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[PMID]:29376597
[Au] Autor:Pirogov AV; Sizonov VV; Kogan MI
[Ad] Endereço:N.N. Silishcheva Regional Childrens Clinical Hospital, Astrakhan, Russia.
[Ti] Título:[Experience of 157 vesikoscopic operations in children].
[So] Source:Urologiia;(6):59-64, 2017 Dec.
[Is] ISSN:1728-2985
[Cp] País de publicação:Russia (Federation)
[La] Idioma:rus
[Ab] Resumo:AIM: Recent advances in the field of minimally invasive surgical technologies in children and adolescents have led to the development of vesicoscopic (transvesical, pneumoscopic) access (VA). Current limitations in using VA emphasize the need for further studies investigating surgical options for the management of various pathological conditions of the bladder and ureterovesical junction, the features of surgical techniques and the course of the early postoperative period when used in pediatric urological practice. MATERIALS AND METHODS: From 2013 to 2017, 157 patients (79 girls and 78 boys) aged between 2 months and 18 years (mean age 4.9-8.7 years) underwent surgery using VD. Unilateral and bilateral vesicoscopic ureterocystoneoimplantation was performed in 110 (70%) and 44 (28%) patients, respectively. A total of 198 ureters was implanted. Three (1.9%) children underwent vesicoscopic excision of the bladder diverticulum. Transvesicoscopic Cohen ureteric reimplantation, pneumovesical Glenn-Anderson procedure, and Chumakov ureterocystoneoimplantation were performed in 151 (96.1%), 2 (1.3%) and 1 (0.6%) patients, respectively. RESULTS: The mean operative time when using VA was 126.8+/-46.7 min. In patients younger than one year, 1-3 years, 4-17 years, it was 136.0+/-43.8 min, 130.1+/-43.5 min and 122.4+/-65.8 min, respectively. The mean length of postoperative hospital stay was 6.2+/-2.3 days. In 3 (1.9%) cases we had to convert to open surgery. Gas migration into the abdominal cavity occurred in 6 (3.8%) patients. Fourteen (9%) patients had early postoperative complications. Transient obstruction of ureterovesical junction occurred in 6 (3.8%) patients. Acute complete obstruction of the distal ureter developed in 3 (1.9%) patients aged three months who did not undergo drainage of the upper urinary tract intraoperatively. A paravesical urine leak occurred in 1 (0.6%) patient. In one (0.6%) of the boys, the distal end of the urinary drainage inserted through the trocar into the ureter migrated in the bladder. The urine leakage from the trocar puncture occurred once (0.6%) and was stopped by indwelling urethral catheterization for seven days. In 2 (1.3%) patients, exacerbation of pyelonephritis required a modification in antibacterial therapy. DISCUSSION: Despite the accumulated experience, vesicoscopic surgery remains a laborious and complicated surgical intervention, requiring long learning curves even for surgeons who have good manual skills in laparoscopic surgery. CONCLUSION: In our opinion, vesicoscopic access allows the entire range of surgical interventions on the vesicoureteral junction and bladder in children to be performed. It is effective, significantly less traumatic than traditional open cystotomy access, and associated with an excellent cosmetic result.
[Mh] Termos MeSH primário: Cistostomia/métodos
Procedimentos Cirúrgicos Minimamente Invasivos/métodos
Ureter/cirurgia
Doenças da Bexiga Urinária/cirurgia
Bexiga Urinária/cirurgia
[Mh] Termos MeSH secundário: Adolescente
Criança
Pré-Escolar
Feminino
Seres Humanos
Lactente
Masculino
Ureter/patologia
Bexiga Urinária/fisiologia
Doenças da Bexiga Urinária/patologia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180309
[Lr] Data última revisão:
180309
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:180130
[St] Status:MEDLINE


  2 / 1019 MEDLINE  
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[PMID]:28904718
[Au] Autor:Kallat A; Ibrahimi A; Fahsi O; El Sayegh H; Iken A; Benslimane L; Nouini Y
[Ad] Endereço:Service d''Urologie A, Hôpital Ibn Sina, CHU, Rabat, Maroc.
[Ti] Título:[Intrauterine device: about a rare complication and literature review].
[Ti] Título:Le dispositif intra-utérin: à propos d'une complication rare et revue de la littérature..
