Cure of Interstitial Cystitis and Non-Ulcerating Hunner’s Ulcer by Cardinal/Uterosacral Ligament Repair

2021 ◽  
pp. 1-4
Author(s):  
Kay Scheffler ◽  
Oliver W. Hakenberg ◽  
Peter Petros

A serendipitous cure in a 73-year-old woman of Hunner’s ulcer, urge, nocturia, apical prolapse by a tissue fixation system tensioned minisling (TFS) which reinforced the cardinal, and uterosacral ligaments (USLs) led us to analyse the relationship between Hunner’s ulcer and known pain conditions associated with USL laxity. The original intention was to cure the “posterior fornix syndrome” (PFS), uterine prolapse, and associated pain and bladder symptoms by USL repair. A speculum inserted preoperatively into the posterior fornix alleviated pain and urge symptoms, by mechanically supporting USLs. Hunner’s ulcer, along with pain and other PFS symptoms were cured by USL repair. The concept of USL laxity causing chronic pelvic pain and bladder problems is not new. It was published in the German literature by Heinrich Martius in 1938 and by Petros in the English literature in 1993. These findings raise important questions. As PFS symptoms are identical with those of interstitial cystitis (IC), are PFS and IC similar conditions? If so, then patients with IC who have a positive speculum test are at least theoretically, potentially curable by USL repair. These questions need to be explored.

Author(s):  
Benjamin Woo

Dramatic recent growth in comics research suggests that comics studies has matured as a field, perhaps even constituting an emergent discipline. Yet important questions about the nature of this field and how it relates to established academic disciplines remain unresolved. This introductory chapter examines the genealogy of comics studies and explores the relationship between theory and method as a proxy for the field’s “paradigmatic” status. Four theories of page layout are analyzed as examples of theorization in comics studies. Drawing on Robert T. Craig’s “constitutive metamodel” of communications theory, the chapter ultimately rejects both attempts to retread the path of established humanities disciplines such as English literature and film studies and arguments against disciplinarity as such, calling instead for a dialogic conception of academic disciplines that continually reflects on the differences through which they are constituted.


Author(s):  
Gil Dubernard ◽  
Roman Rouzier ◽  
Bassam Haddad ◽  
Philippe Dubois ◽  
Bernard-Jean Paniel

Author(s):  
Abdul-Nabi Isstaif

This chapter presents a 1997 interview with Mustafa Badawi and includes sections relating to his early life and education until 1947 when he was sent to England to pursue further studies in English. Badawi first talks about the years of his early formation in the family, the neighbourhood and his various schools in Alexandria before discussing his cultural formation in the city. He reveals that he decided to specialise in English language in order to deepen his study of English literature so that he could see Arabic literature in the wider context of world literature. Badawi also describes his attitudes towards literature and criticism, which he says involved three essential questions: the relationship between literature and politics; the relationship between literature and morality; and the nature of language and its function in poetry, and consequently the relationship between poetry and science, or between poetry and thought or knowledge in general.


1992 ◽  
Vol 7 (6) ◽  
pp. 271-276
Author(s):  
S Dollfus ◽  
M Petit ◽  
JF Menard

SummaryChronic Hallucinatory Psychosis (CHP) is typically a French disease entity initially described by G Ballet (1911) and whose diagnostic criteria were established by Pull (1987). This diagnosis is not used in English and German literature. The aim of this study was to investigate the relationship between Pull's criteria for CHP and the criteria for schizophrenia defined by 14 different diagnostic systems and schizoaffective disorders. Seventy-two non-affective psychotic patients (34 men, 38 women), aged 20 to 84, in exacerbated or stabilized phase, were interviewed by the same investigator (SD). The patient distribution between the diagnoses in the different diagnostic systems was carried out using a computerized 208-item checklist. The main results indicated that the definite CHP diagnosis was significantly related to the Catego S + (C = 0.52; P < 0.01), New-Haven, (C = 0.40; P < 0.05) and Schneider (C = 0.54; P < 0.001) systems for schizophrenia and with the depressive-schizoaffective disorder (C =0.39; P < 0.05) in the RDC system. The probable CHP diagnosis was significantly linked with the same systems and with the probable RDC (C = 0.39; P < 0.05) for schizophrenia. These results emphasize that in 13 out of the 14 diagnostic systems, schizophrenic and schizoaffective disorders overlapped with CHP in the French diagnostic system. Among these systems, four schizophrenic diagnoses were significantly linked to CHP. In contrast, the Bleuler system for schizophrenia was not related to CHP at all.


Sign in / Sign up

Export Citation Format

Share Document