ABSTRACT
A 54-year-old man presented to the emergency department with a chief complaint of suprapubic pain and inability to void for 1 day after self insertion of urethral foreign bodies. These foreign bodies were two beans self inserted compulsively into the urethra by the patient. On physical examination, two materials of oval shape in the bulbous urethra were palpable. Retrograde urethrogram showed a complete obstruction in the bulbous urethra. When possible, endoscopic removal should be used for urethral foreign bodies. However the beans of our case required surgical retrieval. We present a case of foreign bodies in the urethra with brief review of literature. To our knowledge, this is the first case of acute urinary retention due to beans in Korean literature.
Subject(s)
Humans , Middle Aged , Emergency Service, Hospital , Fabaceae , Foreign Bodies , Physical Examination , Urethra , Urinary RetentionABSTRACT
Decompression sickness is a disease caused by nitrogen bubbles in the tissues of divers who move too rapidly from environments of higher to those of lower atmospheric pressures. Nitrogen breathed in air under pressure dissolves in tissue fluids. When ambient pressure is reduced too rapidly, nitrogen goes out of solution faster than it can be circulated to the lungs for expiration. Gaseous nitrogen then accumulates in the joint spaces and peripheral circulation, impairing tissue oxygenation. We report a case of patient who experiencedneurogenic bladder and erectile dysfunction after decompression sickness. To our knowledge, this is the first case of neurogenic bladder and erectile dysfunction due to decompression sickness in the Korean literature.
Subject(s)
Humans , Male , Atmospheric Pressure , Decompression Sickness , Decompression , Erectile Dysfunction , Joints , Lung , Nitrogen , Oxygen , Urinary Bladder , Urinary Bladder, NeurogenicABSTRACT
PURPOSE: The recent development of posterior intravaginal slingplasty (IVS) has led to significant changes for the treatment of vaginal vault or uterine prolapse. We analyzed the efficacy of performing posterior IVS for the patients with vaginal vault and uterine prolapse. MATERIALS AND METHODS: This study analyzed the treatment outcomes of 56 patients with vaginal vault or uterine prolapse and these patients were seen at our hospital from March 2004 to August 2005. The degree of prolapse was classified according to the POP-Q system. The grades were 17 cases of stage 2, 8 cases of stage 3 and 5 cases of stage 4 in the vaginal vault prolapse group, and 14 cases of stage 2, 6 cases of stage 3 and 6 cases of stage 4 in the uterine prolapse group. RESULTS: Fifteen cases in the vaginal vault prolapse group and 9 cases in the uterine prolapse group received combined tension-free vaginal tape (TVT) or the tension-free vaginal tape obturator system (TVT-O). The patients who received combined rectocele repair were 17 cases in the vaginal vault prolapse group and 17 cases in the uterine prolapse group. The mean operation time was 37 minutes and the mean bleeding volume was 94ml. The mean admission period was 3.5 days and the mean follow-up time was 9.5 months (1-17). Polypropylene tape was used for 56 patients without any rejection reactions or rectal perforation. Among the 30 patients operated on for vaginal vault prolapse, 24 patients were cured and 6 patients showed improvement. Among the 26 patients operated on for uterine prolapse, 23 patients were cured and 3 patients showed improvement. CONCLUSIONS: Posterior IVS proved to be a highly effective therapeutic procedure for vaginal vault and uterine prolapse.
Subject(s)
Humans , Follow-Up Studies , Hemorrhage , Pelvic Organ Prolapse , Polypropylenes , Prolapse , Rectocele , Suburethral Slings , Surgical Mesh , Uterine Prolapse , VaginaABSTRACT
The tension free vaginal tape (TVT) procedure has been developed for female stress urinary incontinence as an effective and durable surgical treatment option under local anesthesia and reportedly has a low complication rate. Recently, two cases of protracted urinary retention following TVT procedure were experienced. Both patients reported normal voiding before the procedure that caused obstruction, and they had urodynamic evidence of obstruction (high pressure/low flow) after TVT procedure. In both patients, the TVT meshes were resected to increase the uroflow rate and decrease the residual urine volume. They resumed normal voiding and continence thereafter and that was evidenced by the urodynamic parameters. The mean maximal flow rate (MFR) increased from 13.0 ml/sec to 28.5 ml/sec and mean residual urine volume (RU) decreased from 284 ml to 65.5 ml after the resection of the TVT sling. So we report our experiences that we could accomplish the urodynamic improvements after mesh resection in two patients with protracted urinary retention following TVT procedure.
Subject(s)
Female , Humans , Anesthesia, Local , Suburethral Slings , Urethral Obstruction , Urinary Incontinence , Urinary Retention , UrodynamicsABSTRACT
Hydatid disease is a parasitic infection that is caused by the larval stage of Echinococcus granulosus. This disease is widely distributed in a temperate and subtropical countries, and it is especially prevalent in sheep and cattle raising countries. The most common infection site is the liver, and the second most common site is the lung. We report here on our experience with Echinococcal hydatid cysts that were found in the bladder of a 38 year old worker from Uzbekistan. The cysts were surgically removed and the patient was managed postoperatively with albendazole.
Subject(s)
Adult , Animals , Cattle , Humans , Albendazole , Echinococcosis , Echinococcus , Echinococcus granulosus , Liver , Lung , Sheep , Urinary Bladder Neoplasms , Urinary Bladder , UzbekistanABSTRACT
Hydatid disease is a parasitic infection that is caused by the larval stage of Echinococcus granulosus. This disease is widely distributed in a temperate and subtropical countries, and it is especially prevalent in sheep and cattle raising countries. The most common infection site is the liver, and the second most common site is the lung. We report here on our experience with Echinococcal hydatid cysts that were found in the bladder of a 38 year old worker from Uzbekistan. The cysts were surgically removed and the patient was managed postoperatively with albendazole.
Subject(s)
Adult , Animals , Cattle , Humans , Albendazole , Echinococcosis , Echinococcus , Echinococcus granulosus , Liver , Lung , Sheep , Urinary Bladder Neoplasms , Urinary Bladder , UzbekistanABSTRACT
Xanthogranulomatous cystitis (XC) is a very rare benign chronic inflammatory disease of unclear etiology. Herein is reported the case of a 46-year-old woman who presented with a painless lower abdominal palpable mass. According to the cystoscopic, ultrasonographic and enhanced computed tomographic (CT) findings, a urachal carcinoma could be suggested. Partial cystectomy was performed as the presence of a urachal carcinoma could not be ruled out. There was no recurrence of the XC more than 12 months after the partial cystectomy.
Subject(s)
Female , Humans , Middle Aged , Cystectomy , Cystitis , Recurrence , Urachal CystABSTRACT
Xanthogranulomatous cystitis (XC) is a very rare benign chronic inflammatory disease of unclear etiology. Herein is reported the case of a 46-year-old woman who presented with a painless lower abdominal palpable mass. According to the cystoscopic, ultrasonographic and enhanced computed tomographic (CT) findings, a urachal carcinoma could be suggested. Partial cystectomy was performed as the presence of a urachal carcinoma could not be ruled out. There was no recurrence of the XC more than 12 months after the partial cystectomy.