• Nenhum resultado encontrado

Int. braz j urol. vol.34 número2

N/A
N/A
Info
Descarregar agora
Protected

Academic year: 2018

Share "Int. braz j urol. vol.34 número2"

Copied!
3
0
0

Carregando.... (Ver texto completo agora)

Descarregar agora ( 3 páginas )

Texto

(1)

249

Urological Survey

PEDIATRIC UROLOGY __________________________________________________________

2XWFRPHDQDO\VLVRIVHYHUHFKRUGHHFRUUHFWLRQXVLQJWXQLFDYDJLQDOLVDVDÀDSLQER\VZLWK

proximal hypospadias

Braga LH, Pippi Salle JL, Dave S, Bagli DJ, Lorenzo AJ, Khoury AE

Division of Urology, Hospital for Sick Children, Toronto, Ontario, Canada

-8UROGLVFXVVLRQ

Purpose: There is ongoing controversy regarding optimal treatment for severe ventral curvature. It has been

suggested that ventral corporeal lengthening may be associated with recurrent curvature and erectile

dysfunc-tion. To further assess these issues we reviewed our experience with ventral penile lengthening for correcting

the severe ventral curvature associated with proximal hypospadias.

0DWHULDOVDQG0HWKRGV:HUHYLHZHGWKHUHFRUGVRIER\VZLWKVHYHUHK\SRVSDGLDVDQGFRQJHQLWDOYHQWUDO

FXUYDWXUHJUHDWHUWKDQGHJUHHVZKRZHUHWUHDWHGDWRXULQVWLWXWLRQIURPWRZLWKSODFHPHQWRIDÀDS

or graft in the corporeal bodies to straighten the phallus. Of the patients 21 had perineal and 17 had penoscrotal

K\SRVSDGLDVLQFOXGLQJZLWKDVVRFLDWHGSHQRVFURWDOWUDQVSRVLWLRQDQGRUEL¿GVFURWXPDQGZLWKDPELJXRXV

genitalia. Testosterone stimulation before surgery was given in 11 children at surgeon discretion.

(2)

250

Urological Survey

ÀDSFKLVTXDUHS $WODVWIROORZXSVWUDLJKWHUHFWLRQVZHUHGRFXPHQWHGE\SDWLHQWVDQGRUSDUHQWV

LQRIFKLOGUHQ&RQFOXVLRQV7KHVKRUWWHUPRXWFRPHRIYHQWUDOSHQLOHOHQJWKHQLQJXVLQJWXQLFD

YDJLQDOLVÀDSDORQHIRUFRUUHFWLQJVHYHUHFKRUGHHLVIDYRUDEOHZLWKDVXFFHVVUDWH'XUDOJUDIWVZHUHDV

-VRFLDWHGZLWKDKLJKHUULVNRIUHFXUUHQWYHQWUDOFXUYDWXUHFRPSDUHGWRWXQLFDYDJLQDOLVÀDSV$OWKRXJKPRVWRI

our patients were not yet adults, when chordee and erectile dysfunction may become apparent, we believe that

WXQLFDYDJLQDOLVÀDSUHSDLULVDJRRGRSWLRQIRUFRUUHFWLQJVHYHUHYHQWUDOFXUYDWXUH

Editorial Comment

Important points made in the manuscript include that if grafting is the surgeon’s choice, that the grafts

VKRXOGEHODUJHUWKDQWKHGHIHFW7KHWXQLFDYDJLQDOLVÀDSZDVHDV\WRKDUYHVWDQGWKHVHDXWKRUVKDG

H[FHOOHQWVXFFHVV%HLQJDÀDSUDWKHUWKDQDJUDIWLWFDQEHFXWWRWKHDSSURSULDWHVL]H7KHEORRGVXSSO\KDV

been shown to be reliable and the complications noted doing a one-stage repair are in line with what one would

H[SHFWIURPRQHVWDJHUHSDLUVZLWKRXWWKHVHYHUHFXUYDWXUHFRUUHFWLRQ,¿QGPRVWPLOGFKRUGHHFDQEHFRUUHFWHG

GRUVDOO\EXW,DJUHHZLWKWKHVHDXWKRUVWKDWWKHWXQLFDYDJLQDOLVÀDSLVWKHLUSURFHGXUHRIFKRLFHWRFRUUHFWVHYHUH

chordee on the ventral aspect of the penis.

