Cystitis Glandularis: A Rare Benign Condition Presenting as Bladder Tumor

Objective: The aim of the study was to compare the endoscopic versus percutaneous approach (blind) to control the obturator jerk in patients undergoing transurethral resection of bladder tumors under spinal anesthesia. Materials and methods: A prospective observational study was performed in Department of Urology, Chittagong Medical College, Chittagong and some Private Hospitals (Ltd.) in Chittagong city during the period from January 2016 to June 2016. Total 100 patients were grouped into two, on alternate basis. Fifty(50) patients in group- A conducted with endoscopic infiltration with 20ml of injection 2% lignocaine at the bladder tumor base and another 50 patients in group-B, conducted with blind percutaneous technique with same drug and volume ( 20ml inj.2% lignocaine) to control obturator jerk. Severity of obturator jerk in both procedure, percentage of complete resection, ONB procedure related time, ONB procedure related complications and surgeon’s satisfaction level were recorded and compared between two approaches. Chi-square analysis was performed to compare the ease of approach and outcome of the two techniques. A value of P<0.05 was considered statistically significant. Results: The mean age of the patients were 59.44+7.681. In group-A, 50 patients were given inj. 2% lignocaine endoscopically at the bladder tumor base to control obturator jerk. Twenty five patients (50%) had no jerk, 20 patients(40%) developed mild jerk and 5 patients (10%) developed moderate jerk and no patients developed severe jerk. Second attempt was taken in moderate jerk patients (5 patients) and succeeded in 3(6%) patients. So, in this group, complete resection of bladder tumor was possible in 96%. In group B, complete resection of bladder tumor was possible in 84%. Statistical analysis was done and result is significant in case of endoscopic procedure to control obturator jerk(p<0.05). ONB Procedure related time was <20 mins. in 32(64%) patients in group-A and 45 (90%) patients in group- B. 20 mins. or more time was required for 18 (36%) patients in group-A and 5 (10%) patients in group-B. Statistical analysis was done and result is significant in percutaneous (blind) technique (p<0.05). ONB procedure related complications in group-A and Group –B were noted. Statistical analysis was done and result is insignificant (p>0.05). Surgeons satisfaction level were recorded on the basis of obturator jerk block and complete resection and which was statistically significant in favour of endoscopy group (p<0.05). Conclusion: It is concluded that endoscopic injection of 2% lignocaine into the bladder tumor base is better in case of jerk elimination and complete resection than blind percutaneous approach. Though, ONB procedure related time was significantly less in percutaneous group. Bangladesh Journal of Urology, Vol. 21, No. 2, July 2018 p.120-126

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The Usefulness of Virtual Cystoscopy with Spiral CT in Evaluating Bladder Tumor

Journal of the Korean Radiological Society ◽

10.3348/jkrs.1999.40.4.745 ◽

1999 ◽

Vol 40 (4) ◽

pp. 745

Author(s):

Tae Woong Chung ◽

Yong Yeon Jeong ◽

Heoung Keun Kang ◽

Sang Gook Song ◽

Yun Hyeon Kim ◽

...

Keyword(s):

Bladder Tumor ◽

Spiral Ct ◽

Virtual Cystoscopy

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Recurrent adrenal pheochromocytoma - a benign condition?

Endocrine Abstracts ◽

10.1530/endoabs.40.p19 ◽

2016 ◽

Author(s):

Adriana de Sousa Lages ◽

Patricia Oliveira ◽

Dircea Rodrigues ◽

Gracinda Costa ◽

Maria Joao Martins ◽

...

Keyword(s):

Benign Condition ◽

Adrenal Pheochromocytoma

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CLINICAL SYMPTOMS, ULTRASOUND AND HISTOPATHOLOGY OF TUMORLIKE LESIONS OF THE BLADDER.

Journal of Medicine and Pharmacy ◽

10.34071/jmp.2017.1.6 ◽

2017 ◽

pp. 41-46

Author(s):

Van Mao Nguyen ◽

Thi Bich Chi Nguyen

Keyword(s):

