RESUMO
By describing 3 clinical cases of unusual testicular non germinal tumors, including an adenoma of the rete testis, an undifferenciated sex cord tumor and a mesothelioma of the tunica vaginalis, we make a literature review of the unusual testicular tumors and testicular apendix, including their incidence and management. Also and as one of our conclusions, we expose the importance of the intraoperatory biopsy in the testicular cancer surgery, because even if it is infrecuent, the presence of this rare testicular tumors, in which if they are proven to be benign, the testicular unit could be preserved and the radical orquiectomy could be avoided.
Assuntos
Adenoma/patologia , Mesotelioma/patologia , Neoplasias Testiculares/patologia , Adulto , Humanos , MasculinoRESUMO
Vesical lithiasis is a relatively frequent problem, the solution of which has changed over the last few years driven by major technological evolution. Traditional open surgery has been outstaged by the new endoscopic techniques and extracorporeal lithotrity. Here, we present our endoscopic resolution protocol through a hypogastric puncture approach, using a conventional nephroscope, with or without the use of ultrasound. This technique has been applied to 39 patients obtaining a 97.4% success rate with minimal morbidity. This procedure is usually performed under local anaesthesia and ambulatory, using an urethrovesical catheter for 1 to 2 days. This approach offers certain advantages over the one through the urethra due to the difficulties of passage through the latter, and the inconvenience of working within a relatively narrow and rigid duct. It is faster and more efficient than extracorporeal lithotrity especially in the presence of very hard or very numerous calculi and, if necessary, can be complemented immediately with a prostate transurethral resection. In summary, this is a simple, efficient and safe technique, and it has become our choice therapy to resolve a vesical lithiatic condition in males.
Assuntos
Cálculos da Bexiga Urinária/cirurgia , Adolescente , Adulto , Idoso , Idoso de 80 Anos ou mais , Criança , Endoscopia/métodos , Humanos , Masculino , Pessoa de Meia-IdadeRESUMO
Pathological erection may be ascribed to different causes and its treatment represents a challenge to the attending urologist. For the past 3 years we have utilized intracavernous phenylephrine to treat this condition. Our success rate is 93.1%, with detumescence achieved between 30 sec to 15 min. No complications have been observed and the responders have referred no changes in their sexual activity. We therefore advocate its use before recurring to more aggressive maneuvers.