- Publikační typ
- abstrakt z konference MeSH
Kazuistika prezentuje pacienta s cystolitiázou, který podstoupil cystolitotrypsi s použitím holmiového laseru. Peroperačně v průběhu trypse identifikován kovový předmět odpovídající zajišťovací spirále používané při laparoskopické operaci hernie s použitím sítky. Operace proběhla bez komplikací, cizí těleso bylo vytaženo vcelku - endoskopicky.
Case report presents patient referred for cystolithotripsy using Holmium laser. Intraoperatively identified metal tacker used in laparoscopic inguinal hernia mesh repair. Uneventful recovery followed endoscopic removal of the foreign body which was removed in total.
- Klíčová slova
- cizí těleso,
- MeSH
- cysty chirurgie patofyziologie patologie MeSH
- endoskopie metody využití MeSH
- holmium terapeutické užití MeSH
- laparoskopie metody přístrojové vybavení využití MeSH
- lasery pevnolátkové využití MeSH
- lidé MeSH
- litiáza diagnóza terapie MeSH
- litotripse metody využití MeSH
- migrace cizích těles diagnóza chirurgie komplikace MeSH
- močový měchýř patofyziologie patologie MeSH
- senioři MeSH
- Check Tag
- lidé MeSH
- mužské pohlaví MeSH
- senioři MeSH
- Publikační typ
- kazuistiky MeSH
- Publikační typ
- abstrakt z konference MeSH
Peyronie's disease /PD/ is characterised by penile plaque formation, (which can be painfull at the beginning), by penile deviation and erectile dysfunction. Incidence is 66 in 100 000 men, aged 50–59 years, over 60% patients with PD are 40–60 years of age. Histologically it is classified as a benign fibromatosis belonging to those of Dupuytrene type. It is of unknown origin, a few theories come into account – traumatic, genetic and infectious. Basic tools for establishing diagnosis are case history, findings on palpation, picture or CIS-test, USG (5–7.5 MHz). Conservative treatment consists of peroral, physical, alternative forms and of substances injected into plaque. Modalities can either be a single therapy or combined. Peroral drugs available in Czech Republic are tocopherol, tamoxifen, colchicin and POTABA. Drugs for injecting are corticosteroids, verapamil and interferon ?-2b. Alternative treatment offers low-power laser /LPL/ in monotherapy or combined with the above mentioned drugs. The effects of LPL are analgesic, anti-inflammatory, vasodilating and biostimulating. Plaque reduction as high as 88% in monotherapy and total remission in 74% of the patients with combined therapy using verapamil, has been described. Evaluation of conservative treatment results for PD are still subject of controversy. Different results stem from heterogenity of cases regarded as PD. Better results are achieved in earlier stage of the disease. Advantage of conservative treatment is low morbidity, possibility of combined models of treatment and ability to repeat the procedures. Disadvantages are unsure final effect and treatment duration. LPL has its place in monotherapy or combined, as it is minimally invasive, repeatable and accessible. To date there is no definite modality for PD treatment. Patient should be offered as many conservative modalities as possible, and finally after failure, start to opt for surgery. Psychotherapeutic approach is also part of the treatment plan.
- MeSH
- fyzikální vyšetření MeSH
- katetrizace MeSH
- lidé MeSH
- penis zranění MeSH
- pooperační období MeSH
- ruptura chirurgie diagnostické zobrazování etiologie MeSH
- ultrasonografie MeSH
- Check Tag
- lidé MeSH
- mužské pohlaví MeSH
- Publikační typ
- kazuistiky MeSH
- MeSH
- botulotoxiny typ A aplikace a dávkování terapeutické užití MeSH
- hyperplazie prostaty terapie MeSH
- lidé MeSH
- Check Tag
- lidé MeSH
- mužské pohlaví MeSH
- Publikační typ
- kongresy MeSH
