RESUMO
We analyzed 30 study protocols of 30 patients that underwent sling procedure surgery for recurring urinary incontinence correction, from December 1993 up to November 1998. A double technique surgical with double equipment technique was performed (both vaginal and abdominal), using mersilene. Five patients were excluded because a lack of follow-up, which was planned for the first, third, six, twelve and 24 months after surgery. Twenty-one patients (84%) remained continent, four patients (16%) had persistent stress incontinence. One required reoperation for relief of persistent urinary retention secondary to over correction of urethra. We believe that patient selection is the most important factor to be considered in order to perform this technique because of the high morbility rate.
Assuntos
Polietilenotereftalatos/uso terapêutico , Telas Cirúrgicas , Incontinência Urinária/cirurgia , Feminino , Humanos , Próteses e Implantes , Resultado do Tratamento , Incontinência Urinária/tratamento farmacológicoRESUMO
Tumors with stromal or sex-cords origin are scarce, and comprise only 5% or less of all ovarian tumors. Nevertheless functional tumor types are the most striking ones, only few of them produce hormonal symptoms. Fibrothecal tumors belong to the stromal cells tumor class, with differentiation towards both fibroblastic-type cells of thecal cell. We present a case report of a 68 years old woman with an ovarian tumor sized 14 x 9 x 7 cm. The treatment was the extirpation of the tumor. Microscopic evaluation of the surgical piece reported an ovarian fibrothecal tumor.