MIGUEL SROUGI
Projetos de Pesquisa
Unidades Organizacionais
Departamento de Cirurgia, Faculdade de Medicina - Docente
LIM/55 - Laboratório de Urologia, Hospital das Clínicas, Faculdade de Medicina - Líder
LIM/55 - Laboratório de Urologia, Hospital das Clínicas, Faculdade de Medicina - Líder
15 resultados
Resultados de Busca
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- Telomere Attrition and p53 Response 1 (TAPR1): a new player in cancer biology?(2021) SANTOS, Gabriel Arantes dos; REIS, Sabrina T.; LEITE, Katia Ramos Moreira; SROUGI, Miguel
- Step-by-step Laparoscopic Vesiculectomy for Hemospermia(2017) MELLO, Marcos Figueiredo; ANDRADE, Hiury Silva; SROUGI, Victor; ARAP, Marco Antonio; MITRE, Anuar Ibrahim; DUARTE, Ricardo Jordao; SROUGI, MiguelHemospermia has been considered as a benign and self-limiting condition. It usually has an inflammatory or infectious cause. However, recurrent or persistent hemospermia may indicate a more serious underlying pathology, especially over 40 years of age. Biopsy or surgical excision is indicated in cases of suspicious findings during investigation, such as cysts or masses. Open surgery has been considered the definitive form of treatment, however, it can be associated with significant morbidity. With growing experience in laparoscopics, this approach is becoming the preferable way to access the seminal vesicles. Our objective is to demonstrate a step-by-step operative technique for laparoscopic unilateral vesiculectomy approach in a man with hemospermia. Case: A 61 year-old man presented with 1 year of hemospermia. He was treated empirically with a fluoroquinolone plus a nonsteroidal anti-inflammatory without resolution of symptoms. Ultrasonography and MRI showed a solid-cystic mass in the right seminal vesicle. The patient was submitted to a laparoscopic unilateral vesiculectomy. Histopathological analysis showed intraluminal dilatation with blood content. During follow-up, complete resolution of symptoms was seen. Results: Three patients composed our cohort. Mean age was 53 years-old (range 45-61 years), the right side was more commonly affected (two unilateral on the right and bilateral). Mean operative time was 55 minutes (range 40-120min). One patient presented amyloidosis in the histopathological analysis. All cases presented complete resolution of symptoms. Conclusions: Laparoscopic vesiculectomy is a safe and feasible approach in cases of hemospermia. This technique showed good outcomes and minimal morbidity.
- Penile prosthesis implantation: A solution or a dilemma for the couple(2017) LERNER, Theo; SOARES JUNIOR, Jose Maria; CAVALCANTI, Ana Lucia; GAY, Elsa Pereyra; SANTOS, Ana Regina dos; CURY, Jose; SROUGI, Miguel; BARACAT, Edmund C.
- The Use of Three-dimensional Printers for Partial Adrenalectomy: Estimating the Resection Limits REPLY(2016) SROUGI, Victor; CHAMBO, Jose L.; SROUGI, Miguel
- Diagnostic work-up and laparoscopic correction of an ectopic ureter(2015) CEZARINO, B. N.; LOPES, R. I.; OLIVEIRA, L. M.; DENES, F. T.; SROUGI, M.Introduction A duplex renal collecting system is a common congenital anomaly in children. Continuous dribbling (especially if after the toilet-training period) should raise suspicion of the presence of an ectopic ureter, which is most often associated with ureteral duplication. This video will demonstrate the complete diagnostic work-up necessary in these cases. Case report A 10-year-old girl presented with continuous dribbling. Ultrasonography and computerized tomography depicted a duplex system on the left side, with the upper pole ureter ectopically inserting into the vaginal cavity and good upper pole renal parenchyma. A careful urethrocystoscopy showed a topic right ureteral orifice and a topic lower pole left ureteral orifice. Retrograde pyelography was performed and displayed normal left lower pole anatomy. A vaginography was performed, which showed reflux to the ectopic ureter. Vaginoscopy clearly identified the ectopic ureteral orifice. A guide wire was introduced through this meatus and retrograde contrast injection confirmed the diagnosis of an ectopic ureter. Results At laparoscopy, a larger upper pole ureter and a normal lower pole ureter on the left side were identified. A termino-lateral ureteroureteral anastomosis was performed. After the procedure, the child reported immediate resolution of urinary dribbling. Conclusion In order to optimize its surgical correction, efforts should be made to appropriate localization of the ectopic ureter.
