{"id":295,"date":"2024-04-09T13:32:22","date_gmt":"2024-04-09T13:32:22","guid":{"rendered":"https:\/\/starthis.com.br\/drthalesmachado\/?page_id=295"},"modified":"2024-04-15T17:28:09","modified_gmt":"2024-04-15T17:28:09","slug":"estenose-de-ureter","status":"publish","type":"page","link":"https:\/\/starthis.com.br\/drthalesmachado\/estenose-de-ureter\/","title":{"rendered":"Estenose de Ureter"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"295\" class=\"elementor elementor-295\">\n\t\t\t\t<div class=\"elementor-element elementor-element-b29561b e-flex e-con-boxed e-con e-parent\" data-id=\"b29561b\" data-element_type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\" data-core-v316-plus=\"true\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-b10cea3 e-con-full e-flex e-con e-child\" data-id=\"b10cea3\" data-element_type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-3846867 elementor-widget elementor-widget-heading\" data-id=\"3846867\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<style>\/*! elementor - v3.20.0 - 26-03-2024 *\/\n.elementor-heading-title{padding:0;margin:0;line-height:1}.elementor-widget-heading .elementor-heading-title[class*=elementor-size-]>a{color:inherit;font-size:inherit;line-height:inherit}.elementor-widget-heading .elementor-heading-title.elementor-size-small{font-size:15px}.elementor-widget-heading .elementor-heading-title.elementor-size-medium{font-size:19px}.elementor-widget-heading .elementor-heading-title.elementor-size-large{font-size:29px}.elementor-widget-heading .elementor-heading-title.elementor-size-xl{font-size:39px}.elementor-widget-heading .elementor-heading-title.elementor-size-xxl{font-size:59px}<\/style><h2 class=\"elementor-heading-title elementor-size-default\">Estenose de Ureter<\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-b99c9e6 e-flex e-con-boxed e-con e-parent\" data-id=\"b99c9e6\" data-element_type=\"container\" data-core-v316-plus=\"true\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-e93a84d e-con-full e-flex e-con e-child\" data-id=\"e93a84d\" data-element_type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-14c0be8 e-con-full e-flex e-con e-child\" data-id=\"14c0be8\" data-element_type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-95192ed elementor-widget elementor-widget-heading\" data-id=\"95192ed\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Pieloplastia Videolaparosc\u00f3pica<\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-20d88df elementor-widget elementor-widget-text-editor\" data-id=\"20d88df\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<style>\/*! elementor - v3.20.0 - 26-03-2024 *\/\n.elementor-widget-text-editor.elementor-drop-cap-view-stacked .elementor-drop-cap{background-color:#69727d;color:#fff}.elementor-widget-text-editor.elementor-drop-cap-view-framed .elementor-drop-cap{color:#69727d;border:3px solid;background-color:transparent}.elementor-widget-text-editor:not(.elementor-drop-cap-view-default) .elementor-drop-cap{margin-top:8px}.elementor-widget-text-editor:not(.elementor-drop-cap-view-default) .elementor-drop-cap-letter{width:1em;height:1em}.elementor-widget-text-editor .elementor-drop-cap{float:left;text-align:center;line-height:1;font-size:50px}.elementor-widget-text-editor .elementor-drop-cap-letter{display:inline-block}<\/style>\t\t\t\t<p>A estenose de jun\u00e7\u00e3o uretero-p\u00e9lvica, conhecida como estenose de JUP, \u00e9 uma doen\u00e7a urol\u00f3gica comum caracterizada pelo fechamento parcial ou total da jun\u00e7\u00e3o entre a pelve renal e o ureter. Isso impede a passagem livre da urina do rim para a bexiga, resultando em ac\u00famulo de urina na pelve renal e dilata\u00e7\u00e3o renal (hidronefrose).<\/p><p>\u00a0<\/p><p>Devido ao ac\u00famulo de urina na pelve renal, podem surgir complica\u00e7\u00f5es como dor cr\u00f4nica abdominal e no flanco (do mesmo lado da obstru\u00e7\u00e3o), infec\u00e7\u00f5es urin\u00e1rias recorrentes e forma\u00e7\u00e3o de c\u00e1lculos renais (pedras nos rins). Dependendo do grau de obstru\u00e7\u00e3o, pode ocorrer perda parcial ou total da fun\u00e7\u00e3o renal.<br \/><br \/>A maioria dos casos \u00e9 cong\u00eanita, ou seja, presente desde o nascimento e geralmente n\u00e3o \u00e9 diagnosticada at\u00e9 a vida adulta. Uma parcela menor tem origem secund\u00e1ria, resultante de cirurgias renais ou passagem de c\u00e1lculos. O tratamento padr\u00e3o para reparo da estenose de JUP \u00e9 a pieloplastia aberta, com taxa de sucesso superior a 90%.