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International Journal of Urology :... Nov 2006A 61-year-old man presented complaining of pollakisuria and nocturia. A plain radiograph of his kidney, ureter and bladder and intravenous urography revealed numerous...
A 61-year-old man presented complaining of pollakisuria and nocturia. A plain radiograph of his kidney, ureter and bladder and intravenous urography revealed numerous calculi in the upper kidney of his left renal pelvis and ureterocele. A transurethral incision of ureterocele (TUI-ureterocele) and extracorporeal shock wave lithotripsy were performed. On TUI-ureterocele, the many calculi were found to be almost the same size and spherical in form. The postoperative clinical course was uneventful.
Topics: Humans; Kidney Calculi; Kidney Pelvis; Lithotripsy; Male; Middle Aged; Treatment Outcome; Ureteral Calculi; Ureterocele
PubMed: 17083401
DOI: 10.1111/j.1442-2042.2006.01567.x -
Gynecologic and Obstetric Investigation 2007To compare the prevalence of urological symptoms in a population of women, who had a transcervical endometrial resection (TCER) only, and a population of women, who had...
OBJECTIVES
To compare the prevalence of urological symptoms in a population of women, who had a transcervical endometrial resection (TCER) only, and a population of women, who had a TCER and a subsequent hysterectomy. The superior goal was to evaluate the possible association between hysterectomy and urinary incontinence.
DESIGN
All women, who had a TCER at our department during the period of 1990-1996 received a questionnaire with focus on urological symptoms. The answers from women, who later had a hysterectomy were compared to the answers from women, who were sufficiently treated with TCER only.
RESULTS
Of 356 women, who were alive, 16 were lost to follow-up, leaving 340 women to receive the questionnaire, which was returned by 310 women (85%). Ninety-three (31%) had a subsequent hysterectomy mainly indicated by metrorrhagia or dysmenorrhea. Of the hysterectomized women 24% reported bothersome stress incontinence against 14% in the group of women, who had TCER only (p = 0.03). No significant difference was seen with respect to urge incontinence, urgency, pollakisuria or nocturia. Significantly more women with a normal sized uterus reported bothersome stress incontinence after the hysterectomy compared to women with a slightly enlarged uterus.
CONCLUSION
Hysterectomy is significantly associated with stress urinary incontinence in women, who previously had a TCER.
Topics: Adult; Denmark; Dysmenorrhea; Female; Follow-Up Studies; Humans; Hysterectomy; Hysteroscopy; Menorrhagia; Middle Aged; Odds Ratio; Postoperative Complications; Risk Factors; Surveys and Questionnaires; Time Factors; Urinary Incontinence, Stress; Urinary Incontinence, Urge; Uterus
PubMed: 17057396
DOI: 10.1159/000096433 -
Hinyokika Kiyo. Acta Urologica Japonica Mar 2006We investigated the efficacy of Gosyajinkigan in 20 patients with prostatic disease, in whom pollakisuria was not improved by treatment with drugs for lower urinary...
We investigated the efficacy of Gosyajinkigan in 20 patients with prostatic disease, in whom pollakisuria was not improved by treatment with drugs for lower urinary tract symptoms. Four and 8 weeks after treatment, the urinary frequency was significantly improved during both daytime and night. The efficacy rates for diurnal frequency and nocturia were 45% and 65%, respectively. The International Prostate Symptom Score (IPSS) was decreased 4 weeks after treatment, and the parameters of uroflowmetry, the residual urine volume and quality of life score were improved 8 weeks after therapy. It was concluded that Goshajinkigan was effective for pollakisuria with prostatic disease, and the administration of the agent for 8 weeks or longer was needed to improve lower urinary tract symptoms.
