Foreign bodies in the bladder

Five cases of Foreign Bodies in the bladder are reported. These cases, two females and three males, were seen in a period of 16 years. In the females, the foreign bodies were introduced per uretherum. In two of the male cases the foreign bodies were inadvertently left in the bladder during a cystotomy operation, and in the third case, the foreign body was left outside bladder and migrated into it by a process of suppuration

Chronic ulceration in bilharzial bladder

Chronic ulceration m bilharzial bladder is not an uncommon complication of bilharzial cystitis. 154 cases of chronic bilharzial ulcer and were studded clinically. The ulcers are classified according to their naked eye appearance. 96 cases were operated upon, 23 by simple excision and 73 by partial cystectomy. Bilharzial bladder nock obstruction which was a common association [79%] was corrected surgically. Operative specimens of 40 cases were described histopathologically. Different lines of treatment are attempted and their results are evaluated. Medical treatment is not effective except occasionally. Trans-uretheral cauterisation is always a failure. Partial cystectomy gives better results them simple excision of the ulcers. The possible causes of recurrence of ulcers are discussed. Uretrosigmoidostomy or ileocystoplasty is recommended for cases of recurrent ulcers with contracted bladders. Pathological study of the resected ulcers helped to eluctidiate same aspects of the clinical picture and the different responses to various lines of treatment. 154 cases of chronic bilharzial ulcers were studied clinically. The ulcers were classified according to their naked eye appearance. 96 cases were operated upon, 23 by simple excision and 73 by partial cystectomy. Bilharzial bladder neck obstruction which was a common association [79%] was corrected surgically. Operative specimens of 40 cases were described histopathologically. Different lines of treatment were discussed. Medical treatment was not effective except, occasionally. Transuretheral cauterisation was always a failure. Partial cystectomy gave better results than .simple excision of the ulcer and a simple technique of partial cystectomy is described. Uretero-sigmioidostomy or ileocystoplasty was recommended in cases of recurrent and multiple ulcers with contracted bladders. Pathological study of the resected ulcers contributed to the understanding of the pathogenesis and clinical picture and the different responses to different lines of treatment

Urinary calculi a comparative statistical study

Statistical study of 2244 cases of urinary calculi, showed 518 crises of renal calculi, 933 cases of ureteric calculi, 675 cases of vesical calculi and 118 cases of urethral calculi. These cases were from Gharbia, Kafr El-Sheikh and Behaira provinces where bilharziasis of the urinary tract is endemic. These statistics were compared with statistics in other countries where urinary bilharziasis is unknown. The comparative study elucidatis the effect of urinary bilharziasis on the incidence of urinary calculi in different parts of the urinary tract. Statistical study was done for 2244 cases of urinary calculi of which there were 518 cases of renal calculi, 933 cases of ureteric calculi, 675 cases of vesical calculi and 118 cases of uretheral calculi. These cases were collected from, provinces where bilharziasis of the urinary tract is endemic. These statistics were compared with statistics in countries where urinary bilharziasis is unknown. The effect of urinary bilharziasis on the incidence and distribution of urinary calculi was:- 1- Renal calculi: 1] The male: female ratio was 7.8: 1. 2- Calculi were more frequent in the left than in the right side, the ratio was 1.4 left to 1 right. 3- Ureteral calculi were associated with renal stones 36.9%. 2- Ureteral calculi: 1-The male: Female ratio was 12: 1. 2- Calculi were more frequent in the left than in the right side, the ratio was 1.7 left, to 1 right. 3- Calculi were bilateral in 9.6% of oases. 4-The majority of ureteric calculi [88.7%] were impacted in the pelvic segment

Crossed renal ectopia

Crossed renal ectopia is a rare congenital anomaly which may be difficult in diagnosis and management. Five cases are reported. They were seen during a period of five years. Four were males and one female. Their ages were in the third and fourth decades. Two cases were complicated by calculi in the crossed kidneys and were operated upon successfully. The pathogenesis is discussed and the literature is reviewed. The subject of crossed renal ectopia is discussed and the literature reviewed. Five cases of crossed renal ectopia are reported, four in males and one in a female, four with fusion and one non-fused. Their ages were in the third and fourth decades. The crossing was to the right in four cases and to the left in one case. Two cases were complicated by caculi in the crossed kidneys and were operated upon successfully for removing the stones