Objective: To determine whether the use of intraprostatic epinephrine during transurethral resection of the prostate reduces intraoperative blood loss.
Methods: A random, double-blind, prospective study was carried out on twenty-three patients that underwent transurethral resection of the prostate. Patients were divided into two groups: (1) group receiving intraoperative intraprostatic injection of epinephrine (thirteen patients) and (2) group receiving intraoperative intraprostatic injection of saline solution as placebo (ten patients).
Background: Since the introduction of nephron-sparing surgery, patients with small renal masses and diseases affecting overall renal function have greatly benefited.
Clinical Case: We present the case of a 62-year-old male with a 6-cm left renal tumor in the medial parahilar segment with right renal unit functionally excluded, secondary to chronic obstruction due to ureteral lithiasis. Right ureteroscopy was performed with pneumatic lithotripsy.