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  • 1
    Online Resource
    Online Resource
    Complications after Self-injection of Chemical Substances into the Penis
    Revista de Chimie SRL ; 2019
    In:  Revista de Chimie Vol. 70, No. 8 ( 2019-9-15), p. 3000-3002
    Details
    In: Revista de Chimie, Revista de Chimie SRL, Vol. 70, No. 8 ( 2019-9-15), p. 3000-3002
    Abstract: Illicit injection of different, exogenous substances into the penis for enlargement purposes is a practice that is still met in some of the Eastern countries of Europe. Our study conducted over a period of 3 years (2016-2019) at the Urology Clinic from Tirgu Mures,highlights the complications that can occurre after the injection of different chemical substances, such as liquid paraffin, vaseline, olive oil etc., into the penile subcutaneous tissue with the purpose of augmentation. We report 7 patients presenting several complications some of them severe such as: extensive fibrosis, ulceration, penile deformity, erectile dysfunctions, requiring different surgical procedures. The surgical technique was selected according to the extension of fibrosis or necrosis:excision of the necrotic, fibrotic tissue, scrotal skin flap reconstruction etc. In our study, we found 7 patients that accomplished the inclusion criteria. Five patients were diagnosed with penile fibrosis after self-injection of Kanamycin, and two of the patients had the same diagnosis after self-injection of Vaseline. In 2 patients, the postoperative outcome was complicated by wound dehiscence and necrosis, requiring other reconstructive surgeries, and in 5 patients postoperative recovery was a favorable one, without significant complications. In the management of complications of illicit injection of different, exogenous substances into the penis, penile tunneling with scrotal flap technique seems to offer good results due to the vascular flap, allowing faster wound healing and a superior aesthetic and functional result.
    Type of Medium: Online Resource
    ISSN: 0034-7752 , 2668-8212
    URL: Article
    DOI: 10.37358/RC.19.8.7473
    Language: English
    Publisher: Revista de Chimie SRL
    Publication Date: 2019
    detail.hit.zdb_id: 2488208-2
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  • 2
    Online Resource
    Online Resource
    The Evaluation of Hemoglobin Fluctuation After Percutaneous Nephrolithotomy
    Revista de Chimie SRL ; 2019
    In:  Revista de Chimie Vol. 70, No. 9 ( 2019-10-15), p. 3228-3231
    Details
    In: Revista de Chimie, Revista de Chimie SRL, Vol. 70, No. 9 ( 2019-10-15), p. 3228-3231
    Abstract: The aim of this study was to evaluate the fluctuation of haemoglobin value after performing percutaneous nephrolithotomy (PCNL) in the treatment of kidney stones. We conducted a retrospective study and we included 327 patients who underwent PCNL for renal lithiasis. We evaluated the risk factors for bleeding: location of stones, complexity of lithiasis, length of postoperative hospitalization days, variation of post-operative laboratory constants (haemoglobin, haematocrit). Patients were divided into two age groups: group A (patients under 70 years old) and group B (patients over 70 years). Gender distribution was: 171 female and 156 male. In most of the cases, the stones were located in the renal pelvis (133 cases), multiple lithiasis (105 cases) and staghorn stones (48 cases). There was no statistical difference between the patient�s groups concerning the decrease of post-operative Hgb concentration and complexity of the litiasis, p = 0.10. The average length of post-operative hospitalisation was 3.91 +/- 1.78 SD days in patients who did not have significant hemorrhage and 6.40 +/- 2.35 SD days in patients with intra- and post-operative haemorrhage. The postoperative Hgb levels correlated with post-operative days of hospitalization in elderly patients (rr = -0.44, p = 0.0001). Stone complexity, the size, number or localization of the stones, were not risk factors for the decrease of haemoglobin level after PCNL. Decreased postoperative haemoglobin values can led to increased number of hospitalization days.
    Type of Medium: Online Resource
    ISSN: 0034-7752 , 2668-8212
    URL: Article
    DOI: 10.37358/RC.19.9.7523
    Language: English
    Publisher: Revista de Chimie SRL
    Publication Date: 2019
    detail.hit.zdb_id: 2488208-2
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  • 3
    Online Resource
    Online Resource
    Morbidity and Efficiency of Transobturator Polypropylene Mesh in Treatment of Urinary Incontinence A 12 years experience
    Revista de Chimie SRL ; 2019
    In:  Revista de Chimie Vol. 70, No. 6 ( 2019-7-15), p. 2261-2264
    Details
    In: Revista de Chimie, Revista de Chimie SRL, Vol. 70, No. 6 ( 2019-7-15), p. 2261-2264
    Abstract: Urinary incontinence is a socio-economic problem with a major impact on quality of life. Although there are multiple non-surgical and drug solutions, surgical treatment remains the most effective method for stress urinary incontinence. Placement of transobturator polypropylene tape is a safe method with minimal intraoperative and postoperative complications. This study had a minimal rate of complications at a one-year follow-up; the biggest problem is represented by de novo overactive bladder (20.26%) that responded successfully to conservative treatment in most cases. The surgical treatment cure rate was 97.8%. TOT is a safer method with less intraoperative complications than TVT, at the same time the success rate is comparable to TVT.
