RESUMO
OBJECTIVE: To analyze the results of transurethral incision of the prostate in 205 patients with prostatic obstruction. METHODS: 205 patients comprised the study. The clinical records and surgical reports were reviewed for patient age, pre and postoperative symptoms, physical examination (principally digital rectal examination), ultrasound findings (prostate weight), endoscopy, type of surgery (type of incision), operating time, hospital stay and complications. RESULTS: 37.07% were aged 60-69 years, 59.51% were grade I according to the DRE and ultrasound findings, and prostatic weight. Bilateral incision was performed in 65.36%. The operating time was 15 minutes in 79.02% of the cases and the length of stay was 3 days in 89.75% of the cases. Postoperative hematuria was the most common complication. CONCLUSIONS: Endoscopic transurethral incision of the prostate is an alternative minimal invasive surgery in the treatment of early onset benign hyperplasia of the prostate with small prostates and short urethras.
Assuntos
Hiperplasia Prostática/cirurgia , Ressecção Transuretral da Próstata , Idoso , Idoso de 80 Anos ou mais , Humanos , Masculino , Pessoa de Meia-Idade , Ressecção Transuretral da Próstata/métodosRESUMO
OBJECTIVE: To demonstrate the utility of fine needle aspiration biopsy in the diagnosis of prostatic tumors, basically carcinoma of the prostate. METHODS/RESULTS: The clinical records of 497 patients who underwent fine needle aspiration biopsy were reviewed. Age, skin color, clinical diagnosis by DRE, transrectal core biopsy, correlation between clinical and histological diagnosis, distribution according to type of adenocarcinoma, correlation between cytological and histological diagnosis, and complications were analyzed. Of the 497 patients, 162 had histological confirmation. Of these 162 patients, the Galen and Gambino statistical method was utilized in 132 which represented the true negatives and positives. Sensitivity was 86%, specificity 96%, positive predictive value 91%, negative predictive value 93%, and efficiency was 92%. The complication rate was low. CONCLUSIONS: Fine needle aspiration biopsy is a safe and efficient diagnostic method in prostatic tumors and causes minimal discomfort to the patient.
Assuntos
Adenocarcinoma/patologia , Neoplasias da Próstata/patologia , Adulto , Idoso , Idoso de 80 Anos ou mais , Biópsia por Agulha , Humanos , Masculino , Pessoa de Meia-IdadeRESUMO
OBJECTIVE: To present a rare case of well-differentiated mucus-producing adenocarcinoma of the renal pelvis. METHODS: Patient history, the results of the complementary tests after surgery, treatment and anatomopathological findings are presented. RESULTS/CONCLUSIONS: Well-differentiated mucus-producing adenocarcinoma of the renal pelvis is rare and is often associated with lithiasis, a long history of obstruction and inflammation. Nests of tumor cells surrounded by abundant mucus is a characteristic histological finding in this tumor type.
Assuntos
Adenocarcinoma Mucinoso/patologia , Neoplasias Renais/patologia , Adenocarcinoma Mucinoso/complicações , Adulto , Feminino , Humanos , Cálculos Renais/terapia , Neoplasias Renais/complicações , Gravidez , Complicações na Gravidez/terapiaRESUMO
OBJECTIVE: To present a case of tubular renal adenocarcinoma associated with transitional cell carcinoma of the bladder. METHODS/RESULTS: A case of tubular renal adenocarcinoma associated with transitional cell carcinoma of the bladder in a 42-year-old patient is described. Patient evaluation included intravenous urography, nephrotomograms, renal and bladder ultrasound evaluation and cystoscopic examination with biopsy. The patient underwent nephroureterectomy and partial cystectomy with subsequent radiotherapy and intravesical chemotherapy. At two-years follow-up, there is no evidence of disease progression. CONCLUSIONS: The appearance of various early-stage urological tumors in the same patient, is uncommon. Although a review of the literature showed that these cases were considered a medical curiosity, it should be taken into account that there is an increasing number of new cases.
Assuntos
Adenocarcinoma/diagnóstico , Carcinoma de Células Renais/diagnóstico , Carcinoma de Células de Transição/diagnóstico , Neoplasias Renais/diagnóstico , Neoplasias Primárias Múltiplas/diagnóstico , Neoplasias da Bexiga Urinária/diagnóstico , Adulto , Feminino , HumanosRESUMO
OBJECTIVE: To report a case of renal parenchymal neurilemoma and review the literature. METHODS/RESULTS: A 44-year-old male patient presented with total hematuria. Patient evaluation by IVP, renal US and CT revealed a right renal mass. Radical nephrectomy was decided. The anatomopathòlogical analysis showed a renal parenchymal neurilemoma. CONCLUSIONS: Renal parenchymal neurilemoma is a rare benign tumor. The diagnosis is based on the clinical symptoms and the IVP, renal US and CT findings and confirmed by the anatomopathological findings. Surgical resection achieves cure and there is usually no recurrence.
Assuntos
Neoplasias Renais/patologia , Neurilemoma/patologia , Adulto , Carcinoma de Células Renais/diagnóstico , Diagnóstico Diferencial , Hematúria/etiologia , Humanos , Neoplasias Renais/complicações , Neoplasias Renais/diagnóstico , Neoplasias Renais/cirurgia , Masculino , Nefrectomia , Neurilemoma/complicações , Neurilemoma/diagnóstico , Neurilemoma/cirurgiaRESUMO
OBJECTIVES: To determine the incidence of asymptomatic bacteriuria in women consulting at our hospital and its relationship with other chronic diseases. METHODS: A cross-sectional study was conducted on 735 women who had consulted at our hospital from February to September, 1996. Urinary sediment, serial urine culture, serum urea and creatinine values were analyzed. Patient records were reviewed to obtain pertinent data for the study. RESULTS: The incidence of asymptomatic bacteriuria was 8%; 47.4% of the cases were women over 60 years of age. E. coli was identified as the causative organism in 77.9% of the urine cultures. Diabetes mellitus was the most frequent associated chronic disease (27.1%). The incidence of renal damage was not statistically significant and was not directly related with bacteriuria. CONCLUSIONS: We emphasize the importance of performing a urine culture when leukocyturia is detected. The incidence of asymptomatic bacteriuria increases with age. E. coli was the most frequent causative organism. Diabetes mellitus was the most frequent associated chronic disease. The incidence of renal damage was not statistically significant.
Assuntos
Bacteriúria/epidemiologia , Adulto , Fatores Etários , Bacteriúria/diagnóstico , Bacteriúria/microbiologia , Estudos Transversais , Feminino , Humanos , Incidência , Pessoa de Meia-IdadeRESUMO
OBJECTIVE: To describe an uncommon case of bladder calculus arising from an intrauterine device (IUD). METHODS/RESULTS: A female patient with an IUD for the past 10 years consulted for frequent episodes of cystitis. Patient evaluation demonstrated a bladder calculus that warranted surgery. Treatment was by cystolithotomy, which disclosed a 6 cm calculus attached to the IUD. CONCLUSION: Bladder calculus arising from an IUD is rare. The case described herein was successfully managed by cystolithotomy.