Sou médico graduado na Universidade Federal de Minas Gerais em 2005 e membro Titular da Sociedade Brasileira de Urologia desde 2011. Nesse ano de 2020, com muita honra, aceitei o convite dos estimados colegas urologistas Dr Francisco de Assis Teixeira Guerra (presidente da Sociedade Brasileira de Urologia – Secção Minas Gerais) e Dr André Lopes…

No final de dezembro de 2019, na cidade de Wuhan (China), foram diagnosticados casos de pneumonia, cujo agente etiológico foi atribuído à família dos coronavirus (COVID-19) e, em torno de 4% dos pacientes portadores desta patologia desenvolviam quadro respiratório, ocasionando uma síndrome respiratória aguda grave (SARS – CoV-2) necessitando de cuidados hospitalares intensivos. Em janeiro…

Muito se tem escrito sobre o impacto da pandemia em nossa vida pessoal, familiar, profissional, na economia dos países, e nos mais diversos aspectos globais que se puder pensar. É evento marcante, global, único por enquanto para a imensa maioria das pessoas, que veio se somar a um contínuo de transformações de nossa comunidade médica…

Últimas chuvas de março fechando o verão e o interior de MG é surpreendido com uma avalanche de informações, as mais complexas possíveis – o mundo vive uma pandemia causada por um vírus oriundo da China que causa um verdadeiro tsunami envolvendo a saúde pública mundial e a economia de muitos países. A vida que…

Nos últimos 4 meses de 2020 o mundo vivencia uma das maiores crises sanitárias da história da humanidade. A pandemia por Covid-19 já se arrasta por vários meses, devastando vidas e provocando um caos sem precedentes na economia e saúde mundiais. Na prática urológica, o impacto não poderia ser diferente, tanto clinicas pequenas como grandes…

O gerenciamento de pacientes com casos graves de COVID-19 se tornou um desafio em todo o mundo. Dados recentes mostram que o COVID-19 levou à morte 2,3% dos pacientes, tornando-o 23 vezes mais mortal do que uma gripe típica. As medidas de controle nos trazem resultados insuficientes e o vírus se espalha rapidamente entre a…

ABSTRACT Sexual dysfunctions affect men and women. They can be caused by organic or psychological changes. The Pandemic of the New Coronavirus – Covid-19, which affected the whole world in March 2020, interfered in social life, the economy, education and especially physical and mental health. With all this context of uncertainty, it was not to…

ABSTRACT Aim: To identify the prevalence of erectile dysfunction and potential related factors in the male population in Governador Valadares. Methods: Cross-sectional prevalence study consisting of a random sample representative of men aged between 20 and 70 years in Governador Valadares. The Erectile Dysfunction Assessment was performed using the International Index of Erectile Function. Information regarding demographic…

ABSTRACT Objective: Present a clinical case of bilateral complete ureteral duplication and calyceal diverticula associated with diverticular calculi and ureteral stone, and review literature. Case presentation: A 43-year-old black female patient with left low back pain. Computed tomography showed bilateral complete ureteral duplication, stone in the upper renal moiety´s left proximal ureter, and three contiguous high-density stones…

ABSTRACT Background: the prostate squamous cell carcinoma is a rare entity, accounting for only 0,5-1% of prostate tumors. It’s known that squamous cell carcinoma of the prostate has a higher malignant potential and behavior and the life expectancy of patients is around 14 months since diagnosis, compared to other histological subtypes. Therefore, it’s important that identified…

ABSTRACT Background: The reported case presents the rare association between pregnancy with Mucinous Renal Carcinoma of Tubular and Fusiform Cells, histological type of Renal Cell Carcinoma with unusual presentation Case presentation: Female, 34 years old, morbidly obese, primiparous in the 19th week of pregnancy, referred with an incidental ultrasound finding nodular formation in the upper pole of…

ABSTRACT Antecedents:Erectile dysfunction can affect men of all ages, but it is more common in men over the age of 40, often associated with comorbidities. In young and healthy patients, the complaint of erectile dysfunction prompts the need of further investigation, due to the possibility of hyperprolactinemia, which can be caused by pituitary adenomas (prolactinomas)….

ABSTRACT Urinary stones affect 5% to 15% of individuals at some point in life, having high social and economic impact. Having incidence rate 3 times higher in males. Refering to stones formed in the bladder, these are more commonly related to infravesical obstruction, chronic infection or the presence of an intravesical foreign body. The authors…

ABSTRACT Introduction: Myiasis is the infestation of fly larvae in healthy or necrotic tissues. Despite being relatively common in specific populations, genital area is an unusual site. In our literature review, we found no reports concerning urethral affection. Thereby, we present a case report of penile myiasis with urethral injury. Case Report: 43 year old man, poor…

ABSTRACT Introduction: Penile necrosis is a rare clinical condition that can be caused by trauma, severe diabetes, infection, chronic renal failure, lymphoproliferative disorders, thrombotic phenomena, and systemic vasculitis. The penile lesion often mummifies, however, it may evolve with tissue liquefaction, progressing to moist penile injury. Correct diagnosis and early intervention are essential for successful treatment. To…