[So] Source:Pan Afr Med J;27:193, 2017.
[Is] ISSN:1937-8688
[Cp] País de publicação:Uganda
[La] Idioma:fre
[Ab] Resumo:The intrauterine device (IUD) is the most common contraceptive method used in the world. Transuterine migration is a rare complication, accounting for 1/350 - 1/10000 insertions in the literature. We report the case of a 40-year old patient, who had had an IUD insertion 12-year before, presenting with pelvic and right lower back pain associated with intermittent hematuria and burning during urination. Radiological assessment showed calcific deposits on intra bladder IUD. The patient underwent cystostomy, without any difficulty, allowing stone and IUD extraction. A urinary catheter was left in place for 5 days and then withdrawn. The postoperative course was uneventful.
[Mh] Termos MeSH primário: Cistostomia/métodos
Migração de Corpo Estranho/diagnóstico
Dispositivos Intrauterinos/efeitos adversos
[Mh] Termos MeSH secundário: Adulto
Feminino
Migração de Corpo Estranho/cirurgia
Hematúria/etiologia
Seres Humanos
Dor Lombar/etiologia
Dor Pélvica/etiologia
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170922
[Lr] Data última revisão:
170922
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170915
[St] Status:MEDLINE
[do] DOI:10.11604/pamj.2017.27.193.13106


  3 / 1019 MEDLINE  
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[PMID]:28551675
[Au] Autor:Oprescu DN; Bacalbasa N; Balescu I; Filipescu A
[Ad] Endereço:Department of Obstetrics and Gynecology, INSMC "Alessandrescu Rusescu", Bucharest, Romania.
[Ti] Título:Urinary Tract Resections in Advanced-stage Cervical Cancer - A Series of Eight Cases.
[So] Source:Anticancer Res;37(6):3271-3276, 2017 06.
[Is] ISSN:1791-7530
[Cp] País de publicação:Greece
[La] Idioma:eng
[Ab] Resumo:BACKGROUND/AIM: Cervical cancer is one of the most frequent malignancies in women worldwide and is unfortunately diagnosed in advanced stages of the disease. Whenever local invasion is present, neoadjuvant therapy might be needed in order to limit the degree of local invasion. However, in certain cases local invasion persists even after completing the neoadjuvant radiochemotherapy; in these patients more extensive resections might be needed in order to achieve a radical resection. PATIENTS AND METHODS: We present a case series of eight patients in whom segmental ureteral or uretero-vesical resections were performed as part of the radical resections for locally advanced cervical tumors. RESULTS: The continuity of the urinary tract was re-established by performing ureteral reimplantation via uretero-neocystostomy, augmentation cystoplasties with ureteral reimplantations. In a single case ureteral reimplantation was not feasible, a definitive cutaneous ureterostomy being performed. The postoperative course was uneventful in seven cases while in a single case urinary leak occurred, necessitating the exteriorization of the ureter in terminal cutaneous ureterostomy. CONCLUSION: Ureteral resections can be safely performed in patients with locally advanced cervical cancer.
[Mh] Termos MeSH primário: Ureter/cirurgia
Bexiga Urinária/cirurgia
Procedimentos Cirúrgicos Urológicos/métodos
Neoplasias do Colo do Útero/cirurgia
[Mh] Termos MeSH secundário: Adulto
Cistostomia
Feminino
Seres Humanos
Meia-Idade
Invasividade Neoplásica
Estadiamento de Neoplasias
Reimplante
Stents
Resultado do Tratamento
Ureter/patologia
Ureterostomia
Bexiga Urinária/patologia
Procedimentos Cirúrgicos Urológicos/efeitos adversos
Procedimentos Cirúrgicos Urológicos/instrumentação
Neoplasias do Colo do Útero/patologia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170821
[Lr] Data última revisão:
170821
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170529
[St] Status:MEDLINE


  4 / 1019 MEDLINE  
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[PMID]:28530623
[Au] Autor:Castilló-Vela I; Del Pozo Jiménez G; Turo Antona J; Vázquez Alba D; Sáenz Medina J; Carballido Rodríguez J
[Ad] Endereço:Servicio de Urología. Hospital Universitario Puerta de Hierro de Majadahonda. Madrid. España.
[Ti] Título:[Laparoscopic Boari Flap ureteral reimplantation.]
