RESUMEN
OBJECTIVE: To evaluate supratrigonal cystectomy and enterocystoplasty in patients with interstitial cystitis. METHODS: We reviewed four women with interstitial cystitis with infructuos conservative treatment and performed supratrigonal cystectomy and enterocystoplasty. All the patients fulfilled the NHI criteria with increased voiding frequency by night (mean 7.3 times). In 3 cases urodynamic study was available. We used is the four patients ileon as segment for the enterocystoplasty. RESULTS: Mean postoperative follow up was 60 months. In all cases the suprapubic pain disappeared and night voiding frequency reduced (mean 2.2 times). We don't have mayor complications. One patient needs self catheterism 3 years after surgery. CONCLUSION: In patients with interstitial cystitis to be operated supratrigonal cystectomy and enterocystoplasty is the most effective method.
Asunto(s)
Cistitis Intersticial/cirugía , Ilion/cirugía , Vejiga Urinaria/cirugía , Anciano , Femenino , Estudios de Seguimiento , Humanos , Persona de Mediana Edad , Reservorios Urinarios ContinentesRESUMEN
OBJETIVO: Analizar la cistectomía supratrigonal con enterocistoplastia en los pacientes con cistitis intersticial. MÉTODO: Se revisaron cuatro mujeres diagnosticadas de cistitis intersticial en las que fracasaron los tratamientos conservadores y fueron sometidas a cistectomía supratrigonal con enterocistoplastia. Todas las pacientes cumplían los criterios diagnósticos de la NIH con un aumento de frecuencia miccional nocturna (media 7,3 micciones/noche). Se realizó estudio urodinámico en tres casos. En las cuatro pacientes se empleó íleon para la enterocistoplastia. RESULTADOS: El seguimiento medio post-operatorio es de 60 meses. En todos los casos desapareció el dolor suprapúbico y la frecuencia miccional nocturna descendió (media 2,2 micciones/ noche). No tuvimos complicaciones quirúrgicas mayores. Una paciente requirió cateterismo intermitente a los tres años de la intervención. Alguna paciente ha presentado episodio de infección urinaria. CONCLUSIONES: Consideramos que en los pacientes con cistitis intersticial que deben ser opera-dos la cistectomía supratrigonal con enterocistoplastia es el método quirúrgico más efectivo (AU)
Asunto(s)
Persona de Mediana Edad , Anciano , Femenino , Humanos , Reservorios Urinarios Continentes , Cistitis Intersticial , Ilion , Estudios de Seguimiento , Vejiga UrinariaRESUMEN
Contribution of one case of a 24-year-old patient, with a renal graft, who was diagnosed with vesical leyomiosarcoma. Radical cystectomy with ureterosygmoidostomy was performed. The rarity of vesical sarcoma, both in normal population or among those undergoing transplantation, as well as the greater tendency of transplanted patients to suffer malignant neoplasia, are emphasised.
Asunto(s)
Trasplante de Riñón , Complicaciones Posoperatorias/diagnóstico , Neoplasias de la Vejiga Urinaria , Adulto , Humanos , Leiomiosarcoma/diagnóstico , Masculino , Neoplasias de la Vejiga Urinaria/diagnósticoRESUMEN
Paragangliomas are rare tumours of the bladder accounting for 0.06% of all vesical tumours. This paper reports one case of vesical paraganglioma in a young female patient that has the singularity of being associated to melanin pigmentation. A review is made of cases treated in Spain, adding some comments on the signs and symptoms presented, as well as the diagnostic and therapeutical methods used in this unusual condition.
Asunto(s)
Paraganglioma , Neoplasias de la Vejiga Urinaria , Adolescente , Femenino , Humanos , Paraganglioma/diagnóstico , Paraganglioma/cirugía , Neoplasias de la Vejiga Urinaria/diagnóstico , Neoplasias de la Vejiga Urinaria/cirugíaRESUMEN
Presentation of the results obtained in 35 patients with ureteral lithiasis treated over a two-year interval by means of ureteroscopy with pseudoanalgesia at the Hospital Insular, with a 89% success rate. We conclude that in selected cases, the use of peg ureteroscopy or pneumatic lithotrite is a valid therapeutical option since it is well-tolerated and has the benefit of a short or null hospitalization.
Asunto(s)
Analgesia/métodos , Cálculos Ureterales/terapia , Ureteroscopía , Adulto , Anciano , Femenino , Humanos , Masculino , Persona de Mediana EdadRESUMEN
OBJECTIVES: We present a case of renal angiomyolipoma presenting as Wunderlich syndrome. METHODS: The clinical and radiological features of the spontaneous perirenal hematoma are analyzed. RESULTS: Because it is a benign tumor, treatment of renal angiomyolipoma is by conservative surgery; however, this is not always possible. CONCLUSIONS: In patients with renal angiomyolipoma, treatment by nephrectomy or conservative surgery will depend on the hemodynamic status of the patient.
Asunto(s)
Angiomiolipoma/diagnóstico , Hematoma/diagnóstico , Enfermedades Renales/diagnóstico , Neoplasias Renales/diagnóstico , Adulto , Angiomiolipoma/complicaciones , Angiomiolipoma/cirugía , Urgencias Médicas , Hematoma/etiología , Hematoma/cirugía , Humanos , Enfermedades Renales/etiología , Enfermedades Renales/cirugía , Neoplasias Renales/complicaciones , Neoplasias Renales/cirugía , Masculino , Nefrectomía , Espacio Retroperitoneal , SíndromeRESUMEN
Urinary bilharziasis is a parasitic disease caused by Schistosome haematobium which is prevalent in several African and Middle East countries. The closeness of the Canary Islands to the African continent and a greater population mobility have allowed us to diagnose and treat ten patients, all of them natural of this region. This paper outlines the case-reports, and reviews this parasitic disease which seriously affects the urinary tract and which must be specifically contemplated both in emigrants and occasional visitors from endemic regions.
Asunto(s)
Esquistosomiasis Urinaria , Adolescente , Adulto , Femenino , Humanos , Masculino , Persona de Mediana Edad , Esquistosomiasis Urinaria/diagnóstico , Esquistosomiasis Urinaria/epidemiología , Esquistosomiasis Urinaria/terapiaRESUMEN
One growth pattern of renal carcinomas is the multicystic of multilocular cysts one, of which few cases have been published but which according to Hartman represent 15% of total cases. This variant of the renal tumour arouses great diagnostic and therapeutical uncertainties with multicystic kidney, biopsy after surgery being the test which provides true diagnosis. Presentation of two clinical cases and review of this condition.
Asunto(s)
Adenocarcinoma/patología , Neoplasias Renales/patología , Adulto , Femenino , Humanos , Persona de Mediana Edad , Enfermedades Renales Poliquísticas/patologíaRESUMEN
A patient with a tumor in the right pelvic ureter is described herein. Following diagnosis by ureteroscopy, the patient underwent TUR utilizing a ureteroresectoscope. No short- or long-term complications were observed. The scant number of cases in the literature and the advantages afforded by this technique (noninvasive, short duration of hospital stay, etc.) prompted us to report this case.