Double-J ureteral stent (DJUS) is an important therapeutic tool in endourology. There are well-kn... more Double-J ureteral stent (DJUS) is an important therapeutic tool in endourology. There are well-known frequent complications associated with DJUS placement such as distal and proximal migration within the urinary tract. However, perforation and stent misplacement are uncommon but serious complications of this technique. We present a case of a 63-year-old man who had a misplacement of a DJUS into the inferior vena cava during an elective procedure of ureteral catheterisation. The stent placement was performed under fluoroscopic control and it seemed well positioned. Actually, the DJUS was misplaced in the inferior vena cava after drilling at the level of the crossing of the ureter with the ipsilateral iliac vessels. Diagnosis was incidentally made 3 months after the placement of the stent in a renal CT scan. The patient was always asymptomatic. We performed an endoscopic removal of the ureteral stent, which took place without complications.
Introduction: We intend to evaluate which factors are associated with unexpected hospital return ... more Introduction: We intend to evaluate which factors are associated with unexpected hospital return (UHR) following transurethral resection of bladder tumor (TURBT). Material and Methods: Exploratory cross-sectional study of all TURBTs performed between 2015-2016. Results: A total of 499 TURBTs were performed in 389 patients. Within 30 days of surgery, there was an UHR in 16.8% of cases, 4.2% demanding hospital readmission. UHR occurred mainly because of urinary tract infection (UTI) (38.1%). There was a significantly increased UHR in cases of primary tumour, larger tumor size, incomplete tumour resection, need for additional endoscopic procedures, higher surgery time, longer urethral catheterization, higher values of preoperative C-reactive protein (CRP) and lower preoperative hemoglobin. In a multivariate logistic regression analysis, we found a strong and independent association between UHR and length of surgery (OR = 1.016), duration of urethral catheterization (OR = 1.059) and pre...
Erectile dysfunction is a health problem affecting more than 50% of men between 40 and 70 years o... more Erectile dysfunction is a health problem affecting more than 50% of men between 40 and 70 years old. Although several therapeutic options have become available in the last 20 years, only a small percentage of the patients, perhaps no more than 10%, seek treatment. The recent introduction of oral and intra-urethral medication has been highly publicised, therefore more patients will be involved in this new wave of enthusiasm for non-invasive options. We are challenged to develop new options as to how to present these treatments to our patients. Traditionally the diagnosis of erectile dysfunction is based on a comprehensive evaluation regarding aetiology, including family and sexual history, physical examination, blood tests, pharmacological testing with vasoactive drugs and Doppler study of the penile arteries. Other studies, such as Rigiscan, corpus cavernosum electromyography, cavernosometry, cavernosography and penile angiography should be performed when indicated. With regard to t...
Os autores fazem uma revisão da casuística de traumatologia renal da sua instituição. Analisam-se... more Os autores fazem uma revisão da casuística de traumatologia renal da sua instituição. Analisam-se 152 traumatismos renais ocorridos em treze anos avaliando-se a classificação, mecanismo causal, etiologia, sintomatologia, estudo imagiológico, lesões associadas, tratamento, complicações e evolução. Rim, lesões, traumatismos. The authors present the experience of the Hospitals of the University of Coimbra in the area of renal trauma. They analyze 152 kidney trauma occurred over a thirteen years period evaluating the injury classification, causative mechanism, etiology, symptoms, imaging, associated injuries, management, complications and follow-up. Kidney, injuries, trauma. Palavras chave:
Conteúdo: Os espaços reservados deste pôster estão devidamente. Digite nos espaços reservados par... more Conteúdo: Os espaços reservados deste pôster estão devidamente. Digite nos espaços reservados para adicionar texto ou clique em um ícone para adicionar uma tabela, gráfico, elemento gráfico SmartArt, imagem ou arquivo multimídia. Para adicionar ou remover marcadores do texto, basta clicar no botão Marcadores da guia Página Inicial. Se precisar de mais espaços reservados para títulos, conteúdo ou texto do corpo, faça uma cópia do que é preciso e arraste para o lugar pretendido. Os Guias Inteligentes do PowerPoint o ajudarão a alinhá-lo com tudo o resto.
Conteúdo: Os espaços reservados deste pôster estão devidamente. Digite nos espaços reservados par... more Conteúdo: Os espaços reservados deste pôster estão devidamente. Digite nos espaços reservados para adicionar texto ou clique em um ícone para adicionar uma tabela, gráfico, elemento gráfico SmartArt, imagem ou arquivo multimídia. Para adicionar ou remover marcadores do texto, basta clicar no botão Marcadores da guia Página Inicial. Se precisar de mais espaços reservados para títulos, conteúdo ou texto do corpo, faça uma cópia do que é preciso e arraste para o lugar pretendido. Os Guias Inteligentes do PowerPoint o ajudarão a alinhá-lo com tudo o resto. ARTÉRIAS RENAIS MÚLTIPLAS NA TRANSPLANTAÇÃO RENAL: SERÁ UM PROBLEMA ATUALMENTE?