[Ti] Título:Reimplante ureteral laparoscópico con Flap de Boari..
[So] Source:Arch Esp Urol;70(4):436-444, 2017 May.
[Is] ISSN:0004-0614
[Cp] País de publicação:Spain
[La] Idioma:spa
[Ab] Resumo:OBJECTIVES: To report our initial experience with laparoscopic Boari flap ureteral reimplantation and to review the main technical elements in ureteral reconstructive surgery. METHODS: In a 10-year period we performed 23 laparoscopic ureteral reimplantations. Three cases required a Boari flap. Two patients presented ureteral stenosis above the iliac vessels and the third one a urothelial tumor of the pelvic ureter. RESULTS: Two cases were completed laparoscopically; the third one was electively converted to open surgery to avoid prolonged OR time. Mean operative time was 276 minutes (270-290 min). There were no intraoperative complications. Mean hospital stay was 6.6 days. One patient presented postoperative UTI (Clavien 2). One patient developed with history of sever arteriopathy and aortorenal by pass developed ureteral stenosis proximal to the ureteral reimplantation eight months after the operation. CONCLUSIONS: Laparoscopic Boari flap ureteral reimplantation is an affective technique for ureteral reconstruction, safe and reproducible, reserved for cases of ureteral pathology in which the distance to bridge between the bladder and the ureteral stump is long.
[Mh] Termos MeSH primário: Cistostomia/métodos
Laparoscopia
Reimplante/métodos
Retalhos Cirúrgicos
Ureter/cirurgia
Ureterostomia/métodos
[Mh] Termos MeSH secundário: Adulto
Idoso
Seres Humanos
Masculino
Meia-Idade
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170803
[Lr] Data última revisão:
170803
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170523
[St] Status:MEDLINE


  5 / 1019 MEDLINE  
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[PMID]:28351339
[Au] Autor:Chigerwe M; Mavangira V; Byrne BA; Angelos JA
[Ad] Endereço:Departments of Medicine and Epidemiology (Angelos, Chigerwe), University of California-Davis, Davis, CA.
[Ti] Título:Antibiotic resistance patterns of bacteria isolated from indwelling Foley catheters following tube cystostomy in goats with obstructive urolithiasis.
[So] Source:J Vet Diagn Invest;29(3):316-320, 2017 May.
[Is] ISSN:1943-4936
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Tube cystostomy is a surgical method used for managing obstructive urolithiasis and involves placement of a Foley catheter into the urinary bladder. We identified and evaluated the antibiotic resistance patterns of bacteria isolated from indwelling Foley catheters following tube cystostomy in goats with obstructive urolithiasis. Urine samples collected over a 10-y period from catheter tips at the time of removal were submitted for bacteriologic culture and antibiotic susceptibility testing. Resistance patterns to antibiotics, trends in the resistance patterns over the study period, and the probability of a bacterial isolate being resistant as a function of the identity of the isolate and antibiotic tested were determined. A total of 103 urine samples from 103 male goats with obstructive urolithiasis managed surgically with tube cystostomy were included in the study. Aerococcus (36.9%) and Enterococcus (30.1%) were isolated most frequently. The susceptibility patterns of all bacteria isolated did not change over the study period ( p > 0.05). Proportions of isolates resistant to 1, 2, and ≥3 antibiotics were 36.9%, 18.5%, and 23.3%, respectively. Thus, 41.8% of bacterial isolates were resistant to 2 or more antibiotics tested. The probability of Aerococcus spp., Escherichia coli, and Pseudomonas aeruginosa isolates to be resistant to ampicillin, ceftiofur, erythromycin, penicillin, or tetracycline ranged from 0.59 to 0.76.
