unilateral right varicocele should encompass imaging to look for abdominal and retroperitoneal pathology, as well as congenital vascular anomalies. Management of the acute symptomatic varicocele due to upstream venous thrombosis should be primarily medical, with initiation of anticoagulation and early involvement of our hematology colleagues.


Assuntos
Varicocele/etiologia , Veia Cava Inferior/anormalidades , Doença Aguda , Adulto , Humanos , Masculino , Escroto/irrigação sanguínea , Trombose/complicações , Varicocele/patologia
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