scholarly journals Transurethral resection of a bladder leiomyoma: A case report

2014 ◽  
Vol 8 (1-2) ◽  
pp. 111 ◽  
Author(s):  
Goksel Hasan Goktug ◽  
Ufuk Ozturk ◽  
Nevzat Can Sener ◽  
Can Tuygun ◽  
Hasan Bakirtas ◽  
...  

Benign mesenchimal tumour of the human bladder is rare. Insulin potentiation therapy mimics malignant tumours both clinically and radiologically. We present a patient we treated with transurethral resection (TUR) only. A 27-year old male patient presented to our clinic with frequency, dysuria and recurrent urinary tract infections. Magnetic resonance (MRI) revealed an endovesical bladder mass of 7 × 8 cm. We performed TUR in the same session for both diagnosis and treatment. The diagnosis was endovesical leiomyoma. Six months to a year after the operation, the MRI did not reveal disease recurrence. Even though TUR is recommended for smaller and endovesical tumours, we believe larger intravesical tumours may also be managed by TUR.

2012 ◽  
Vol 2012 ◽  
pp. 1-3 ◽  
Author(s):  
Matthew F. Ryan ◽  
Bobby K. Desai

Ovarian torsion represents a true surgical emergency. Prompt diagnosis is essential to ovarian salvage, and high clinical suspicion is important in this regard. Confounding the diagnosis in general are more commonly encountered abdominal complaints in the Emergency Department (ED) such as constipation, diarrhea, and urinary tract infections and more common surgical emergencies such as appendicitis. Prompt diagnosis can be further complicated in low-risk populations such as young children. Herein, we describe the case of a 5-year-old girl with a seemingly benign presentation of abdominal pain who was diagnosed in the ED and treated for acute ovarian torsion after two prior clinic visits. A brief discussion of evaluation, treatment, and management of ovarian torsion follows.


1984 ◽  
Vol 5 (5) ◽  
pp. 231-234 ◽  
Author(s):  
J.F. Gephart

AbstractIn 1980 an investigation was conducted due to an apparent cluster of fevers following transurethral resections of the prostate (TURP), where the presence of prostatitis or urinary tract infections (UTIs) could not account for most cases, and the usage of antimicrobials did not prevent them. When unused, prepackaged, sterilized samples from 13 lots of triple lumen catheters were analyzed, four were found to contain high levels of endotoxin (ET), with a range of 49,150-≥ 6.25 ng/catheter. Additionally, these lots were highly pyrogenic to rabbits. The maximum incidence of febrile patients (42%) correlated with usage of catheters from the lot where ET levels were the highest. The febrile rate for a second urologist, who used single lumen catheters, was less (12/33 v 0/12). Further consideration should be given to sterile operative equipment which may still be pyrogenic.


2019 ◽  
Vol 12 ◽  
pp. 117954411983522 ◽  
Author(s):  
Marcos Edgar Fernández-Cuadros ◽  
Luz Otilia Casique-Bocanegra ◽  
María Jesús Albaladejo-Florín ◽  
Sheila Gómez-Dueñas ◽  
Carmen Ramos-Gonzalez ◽  
...  

Since the introduction of Fluoroquinolones (FQ) in 1960s, these antibiotics have been used in airway and urinary tract infections, due to absorption, biodisponibility, posology and long half-life time properties. However, several reports state that FQ can cause tendinopathy and rupture. These adverse effects can occur within hours after initial treatment to up to 6 months after withdrawal. FQ-induced tendinopathy was first reported in 1983; since then more than 100 cases have been published. FQ usage can lead to complete tendon rupture and no more than 8 to 15 cases are reported worldwide. Most of rupture cases have been associated to corticoid use and rheumatic, vascular or renal disease. The purpose of this case report is to present the challenging diagnosis of a bilateral rupture of Achilles tendon in an old patient, because of the uncommon of the presentation and to review the current literature on such a debilitating condition.


