Recently, we have performed three very interesting surgical procedures at our hospital which, fortunately, have all had a positive outcome with all three patients now resting at home.
The first of those was a radical cystoprostatectomy for a vesical muscle-invasive tumour in which we carried out an intestinal diversion of the Bricker type. After 8 days the patient was discharged and returned home with both single J catheters. This intervention involves major surgery which can have a substantial emotional effect on the patient, but it is the benchmark for treating this type of pathology. The best way of preventing this is to give up smoking.
The second case was a distal ureterectomy with lithiastic remains in the interior after a nephrectomy 8 years before. The patient showed local pain with ureterectasia. Despite this being debated we carried out a surgical intervention after prior consent from the patient, commenting the doubts of the algesic symptoms.
The third case was a extravesical ureteral reimplantation by entrapment of the distal ureter in gynaecological surgery. As the endoscopic pneumatic dilation was not possible, we decided on open surgery. The patient was discharged showing no symptoms, with normal ultrasound and only pending the removal of the double J catheter.
On the 27 June, we shall carry out two cases of percutaneous nephrolithotomy with the assistance of Dr. Vozmediano, friend and colleague, who works daily at the Carlos Haya Hospital in Malaga. Currently, he is one of the most important experts in this technique in Andalusia.