Começou a funcionar em Nova York a primeira unidade móvel de investigacao de crimes contra animais . utilizando técnicas da veterinária forense , a doutora Melinda Merck pretende desvendar casos de crueldade contra gatos , cães, pássaros e tartarugas !!!
essa é uma informacao para quem gosta e respeita animais !!!
Blog sobre doenças urológicas destinado a profissionais da saúde.
quinta-feira, 20 de janeiro de 2011
terça-feira, 4 de janeiro de 2011
Percutaneous Endocystolysis
A Safe and Minimally Invasive Treatment for Renal Cysts: A 13-Year Experience.
http://www.slideshare.net/bichogalo/endocystolisis-percutaneous
Avaiable to download in PDF.
http://www.slideshare.net/bichogalo/endocystolisis-percutaneous
Avaiable to download in PDF.
sexta-feira, 22 de outubro de 2010
Vasectomy Reversal: A Seven-Year Experience
Original Paper
Urol Int 399
DOI: 10.1159/000XXXXXX
Vasectomy Reversal: A Seven-Year
Experience
Wilson F.S. Busato, Jr.
Instituto Catarinense de Urologia, Medical School, Itajai Valley University (UNIVALI), Itajai , Brazil
Introduction
More than 30 million couples throughout the world
use vasectomy as a method of birth control. It is estimated
that up to 6% of men who undergo vasectomy will seek
for reversal [1] and 3.5% will in fact receive a vasovasostomy
[2] . In the USA, about 600,000 to 1 million vasectomies
are performed annually, resulting in an estimated
21,000–35,000 reversals [3] . In Brazil, available data underestimate
the real situation since vasectomy and vasectomy
reversal costs are not covered by health insurance
programs or by the public health system. As a result, in
this country the series have a low number of patients [4] .
Recent studies show that between 2.6 and 10% of couples
favors vasectomy [4] .
Success rates have to be compared between vasectomy
reversal and intracytoplasmic sperm injection (ICSI)
combined with microscopic epididymal sperm aspiration
(MESA) procedures. However, it has been demonstrated
that the reversal procedure has a higher rate of
success, lower costs and provides the possibility of more
than one pregnancy at the couple’s own convenience [5–
7] . Even whether vasoepididymostomy is necessary, the
reversal procedure is more cost-effective compared to
MESA [6, 8] . There are some factors that help to determine
the reversal success such as the time interval since
vasectomy, secretion of a thick fluid at the proximal end
of the vas deferens and the presence of sperm granulomas
at the anastomosis site [9, 10] . Nevertheless, factors related
to population characteristics may be important for
Key Words
Male infertility Pregnancy Vasectomy Vasovasostomy
Microsurgery
Abstract
Introduction: Since the demand for vasectomy reversal is
increasing and many populations in Brazil and other countries
show distinct characteristics, this study was carried out
as an effort to determine factors and characteristics associated
with the success rate of reversal in a population in
Southern Brazil. Patients and Methods: We reviewed 29 cases
of vasectomy reversal performed over a 7-year period using
the single-layer technique under microscopic magnification.
Results: Mean patency, pregnancy, and birth rates were
75, 41.7 and 29%, respectively. The patency and pregnancy
rates were 92.3 and 38.5%, respectively, for time intervals
since vasectomy ! 10 years and 63.6 and 45.4%, respectively,
for intervals 1 10 years. Patency and pregnancy rates were
87.5 and 50%, respectively, for patients who had their vasectomy
performed by a urologist, and 50 and 25%, respectively,
for those who had their vasectomy performed by a generalist
surgeon (p ! 0.05). Conclusions: High patency and
pregnancy rates are associated with time intervals since vasectomy
of ! 10 years and vasectomies performed by urologists.
There was no significant difference in the anastomosis
time between the first 12 procedures and the next 12 procedures.
Copyright © 2008 S. Karger AG, Basel
Received: July 2, 2007
Accepted after Internationalis revision: December 27, 2007
Urologia
Urol Int 399
DOI: 10.1159/000XXXXXX
Vasectomy Reversal: A Seven-Year
Experience
Wilson F.S. Busato, Jr.
Instituto Catarinense de Urologia, Medical School, Itajai Valley University (UNIVALI), Itajai , Brazil
Introduction
More than 30 million couples throughout the world
use vasectomy as a method of birth control. It is estimated
that up to 6% of men who undergo vasectomy will seek
for reversal [1] and 3.5% will in fact receive a vasovasostomy
[2] . In the USA, about 600,000 to 1 million vasectomies
are performed annually, resulting in an estimated
21,000–35,000 reversals [3] . In Brazil, available data underestimate
the real situation since vasectomy and vasectomy
reversal costs are not covered by health insurance
programs or by the public health system. As a result, in
this country the series have a low number of patients [4] .
Recent studies show that between 2.6 and 10% of couples
favors vasectomy [4] .