[Mh] Termos MeSH primário: Doenças das Cabras/cirurgia
Urolitíase/veterinária
[Mh] Termos MeSH secundário: Animais
Antibacterianos/farmacologia
Cateteres de Demora/microbiologia
Cateteres de Demora/veterinária
Cistostomia/veterinária
Farmacorresistência Bacteriana
Enterococcus/efeitos dos fármacos
Enterococcus/isolamento & purificação
Escherichia coli/efeitos dos fármacos
Escherichia coli/isolamento & purificação
Doenças das Cabras/tratamento farmacológico
Doenças das Cabras/microbiologia
Doenças das Cabras/urina
Cabras
Masculino
Urolitíase/tratamento farmacológico
Urolitíase/cirurgia
[Pt] Tipo de publicação:EVALUATION STUDIES; JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Anti-Bacterial Agents)
[Em] Mês de entrada:1707
[Cu] Atualização por classe:170713
[Lr] Data última revisão:
170713
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170330
[St] Status:MEDLINE
[do] DOI:10.1177/1040638717695607


  6 / 1019 MEDLINE  
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[PMID]:27988516
[Au] Autor:Gong H; Lu Y; Yan Y; Wu Z; Gao W; Cheng H; Wu Y; Li Y; Ma X; Liu J; Dai L
[Ad] Endereço:Department of Urology, Dongzhimen Hospital Affiliated to Beijing University of Chinese Medicine, Beijing, PR China.
[Ti] Título:Laparoscopic Extravesical Submucosal Tunneling Ureteroneocystostomy Combined with Psoas Hitch for Medium-Length Distal Ureteral Defects in Adults.
[So] Source:Urol Int;98(3):343-349, 2017.
[Is] ISSN:1423-0399
[Cp] País de publicação:Switzerland
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: This study aims to describe the technique and feasibility of laparoscopic submucosal tunneling ureteroneocystostomy in combination with psoas hitch to restore urinary tract continuity in patients showing medium-length distal ureteral defects. MATERIALS AND METHODS: From January 2012 to April 2016, a total of 13 patients (4 males and 9 females) with a mean age of 37 years were performed with the laparoscopic operation of ureteral submucosal tunneling reimplantation combined with psoas hitch. The mean defective length was 5.5 cm (range 4-8 cm). The etiologies included ureteral strictures secondary to endoscopic laser lithotripsy in 2 patients, previous gynecological surgeries in 4, infiltrative ureteral endometriosis in 3, as well as ureteral strictures without obvious causes in the remaining 4. RESULTS: The operations were successfully performed in all patients. The mean operating time was 179 min (range 150-230 min). The mean estimated blood loss was 32 mL (range 15-80 mL). The mean drainage time was 5.8 days (range 4-8 days). No major complications occurred during the perioperative period. The mean follow-up time was 25 months. All patients experienced symptomatic relief and showed good urine drainage. CONCLUSION: Extravesical submucosal tunneling ureteroneocystostomy combined with psoas hitch under laparoscopy is a feasible and effective option for medium-length distal ureteral defects in selected patients.
[Mh] Termos MeSH primário: Cistostomia/métodos
Laparoscopia/métodos
Músculos Psoas/cirurgia
Ureter/cirurgia
[Mh] Termos MeSH secundário: Adulto
Feminino
Seres Humanos
Masculino
Duração da Cirurgia
Resultado do Tratamento
Ureter/patologia
Doenças Ureterais/cirurgia
Obstrução Ureteral/cirurgia
Procedimentos Cirúrgicos Urológicos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171026
[Lr] Data última revisão:
171026
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161219
[St] Status:MEDLINE
[do] DOI:10.1159/000454735


  7 / 1019 MEDLINE  
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[PMID]:27855586
[Au] Autor:Friedersdorff F; El-Bandar N; Busch J; Erber B; Miller K; Fuller TF; Miller K
[Ad] Endereço:>From the Department of Urology, Charité University Hospital, Berlin, Germany.
[Ti] Título:Urolithiasis in Renal Allografts: Complications and Outcomes.
[So] Source:Exp Clin Transplant;15(2):164-170, 2017 Apr.