Topics: Aged; Aged, 80 and over; Drug Administration Schedule; Drugs, Chinese Herbal; Humans; Male; Middle Aged; Prostatic Diseases; Prostatic Hyperplasia; Quality of Life; Treatment Outcome; Urination Disorders; Urodynamics
PubMed: 16617873
DOI: No ID Found -
Annals of Nuclear Medicine Feb 2006Primary ovarian lymphoma as the initial manifestation is rare. A 27-year-old woman presented to our hospital with the symptoms of lower abdominal fullness and...
Primary ovarian lymphoma as the initial manifestation is rare. A 27-year-old woman presented to our hospital with the symptoms of lower abdominal fullness and pollakisuria. CT scan and MRI revealed bilateral ovarian tumors, which showed heterogeneous masses. 18F-FDG PET revealed strong uptake by the abdominal masses, and the maximum standardized uptake value (SUVmax) was 12.5. Abnormal uptake was not shown by other regions. An exploratory laparotomy was performed. Histological findings revealed diffuse large B-cell lymphoma. The clinical stage was IV according to the Ann Arbor system. International prognostic index (IPI) was 3 (high-intermediate risk). Chemotherapy was administered consisting of three courses of an R-CHOP regimen, and 18F-FDG PET and CT scan revealed no signs of involvement 3 months after initiation of the chemotherapy. 18F-FDG PET was a useful method for staging and assessment of the therapeutic response in primary ovarian lymphoma.
Topics: Adult; Antineoplastic Combined Chemotherapy Protocols; Cyclophosphamide; Doxorubicin; Female; Fluorodeoxyglucose F18; Humans; Lymphoma, Non-Hodgkin; Neoplasm Staging; Ovarian Neoplasms; Positron-Emission Tomography; Prednisone; Prognosis; Radiopharmaceuticals; Treatment Outcome; Vincristine
PubMed: 16615426
DOI: 10.1007/BF02985629 -
Hinyokika Kiyo. Acta Urologica Japonica Feb 2006The patient was a 35-year-old woman with complaints of residual sensation and pollakisuria. Excretory urography and magnetic resonance imaging revealed right ureterocele...
The patient was a 35-year-old woman with complaints of residual sensation and pollakisuria. Excretory urography and magnetic resonance imaging revealed right ureterocele with hydronephrosis. Transurethral incision of the ureterocele was carried out. Two months postoperatively, the ureterocele prolapsed through the external urethral meatus, and transurethral resection of ureterocele was performed. Forty-one cases of prolapsed ureterocele reported in the Japanese literature are reviewed.
Topics: Adult; Female; Humans; Hydronephrosis; Magnetic Resonance Imaging; Postoperative Complications; Prolapse; Ureteral Neoplasms; Ureterocele; Urethra; Urography; Urologic Surgical Procedures
PubMed: 16541768
DOI: No ID Found -
Hinyokika Kiyo. Acta Urologica Japonica Dec 2005Sarcomas and related proliferative lesions of specialized prostatic stroma are rare. Lesions have been classified into prostatic stromal tumor of uncertain malignant...
Sarcomas and related proliferative lesions of specialized prostatic stroma are rare. Lesions have been classified into prostatic stromal tumor of uncertain malignant potential (P-STUMP) and prostatic stromal sarcoma based on the degree of stromal cellularity, presence of mitotic figures, necrosis, and stromal overgrowth. STUMPs are considered neoplastic, based on the observations that they may diffusely infiltrate the prostate gland and extend into adjacent tissues, and often recur. Although most cases of STUMPs do not behave in an aggressive fashion, occasional cases have been documented to recur rapidly after resection and a minority have progressed to stromal sarcoma. Here we describe a case of P-STUMP. A 57-year-old male went to his family doctor because of pollakisuria. Digital examination revealed abnormal findings in the prostate, then he was referred to our medical center. The mass was palpable in the left lobe of the prostate; it was elastic hard, surface smooth, about 2 cm in diameter. Serum PSA was elevated slightly (5.42 mg /dl). We diagnosed firstly leiomyosarcoma by transrectal ultra sound guided needle biopsy of the prostate. Then we performed radical prostatectomy. Finally we made the pathological diagnosis of P-STUMP. After 11 months, there is no sign of metastasis or recurrence.