Bladder Cancer ◽

Bladder Tumor ◽

Clinical Symptoms ◽

Bladder Wall ◽

Lower Abdominal Pain ◽

University Hospital ◽

Wall Thickening ◽

Health Examination ◽

Ultrasound Images ◽

Key Words Bladder Cancer

Background: Bladder cancer is one of the most frequent type of urinary cancer which has been ever increasing. For the better treatment, the early discovery and definite diagnosis of this disease played an important role. Objective: To describe some clinical symptoms and ultrasound features of tumorlike lesions of the bladder. To diagnose and classify the histopathology of tumorlike lesions of the bladder. Materials, method: cross - sectional study on 64 cases in Hue University Hospital and Hue central hospital from April, 2016 to February, 2017. Results: Hematuria was the most common reason that patients went to hospital (79.7%). Lower abdominal pain and irritation during urination accounting for 9.4% and 6.2% respectively. Only 3 patients with bladder cancer were accidentally discovered through periodic health examination (4.7%). The characteristics of hematuria in bladder tumor was flesh red urine (62.5%) and total hematuria (60.7%). With ultrasonography, the results of 64 patients were divided in 3 groups as follow: bladder tumor, which was the highest rate 87.5%, bladder polyp was 3.1% and focal bladder wall thickening was 9.4%. Of which, the vast majority of these ultrasound images was tumor - like lesions protruding in the lumen of the bladder (75%), the rest was wall thickening lesions (25%). Tumors were different in size, the biggest tumor was 7cm in diameter and the smallest was 0.6cm. Those with the diameter 3cm or bigger accounting for 42.2%, the smaller was 57.8%. Most cases have only one lesion (62.5%) and at lateral wall (46.6%). Histopathologically, cancer was 59/64 case (92.2%): urothelial carcinoma was 98.3 %, squamous cell carcinomawas 1.7% and 5 cases (7.8%) were benign. Most cancerous cases were poorly differentiated, grade II (50.9%) and grade III (32.2%). The stage T1NxMx was 20.3% and worse than T2MxNx was 79.7%. Conclusion: hematuria was the most popular symptom, suggesting bladder cancer. Clinical diagnosing bladder cancer was not high sensitive (61.01%). Ultrasound could detect bladder tumor with high sensitive (89.8%). These patients also needed histopathology classification to diagnose and finally choose the best method for the appropriate treatment. Key words: bladder cancer, histopathology, ultrasound, uroepithelial carcinoma, hematuria

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Classifications and Clinical Assessment of Haemorrhoids:The Proctologist’s Corner

Reviews on Recent Clinical Trials ◽

10.2174/1574887115666200312163940 ◽

2020 ◽

Vol 15 ◽

Cited By ~ 1

Author(s):

Arcangelo Picciariello ◽

Petr Tsarkov ◽

Vincenzo Papagni ◽

Sergey Efetov ◽

Daniel Markaryan ◽

...

Keyword(s):

Differential Diagnosis ◽

Clinical Evaluation ◽

Clinical Assessment ◽

Adult Population ◽

Preoperative Assessment ◽

Classification Systems ◽

Patient Treatment ◽

Benign Condition ◽

Haemorrhoidal Disease ◽

Therapeutic Choice

BACKGROUND: Haemorrhoidal disease (HD) is a benign condition affecting a considerable part of adult population. HD can be considered a social and economic burden with high impact on patient lifestyle. Several new techniques and devices have been proposed for HD treatment; however, preoperative assessment is essential and the use of classification system is recommended. METHODS: In the last two decades many studies described the preoperative assessment and several attempts of classification for HD. This review focuses on the most relevant studies found in literature where classification systems and clinical evaluation with differential diagnosis have been evaluated. RESULTS: The knowledge of classification systems and differential diagnosis for HD has been shown to play a central role in the clinical assessment and in the best treatment choice. Although there are new challenging techniques and devices for HD treatment, a preoperative assessment is always mandatory. CONCLUSION: Preoperative clinical evaluation is essential for HD patient treatment and outcome. Classification systems are useful for the therapeutic choice and for researches on new medical or surgical treatments. In fact, the international guidelines advise several therapeutic options depending on the severity of the HD.

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Recurrent IgA nephropathy after kidney transplantation: not a benign condition

Nephrology Dialysis Transplantation ◽

10.1093/ndt/13.8.1933 ◽

1998 ◽

Vol 13 (8) ◽

pp. 1933-1935 ◽

Cited By ~ 31

Author(s):

J Floege

Keyword(s):

Kidney Transplantation ◽

Iga Nephropathy ◽

Benign Condition ◽

Recurrent Iga Nephropathy

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En bloc transurethral resection of bladder tumor: A review of the literature

Journal of Clinical Urology ◽

10.1177/2051415821993734 ◽

2021 ◽

pp. 205141582199373

Author(s):

Jonathan Kopel ◽

Pranav Sharma

Keyword(s):

Bladder Cancer ◽

Transurethral Resection ◽

Bladder Tumor ◽

Clinical Stage ◽

Surgical Techniques ◽

Cancer Recurrence ◽

En Bloc ◽

Level Of Evidence ◽

Alternative Technologies ◽

Bladder Cancer Recurrence

Bladder cancer remains one of the most common malignancies of the genitourinary tract. Transurethral resection of the bladder tumor (TURBT) via cystoscopy with examination under anesthesia remains the primary method for determining the diagnosis and clinical stage of bladder cancer. Given the substantial cost of treatment and risk of bladder cancer recurrence after TURBT, novel approaches to transurethral resection, such as the en bloc technique, have been developed in an attempt to address these limitations. In this review, we examined the postoperative and oncological outcomes of en bloc TURBT compared to traditional resection techniques. Further prospective clinical studies, however, are still necessary to determine whether these alternative technologies or surgical techniques may improve treatment in bladder cancer patients. Level of evidence: Not applicable.

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