Base de dados : LILACS
Pesquisa : C12.294.494 [Categoria DeCS]
Referências encontradas : 98 [refinar]
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Id: biblio-1045704
Autor: Gupta, G; Singa, R; Gupta, S; Gupta, S.
Título: Penile incarceration caused by an axe ring: an unusual case of sexual perversion
Fonte: West Indian med. j;62(6):571-571, July 2013. ilus.
Idioma: en.
Descritores: Transtornos Parafílicos/complicações
Doenças do Pênis/etiologia
Pênis/patologia
Edema/etiologia
-Comportamento Sexual
Constrição
Limites: Humanos
Masculino
Adulto Jovem
Tipo de Publ: Relatos de Casos
Carta
Responsável: BR1.1 - BIREME


  2 / 98 LILACS  
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Aguiar, José Lamartine de Andrade
Texto completo
Id: biblio-828940
Autor: Vilar, Fábio de Oliveira; Pinto, Flávia Cristina Morone; Albuquerque, Amanda Vasconcelos; Martins, Ana Gabriela Santos; Araújo, Luiz Alberto Pereira de; Aguiar, José Lamartine de Andrade; Lima, Salvador Vilar Correia.
Título: A wet dressing for male genital surgery: A phase II clinical trial
Fonte: Int. braz. j. urol;42(6):1220-1227, Nov.-Dec. 2016. tab, graf.
Idioma: en.
Resumo: ABSTRACT Purpose: This study was to confirm the safety and efficacy of BC dressing when used in surgical male wound healing at the urogenital area. Methods: Open, non-controlled clinical study of phase II. A total of 141 patients, among those children, adolescents and adults with hypospadias (112), epispadias (04), phymosis (13) and Peyronie's disease (12) that had a BC dressing applied over the operated area after surgery. A written informed consent was obtained from all participants. Study exclusion criteria were patients with other alternative treatment indications due to the severity, extent of the injury or the underlying disease. The outcomes evaluated were efficacy, safe and complete healing. The costs were discussed. Results: In 68% patients, the BC dressing fell off spontaneously. The BC was removed without complications in 13% of patients at the outpatient clinic during the follow-up visit and 17% not reported the time of removal. In 3% of the cases, the dressing fell off early. Complete healing was observed between 8th and 10th days after surgery. The BC dressings have shown a good tolerance by all the patients and there were no reports of serious adverse events. Conclusion: The bacterial cellulose dressings have shown efficacy, safety and that can be considered as a satisfactory alternative for postoperative wound healing in urogenital area and with low cost.
Descritores: Doenças do Pênis/cirurgia
Pênis/cirurgia
Poliuretanos/uso terapêutico
Bandagens
Anormalidades Urogenitais/cirurgia
Cicatrização
-Induração Peniana/cirurgia
Fimose/cirurgia
Período Pós-Operatório
Epispadia/cirurgia
Resultado do Tratamento
Técnicas de Fechamento de Ferimentos
Hipospadia/cirurgia
Pessoa de Meia-Idade
Limites: Humanos
Masculino
Pré-Escolar
Criança
Adolescente
Tipo de Publ: Ensaio Clínico
Ensaio Clínico Fase II
Responsável: BR1.1 - BIREME


  3 / 98 LILACS  
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Texto completo
Id: biblio-892900
Autor: Ozkuvanci, Ünsal; Ziylan, Orhan; Dönmez, M. Irfan; Yucel, Omer Baris; Oktar, Tayfun; Ander, Haluk; Nane, Ismet.
Título: An unanswered question in pediatric urology: the post pubertal persistence of prepubertal congenital penile curvature correction by tunical plication
Fonte: Int. braz. j. urol;43(5):925-931, Sept.-Oct. 2017. tab, graf.
Idioma: en.
Resumo: ABSTRACT Objective: The aim of this study is to analyze post pubertal results of pre pubertal tunica albuginea plication with non-absorbable sutures in the correction of CPC. Materials and Methods: The files of patients who underwent tunica albuginea plication without incision (dorsal/lateral) were retrospectively reviewed. Patients younger than 13 years of age at the time of operation and older than 14 years of age in November 2015 were included. Patients with a penile curvature of less than 30 degrees & more than 45 degrees and penile/urethral anomalies were excluded. All of the patients underwent surgery followed by circumcision. Results: The mean age of patients at the time of the operation was 9.7 years (range, 6-13 years). The mean degree of ventral penile curvature measured during the operation was 39 degrees while it was 41 degrees in the lateral curvatures. All of the patients were curvature-free at the end of the operation. At the time of the follow-up examination, the mean age was 16.7 years (range, 14-25 years). Six patients had a straight (0-10 degrees) penis during erection and seven patients had recurrent penile curvatures ranging from 30 to 50 degrees. Conclusion: Pre pubertal tunica albuginea plication of congenital penile curvature (30-45 degrees) with non-absorbable sutures performed without incision is a minimal invasive method especially when performed during circumcision. However, recurrence might be observed in half of the patients after puberty.
Descritores: Doenças do Pênis/cirurgia
Doenças do Pênis/congênito
Pênis/anormalidades
Pênis/cirurgia
Procedimentos Cirúrgicos Urológicos Masculinos/métodos
-Fatores de Tempo
Estudos Retrospectivos
Técnicas de Sutura
Resultado do Tratamento
Limites: Humanos
Masculino
Adolescente
Responsável: BR1.1 - BIREME