Success rates have to be compared between vasectomy
reversal and intracytoplasmic sperm injection (ICSI)
combined with microscopic epididymal sperm aspiration
(MESA) procedures. However, it has been demonstrated
that the reversal procedure has a higher rate of
success, lower costs and provides the possibility of more
than one pregnancy at the couple’s own convenience [5–
7] . Even whether vasoepididymostomy is necessary, the
reversal procedure is more cost-effective compared to
MESA [6, 8] . There are some factors that help to determine
the reversal success such as the time interval since
vasectomy, secretion of a thick fluid at the proximal end
of the vas deferens and the presence of sperm granulomas
at the anastomosis site [9, 10] . Nevertheless, factors related
to population characteristics may be important for
Key Words
Male infertility Pregnancy Vasectomy Vasovasostomy
Microsurgery
Abstract
Introduction: Since the demand for vasectomy reversal is
increasing and many populations in Brazil and other countries
show distinct characteristics, this study was carried out
as an effort to determine factors and characteristics associated
with the success rate of reversal in a population in
Southern Brazil. Patients and Methods: We reviewed 29 cases
of vasectomy reversal performed over a 7-year period using
the single-layer technique under microscopic magnification.
Results: Mean patency, pregnancy, and birth rates were
75, 41.7 and 29%, respectively. The patency and pregnancy
rates were 92.3 and 38.5%, respectively, for time intervals
since vasectomy ! 10 years and 63.6 and 45.4%, respectively,
for intervals 1 10 years. Patency and pregnancy rates were
87.5 and 50%, respectively, for patients who had their vasectomy
performed by a urologist, and 50 and 25%, respectively,
for those who had their vasectomy performed by a generalist
surgeon (p ! 0.05). Conclusions: High patency and
pregnancy rates are associated with time intervals since vasectomy
of ! 10 years and vasectomies performed by urologists.
There was no significant difference in the anastomosis
time between the first 12 procedures and the next 12 procedures.
Copyright © 2008 S. Karger AG, Basel
Received: July 2, 2007
Accepted after Internationalis revision: December 27, 2007
Urologia
segunda-feira, 18 de outubro de 2010
Informativo
hoje comemoramos o dia do médico , dia do Pintor e dia do Securitário !!
a todos nossos parabéns !!!
a todos uma ótima semana.
a todos nossos parabéns !!!
a todos uma ótima semana.
quinta-feira, 14 de outubro de 2010
Exame de prostata
Total de exames de próstata triplicou entre 2003 e 2009
Levantamento divulgado ontem pelo Ministério da Saúde aponta que os homens brasileiros estão cada vez mais preocupados com o planejamento familiar e em se prevenir do câncer de próstata. Entre 2003 e 2009, o ministério constatou que o número de testes para detectar eventuais tumores na próstata triplicou.
No mesmo período, houve um crescimento 79% do número de vasectomias realizadas pelo Sistema Único de Saúde (SUS). Entre 2003 e 2009, o número dessas cirurgias saltou de 19.103 para 34.144. Há um ano, quando o governo federal lançou a Política Nacional de Saúde do Homem, foram aumentados em 148% os valores pagos por procedimento em ambulatório (R$ 123,18 para R$ 306,47) e em 20% por operação feita com internação (R$ 255,39 para R$ 306,47).
Segundo o Ministério da Saúde, até agora, 70 municípios aderiram ao Programa Nacional de Saúde do Homem. Para cada uma dessas cidades, o governo repassa R$ 75 mil para o financiamento de ações e serviços relacionados à saúde do homem. Mais de 26 milhões de cartilhas sobre prevenção, diagnóstico, tratamento de câncer e promoção de hábitos saudáveis foram distribuídas. Indicadores do Ministério da Saúde mostram que os homens têm hábitos de vida menos saudáveis que as mulheres. As informações são do jornal O Estado de S. Paulo.
Levantamento divulgado ontem pelo Ministério da Saúde aponta que os homens brasileiros estão cada vez mais preocupados com o planejamento familiar e em se prevenir do câncer de próstata. Entre 2003 e 2009, o ministério constatou que o número de testes para detectar eventuais tumores na próstata triplicou.
No mesmo período, houve um crescimento 79% do número de vasectomias realizadas pelo Sistema Único de Saúde (SUS). Entre 2003 e 2009, o número dessas cirurgias saltou de 19.103 para 34.144. Há um ano, quando o governo federal lançou a Política Nacional de Saúde do Homem, foram aumentados em 148% os valores pagos por procedimento em ambulatório (R$ 123,18 para R$ 306,47) e em 20% por operação feita com internação (R$ 255,39 para R$ 306,47).
Segundo o Ministério da Saúde, até agora, 70 municípios aderiram ao Programa Nacional de Saúde do Homem. Para cada uma dessas cidades, o governo repassa R$ 75 mil para o financiamento de ações e serviços relacionados à saúde do homem. Mais de 26 milhões de cartilhas sobre prevenção, diagnóstico, tratamento de câncer e promoção de hábitos saudáveis foram distribuídas. Indicadores do Ministério da Saúde mostram que os homens têm hábitos de vida menos saudáveis que as mulheres. As informações são do jornal O Estado de S. Paulo.
CANCER DE PROSTATA
Segunda-feira, 11/10/2010
De acordo com a Sociedade Brasileira de Urologia, ao longa da vida, um em cada seis homens desenvolverá esse mal.
De acordo com a Sociedade Brasileira de Urologia, ao longa da vida, um em cada seis homens desenvolverá esse mal.
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