Double-J ureteral stent (DJUS) is an important therapeutic tool in endourology. There are well-kn... more Double-J ureteral stent (DJUS) is an important therapeutic tool in endourology. There are well-known frequent complications associated with DJUS placement such as distal and proximal migration within the urinary tract. However, perforation and stent misplacement are uncommon but serious complications of this technique. We present a case of a 63-year-old man who had a misplacement of a DJUS into the inferior vena cava during an elective procedure of ureteral catheterisation. The stent placement was performed under fluoroscopic control and it seemed well positioned. Actually, the DJUS was misplaced in the inferior vena cava after drilling at the level of the crossing of the ureter with the ipsilateral iliac vessels. Diagnosis was incidentally made 3 months after the placement of the stent in a renal CT scan. The patient was always asymptomatic. We performed an endoscopic removal of the ureteral stent, which took place without complications.
Introduction: We intend to evaluate which factors are associated with unexpected hospital return ... more Introduction: We intend to evaluate which factors are associated with unexpected hospital return (UHR) following transurethral resection of bladder tumor (TURBT). Material and Methods: Exploratory cross-sectional study of all TURBTs performed between 2015-2016. Results: A total of 499 TURBTs were performed in 389 patients. Within 30 days of surgery, there was an UHR in 16.8% of cases, 4.2% demanding hospital readmission. UHR occurred mainly because of urinary tract infection (UTI) (38.1%). There was a significantly increased UHR in cases of primary tumour, larger tumor size, incomplete tumour resection, need for additional endoscopic procedures, higher surgery time, longer urethral catheterization, higher values of preoperative C-reactive protein (CRP) and lower preoperative hemoglobin. In a multivariate logistic regression analysis, we found a strong and independent association between UHR and length of surgery (OR = 1.016), duration of urethral catheterization (OR = 1.059) and pre...
Erectile dysfunction is a health problem affecting more than 50% of men between 40 and 70 years o... more Erectile dysfunction is a health problem affecting more than 50% of men between 40 and 70 years old. Although several therapeutic options have become available in the last 20 years, only a small percentage of the patients, perhaps no more than 10%, seek treatment. The recent introduction of oral and intra-urethral medication has been highly publicised, therefore more patients will be involved in this new wave of enthusiasm for non-invasive options. We are challenged to develop new options as to how to present these treatments to our patients. Traditionally the diagnosis of erectile dysfunction is based on a comprehensive evaluation regarding aetiology, including family and sexual history, physical examination, blood tests, pharmacological testing with vasoactive drugs and Doppler study of the penile arteries. Other studies, such as Rigiscan, corpus cavernosum electromyography, cavernosometry, cavernosography and penile angiography should be performed when indicated. With regard to t...
Os autores fazem uma revisão da casuística de traumatologia renal da sua instituição. Analisam-se... more Os autores fazem uma revisão da casuística de traumatologia renal da sua instituição. Analisam-se 152 traumatismos renais ocorridos em treze anos avaliando-se a classificação, mecanismo causal, etiologia, sintomatologia, estudo imagiológico, lesões associadas, tratamento, complicações e evolução. Rim, lesões, traumatismos. The authors present the experience of the Hospitals of the University of Coimbra in the area of renal trauma. They analyze 152 kidney trauma occurred over a thirteen years period evaluating the injury classification, causative mechanism, etiology, symptoms, imaging, associated injuries, management, complications and follow-up. Kidney, injuries, trauma. Palavras chave:
Conteúdo: Os espaços reservados deste pôster estão devidamente. Digite nos espaços reservados par... more Conteúdo: Os espaços reservados deste pôster estão devidamente. Digite nos espaços reservados para adicionar texto ou clique em um ícone para adicionar uma tabela, gráfico, elemento gráfico SmartArt, imagem ou arquivo multimídia. Para adicionar ou remover marcadores do texto, basta clicar no botão Marcadores da guia Página Inicial. Se precisar de mais espaços reservados para títulos, conteúdo ou texto do corpo, faça uma cópia do que é preciso e arraste para o lugar pretendido. Os Guias Inteligentes do PowerPoint o ajudarão a alinhá-lo com tudo o resto.
Conteúdo: Os espaços reservados deste pôster estão devidamente. Digite nos espaços reservados par... more Conteúdo: Os espaços reservados deste pôster estão devidamente. Digite nos espaços reservados para adicionar texto ou clique em um ícone para adicionar uma tabela, gráfico, elemento gráfico SmartArt, imagem ou arquivo multimídia. Para adicionar ou remover marcadores do texto, basta clicar no botão Marcadores da guia Página Inicial. Se precisar de mais espaços reservados para títulos, conteúdo ou texto do corpo, faça uma cópia do que é preciso e arraste para o lugar pretendido. Os Guias Inteligentes do PowerPoint o ajudarão a alinhá-lo com tudo o resto. ARTÉRIAS RENAIS MÚLTIPLAS NA TRANSPLANTAÇÃO RENAL: SERÁ UM PROBLEMA ATUALMENTE?
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