[Is] ISSN:2146-8427
[Cp] País de publicação:Turkey
[La] Idioma:eng
[Ab] Resumo:OBJECTIVES: Urinary calculi rarely occur in renal transplant. However, because of peculiarities shown with renal allografts, a prudent approach is necessary to prevent further complications or even graft failure. There are no well-established guidelines for uro?ithiasis in renal grafts regarding adequate therapy selection. In the present article, different therapeutic interventions are discussed, including in 1 case a pyelovesicostomy as an uncommon intervention. MATERIALS AND METHODS: We retrospectively reviewed data of 1115 patients who underwent renal transplant between January 2002 and December 2014 for urolithiasis in different databases. RESULTS: Eight patients in our study group formed urinary calculi after renal transplant. Only 5 patients were included, with incidence rate of 0.45%, since 3 patients received transplants elsewhere. Time between transplant and diagnosis ranged from 2 to 98 months. Extracorporeal shock wave lithotripsy (50%) was the most common intervention, followed by ureterorenoscopy (29%) and percutaneous nephrolithotomy (16%). One patient required 20 interventions due to recurrent urinary stones, necessitating an alternative procedure. In this case, a pyelovesicostomy was performed (an uncommon and previously not performed procedure for urolithiasis after renal graft). All patients were stone free at last follow-up. CONCLUSIONS: In contrast to other studies, renal stones from donors were not observed. Treatment took into account stone size, number, and localization, similar to the approach in the general population. However, alternative procedures, especially pyelovesicostomy, could be considered in patients with recurrent urolithiasis and who require multiple interventions.
[Mh] Termos MeSH primário: Histeroscopia
Transplante de Rim/efeitos adversos
Litotripsia
Nefrostomia Percutânea
Urolitíase/terapia
[Mh] Termos MeSH secundário: Adulto
Idoso
Aloenxertos
Cistostomia
Bases de Dados Factuais
Feminino
Alemanha
Seres Humanos
Masculino
Meia-Idade
Recidiva
Retratamento
Estudos Retrospectivos
Fatores de Risco
Fatores de Tempo
Resultado do Tratamento
Urolitíase/diagnóstico
Urolitíase/etiologia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171010
[Lr] Data última revisão:
171010
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161119
[St] Status:MEDLINE
[do] DOI:10.6002/ect.2016.0040


  8 / 1019 MEDLINE  
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[PMID]:27334135
[Au] Autor:Harke N; Godes M; Habibzada J; Urbanova K; Wagner C; Zecha H; Addali M; Witt JH
[Ad] Endereço:Department of Urology, Pediatric Urology and Urologic Oncology - Prostate Center Northwest, St. Antonius Hospital, Moellenweg 22, 48599, Gronau, Germany. harkenina@gmail.com.
[Ti] Título:Postoperative patient comfort in suprapubic drainage versus transurethral catheterization following robot-assisted radical prostatectomy: a prospective randomized clinical trial.
[So] Source:World J Urol;35(3):389-394, 2017 Mar.
[Is] ISSN:1433-8726
[Cp] País de publicação:Germany
[La] Idioma:eng
[Ab] Resumo:PURPOSE: To evaluate the impact of the type of urinary diversion (suprapubic vs. transurethral catheterization) on patients' postoperative pain after radical prostatectomy, development of bacteriuria and long-term functional results. METHODS: A randomized, prospective clinical trial was performed including 160 patients who underwent robot-assisted radical prostatectomy after randomization into two groups: intraoperatively, a transurethral catheter (control group) or an additional suprapubic tube (with removal of the transurethral catheter in the morning of postoperative day 1; intervention group) was placed. Primary study endpoint was postoperative pain objectified by the numeric rating scale questionnaire. Secondary endpoints were bacteriuria after catheter removal and functional outcomes after up to 2 years of follow-up. RESULTS: There were no significant differences in demographic and perioperative data. Starting on postoperative day 2, patients in the suprapubic diversion group had significantly less pain on every time point preceding the removal of the catheter compared to the control cohort with a median overall numeric rating score on postoperative day 1-4 of 2.4 points in the transurethral versus 1.3 in the intervention group (p = 0.012). No statistical difference was found in postoperative bacteriuria and complications as well as in functional results, quality of life and incontinence rates after a median follow-up of 22 months. CONCLUSIONS: Suprapubic drainage in robot-assisted radical prostatectomy shows significantly decreased pain levels during the catheterization period compared to the transurethral diversion without compromising long-term functional results. Intraoperative placement of a suprapubic tube should be discussed as a standard procedure for further improvement of patients' postoperative comfort.
