1,721,112 research outputs found
COMBINED TRANSURETHRAL-LAPAROSCOPIC URETERECTOMY FOR UPPER UROTHELIAL TUMOR DIAGNOSED AFTER SURGICAL NEFRECTOMY.
No full textabstr. no.: P228
Primary Bilateral Seminal Vesicle Carcinoma: Description of a Case and Literature Review
No full textWith no more than 60 reported cases, tumors of the seminal vesicles are rare. Because of poor and nonspecific symptoms diagnosis is often very difficult. This report presents a case of a 56-year-old man with right renal agenesis and intermittent hematospermia and bilateral cystic masses of the seminal vesicles. Transrectal biopsies of the cystic lesion revealed a papillary clear cell adenocarcinoma. The patient underwent radical prostatectomy and pelvic lymphoadenectomy. Lymph node metastases were found on histological examination. The patient received 4 cycles of chemotherapy and pelvic radiotherapy. He remains disease free 21 months after surgery. Radiological imaging in patients with hematospermia and hematuria will allow disease detection at earlier stages. Immunohistochemistry and histomorphology can be used for differential diagnosis. Surgery with clear margins offers the best chance to cure. Hormonal and radio-chemotherapy have a role as adjuvant and palliative treatmen
Ureteral hemangioma: a clinical case report.
No full textThe most greater part of the tumors ureteralis are of malignant nature, they are verified especially in the elderly patient and they have a preference for the distal third of the ureter. Of the tumors benign ureteral, the emangioma is a very rare vascular neoplasm. The symptoms aspecificis of presentation are: hematuria, colic type pains, hydronephrosis and bladder inflammation. Thanks to the refinement of the radiological techniques (Urography, CTscan and eventually the ascending pyelography) and also to the simultaneous aid of the anatomopathologist, it is possible to obtain an accurate description of this pathology in a precocious stage in order to carry out a conservative approach. The peculiarity of the clinical case from us described depends on the fact that it deals with an occasional find, reaches our observation for appearance of severe hydronephrosis caused by ureteral stones, resolved him with methodic endoscopic
LA MINI-PERCUTANEA IN POSISZIONE SUPINA: SOLO VANTAGGI ?
No full textLa minipercutanea in decubito prono è ormai
una metodica consolidata per la maggior parte
degli Endourologi. La posizione supina, alla
luce della nostra esperienza offre numerosi
vantaggi. ll paziente può posizionarsi da solo
nel decubito ottimale evitando rischi di posture
viziate serrza compromettere l’ intubazione
anestesiologica. Il cateterismo ureterale è agevolmente
eseguito sollevando solamente l'arto
inferiore controlaterale; non è quindi necessario
variare il decubito del paziente anestetizzato,
manovra alquanto problematica in pazienti
obesi o di grossa taglia. II decubito supino
non provoca compressione sul torace rendendo
quindi possibile l'utilizzo della metodica
percutanea anche in pazienti con gravi deficit
respiratori o nei grandi obesi. L’accesso transcolico,
complicanza rara ma possibile risulta
più improbabile in quanto in tale decubito si
verifica un aumento dello spazio rene-colon
come documentato da valutazione TC nei due
decubiti. Il contemporaneo dominio della via
escretrice, retrograda ureteroscopica ed anterograda
percutanea con strumenti rigidi e flessibili
rende possibile la completa clearance
litiasica anche in casi particolarmente complessi.
L’irrigazione attraverso il cateterino ureterale
rende agevole la fuoriuscita per gravità
dei frammenti litiasici residui dopo la trissia
laser diminuendo inoltre il tempo operatorio.
In considerazione di tali vantaggi riteniamo
che il decubito supino sia attualmente da considerarsi
auspicabile nella percutanea standard
ed ottimale nella minipercutanea
Clinical analysis on efficacy of root-surface conditioning by ethylenediaminetetraacetic acid on surgical treatment of gingival recessions with coronally advanced flap and enamel matrix derivative peptide: A retrospective study
No full textMINI-PERCUTANEOUS PROCEDURE (MIPP): A NEW SET
No full textWe are presenting our instrumental set for mini-percutaneous procedure (MIPP-set), manufactered in collaboration with RUSCH Medical Company, along with our indications and clinical experience.From January 2002 to December 2006, we treated with MIPP 63 patients. The procedures stone-free rate was 98,3%. The limits of this technique are: major operation times and consequently major costs; more difficulties in vision and operability. The advantages are: less trauma, reduction of bleeding, possibility of tubeless procedures and shorter recovery times. Supine position is certainly a step forward in terms of reducing operative times and percentage of clearance of the fragments. The progress mainly in optics and the miniaturization of instruments will make the procedure more useful and effective
A case report of a "smouldering" uretero-vascular fistula.
No full textUretero-vascular fistulae are rare. As compared to aortic, uretero-iliac fistulae are by far more frequent according to a 1:8 ratio. We present one case of uretero-prosthetic fistula in a man operated upon the resection of an aortobisiliac aneurysm and Dacron prosthetic graft; six years later, a blunt trauma to the body was followed by a threatening shock, resistant to medical measures. Two subsequent emergency operations allowed to a difficult diagnosis and a life-saving repair of the fistula. Some hypotheses on the pathogenesis of the condition are discussed as well as its clinical problems
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