BACKGROND AND OBJECTIVES: Triggering and chronicity of failed back surgery syndrome should consider psychosocial and emotional factors which impair quality of life. This study aimed at identifying such factors and at evaluating quality of life of failed back surgery syndrome patients. METHODS: This is a descriptive, exploratory, comparative, cross-sectional study with quantitative approach. Sample was made up of a test group (I) diagnosed with failed back surgery syndrome (n=16) and a control group (II) undergoing inter-consultation in the Pain Clinic (n=15). Tools were the visual analog scale and Fischer dolorimeter. WHOQOL-Bref questionnaire was used to evaluate quality of life and Beck Anxiety Inventory and Depression Inventory were used to evaluate emotional factors anxiety and depression. RESULTS: There has been predominance of females on both groups, mean age was 42.3±5.8 (group I), most were married and mean education was 8.4±3.0 years. Mean pain duration was 0.7±0.3 months after surgery in group I with lower pain threshold. Physical dimensions and social relations were the most affected on quality of life, as well as anxiety and depression levels. CONCLUSION: Our results have shown worse pain, quality of life, anxiety and depression in group I, suggesting a better knowledge of potential postoperative complications aiming at preventing the establishment of an abnormal functionality pattern.
Abdominoscrotal hydrocele is an uncommon condition characterized by an hourglass-shaped scrotal hydrocele with an intra-abdominal component connected by an isthmus within the inguinal canal. We report a rare case of an adult patient with giant abdominoscrotal hydrocele. Despite recent trends toward less invasive treatments, in this case, the surgical approach through an inguinal incision was the better therapeutic option with a satisfactory outcome.
In this report, we present a case of an adolescent with sickle cell anemia and a history of recurring ischemic priap ism. Thirty-two hours after the onset of priapis m, the patient was submitted to drainage, washing with an adrenaline solution, local ice, a non-steroidal antiinflammatory drug and tadalafil (5 mg/day). However, However, tu mescence remained and corpus cavernosum-corpus spongiosum shunt was performed. Such patients should be treated at a specialized med ical center to avoid comp licat ions, such as diminished erectile function and dissatisfaction with one's sex life in the future. Although the early imp lantation of a penile prosthesis can avoid further e pisodes of priapism, there is no consensus in the literature on the indication of a penile implant for individuals less than 18 years of age.
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