- Complete supine percutaneous nephrolithotomy with GoPro (R). Ten steps for success(2018) VICENTINI, Fabio Carvalho; SANTOS, Hugo Daniel Barone dos; BATAGELLO, Carlos Alfredo; AMUNDSON, Julia Rothe; OLIVEIRA NETO, Evaristo Peixoto; MARCHINI, Giovanni Scala; SROUGI, Miguel; NAHAS, Willian Carlos; MAZZUCCHI, EduardoObjective: To show a video of a complete supine Percutaneous Nephrolithotomy (csPCNL) performed for the treatment of a staghorn calculus, from the surgeon's point of view. The procedure was recorded with a GoPro (R) camera, demonstrating the ten essential steps for a successful procedure. Materials and methods: The patient was a 38 years-old woman with 2.4cm of left kidney lower pole stone burden who presented with 3 months of lumbar pain and recurrent urinary tract infections. She had a previous diagnosis of polycystic kidney disease and chronic renal failure stage 2. CT scan showed two 1.2cm stones in the lower pole (Guy's Stone Score 2). She had a previous ipsilateral double J insertion due to an obstructive pyelonephritis. The csPCNL was uneventful with a single access in the lower pole. The surgeon had a Full HD GoPro Hero 4 Session (R) camera mounted on his head, controlled by the surgical team with a remote control. All of the mains steps were recorded. Informed consent was obtained prior to the procedure. Results: The surgical time was 90 minutes. Hemoglobin drop was 0.5g/dL. A post-operative CT scan was stone-free. The patient was discharged 36 hours after surgery. The camera worked properly and didn't cause pain or muscle discomfort to the surgeon. The quality of the recorded movie was excellent. Conclusion: GoPro (R) camera proved to be a very interesting tool to document surgeries without interfering with the procedure and with great educational potential. More studies should be conducted to evaluate the role of this equipment.
- Secondary Hypertension Caused by Massive Renal Lymphangiomatosis(2013) BALBO, Bruno E. P.; VICENTINI, Fabio C.; WATANABE, Elieser H.; HISANO, Marcelo; SROUGI, Miguel; ONUCHIC, Luiz F.
- Peripyelitis: A risk factor for urinary fistula after tubeless PCNL(2015) PADOVANI, Guilherme Philomeno; VICENTINI, Fabio C.; MARCHINI, Giovanni S.; SROUGI, Victor; MAZZUCCHI, Eduardo; SROUGI, Miguel
- Treatment of renal lower pole stones: an update(2022) MAZZUCCHI, Eduardo; BERTO, Fernanda C. G.; DENSTEDT, John; DANILOVIC, Alexandre; BATAGELLO, Carlos Alfredo; TORRICELLI, Fabio C. M.; VICENTINI, Fabio C.; MARCHINI, Giovanni S.; SROUGI, Miguel
- Complete Calcified Ureteral Stent: A Combined 1-Session Approach(2017) TORRICELLI, Fabio C. M.; BERJEAUT, Ricardo H.; LAFFEIRA, Luccas; YAMAUCHI, Fernando I.; MARCHINI, Giovanni S.; NAHAS, William C.; SROUGI, Miguel; MAZZUCCHI, EduardoOBJECTIVE To demonstrate a successful 1-session approach to a complete calcified ureteral stent, preserving the affected kidney without complications. PATIENT AND METHODS A 33-year-old man presented at our service with an increased urinary frequency, afebrile urinary tract infection, and left lumbar pain. He underwent a ureterolithotripsy with ureteral stenting 3 years ago. After that intervention, he was lost to follow-up. A noncontrast computed tomography scan revealed a complete calcified ureteral stent (FECal V). After careful preoperative planning, the patient was submitted to a combined 1-step approach including left semirigid ureteroscopy, left percutaneous nephrolithotomy, and an open cystolithotomy in supine decubitus. This video demonstrates the surgical steps of the procedure for a FECal V (completely calcified) stent removal. RESULTS Operative time was 240 minutes. The calcified stent was completely removed. A 6 Fr ureteral catheter and a 16 Fr nephrostomy tube were left at the end of the procedure. No double-J stent was used to avoid the same kind of complication. The patient had no peri-or postoperative complications. A computed tomography scan was performed in the first postoperative day (POD) and revealed 2 small residual fragments (7 mm and 6 mm). The ureteral catheter was removed on the first POD, and the nephrostomy tube on the second POD. The patient was discharged from hospital on the third POD. The patient is now scheduled to a flexible ureteroscopy to treat the small residual fragments. CONCLUSION Forgotten ureteral stent is a surgical challenge, requiring multiple approaches and advanced urologic techniques. Our video illustrates that a less invasive and combined 1-step procedure to preserve the kidney is both safe and feasible, when performed by an experienced surgeon. (C) 2017 Elsevier Inc.