HPB Tratamento Cirúrgico

Hiperplasia Prost á tica Benigna Dr. Guilherme Camarcio Neiva Ti SBU Urologista Módulo I

Epidemiologia ,[object Object],[object Object],[object Object]

Epidemiologia ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Lytton B, J Urol , 1968 Garraway WM, Lancet, 1991 Norman RW, Br J Urol, 1994

Etiologia ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Fisiopatologia Campbell ’ s Urology – 9th Edition

Evolução Clínica Jacobsen SJ, J Urol , 1997

Evolução Clínica Roehrborn CG, Urology , 1999

Diagnóstico ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Diagnóstico ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Roehrborn CG, Urology , 1998

Diagnóstico ,[object Object],[object Object],[object Object],[object Object],Vesely S, Scand J Urol Nephrol , 2003

Diagnóstico ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Roehrborn CG, Eur Urol , 2002

Diagnóstico ,[object Object],[object Object],[object Object],[object Object],[object Object],Roehrborn CG, Urology , 2001

Diagnóstico ,[object Object],[object Object],[object Object],[object Object],Gerber GS, Urology , 1997

Diagnóstico ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Diagnóstico ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Campbell ’ s Urology – 9th Edition

Diagnóstico ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Madersbacher S, J Urol , 1996

Diagnóstico ,[object Object],[object Object],[object Object],[object Object],Denis L, 1998

Diagnóstico ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Campbell ’ s Urology – 9th Edition

Diagnóstico ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],McConnell JD, 1994

Estudos endoscópicos variações de adenomas obstrutivos

Diagnóstico ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Cockett ATK, 1993 McConnell JD, 1994

Tratamento ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Tratamento ,[object Object],[object Object],[object Object],Wasson JH, New Engl J Med , 1995 Netto NR, Urol , 1999

Tratamento ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Bloqueadores α -adrenérgicos ,[object Object],[object Object],[object Object],[object Object],[object Object],Campbell ’ s Urology – 9th Edition

Bloqueadores α -adrenérgicos ,[object Object],[object Object],[object Object]

Bloqueadores α -adrenérgicos ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Campbell ’ s Urology – 9th Edition

Bloqueadores α -adrenérgicos ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Campbell ’ s Urology – 9th Edition

Bloqueadores α -adrenérgicos ,[object Object],[object Object],[object Object],[object Object]

Bloqueadores α -adrenérgicos ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Bloqueadores α -adrenérgicos ,[object Object],[object Object],[object Object],Djavan B, Eur Urol , 1998

Inibidores da 5 α -redutase ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Vaughan D, Urology , 2002

Inibidores da 5 α -redutase ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Wessells H, Urology , 2003

Inibidores da 5 α -redutase ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Roehrborn CG, Urology , 2002

Bloqueadores α -adrenérgicos + Inibidores da 5 α -redutase ,[object Object],[object Object],Baldwin KC, Urology , 2001 Barkin J, Eur Urol , 2003

Fitoterápicos ,[object Object],[object Object],[object Object],[object Object],[object Object],Debruyne F, Eur Urol , 2002

TRATAMENTO CIRÚRGICO HPB Hospital Geral de Goiânia – HGG Residente: Guilherme Camarcio Neiva R1 de Urologia Módulo II

HPB - TRATAMENTO CIRÚRGICO ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

HPB - TRATAMENTO CIRÚRGICO ,[object Object],[object Object],[object Object],[object Object],[object Object]

HPB - TRATAMENTO CIRÚRGICO ,[object Object],[object Object],[object Object],Suprapúbica: transvesical Retropúbica: cápsula / Millin Perineal

PROSTATECTOMIA ABERTA ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

PROSTATECTOMIA ABERTA ,[object Object],[object Object],Campbell ’ s Urology – 9th Edition Complicações: Ejaculação retrógrada 65% Hemorragia 15% Retenção urinária pós OP 5% Infecção urinária 5% Incontinência urinária 1% Disfunção erétil 25% Perfuração da cápsula 1% Fístula urinária 5% Esclerose do colo vesical 5% Epididimite 5%

PROSTATECTOMIA ABERTA ,[object Object],[object Object],[object Object],[object Object]

Prostatectomia suprapúbica transvesical (PTV)

Prostatectomia retropúbica (Millin)

HPB - TRATAMENTO CIRÚRGICO ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],resultados precários

RTU Próstata ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

RTU Próstata ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Campbell ’ s Urology – 9th Edition

UROBIONIC TREINAMENTO EM SIMULADORES

RESSECÇÃO ENDOSCÓPICA TÉCNICA DAS CALHAS

GUIA DE SONDA COMPLICAÇÃO ESTENOSE DE COLO VESICAL

PROSTATOTOMIA ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Prostatectomia com LASER ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Lasers - desvantagens ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Prostatectomia com LASER Neodymium: YAG

Prostatectomia com LASER Holmium laser: YAG

Eletrovaporização da próstata (VTUP) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Ablação transuretral com agulhas (TUNA) ,[object Object],[object Object],[object Object],[object Object]

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Ablação transuretral com agulhas (TUNA) (Bruskewitz, 1998)

TUNA ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Campbell ’ s Urology – 9th Edition

Ablação transuretral com agulhas (TUNA)

TERMOTERAPIA Transurethral microwave thermotherapy (TUMT) ,[object Object],[object Object],[object Object],[object Object],[object Object]

TERMOTERAPIA Transurethral microwave thermotherapy (TUMT) Prostatron , modelo Praktis d'EDAP TMS

TERMOTERAPIA Transurethral microwave thermotherapy (TUMT)

Stents / Endopróteses ,[object Object],[object Object],[object Object],[object Object],[object Object]

Stents / Endopróteses ,[object Object],[object Object],[object Object]

Stents / Endopróteses ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

PROSTATECTOMIA SIMPLES LAPAROSCÓPICA

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HPB Tratamento Cirúrgico

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