  4 / 98 LILACS  
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Texto completo SciELO Brasil
Texto completo
Id: biblio-1040041
Autor: Favorito, Luciano A; Conte, Paulo P; Sobrinho, Ulisses G; Martins, Rodrigo G; Accioly, Tomas.
Título: Double inlay plus ventral onlay buccal mucosa graft for simultaneous penile and bulbar urethral stricture
Fonte: Int. braz. j. urol;44(4):838-839, July-Aug. 2018.
Idioma: en.
Resumo: ABSTRACT Objectives: Buccal mucosa grafts and fascio-cutaneous flaps are frequently used in long anterior urethral strictures (1). The inlay and onlay buccal mucosa grafts are easier to perform, do not need urethral mobilization and generally have good long-term results (2-4). In the present video, we present a case where we used a double buccal mucosa graft technique in a simultaneous penile and bulbar urethral stricture. Materials and Methods: A 54 year-old male patient was submitted to appendectomy where a urethral catheter was used for two days in May 2015. Three months after surgery, the patient complained of acute urinary retention and a supra-pubic tube was indicated. Urethrocystography was performed two weeks later and showed strictures in penile and bulbar urethra with 3.5 cm and 3 cm in length respectively. Urethroplasty was proposed for the surgical treatment in this case. We used a perineal approach with a ventral sagittal urethrotomy in both strictures. Penile urethra stricture measuring 3.5 cm in length was observed and a free graft from the buccal mucosa was harvested and placed into the longitudinal incision in the dorsal urethra and fixed with interrupted suture as dorsal inlay. Bulbar urethra stricture measuring 3 cm was observed and a free graft from the buccal mucosa was harvested and placed into the longitudinal incision in the ventral urethra and fixed with interrupted suture as ventral onlay. The ventral urethrotomy was closed over a 16Fr Foley catheter and the skin incision was then closed in layers. Results: No intraoperative or postoperative complications occurred. The patient could achieve satisfactory voiding and no complication was seen during the six-month follow-up. Postoperative imaging demonstrated a widely patent urethra, and the mean peak flow was 12 mL/s. Conclusion: The BMG placement can be ventral, dorsal, lateral or combined dorsal and ventral BMG in the meeting of stricture but the first two are most common (5, 6). Ventral location provides the advantages of ease of exposure and good vascular supply by avoiding circumferential rotation of the urethra (7). Early success rates of dorsal and ventral onlay with BMG were 96 and 85%, respectively. However, long-term follow-up revealed essentially no difference in success rates (8-11). Anterior urethral stricture treatments are various, and comprehensive consideration should be given in selecting individualized treatment programs, which must be combined with the patient's stricture, length, complexity, and other factors. Traditionally, anastomotic procedures with transection and urethral excision are suggested for short bulbar strictures, while longer strictures are treated by patch graft urethroplasty preferably using the buccal mucosa as gold-standard material due to its histological characteristics. The current management for complex urethral strictures commonly uses open reconstruction with buccal mucosa urethroplasty. However, there are multiple situations whereby buccal mucosa is inadequate (pan-urethral stricture or prior buccal harvest) or inappropriate for utilization (heavy tobacco use or oral radiation). Multiple options exist for use as alternatives or adjuncts to buccal mucosa in complex urethral strictures (injectable antifibrotic agents, augmentation urethroplasty with skin flaps, lingual mucosa, colonic mucosa, and new developments in tissue engineering for urethral graft material). In the present case, our patient had two strictures and we chose to correct the first stricture with a dorsal graft and the bulbar stricture with a ventral graft because of our personal expertise. We can conclude that the double buccal mucosa graft is easier to perform and can be an option to repair multiple urethral strictures.
Descritores: Doenças do Pênis/cirurgia
Estreitamento Uretral/cirurgia
Transplante de Pele/métodos
Mucosa Bucal/transplante
-Procedimentos Cirúrgicos Urológicos Masculinos/métodos
Retalhos Cirúrgicos/transplante
Reprodutibilidade dos Testes
Resultado do Tratamento
Constrição Patológica/cirurgia
Pessoa de Meia-Idade
Limites: Humanos
Masculino
Tipo de Publ: Relatos de Casos
Responsável: BR1.1 - BIREME


