RESUMO
A 19-year-old male Caucasian, without prior medical history, noticed a painless right testicular mass. Physical examination revealed neither gynecomastia nor abnormal skin pigmentation. Serum alpha-fetoprotein, ß-HCG and testosterone levels were normal. Sonography depicted an intratesticular diffusely hyperechoic lesion with acoustic shadowing. The patient underwent right orchiectomy. Histology revealed a benign large cell calcifying Sertoli cell tumour. This tumour is rare and may be associated with genetic abnormalities.
Assuntos
Calcinose/patologia , Tumor de Células de Sertoli/patologia , Neoplasias Testiculares/patologia , Adenoma/diagnóstico , Biomarcadores Tumorais , Calbindina 2/análise , Calcinose/diagnóstico , Calcinose/diagnóstico por imagem , Calcinose/cirurgia , Diagnóstico Diferencial , Humanos , Antígeno MART-1/análise , Masculino , Orquiectomia , Tumor de Células de Sertoli/química , Tumor de Células de Sertoli/diagnóstico , Tumor de Células de Sertoli/diagnóstico por imagem , Tumor de Células de Sertoli/cirurgia , Neoplasias Testiculares/química , Neoplasias Testiculares/diagnóstico , Neoplasias Testiculares/diagnóstico por imagem , Neoplasias Testiculares/cirurgia , Ultrassonografia , Vimentina/análise , Adulto JovemAssuntos
Injúria Renal Aguda , Corpos Estranhos , Ureter , Injúria Renal Aguda/etiologia , Fungos , Humanos , Stents/efeitos adversosRESUMO
AIM: To compare urinary continence following radical prostatectomy (RP) between open (Op), laparoscopic (Lap), and robotic (Ro) approaches. METHOD: Urinary continence of the first 59 patients operated by Ro RP between May 2008 and August 2009 was evaluated by self-questionnaires. Results were compared to those obtained in 2006 using the same questionnaire from patients operated by Lap RP or Op RP in the same institution. Patients treated by radiotherapy were excluded from the analysis. RESULTS: Fifty-one of the 59 operated by RP Ro answered the questionnaire. Op and Lap groups included 82 and 100 patients respectively. No significant difference was observed between the three groups in terms of age, body mass index, preoperative PSA, prostate gland weight, and TNM stage on pathology. Overall incontinence rate was 8%, 32%, and 21% for Ro, Lap, and Op RP, respectively. Median duration to recover continence after surgery was three weeks in the Ro group, versus eight weeks in the two other groups. CONCLUSION: In our experience, patients operated by a Ro approach had a lower risk of incontinence and a shorter duration to recover continence compared to those operated by Op and Lap RP. Our previous experience of laparoscopy might explain these findings. Evaluation of overall functional and oncological results is necessary before concluding to a possible superiority of Ro RP.