Márcio Josbete Prado

Ureteral necrosis in dermatomyositis.

We describe a child with dermatomyositis and calcified necrosis in the middle third of both ureters. Histopathological examination showed vasculitis associated with ureteral necrosis and calcification. These findings together with a similar previous report in the literature have prompted us to correlate dermatomyositis in childhood with ureteral necrosis and to anticipate specifically a lesion in the middle third of the ureter because of the relative lack of blood flow in that segment.

Sacral agenesis: Why is it so frequently misdiagnosed?

Thirty-four patients with sacral agenesis were seen from 1954 to 1983, cases of meningomyelocele excluded. Five recognizable and consistent patterns of bone malformation were identified. Urodynamic examinations were done in 10 of the 34 patients. Their evaluation and response to treatment are analyzed; we tried to determine and establish the possible causes for its late diagnosis and consequences regarding the upper urinary tract.

Surgical correction of peyronie's disease using nesbit's technique — An excellent way to reconstruct erectile potency

SummarySurgical correction of penile curvature due to Peyronies disease was done using the Nesbit operation originally described for repair of congenital curvatures. A modification of the technique was introduced using a skin incision over the local area where the ellipse was taken thereby avoiding unnecessary extended dissection. The results in 22 patients were satisfactory with minimal surgical complications. Good results, short-term hospitalization and simplicity of the technique make this approach the first to be considered in cases of surgical correction of Peyronies disease.