2012 ◽  
Vol 57 (No. 7) ◽  
pp. 380-383 ◽  
Author(s):  
S. Kralova-Kovarikova ◽  
R. Husnik ◽  
D. Honzak ◽  
P. Kohout ◽  
P. Fictum

Stenotrophomonas maltophilia was isolated from three dogs with lower urinary tract disorders. The bacterium was cultured from bladder wall biopsy specimens obtained during cystoscopy, whereas urine culture was negative in all cases. The culture of biopsy specimens is useful and may help with the therapy even if diagnosis of the primary disease has been made.    


2021 ◽  
pp. 590-593
Author(s):  
Anton Iu. Tsukanov ◽  

Recurrent lower urinary tract infections are common among women. One of the important factors of their genesis is sexual activity: there is a positive correlation between sexual intercourse frequency and recurrences of lower urinary tract infections. Post coital cystitis accounts for 30–40% of all chronic recurrent cystitis and occurs in about 25–30% of women of reproductive age. One of the methods for the prevention of post coital cystitis is the use of D-mannose, the effectiveness of which was demonstrated with a clinical example.


F1000Research ◽  
2015 ◽  
Vol 4 ◽  
pp. 84 ◽  
Author(s):  
Andrew Keller ◽  
Benjamin Shepherd ◽  
Arief Mulyadi ◽  
Ahmad Ali

IntroductionSquamous cell carcinoma (SCC) of the bladder is a rare malignancy in Western countries accounting for only 5% of all primary bladder cancers. Chronic irritation is the predominant risk factor, with chronic infections, bladder stones and long term catheterisation common precursors. The highest incidence of SCC occurs in patients with spinal cord injuries who rely on indwelling or self-catheterisation for bladder drainage. We report a case of primary SCC of the bladder secondary to a fungal ball located in the renal pelvis.Case reportA 72 year-old lady was referred to our unit for further investigation of recurrent polymicrobial urinary tract infections associated with intermittent flank pain and complicated by sepsis. Investigations into the cause for her recurrent urinary tract infections identified a mass in her left renal pelvis. Pyeloscopy demonstrated no tumour, but a fungal ball. Attempts to clear the fungal ball via pyeloscopy resulted in recurrent intensive care unit (ICU) admission for urosepsis. Several months after her last pyeloscopy she returned with haematuria. Cystoscopy at this time revealed a large bladder mass. Biopsy revealed primary SCC of the bladder invading muscle. At cystectomy the mass had invaded pubic bone and was unresectable and a palliative ileal conduit was formed. The patient passed away less than 4 months following diagnosis.ConclusionWe report what we believe to be the first case of primary SCC of the bladder secondary to a renal pelvis fungal ball. Despite frequent surveillance of her urinary tract the tumour developed rapidly and was unresectable at diagnosis.


2021 ◽  
Vol 7 (1) ◽  
pp. 9-12
Author(s):  
Neelam Singh ◽  
◽  
Alok Singh Sengar ◽  

A urinary tract infection is the most common bacterial infection met in day to day practice. It is more common in females than males due to shorter urethra which allows the bacteria quick access to the bladder. In Ayurveda symptoms of UTI has close resemblance with Mutrakruchha. Acharya Charaka has described eight types of Mutrakrichha. In Mutrakrichha, the vitiated Pitta dosha along with Apana Vayu reaches the Vasti (bladder) and afflicts the Mutravaha Srotas due to which the patient feels painful and burning micturition. In this case report a 45 years old female patient presenting with symptoms of urinary urgency, increased frequency and burning micturition on and off since 10 years was diagnosed as a case of recurrent UTI, managed effectively with chandraprabha vati, gokshuradi guggulu shwetparpati for 21days and uttarbasti procedure for 3days. The assessment were done before and after treatment showed significant changes in sign, symptoms and urine examination report. No recurrence of UTI was noticed in follow up visit. Ayurvedic management offers a good approach to manage Mutrakrichha.


2018 ◽  
Vol 6 (6) ◽  
pp. 1-4
Author(s):  
Atif A. Katib ◽  
Bassem A. Dakkak ◽  
Husam A. Katib ◽  
Sara K. Alem

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