  5 / 98 LILACS  
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Texto completo
Id: biblio-989970
Autor: Yan, Cui; Liang, Bing-xue; Huang, Hai-bin; Liang, Bi-rong; Zhou, Zheng; Wang, Ling-jun; Yang, Zhong-qi; Xian, Shao-xiang.
Título: CT-guided minimally-invasive penile fracture repair
Fonte: Int. braz. j. urol;45(1):183-186, Jan.-Feb. 2019. graf.
Idioma: en.
Resumo: ABSTRACT We present the case of a 28 year old patient with an incomplete tear of the tunica albuginea occurred after having sexual intercourse in the female superior position. The diagnostic assessment was performed first clinically, then with CT, owing to its high resolution, allowed to exactly detect the tear location leading to precise preoperative planning. After adequate diagnosis through imaging and proper planning, the patient was performed a selective minimally invasive surgical approach to repair the lesion. The patient had good erection with no angular deformity or plaque formation after a 3-month follow-up.
Descritores: Doenças do Pênis/cirurgia
Pênis/lesões
Ruptura/cirurgia
-Doenças do Pênis/diagnóstico por imagem
Pênis/cirurgia
Pênis/diagnóstico por imagem
Ruptura/diagnóstico por imagem
Tomografia Computadorizada por Raios X
Procedimentos Cirúrgicos Minimamente Invasivos
Limites: Humanos
Masculino
Adulto
Tipo de Publ: Relatos de Casos
Responsável: BR1.1 - BIREME


  6 / 98 LILACS  
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Texto completo
Id: biblio-1002212
Autor: Koifman, Leandro; Hampl, Daniel; Silva, Maria Isabel; Pessoa, Paulo Gabriel Antunes; Ornellas, Antonio Augusto; Barros, Rodrigo.
Título: Treatment options and outcomes of penile constriction devices
Fonte: Int. braz. j. urol;45(2):384-391, Mar.-Apr. 2019. tab, graf.
Idioma: en.
Resumo: ABSTRACT Purpose: To study the effect of penile constriction devices used on a large series of patients who presented at our emergency facility. We explored treatment options to prevent a wide range of vascular and mechanical injuries occurring due to penile entrapment. Materials and Methods: Between January 2001 and March 2016, 26 patients with penile entrapment were admitted to our facility and prospectively evaluated. Results: The time that elapsed from penile constrictor application to hospital admission varied from 10 hours to 6 weeks (mean: 22.8 hours). Non-metallic devices were used by 18 patients (66.6%) while the other nine (33.4%) had used metallic objects. Acute urinary retention was present in six (23%) patients, of whom four (66.6%) underwent percutaneous surgical cystotomy and two (33.4%) underwent simple bladder catheterization. The main reason for penile constrictor placement was erectile dysfunction, accounting for 15 (55.5%) cases. Autoerotic intention, psychiatric disorders, and sexual violence were responsible in five (18.5%), five (18.5%), and two (7.4%) cases, respectively. The mean hospital stay was 18 hours (range, 6 hours to 3 weeks). Conclusion: Penile strangulation treatment must be immediate through the extraction of the foreign body, avoiding vascular impairments that can lead to serious complications. Most patients present with low-grade injuries and use penile constrictors due to erectile dysfunction. Removal of constrictor device can be challenging. The use of specific tools for achieving penile release from constrictors is a fast, safe and effective method. Patients with urinary retention may require urinary diversion.
Descritores: Doenças do Pênis/etiologia
Pênis/lesões
Comportamento Autodestrutivo/terapia
Corpos Estranhos/terapia
-Doenças do Pênis/patologia
Pênis/cirurgia
Pênis/patologia
Comportamento Sexual
Comportamento Autodestrutivo/cirurgia
Comportamento Autodestrutivo/complicações
Constrição Patológica
Corpos Estranhos/complicações
Amputação
Pessoa de Meia-Idade
Limites: Humanos
Masculino
Adolescente
Adulto
Idoso
Adulto Jovem
Responsável: BR1.1 - BIREME


  7 / 98 LILACS  
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Texto completo
Id: biblio-1134193
Autor: Stephen, Jacob Robert; Burks, Frank N.
Título: Buried penis repair: tips and tricks
Fonte: Int. braz. j. urol;46(4):519-522, 2020.
Idioma: en.
Resumo: ABSTRACT Obesity is increasing in prevalence worldwide and an increasingly commonly encountered condition is adult acquired buried penis (AABP). We review the current management of AABP and relevant literature. Management of AABP requires a combination of genitourinary reconstructive techniques and plastic surgery techniques that are unique to this condition. We offer our experience and tips and tricks for the treatment of AABP.
Descritores: Doenças do Pênis/cirurgia
Procedimentos Cirúrgicos Reconstrutivos
-Pênis/cirurgia
Prevalência
Obesidade
Limites: Humanos
Masculino
Tipo de Publ: Revisão
Responsável: BR1.1 - BIREME