Dr. Brent W. Snow

Division of Urology

University of Utah Health Sci Ctr

Salt Lake City, Utah, USA

E-mail: brent.snow@hsc.utah.edu

Long-term tolerability of tolterodine extended release in children 5-11 years of age: results from

a 12-month, open-label study

Nijman RJ, Borgstein NG, Ellsworth P, Siggaard C

University Medical Centre Groningen, Groningen, The Netherlands

(XU8URO

Objective: To evaluate the long-term tolerability of tolterodine extended release (ER) in children (aged 5-11

yr) with urgency urinary incontinence (UUI).

Methods: This was a multicenter, open-label extension of a 12-wk, double-blind, placebo-controlled study of

WROWHURGLQH(53DWLHQWVKDG88,VXJJHVWLYHRIGHWUXVRURYHUDFWLYLW\! GLXUQDOLQFRQWLQHQFHHSLVRGHSHU

KIRU! RIGDQG! YRLGVSHUKDWEDVHOLQHDQGKDGFRPSOHWHGWKHZNGRXEOHEOLQGVWXG\

Patients received tolterodine ER (2mg once daily) for 12 mo. The primary end points were the incidence and

VHYHULW\RIDGYHUVHHYHQWV$(VDQGWKHLQFLGHQFHDQGUHDVRQVIRUZLWKGUDZDOV9LVLWVZHUHVFKHGXOHGDW

DQGPRDQGLQYHVWLJDWRUVZHUHLQVWUXFWHGWRUHSRUWDOO$(V$WDQGPRYLWDOVLJQVZHUHUHFRUGHG

and a physical examination was performed.

(3)

251

Urological Survey

Editorial Comment

7KLVLVWKH¿UVWODUJHVFDOHSURVSHFWLYHVWXG\IRUORQJWHUPVDIHW\DQGWROHUDELOLW\RIWROWHURGLQHH[WHQGHG

UHOHDVHVKRZLQJPRVWO\PLOGVLGHHIIHFWVDQGRIWKHSDWLHQWVFRPSOHWLQJWKHHQWLUHPRQWKWUHDWPHQW

SHULRG)HZORQJWHUPGUXJVWXGLHVDUHSHUIRUPHGLQFKLOGUHQZKLFKPDNHVWKLVVWXG\PRUHVLJQL¿FDQW0\

UHJUHWIRUWKHVWXG\LVWKDWWKH\GLGQRWLQFOXGHDQHI¿FDF\DUPVRWKDWDSUDFWLWLRQHUFRXOGKDYHDOOWKHLQIRUPD

-tion necessary to make wise treatment choices for their patients that may need long-term care.

Referências

Descarregar agora ( PDF - 3 páginas - 79.22 KB )

Documentos relacionados

Int. braz j urol. vol.34 número2

who underwent surgical correction of Peyronie’s disease with plaque incision and patch grafting with 4-ply porcine small intestinal submucosa (Stratasis, Cook

Int. braz j urol. vol.34 número2

The results of this small cohort in conjunction with our institution’s increasing experience with robotic-assisted surgery demonstrates that robotic-assisted simultaneous

Int. braz j urol. vol.34 número2

The success of this surgery appears to be directly related to the patient’s motivation and not to the technique utilized. Thirty patients in this study are currently using

Int. braz j urol. vol.34 número2

Objective: To evaluate the sexual satisfaction rates of women who underwent tension-free vaginal tape (TVT) procedure for stress urinary incontinence and compare it with the results

Int. braz j urol. vol.34 número2

This paper describes a syngeneic murine bladder tumor model that is developed by intravesical implantation of MB49 cells, a com- monly used murine bladder cancer cell line of the

Int. braz j urol. vol.34 número2

We read with interest the article published by Verza and Esteves entitled: “ Sperm defect severity rather than sperm source is associated with lower fertiliza- tion rates

Int. braz j urol. vol.34 número2

Conclusions: Lemon and lime juice, both from the fresh fruit and from juice concentrates, provide more citric acid per liter than ready-to-consume grapefruit juice,

Int. braz j urol. vol.34 número2

Conclusions: While laparoscopic partial nephrectomy is technically feasible for tumor in a solitary kidney, warm ischemia time was longer and complication rates higher compared