ABSTRACT The case report deals with a young adult patient with an initial clinical picture of Fournier’s Syndrome. The patient had (SARS-CoV-2) Covid-19 virus. The infection occurred at the beginning of the New Corona Virus pandemic in March 2020, in Brazil. This made it difficult to consult due to the mobility restrictions imposed on the…

ABSTRACT Zinner syndrome (SZ) is a rare congenital malformation of the male genitourinary system, causing changes in the Wolffian Ducts, such as seminal vesicle cyst, ipsilateral renal agenesis and ejaculatory duct obstruction. SZ is usually asymptomatic and few cases have been described in the literature. We report a 21-year-old male patient with incidentatally find of…

ABSTRACT The kidney transplant is considered the best option for treatment of Chronic Kidney Disease. It improves the quality of life, the survival and decreases the cardiovascular effects of the disease. Open surgery is the gold standard in Kidney Transplantation. It is retroperitoneal, with low complication rates, reproductible, with good functional results and low cost….

ABSTRACT Background: Surgical treatment of ureteral lesions can be challenging especially in lesions close to associated hydrosphrosis. When an endoscopic approach is not possible, a laparoscopic or conventional approach should be considered. Based on this, the current work seeks to relate clinical-surgical results, laboratories and, through imaging exams, demonstrate a patency of an ureterocalicostomy in an…

Abstract Penile cancer is a disease with high incidence in some areas of Brazil. During its evolution, it is characterized by local (lymph node) dissemination, rarely evolving with distant metastasis. The lesions are mostly of low grade, so treatment of the primary lesion associated with lymphadenectomy can be curative in most cases. The presence of…

Abstract Introduction: In 1992, Winfeld et al.performed the first transperitonial laparoscopic partial nephrectomy (LPN) in a lower calyx diverticulum containing a kidney stone. Two years later, Gillet et al. described the same surgery by the retroperitonialapproach. Nowadays, thenephron sparing surgery is the standard surgical technique for smallest renal tumours (T1). Although the open partial nephrectomy…

Abstract Background: Clomiphene Citrate (CC) is a selective estrogen receptor modulator that has been used in women to induce ovulation for years. Recently Clomiphene Citrate has bee used as an off label treatment in men with hipogonadism. CC acts centrally inducing production of Testosterone and improving spermatogenesis. Methods: From March 2016 to January 2019, 46…

Abstract Introduction: Exclusive Radiotherapy (RT), brachytherapy and Radical Prostatectomy (RP) have similar efficacy as therapeutic modalities of low risk prostate neoplasm. The erectile dysfunction (ED) is one of the main complications associated with these procedures and determining factor in the choice of patient by one of these methods of treatment. Goals: Primary –To evaluate the…

ABSTRACT Bladder cancer is one of the most common cancers, affecting 80.470 adults in the United States for 2019(1). In Brazil occurred 3903 deaths in 2015 and 9480 new cases are expected for 2018-2019(2).Bladder cancer occurs in men more frequently than it does in women and usually affects older adults, though it can occur at…

ABSTRACT Complete staghorn calculi represent the main challenge of urologists in the treatment of renal lithiasis, as well as causing severe morbidity, sepsis and mortality of up to 28% in 10 years. Described in 1968 by Smith and Boyce, Anatrophic Nephrolithotomy (NLA) consists of the removal of renal calculi by incision of the renal parenchyma…

INTRODUÇÃO O priapismo é caracterizado por uma ereção com duração superior a quatro horas, na ausência de estímulo sexual. É consequência de um desequilíbrio entre os fluxos arterial e venoso. Há dois tipos principais de priapismo: isquêmico (ou de baixo fluxo) e arterial (ou de alto fluxo). É considerado uma afecção rara – dados epidemiológicos…

Introdução Segundo Fratenr et al (2006), a histiocitose sinusal com linfadenopatia maciça ficou conhecida em 1969 quando Rosai e Dorfman publicaram quatro casos sobre tal patologia. Em 1972, passou a ser conhecida como Doença de Rosai-Dorfman (DRD). Caracterizada por linfadenopatia cervical bilateral, maciça e indolor, usualmente acompanhada de febre, emagrecimento, sudorese noturna, leucocitose com neutrofilia,…

Introdução A duplicidade do sistema coletor é responsável pela maioria das anomalias causadas na pelve renal e ureter. Ocorre em 1% a 2% da população, sendo mais frequente no sexo feminino.1 O ureter duplicado surge após uma divisão do broto uretérico, sendo que o broto superior está associado com o polo renal superior e o…

RESUMO A Doença de Paget extra mamária (DPEM) é uma afecção incomum no pênis e o tratamento cirúrgico é uma das principais opções terapêuticas. Este trabalho descreve o tratamento desta doença em paciente de 87 anos submetido à ressecção ampla da pele acometida e demonstra um tipo de reconstrução, num segundo tempo, com retalho cirúrgico….

Introdução A neoplasia de uretra é uma rara comorbidade responsável por menos de 1% dos tumores genitourinários1,2 e acomete principalmente indivíduos maiores que 75 anos,3 sendo mais comum no sexo masculino.2 O tumor de uretra pode ser classificado como carcinoma urotelial (54% a 65%), seguida por carcinoma de células escamosas (16% a 22%) e adenocarcinoma…