Biomedical subjects
Publications and source records attributed to Edgar Antonio Granados Loarca.
OBJECTIVE: [corrected] To inform a case and the handling of the vesical giant lithiasis in the boy. RESULTS: Presentation of a case of a 5 year-old boy had urinary infections, and who was diagnosed giant vesical lithiasis, was made the cistolithotomy. CONCLUSIONS: The giant vesical lithiasis is not very common, and it is usually associated with nutrition factors.
OBJECTIVE: Evaluate the treatment of the meatus urethral lithiasis. METHODS/RESULTS: A case of a 52 year-old male patient is reported with a big stone in the urethral meatus. Male patient that consults for Micturitional Syndrome, disury and difficully when urinating, in whom felt induration of the glans and observed a water-pipe where the patient urinated. The Diagnoses was made by the observation and the palpation of the glans. It was extracted by meatoplasthy with good results. CONCLUSIONS: The treatment of the meatus urethral big lithiasis that causes obstruction is the meatoplasthy.
OBJECTIVE: To describe the utility of endoscopic management of stress urinary incontinence with Stamey's needle. METHODS: 50 multiparas (2-8 deliveries; mean 4) aged 26-72 years (mean 42) consulted for stress urinary incontinence. All patients were evaluated by the Valsalva maneuver, cough and perineal ultrasound and were classified as mild (8 cases), moderate (26 cases) and severe (16 cases). Thirty-eight patients had cystocele. Bladder neck suspension with Stamey's needle was performed in all patients. A cystostomy and not a urethrovesical catheter, was left indwelling in all patients. RESULTS: Multiparity and management at childbirth were the most common factors associated with stress urinary incontinence. Perineal ultrasound was found to be useful in the evaluation of the incontinent patient and the surgical procedure. The endoscopic procedure permits physiologic correction of stress urinary incontinence and cystocele. CONCLUSIONS: Endoscopic surgery with Stamey's needle reduces the operating time, length of hospital stay, recovery time and surgery-related pain. Patient management is facilitated by cystostomy.