<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-ec3d0c2 e-flex e-con-boxed e-con e-parent\" data-id=\"ec3d0c2\" data-element_type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\" data-core-v316-plus=\"true\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-4164ab9 e-flex e-con-boxed e-con e-child\" data-id=\"4164ab9\" data-element_type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-8ec360f elementor-widget elementor-widget-heading\" data-id=\"8ec360f\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Fatos<\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-5c17c60 elementor-widget elementor-widget-text-editor\" data-id=\"5c17c60\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p>No entanto, a pieloplastia aberta pode ter alta morbidade p\u00f3s-operat\u00f3ria, incluindo dor intensa, longo tempo de interna\u00e7\u00e3o e retorno tardio \u00e0s atividades normais, al\u00e9m de deixar cicatrizes vis\u00edveis devido \u00e0 incis\u00e3o lombar.<\/p><p>\u00a0<\/p><p>Desde a primeira pieloplastia laparosc\u00f3pica em 1993, esta t\u00e9cnica ganhou impulso na urologia. A pieloplastia laparosc\u00f3pica desmembrada reproduz as taxas de sucesso da aberta e reduz a morbidade p\u00f3s-operat\u00f3ria em pacientes aptos \u00e0 cirurgia.<\/p><p>\u00a0<\/p><p>Em dezembro de 2014, foi realizada a primeira pieloplastia videolaparosc\u00f3pica em Jata\u00ed, em uma paciente com estenose de JUP no rim direito. A cirurgia envolveu remo\u00e7\u00e3o do segmento estenosado na jun\u00e7\u00e3o uretero-p\u00e9lvica e sutura cuidadosa da pelve renal no ureter, com uso de um cateter duplo J para manter a sutura e evitar fechamento secund\u00e1rio.<\/p><p>\u00a0<\/p><p>Ap\u00f3s cerca de seis semanas, o duplo J foi removido por cistoscopia. Toda a cirurgia foi realizada laparoscopicamente, com apenas quatro incis\u00f5es de meio cent\u00edmetro, e a paciente teve alta no segundo dia p\u00f3s-operat\u00f3rio.<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-8cd7bc9 elementor-widget elementor-widget-heading\" data-id=\"8cd7bc9\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Quais s\u00e3o as taxas de sucesso?<\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-9a08d24 elementor-widget elementor-widget-text-editor\" data-id=\"9a08d24\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p>Cerca de 90% dos pacientes conseguem manter ou recuperar parte da fun\u00e7\u00e3o renal no rim afetado ap\u00f3s a cirurgia, evitando a perda do rim.<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-6ab8881 e-flex e-con-boxed e-con e-parent\" data-id=\"6ab8881\" data-element_type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\" data-core-v316-plus=\"true\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-903114e elementor-widget elementor-widget-heading\" data-id=\"903114e\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Agende agora a sua consulta!<\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-ba1d3e8 elementor-align-center elementor-widget elementor-widget-button\" data-id=\"ba1d3e8\" data-element_type=\"widget\" data-widget_type=\"button.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-button-wrapper\">\n\t\t\t<a class=\"elementor-button elementor-button-link elementor-size-sm\" href=\"#\">\n\t\t\t\t\t\t<span class=\"elementor-button-content-wrapper\">\n\t\t\t\t\t\t<span class=\"elementor-button-text\">AGENDAR CONSULTA<\/span>\n\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Estenose de Ureter Pieloplastia Videolaparosc\u00f3pica A estenose de jun\u00e7\u00e3o uretero-p\u00e9lvica, conhecida como estenose de JUP, \u00e9 uma doen\u00e7a urol\u00f3gica comum caracterizada pelo fechamento parcial ou total da jun\u00e7\u00e3o entre a pelve renal e o ureter. Isso impede a passagem livre da urina do rim para a bexiga, resultando em ac\u00famulo de urina na pelve renal [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"elementor_header_footer","meta":{"footnotes":""},"class_list":["post-295","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/starthis.com.br\/drthalesmachado\/wp-json\/wp\/v2\/pages\/295","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/starthis.com.br\/drthalesmachado\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/starthis.com.br\/drthalesmachado\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/starthis.com.br\/drthalesmachado\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/starthis.com.br\/drthalesmachado\/wp-json\/wp\/v2\/comments?post=295"}],"version-history":[{"count":20,"href":"https:\/\/starthis.com.br\/drthalesmachado\/wp-json\/wp\/v2\/pages\/295\/revisions"}],"predecessor-version":[{"id":945,"href":"https:\/\/starthis.com.br\/drthalesmachado\/wp-json\/wp\/v2\/pages\/295\/revisions\/945"}],"wp:attachment":[{"href":"https:\/\/starthis.com.br\/drthalesmachado\/wp-json\/wp\/v2\/media?parent=295"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}