RESUMEN
BACKGROUND: Symptomatic testicular hydrocele and cyst of the epididymis may be treated with either operation or sclerotherapy. METHODS: The current report presents the experience of a 9 year prospective study using sodium tetradecyl sulphate (STD) sclerotherapy for the treatment of symptomatic hydrocele and/or epididymal cyst. RESULTS: A total of 102 lesions were treated during the study period, with an initial success rate of 76% which improved to 94% with multiple treatments. The overall median follow up during the study was 30 months (range 2-100). CONCLUSIONS: Sclerotherapy offers a cost-effective outpatient method for the treatment of symptomatic scrotal cysts.
Asunto(s)
Quistes/terapia , Epidídimo , Soluciones Esclerosantes/uso terapéutico , Escleroterapia/métodos , Tetradecil Sulfato de Sodio/uso terapéutico , Hidrocele Testicular/terapia , Adolescente , Adulto , Anciano , Anciano de 80 o más Años , Humanos , Tablas de Vida , Masculino , Persona de Mediana Edad , Estudios Prospectivos , Reoperación , Enfermedades Testiculares/terapia , Resultado del TratamientoRESUMEN
Priapism is a rare condition in childhood; the majority of reported cases are in boys with sickle cell disease, where conservative management is often appropriate. Our experience with 4 cases, with differing aetiologies, and a review of the literature highlight the need for aggressive therapy when conservative measures fail.
Asunto(s)
Priapismo/terapia , Niño , Preescolar , Humanos , Masculino , Pene/cirugía , Priapismo/cirugía , SucciónRESUMEN
The purpose of this study was to determine the place of selective renal angiography in the assessment of major renal trauma. Thirty-one cases of renal injury assessed by urography and angiography were reviewed, and the radiological features correlated with the subsequent clinical course. Based on the angiographic findings, a classification of these more severe injuries is proposed, and the prognostic significance of renal ischaemia demonstrated. Because conservative treatment in those cases with significant ischaemia is likely to fail, early elective surgery is recommended. In this selected group, viable renal tissue can be preserved, and the necessity for subsequent nephrectomy due to secondary haemorrhage, or continuing urine leakage, is avoided.