The syringocele is a rare deformity which usually is asymptomatic. Of acquired or congenital etiology, it can be classified in four different morphological types: simple, perforate, imperforate and ruptured. The most frequent treatment is the marsupialization of the syringocele by endoscopic surgery, leaving a broad opening of the cavity to the urethra. Some authors recommend an open surgery excision, specially in the presence of an abscess. The laparoscopic approach becomes a minimally invasive alternative with good therapeutically outcome. In the incidentally discovered asymptomatic patients, an expectant approach is the correct approach.
Inverted papillomas are rare tumours representing about 2.2% of all urothelial tumours (benign or malignant). Inverted papillomas are predominantly seen in the bladder but these tumours have also been described in other locations, all over the urinary tract. The authors report six additional cases of such tumours describing the individual characteristics of each case, presenting symptoms, treatment employed and follow up available. A review of the literature relative to aetiology, clinical signs and symptoms, diagnostic criteria, treatment options and outcome has also been carried out.
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Solitary fibrous tumour is a well defined pathological entity originally described as a tumour of the pleura, but the occurrence of this neoplasm has increasingly been described at other sites. At present the development of these tumours is recognized as possible in virtually all anatomical sites. The rarity of this type of pathology has not allowed up to the present time clarification of the histogenesis, clinical behaviour, treatment and prognosis of these tumours. Differential diagnosis becomes important, especially in extra-thoracic sites so as not to mistake them for much more aggressive mesenquimal tumours. Two additional cases of this neoplasm are presented, one of them responsible for obstructive uropathy, accidentally found in a patient suffering renal trauma. The second tumour was located in the spermatic cord. A review of the theme is presented based on the available literature.
RESUMENSLING BULBOURETRAL -EXPERIENCIA DEL SERVICIO Objetivos: En el artículo los autores presentan los resultados clínicos verificados en los pacientes portadores de incontinencia urinaria de stress, tras el uso del sling bulbouretral de fijación en el hueso púbico (Invance ® ).Material y métodos: Entre Junio de 2003 y Diciembre de 2003, fueron implantados 10 slings en hombres con edades comprendidas entre los 60 y los 83 años (media 72,6 años), los cuales presentaban incontinencia tras cirugía prostática (prostatectomía radical retropúbica, prostatectomía radical perineal, cistoprostatectomía radical con neovejiga Camey II, resección transuretral o adenomectomía prostática transvesical).Resultados: Tras seguimiento de 9 meses (7 a 13 meses), 8 pacientes (80 %) están continentes (no necesitando utilizar compresas) y 2 (20%) presentan pérdidas mínimas al realizar algún esfuerzo (con la necesidad de una a dos compresas diarias). Todos ellos están satisfechos con el resultado de la cirugía realizada. Dos pacientes presentaron dolor perinanal que respondió con el uso de paracetamol. No se verificó ningún caso de hematoma perinanal, infección, rechazo o erosión uretral.Conclusión: El sling bulbouretral con fijación ósea, es un procedimiento quirúrgico poco invasivo, de fácil ejecución técnica, con tasas de continencia elevadas y asociado a baja morbilidad. A pesar de los resultados positivos presentados por nuestro equipo, que pueden resultar un estímulo para la continuación de la técnica, consideramos que será necesario un mayor seguimiento y una mayor experiencia global para que esta técnica quirúrgica se afirme y se transforme en una alternativa a la utilización del esfínter artificial.Palabras clave: Cáncer de próstata. Incontinencia. Cabestrillo masculino. ABSTRACT BULBOURETHRAL SLING. THE EXPERIENCE OF OUR SERVICEObjectives: The authors present the clinic results obtained with the bulbourethral sling application with pubic bone anchorage (Invance ® ) in patients with stress urinary incontinence.Material and methods: From July to December 2003, 10 slings were implanted in men between the 60's and the 83 years old (average 72,6 years), whose incontinence appeared after prostatic surgery (retro pubic radical prostatectomy, perineal radical prostatectomy, radical cystoprostatectomy with Camey II neobladder, transurethral resection, transvesical prostate adenomectomy).Results: After 9 months follow-up (3 to 7 months), 8 patients (80%) are continent (without need of using any pad) and 2 (20%) show minimum leakage with effort (need of 1 to 2 daily pads). All are satisfied with the surgery result. Two patients referred perineal pain, which was solved with Paracetamol. There was no case of perineal haematoma, infection, rejection or urethral erosion.Conclusion: The bulbourethral sling with bone anchorage is a rather invasive procedure, of easy technical execution, with high continence rates and associated to low morbidity. Although the presented results been an incentive to the technique prolongation, it would be neces...
This collection unites results of academic works concluded within the span of 2016 to 2020 in the field of History of Education for the Programa de Pós-Graduação em Educação da Faculdade de Educação da Universidade Federal de Minas Gerais. Comprised of two volumes, this first volume is made up of 17 chapters analyzing education from historical perspectives, and spanning from the XVIII to the XXI century. The first part of the book brings together studies highlighting women’s protagonism either perceived as a social body or as specific personas. The second part of the book unites studies about authors, works or even about the printing process as well as researchers’ interest for such area of study. The third part of the book brings together works about individuals and educational processes given the historical, cultural and social contexts taking place during educational practices at play both inside as well as outside schools.
This collection unites results of academic works concluded within the span of 2016 to 2020 in the field of History of Education for the Programa de Pós-Graduação em Educação da Faculdade de Educação da Universidade Federal de Minas Gerais. Comprised of two volumes, this second volume is made up of 21 chapters analyzing education from historical perspectives, and spanning from the XVIII to the XXI century. On its first part, the studies analyze educational polices relative to planning, implementation and reforms as they point out the challenges throughout the processes of schooling, discipline formation and development of educational systems on different levels of education; besides, analyzing the institutionalization of courses and teachers formation. The second part of the volume is comprised of researches debating education in a broad sense, highlighting those processes which take place in different environments of education such as associations, military corporations, the church, the press and the radio. The body of these works is marked by interdisciplinarity, which is a consequence of a dialog between a large, diverse documentation and theoretical references equally diverse.
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