  8 / 98 LILACS  
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Texto completo
Id: biblio-1090600
Autor: Dias Filho, Aderivaldo Cabral; Ribeiro, Homero.
Título: Editorial Comment: Lessons learned after 20 years' experience with penile fracture
Fonte: Int. braz. j. urol;46(3):417-418, May-June 2020.
Idioma: en.
Descritores: Doenças do Pênis
-Pênis
Limites: Humanos
Masculino
Tipo de Publ: Comentário
Editorial
Responsável: BR1.1 - BIREME


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Texto completo
Id: biblio-1090599
Autor: Barros, Rodrigo; Hampl, Daniel; Cavalcanti, Andre Guilherme; Favorito, Luciano A; Koifman, Leandro.
Título: Lessons learned after 20 years' experience with penile fracture
Fonte: Int. braz. j. urol;46(3):409-416, May-June 2020. tab, graf.
Idioma: en.
Resumo: ABSTRACT Objective: To report our experience over the past 20 years in the diagnosis and surgical treatment of penile fracture (PF). Materials and methods: Between January 1997 and January 2017, patients with clinical diagnosis of PF were admitted to our facility and retrospectively assessed. Medical records were reviewed for clinical presentation, etiology and operative findings. Postoperative complications, sexual and urinary function were evaluated. Results: Sexual trauma was the main etiological factor, responsible for 255 cases (88.5%): 110 (43.1%) occurred with the "doggy style" position, 103 (40.3%) with "man on top" position, 31 (12.1%) with the "woman on top" position and 11 (4.3%) in other sexual positions. The most common findings in the clinical presentation were hematoma, in all cases and detumescence in 238 (82.6%). Unilateral corpus cavernosum injuries were found in 199 (69%) patients and bilateral in 89 (31%) patients. Urethral injuries were observed in 54 (18.7%) cases. Nine (14.7%) patients developed erectile dysfunction and eight (13.1%) had penile curvature. Only two (3.7%) patients had complications after urethral reconstruction. Conclusions: PF has typical clinical presentation and no need for additional tests in most cases. Hematoma and immediate penile detumescence are the most common clinical findings. Sexual activity was the most common cause. The 'doggy style' and 'man-on-top' was the most common positions and generally associated with more severe lesions. Concomitant urethral injury should be considered in cases of highenergy trauma. Surgical reconstruction produces satisfactory results, however, it can lead to complications, such as erectile dysfunction and penile curvature.
Descritores: Doenças do Pênis
Disfunção Erétil
-Pênis
Ruptura
Estudos Retrospectivos
Limites: Humanos
Masculino
Feminino
Responsável: BR1.1 - BIREME


  10 / 98 LILACS  
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Id: biblio-1090594
Autor: Barros, Rodrigo; Ribeiro, José Genilson Alves; Silva, Heleno Augusto Moreira da; Sá, Flávio Rondinelli de; Fosse Júnior, Angelo Maurilio; Favorito, Luciano A.
Título: Urethral injury in penile fracture: a narrative review
Fonte: Int. braz. j. urol;46(2):152-157, Mar.-Apr. 2020. tab, graf.
Idioma: en.
Resumo: ABSTRACT Objective To present the evolution and the recent data on the etiology, diagnosis, management and outcomes of penile fracture (PF) with concomitant urethral injury. Materials and Methods We searched the Pubmed database between 1998 and 2019 using the following key words: "penile fracture", "fracture of penis", "trauma to penis", "rupture of corpora cavernosa", "urethral injury", "urethral rupture" and "urethral reconstruction". Results The incidence of urethral lesion in patients with PF varies by geographic region and etiology. Blood in the meatus, hematuria and voiding symptoms are highly indicative of urethral rupture. The diagnosis of PF is eminently clinical and complementary exams are not necessary. The treatment consists of urethral reconstruction and the most common complications found are urethral stenosis and urethrocutaneous fistula. Conclusion PF is an uncommon urological emergency, particularly in cases with urethral involvement. Urethral injury should be suspected in the presence of suggestive clinical signs, and diagnosis is usually clinical. Urgent urethral reconstruction is mandatory and produces satisfactory results with low levels of complications.
Descritores: Doenças do Pênis/cirurgia
Doenças do Pênis/diagnóstico
Doenças do Pênis/etiologia
Pênis/lesões
Uretra/lesões
Doenças Uretrais/etiologia
-Pênis/cirurgia
Ruptura/cirurgia
Ruptura/diagnóstico
Ruptura/etiologia
Uretra/cirurgia
Doenças Uretrais/cirurgia
Limites: Humanos
Masculino
Tipo de Publ: Revisão
Responsável: BR1.1 - BIREME



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