A group of 48 patients of differing age and sex, suffering from 3rd degree hemorrhoids with pulmonary, cardiac or renal disease, epilepsy or scleroderma, so that the traditional operation under general anaesthesia is contraindicated, is examined. Cryosurgical haemorrhoidectomy, without hospitalisation, under local anaesthesia of anal sphincter led in all these patients to cure verified rectoscopically 2-3 months after the operation. The postoperative course was entirely normal, with pain symptoms that were sharp in 7 cases, limited in 14. A serohematic secretion occurred for about a week in 6 patients. Normal living and working activity was resumed on average after about 11 days.
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BJUI Compass
December 2024
Department of Urology, Jules Bordet Institute, Hôpital Universitaire de Bruxelles Université Libre de Bruxelles Brussels Belgium.
Objective: The aim of this study was to assess the precision and safety of targeted microwave ablation (TMA) using organ-based tracking (OBT) fusion, in patients with intermediate risk prostate cancer.
Patients And Method: We conducted a prospective, multicentric trial. Eligible patients had a prostate-specific antigen (PSA) < 20 ng/mL, a magnetic resonance imaging (MRI)-visible index tumour of Gleason score 3 + 4, with largest axis ≤15 mm and distant of at least 5 mm from the rectum and apex.
Minim Invasive Ther Allied Technol
November 2024
Division of Urology, Department of Surgical Sciences, Molinette Hospital, University of Turin, Turin, Italy.
Int Cancer Conf J
October 2024
Department of Surgery, Graduate School of Medicine, Kyoto University, 54 Shogoin-Kawaharacho, Sakyo-ku, Kyoto, 606-8507 Japan.
Urol Case Rep
September 2024
Departments of Urology (X.M. and D.N.C) and Radiology (D.N.C), University of Texas Southwestern Medical Center, Dallas, TX, USA.
We describe the first case of a recto-urethral fistula following an MRI-guided transurethral prostate ablation procedure (TULSA). The patient experienced urine per rectum six weeks after the procedure. A voiding cystourethrogram confirmed the presence of a recto-urethral fistula, which was managed with a urethral catheter and a suprapubic tube.
View Article and Find Full Text PDFDis Colon Rectum
September 2024
Department of Nursing, Mayo Clinic, Rochester, Minnesota.
Background: There has been a shift in the treatment of fistula-in-ano towards a focus on preservation of continence while simultaneously eradicating disease. Utilization of radially emitting diode laser catheters to ablate fistula tracks has been described since 2011 with heterogenous studies publishing success rates ranging from 20% to 89%.
Objective: Present our experience managing solitary transsphincteric fistulas of cryptoglandular origin with radially emitting diode laser.
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