Topics: Diagnosis, Differential; Humans; Leiomyosarcoma; Magnetic Resonance Imaging; Male; Middle Aged; Prostatectomy; Prostatic Neoplasms; Sarcoma; Stromal Cells
PubMed: 16440737
DOI: No ID Found -
Nihon Hinyokika Gakkai Zasshi. the... Sep 2005To assess the significance and current status of the benign prostatic hyperplasia (BPH) impact index (BII) in the evaluation of subjective symptoms of impaired urination...
OBJECTIVE
To assess the significance and current status of the benign prostatic hyperplasia (BPH) impact index (BII) in the evaluation of subjective symptoms of impaired urination in so-called QOL disease, BPH.
PATIENTS AND METHODS
Over the past 2 year-period, in 159 patients with the diagnosis of BPH were asked to reply to each of the international prostate symptom score (I-PSS), QOL index and BII questionnaires. The subjective symptom scores (a total of 246 points) were evaluated from the viewpoint of clinical statistics in the search for any these and to find which questions cover the BII, most.
RESULTS
1) Statistically significant but moderate correlations were observed among I-PSS total score, QOL index and BII. The correlations among Qmax, BII and QOL were very weak. 2) Out of the 11 domains in both IPSS and BII, 2 questions of BII ("bothersomeness caused by urinary problems" and "degree of worry about well-being") and 4 questions of IPSS ("residual sense," " pollakisuria," "weak urinary stream" and "nocturia") were shared as QOL indices. Patient satisfaction was affected also by the questions in the BII. 3) Of the 7 BPH symptoms assessed in IPSS, 4 symptoms ("residual sense," "pollakisuria," "weak urinary stream" and "nocturia") affected the QOL index, and 4 symptoms ("urgency on micturition," "residual sense," "nocturia" and "strain at urination") affected BII. 4) Of the 7 symptoms assessed by IPSS, different symptoms affected each of the 4 BII questions.
CONCLUSION
It is needed to assess BPH symptoms not only by the IPSS and QOL index but also based on BII to provide the detailed therapeutic instructions and thorough patients consultation.
Topics: Aged; Anxiety; Humans; Male; Middle Aged; Prostatic Hyperplasia; Quality of Life; Sickness Impact Profile; Urination Disorders
PubMed: 16218405
DOI: 10.5980/jpnjurol1989.96.623 -
Hinyokika Kiyo. Acta Urologica Japonica Nov 2004A 36-year-old man with a complaint of pollakisuria visited our hospital. A non-displaceable, palm-sized tumor was palpable in the lower abdomen. Laboratory data were... (Review)
Review
A 36-year-old man with a complaint of pollakisuria visited our hospital. A non-displaceable, palm-sized tumor was palpable in the lower abdomen. Laboratory data were normal except for slightly high serum S100 protein. Intravenous pyelography revealed hydronephrosis on the right side and deviation of the bladder to the left. Computed tomogaphy revealed a heterogenous tumor in the pelvis with a cystic lesion and calcification. The tumor was 16 x 12 x 11 cm in size and in contact with the sacrum. The tumor was extirpated following diagnosis as a benign schwannoma by needle biopsy. The pelvic cavity was occupied by the tumor rigidly adhered to the sacrum. Although serious complications, such as bleeding and nerve injury were apprehended, we incised the tumor capsule and enucleated the contents as much as possible. The histopathological diagnosis of the resected specimen was benign schwannoma, type Antoni A. In the last 10 years, 37 cases of pelvic schwannoma have been reported in the Japanese literature. In most of them, surgical extirpation was difficult to perform because of adhesion to the sacrum. If the tumor is confirmed benign from histopathologic findings preoperatively, tumor enucleation may become a therapeutic option.
