8 documents found, page 1 of 1
Evaluation of Long-Term Sexual Satisfaction in Women Submitted to Laparoscopic ...
Da Silva Medeiros, Mariana; Ferronha, Frederico; Gomes , Alexia; Andrade , Vanessa; Guerra , João; Cunha, João; Gil , Miguel; Silva, PedroIntroduction: Traditional treatments for apical compartment prolapse and multicompartment prolapse, such as open sacrocolpopexy, have been associated with concerns regarding sexual function. In recent years, laparoscopic or robotically assisted sacrocolpopexy has emerged as an alternative with potential benefits, including enhanced visualization, symptom relief, and comparable anatomical results. However, the i...
Robot-Assisted Radical Cystectomy with Orthotopic Studer Neobladder and Preserv...
Medeiros, Mariana; Andrade, Vanessa; Gomes, Aléxia; Ferronha, Frederico; Pina, João; Campos Pinheiro, LuísThe radical cystectomy and urinary diversion have a significant negative impact on quality of life, essentially because it causes deterioration of sexual and urinary functions. The possibility to offer a surgery that preserves female pelvic organs has been proposed in selected cases and it seems to improve the functional outcomes without compromising the oncologic outcomes. Here, we present a clinical case of a...
Renal Trauma: A 5-Year Retrospective Review from a Level 1 Trauma Center
Andrade, Vanessa; Medeiros, Mariana; Guerra, João; Gil, Miguel; Veloso, Nguete; Cunha, João; Silva, Pedro; Brito Lança, Miguel; Calais, FernandoIntroduction: Renal trauma accounts for about 1% to 5% of all trauma patients, the majority of which are due to blunt trauma. Based on the American Association for the Surgery of Trauma (AAST) classification we can classify renal trauma into five grades of injury, which can help choosing the adequate treatment and anticipate the outcome. Management of renal trauma is evolving to a more conservative approach, av...
Robotic Radical Right Nephrectomy and Inferior Vena Cava Tumour Thrombectomy: C...
Medeiros, Mariana; Andrade , Vanessa; Gil, Miguel; Gomes, Aléxia; Campos Pinheiro, LuísThe robotic surgery has been performed safely for inferior vena cava (IVC) thrombectomy, even in level III and IV thrombus cases. We present a successful case of a right-sided robotic radical nephrectomy and retroperitoneal lymphadenectomy with IVC tumour thrombectomy for a kidney cancer with a level III IVC thrombus. A 73-year-old diabetic female patient with a tumour of the right kidney measuring 6 cm with si...
Seminal Vesicle Calculi as a Cause of Hematospermia and Ejaculatory Pain: a Cas...
Andrade, Vanessa; Pina, João; Calais, Fernando; Campos Pinheiro, LuísSeminal vesicle calculi are a rare entity that may present with hematospermia, painful ejaculation, or urinary complaints. We present a case of a 40-year-oldmale with complaints of hematospermia, ejaculatory pain, and perineal discomfort in the last five years. A 7 mm left seminal vesicle calculi were diagnosed by magnetic resonance imaging (MRI), and a laparoscopic robot-assisted vesiculectomy was performed. A...
Gemcitabine as a Therapeutic Alternative during Shortage of BCG: The CHLC (Hosp...
Andrade, Vanessa; Medeiros, Mariana; Guimarães, Tiago; Bernardino, Rui; Falcão, Gil; Fernandes, Francisco; Farinha, Rui; Calais da Silva, FernandoIntroduction: The non-muscle invasive bladder tumors should be stratified into risk groups so the adjuvant treatment after surgery can be suited to each patient. The high risk tumors should be treated with one to three-year maintenance intravesical bacillus Calmette-Guérin (BCG). It has been reported shortages of intravesical BCG and our hospital center was affected in 2014/2015, leading to a treatment change o...
The utility of apparent diffusion coefficient values in the risk stratification...
Lopes Dias, João; Magalhães Pina, João; Vasco Costa, Nuno; Carmo, Sandra; Leal, Cecília; Bilhim, Tiago; Mateus Marques, Rui; Campos Pinheiro, LuísPurposeTo evaluate the relationship between mean apparent diffusion coefficient (ADC) and post-surgical Gleason scores. To determine the diagnostic accuracy of multiparametric magnetic resonance imaging (mp-MRI) on a 1.5T magnet in distinguishing low, intermediate and high-grade prostate tumors.Material and methodsThis is a retrospective institutional-review-board-approved, single-center study including 30 pati...
Prostate Cancer: The Role of Multiparametric Magnetic Resonance Imaging
Lopes Dias, João; Magalhães Pina, João; João, Raquel; Fialho, Joana; Carmo, Sandra; Leal, Cecília; Bilhim, Tiago; Mateus Marques, RuiMultiparametric Magnetic Resonance Imaging has been increasingly used for detection, localization and staging of prostate cancer over the last years. It combines high-resolution T2 Weighted-Imaging and at least two functional techniques, which include Dynamic Contrast–Enhanced Magnetic Resonance Imaging, Diffusion-Weighted Imaging, and Magnetic Resonance Imaging Spectroscopy. Although the combined use of a pelv...