CRISTOVAO MACHADO BARBOSA NETO
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- Urethral duplication type influences on the complications rate and number of surgical procedures(2017) LOPES, Roberto Iglesias; GIRON, Amilcar Martins; MELLO, Marcos Figueiredo; BARBOSA NETO, Cristovao Machado; SANTOS, Joana dos; MOSCARDI, Paulo Renato Marcelo; SROUGI, Victor; DENES, Francisco Tibor; SROUGI, MiguelIntroduction: Urethral duplication is rare. Characterized by the presence of two urethral channels. This anomaly presents a great variety of clinical findings that depend on the type of duplication that often is associated with other anomalies. Material and Methods: We report thirteen boys with urethral duplication managed in our institution between 1988-02015. Clinical findings, associated anomalies, treatment of urethral duplication and our results are described. Patients were classified according to Effmann classification. Results: Mean patient's age was 38.3 +/- 34.7 months (3-0136 months). Mean follow-up was 7.7 +/- 3.4 years (3y8m-014y2m). Type II A2 was the most common pattern (8/13 patients, 61.5%), followed by type IA (3/13 patients, 23%) and IIA1 (2/13 patients, 15.3%). The most frequent clinical manifestations were urinary tract infections (UTI) observed in 11/13 patients (84.6%) and anal urinary leakage, found in 7/13 patients (53.8%). Associated anomalies were found in 9/13 patients (69.2%). Required surgeries were 3.53 +/- 2.84 procedures per patient. Considering groups: Type IIA2 4.25 +/- 3.28, type IIA1 4 +/- 1.41 and type IA 1.33 +/- 0.57 needed procedures per patient. Complications rate were 0% for type IA, 50% for type IIA1 and 75% for type IIA2. Conclusions: Patients with incomplete duplication (type I A or I B) can totally be asymptomatic, with no need of surgical correction. Type IIA2 is the most complex form of duplication to correct and multiple procedures might be required because of the very hypoplastic orthotopic dorsal urethral tissue. Surgical treatment should be individualized and parents should be advised on complications and need of multiple surgeries according to urethral duplication type.
conferenceObject DO THE REGULATION OF MATRIX METALLOPROTEINASES AND TISSUE INHIBITORS OF MATRIX METALLOPROTEINASES HAVE ANY ASSOCIATION WITH PEYRONIE'S DISEASE?(2020) NETO, Cristovao Barbosa; REIS, Sabrina T.; ARANTES, Gabriel; NASCIMENTO, Bruno; SAYAO, Rogerio; LEITE, Katia Ramos; SROUGI, Miguel; NAHAS, William; CURY, JoseconferenceObject INCIDENCE OF CLIMACTURIA IN MEN WITH SEXUAL DYSFUNCTION AFTER RADICAL PROSTATECTOMY(2022) GAMBERINI, P.; RIBEIRO, H.; SAYAO, R.; PEDRENHO, R.; BARBOSA NETO, C.; GOES, P.; NASCIMENTO, B.; BESSA JUNIOR, J. de; NAHAS, W.; SROUGI, M.; AMOEDO, F.conferenceObject DOES STENTED REIMPLANTATION IN RENAL TRANSPLANTATION INCREASE THE RISK OF URINARY INFECTION?(2018) BARBOSA NETO, Cristovao; ILARIO, Eder; MELLO, Marcos; KANASHIRO, Hideki; LOCALLI, Rafael; BARONE, Hugo; FALCI JUNIOR, Renato; NAHAS, William; PIOVESAN, Affonso- The role of bladder diverticula in the prevalence of acute urinary retention in patients with BPH who are candidates to surgery(2018) ISCAIFE, Alexandre; ARFOS, Gabriel dos; NETO, Cristovao Barbosa; NAHAS, Willian Carlos; SROUGI, Miguel; ANTUNES, Alberto AzoubelIntroduction: The urinary bladder diverticula (BD) secondary to benign prostatic hyperplasia (BPH) is a complication that can lead to urinary stasis, stone, urinary tract infection (UTI) and tumors. It's role in acute urinary retention (AUR) is not totally understood. Objectives: To determine the effect of BD size on AUR rates in patients with BPH candidates to surgery. Subjects and Methods: We performed a retrospective cohort study of 47 patients with BPH and BD who underwent BPH surgery associated to complete bladder diverticulectomy from 2006 to 2016. We analyzed risk factors for AUR in patients with BD using univariate, multivariate and correlation analysis. Results: There was a difference in the size of the diverticula, with 6.8 cm vs. 4.5 cm among patients with and without AUR respectively (p=0.005). The ROC curve showed a correlation between the size of BD and the risk of AUR. The value of 5.15 cm presented a sensitivity of 73% and a specificity of 72%. The area under the curve was 0.75 (p=0.01). Comparing groups with BD > 5.0 cm vs. <= 5.0 cm, the AUR incidence was 74% and 27.8% respectively with an OR of 2.65 (1.20-5.85) (p=0.005). In the multivariate analysis, only the size of the diverticula reached statistical significance (p=0.012). Conclusions: The diameter of BD is an independent risk factor for AUR in patients with BPH and BD who are candidates to surgery. A diameter greater than 5.15 cm increases the risk of AUR.
conferenceObject CORRELATION BETWEEN LIBIDO AND TESTOSTERONE: ESTRADIOL RATIO IN MEN WITH SEXUAL DYSFUNCTION(2022) PEDRENHO NETO, R.; NUNES, R. dos Santos Sobreira; NASCIMENTO, C. G. B.; BARBOSA NETO, C. Machado; BESSA JUNIOR, J. de; SROUGI, M.; NAHAS, W. CarlosconferenceObject FACTORS ASSOCIATED WITH THE DECREASE IN ORGASM INTENSITY IN PATIENTS WHO UNDERWENT TO RADICAL PROSTATECTOMY(2022) GAMBERINI, P.; NASCIMENTO, B.; BARBOSA NETO, C.; PEDRENHO, R.; GOES, P.; BESSA JUNIOR, J. de; SPHAIR, J.; NAHAS, W.; SROUGI, M.conferenceObject COMPARISON OF NON-INVASIVE MEASUREMENTS OF PENILE CURVATURE IN PEYRONIE'S DISEASE(2022) PEDRENHO NETO, R.; NASCIMENTO, C. G. B.; BARBOSA NETO, C. Machado; BESSA JUNIOR, J. de; SROUGI, M.; NAHAS, W. CarlosconferenceObject COMPARISON OF NON-INVASIVE MEASUREMENTS OF PENILE CURVATURE IN PEYRONIE'S DISEASE(2021) NETO, Rubens Pedrenho; NASCIMENTO, Bruno C. G.; BARBOSA NETO, Cristovao Machado; BESSA JUNIOR, Jose de; SROUGI, Miguel; NAHAS, William CarlosconferenceObject INCIDENCE OF CLIMACTURIA IN MEN WITH SEXUAL DYSFUNCTION AFTER RADICAL PROSTATECTOMY(2020) FILHO, Homero; NASCIMENTO, Bruno; SROUGI, Miguel; CURY, Jose; SAYAO, Rogerio; BARBOSA, Cristovao; NAHAS, William; GOES, Plinio; ANDURTE, Sergio; CRUVINEL, Fernando