    Type of Medium: Online Resource
    ISSN: 0034-7752 , 2668-8212
    URL: Article
    DOI: 10.37358/RC.19.6.7318
    Language: English
    Publisher: Revista de Chimie SRL
    Publication Date: 2019
    detail.hit.zdb_id: 2488208-2
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  • 4
    Online Resource
    Online Resource
    The role of Narrow-band Imaging Cystoscopy in Non-muscular Invasive Bladder Cancer Management
    Revista de Chimie SRL ; 2019
    In:  Revista de Chimie Vol. 70, No. 5 ( 2019-6-15), p. 1871-1874
    Details
    In: Revista de Chimie, Revista de Chimie SRL, Vol. 70, No. 5 ( 2019-6-15), p. 1871-1874
    Abstract: Cystoscopy is the most common assessment method for the lower urinary tract, with the primary goal of establishing pathology management that can occur at this level. The most used method of performing cystoscopy is with white light, but it can lead to omission of lesions, especially when considering millimetric tumor formations. New light source technologies are under development, such as narrow-band cystoscopy. Overall, we examined a total of 416 patients, known with tumoral lesions, in WLI followed by reassessment in NBI at the same time and transurethral resection of tumor biopsy specimens. In 37.5% of the cases, NBI highlighted 1 to 3 tumors in addition to WLI. In 178 cases, tumor formations were newly discovered, and in 238 patients these were recurrent. Histopathological diagnosis indicated the pTa stage in 67.3% of cases, in 27.64% patients presented with pT1 stage and in 5.04% of cases CIS was identified. In terms of grading, G1 was identified in 205 of the cases, 124 patients presenting G2 and G3 occurred in 87 of the cases.
    Type of Medium: Online Resource
    ISSN: 0034-7752 , 2668-8212
    URL: Article
    DOI: 10.37358/RC.19.5.7235
    Language: English
    Publisher: Revista de Chimie SRL
    Publication Date: 2019
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  • 5
    Online Resource
    Online Resource
    Transperineal Ultrasound Guided-Template Biopsy of Prostate as First Means of Diagnosis of Prostate Cancer One single centre experience on 405 cases
    Revista de Chimie SRL ; 2019
    In:  Revista de Chimie Vol. 70, No. 3 ( 2019-4-15), p. 1005-1008
    Details
    In: Revista de Chimie, Revista de Chimie SRL, Vol. 70, No. 3 ( 2019-4-15), p. 1005-1008
    Abstract: Even if today�s standard procedure for diagnosis of prostate cancer is transrectal ultrasound guided prostate biopsy ( TRB), transperineal ultrasound -guided template biopsy (TPTB) is a safe procedure because the infectious complication have been increasing, with a detection ratio even better than TRB. We consider that TPTB can be the gold standard biopsy. To assess the efficiency and safety of transperineal ultrasound-guided template biopsy of prostate (TPTB). We studied prospectively a number of 405 patients who underwent TPTB of prostate as first means of diagnosis from September 2015 to August 2017.The procedure was performed in the surgery room, in lithotomy positon, under local anesthesia, by means of standard freehand method sampling of at least 12 fragments,based on predetermined mapping. The data base included the age of the patient, the PSA level, the prostatic volume, the presence of clinical suspicion at digital rectal examination, the histopathological data and immediate and late post-surgery complications. Prostate cancer was diagnosed in 68.6 % of men ( median PSA level was 11 ng/mL). A higher detection ratio within patients with prostate volume [ 60 mL can be noticed.The average Gleason score was of 7.6. No patient developed any feverish symptom or urosepsis. Given the increasing trend of sepsis ratio as a result of transrectal biopsy of prostate, as well as the increased ratio of antibiotic resistance, we appreciate that the benefit of transperineal approach is important enough in order to perform TPTB as first means as well as routine for all patients. In this report we looked to assess the efficiency and the safety of TPTB as first mean of diagnosis. None of the patients had a previous biopsy by transrectal or transperineal method.
    Type of Medium: Online Resource
    ISSN: 0034-7752 , 2668-8212
    URL: Article
    DOI: 10.37358/RC.19.3.7050
    Language: English
    Publisher: Revista de Chimie SRL
    Publication Date: 2019
    detail.hit.zdb_id: 2488208-2
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  • 6
    Online Resource
    Online Resource
    Does the Composition of the Stones Counts in Patients Who Underwent Percutaneous Nephrolithotomy?
    Revista de Chimie SRL ; 2019
    In:  Revista de Chimie Vol. 70, No. 3 ( 2019-4-15), p. 1023-1025
    Details
    In: Revista de Chimie, Revista de Chimie SRL, Vol. 70, No. 3 ( 2019-4-15), p. 1023-1025
    Abstract: The aim of this study is to highlight the importance of percutaneous nephrolithotomy (PCNL) in the treatment of kidney stones with different chemical composition. We included in this study 200 patients with kidney stones who underwent PCNL. In most of the cases the stones were composed by calcium, usually calcium oxalate followed by struvite and uric acid component. The stones were mostly localized in the renal pelvis (142), inferior calyx (46) and ureteropelvic junction (4) and 28 cases with staghorn stones. Intraoperative complications were: migrating fragments (22%), hemorrhage (12%), lesions of the renal pelvis and difficulties of percutaneous access or dilatation (6%). The postoperative complications were: bleeding (20%), obstruction caused by stone fragments (22.5%), hydronephrosis (18%), fistula (13%). The average length of hospitalization after PCNL was 5.58 +/- 2.69 days SD. Stone-free rate was: 77.5%. PCNL is a safe and effective method of treatment for large and complex stones. Intra and postoperative complications after PCNL are not influenced directly by the chemical composition of the stones. It is important to evaluate the chemical composition of the stones in order to establish the treatment management and to recommend a proper conservative treatment in order to prevent the recurrence of the disease.
    Type of Medium: Online Resource
    ISSN: 0034-7752 , 2668-8212
    URL: Article
    DOI: 10.37358/RC.19.3.7054
    Language: English
    Publisher: Revista de Chimie SRL
    Publication Date: 2019
    detail.hit.zdb_id: 2488208-2
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