Topics: Adult; Biomarkers, Tumor; Biopsy, Needle; Diagnosis, Differential; Diagnostic Imaging; Humans; Male; Minimally Invasive Surgical Procedures; Neurilemmoma; Pelvic Neoplasms; S100 Proteins; Treatment Outcome
PubMed: 15628547
DOI: No ID Found -
Aktuelle Urologie Nov 2004The integral theory of Petros and Ulmsten has profoundly changed our understanding of the female pelvic floor. Anatomic laxity of the vaginal wall caused by pelvic floor... (Comparative Study)
Comparative Study Review
The integral theory of Petros and Ulmsten has profoundly changed our understanding of the female pelvic floor. Anatomic laxity of the vaginal wall caused by pelvic floor defects induced at different damage zones is frequently not only responsible for stress urinary incontinence but also for pollakisuria, urgency, post-void residual and pelvic pain. A number of minimally invasive techniques have been developed to correct these defects. Applying a tension-free polypropylene tape around the mid-urethra has become an established method to correct the anterior ligaments. The infra-coccygeal sacropexy can achieve dorsal stabilization of the vaginal wall. Currently, polypropylene meshes are increasingly used for repairing supporting pelvic fasciae. The most recommended conservative methods are exercises to strengthen the pelvic floor muscles. Duloxetine increases the rhabdosphincter contractility during the filling phases, but not during voiding, and therefore is a promising drug for clinical use.
Topics: Adrenergic Uptake Inhibitors; Age Factors; Aged; Clinical Trials, Phase III as Topic; Duloxetine Hydrochloride; Exercise Therapy; Female; Humans; Middle Aged; Minimally Invasive Surgical Procedures; Pelvic Floor; Polypropylenes; Selective Serotonin Reuptake Inhibitors; Sex Factors; Surgical Mesh; Thiophenes; Urinary Bladder; Urinary Incontinence, Stress
PubMed: 15526228
DOI: 10.1055/s-2004-830118 -
Ceska Gynekologie Jul 2004The objective of this work was to evaluate the efficacy, acceptability and safety of the vaginal estriol on symptoms in postmenopausal women with urogenital atrophy.
OBJECTIVE
The objective of this work was to evaluate the efficacy, acceptability and safety of the vaginal estriol on symptoms in postmenopausal women with urogenital atrophy.
DESIGN
Prospective clinical study.
SETTING
Department of Obstetrics and Gynecology of the 1st Medical Faculty and General Faculty Hospital, Prague.
METHODS
We included in our study 68 postmenopausal women with proved urogenital symptoms of the atrophic genitourinary tract. We administration them two years vaginal estriol 0.5 mg daily, later 1-2 times a week and then detected subjective and objective changes in their low urinary tract and vagina. These women had a normal biochemistry, uterus, mammary and bone density. These parameters were evaluated before starting the treatment and after 3 and 6 month. The statistical significance of the phenomen was evaluated by exact t-test.
RESULTS
Statistically significant positive differences and remission were observed in all symptoms and recurrent infection of the atrophical urogenital tissues. The first satisfaction was after 3rd month and the best after 6th month of this therapy, and in the end of this study (24 month) it was the same. We recorded no difference in other monitored parameters (endometrium, biochemistry, mammography, densitometry, blood pressure, weight) and compliance was satisfactory (85% after 6 months). In the 6 month profile of estriol we found a significant decrease of the Kupperman index and the Menopause rating scale.
CONCLUSION
Administration of vaginal estriol is an advisable choice for every postmenopausal woman with the genitourinary problems (urgency, pollakisuria, dysuria, nycturia, recurrent infection of the low urinary tract). It has very good clinical effects and minimum side effects.
Topics: Administration, Intravaginal; Aged; Estriol; Female; Humans; Middle Aged; Postmenopause; Recurrence; Urinary Tract Infections; Urination Disorders
PubMed: 15369256
DOI: No ID Found