[Mh] Termos MeSH primário: Bacteriúria/epidemiologia
Cistostomia/métodos
Dor Pós-Operatória/epidemiologia
Prostatectomia
Neoplasias da Próstata/cirurgia
Procedimentos Cirúrgicos Robóticos
Cateterismo Urinário/métodos
[Mh] Termos MeSH secundário: Idoso
Seres Humanos
Excisão de Linfonodo
Masculino
Meia-Idade
Gradação de Tumores
Estadiamento de Neoplasias
Cuidados Pós-Operatórios
Complicações Pós-Operatórias/epidemiologia
Neoplasias da Próstata/patologia
[Pt] Tipo de publicação:COMPARATIVE STUDY; JOURNAL ARTICLE; RANDOMIZED CONTROLLED TRIAL
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171013
[Lr] Data última revisão:
171013
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160624
[St] Status:MEDLINE
[do] DOI:10.1007/s00345-016-1883-6


  9 / 1019 MEDLINE  
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[PMID]:27935356
[Au] Autor:Tielemans C; Probert R; Forest-Lalande L; Hansen AS; Aggerholm S; Ajslev TA
[Ad] Endereço:Head Nurse/Enterostomal Nurse University Hospital Ghent Belgium.
[Ti] Título:Evaluation of a new ostomy mouldable seal: an international product evaluation.
[So] Source:Br J Nurs;25(22):S16-S22, 2016 Dec 08.
[Is] ISSN:0966-0461
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:A new mouldable seal, Brava® Protective Seal, was evaluated by patients on aspects related to residue, durability, and preference. A total of 135 patients from four countries participated (Denmark, Germany, Japan and the USA) and the new product was compared to the patients' usual pouching systems. Less residue and easier skin cleansing was observed, which may benefit patient quality of life. The possible benefits of less residue for peristomal skin health need further investigation.
[Mh] Termos MeSH primário: Estomia/instrumentação
Qualidade de Vida
[Mh] Termos MeSH secundário: Adolescente
Adulto
Idoso
Colostomia/instrumentação
Colostomia/enfermagem
Cistostomia/instrumentação
Cistostomia/enfermagem
Dinamarca
Feminino
Alemanha
Seres Humanos
Ileostomia/instrumentação
Ileostomia/enfermagem
Japão
Masculino
Meia-Idade
Estomia/enfermagem
Satisfação do Paciente
Higiene da Pele
Inquéritos e Questionários
Estados Unidos
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1703
[Cu] Atualização por classe:170309
[Lr] Data última revisão:
170309
[Sb] Subgrupo de revista:N
[Da] Data de entrada para processamento:161210
[St] Status:MEDLINE


  10 / 1019 MEDLINE  
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[PMID]:27760973
[Au] Autor:Sunada T; Kamido S; Hamada A; Kato K; Uetsuki H; Kawanishi H; Okumura K
[Ad] Endereço:The Department of Urology, Tenri Hospital.
[Ti] Título:[Urinary Diversion Using an Appendicovesicostomy for Idiopathic Urethral Stricture : A Case Report].
[So] Source:Hinyokika Kiyo;62(9):479-482, 2016 Sep.
[Is] ISSN:0018-1994
[Cp] País de publicação:Japan
[La] Idioma:jpn
[Ab] Resumo:A 55-year-old woman was referred to our hospital with dysuria. We were unable to catheterize her using a nelaton catheter because of a urethral stricture, resulting in a large residual urine volume on ultrasonography. The circumference of the periurethral tissue was also thickened and the entire length of the urethra was stenotic, without apparent cause, on magnetic resonance imaging. Biopsy did not reveal malignancy. The pathological diagnosis of the periurethral tissue was simply fibrosis, and there was no definitive diagnosis. We decided to place a guidewire to attempt transurethral dilation, but it was unsuccessful because of the urethral stricture. The patient then underwent Mitrofanoff appendicovesicostomy. Three years later, there was no difficulty with catheterization through the appendix, despite her suffering from a bladder stone during the interim. We consider the Mitrofanoff appendicovesicostomy a good substitute technique for catheterization in patients with very severe urethral stricture.
[Mh] Termos MeSH primário: Estreitamento Uretral/cirurgia
[Mh] Termos MeSH secundário: Cistostomia
Feminino
Seres Humanos
Imagem por Ressonância Magnética
Meia-Idade
Ultrassonografia
Estreitamento Uretral/diagnóstico por imagem
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1703
[Cu] Atualização por classe:170315
[Lr] Data última revisão:
170315
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161021
[St] Status:MEDLINE
[do] DOI:10.14989/ActaUrolJap_62_9_479



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BIREME/OPAS/OMS - Centro Latino-Americano e do Caribe de Informação em Ciências da Saúde