ABSTRACT
Leiomyoma of the bladder is a rare. benign mesothelial tumor. Genitourinary leiomyoma may arise in any anatomic structure containing smooth muscle. A case of severely calcified leiomyoma or bladder is presented. Excretory urogram and computed tomogram suggested a bladder mass with calcification. The cystoscopic findings demonstrated intra-luminal protruding bladder mass with intact mucosa which suggested mesothelial calcified bladder tumor.
Subject(s)
Leiomyoma , Mucous Membrane , Muscle, Smooth , Urinary Bladder Neoplasms , Urinary BladderABSTRACT
From April 1988 to July 1991. 203 cases of urinary stones, including 183 ureteral, 15 bladder and 5 urethral stones were managed by Candela MDL-1 Laser Lithotriptor under the ureteroscope. The success rates according to location were 68%(17,25) in upper ureter. 78.4%(29/37) in mid ureter, 93.4% (113/121) in lower ureter and 100%(20/20) in bladder and urethra. and the mean success rate was 88.2%t 179,203). The success rates according to stone size were 98.2% (54/55) in below 0.5cm. 87.6%(92,lO5) in 0.6-1.0cm, 75%(24/32) in 1.1-2.0cm and 81.8(9/11) in above 2. 1cm. The total cases of failure were 24. and the causes of failure were approach failure or poor visualization end upward migration. 9 cases of failure were managed by retried laser lithotripsy. 4 by ureterolithotomy and 5 cases were resolved in spontaneous passing. But 8 cases were lost in follow-up. The end mean success rate was 94.1%(191/203). 27 cases of gross hematuria and 34 of colic pain, which persisted more than 48 hours after operation. were managed conservatively. Also. in 5 cases of ureteral injuries. 2 cases were managed by surgical intervention and 3 by internal ureteral stent. Therefore. laser lithotripsy is a safe, effective and cost-effective single treatment modality in lower urinary tract stones. And if it is possible to maintain good visual field and to prevent upward migration. we will get the higher success rate in mid and upper ureteral stones.
Subject(s)
Colic , Follow-Up Studies , Hematuria , Lithotripsy, Laser , Stents , Ureter , Ureteroscopes , Urethra , Urinary Bladder , Urinary Calculi , Visual FieldsABSTRACT
A 32 year-old male was admitted to our hospital complaining of nausea, vomiting, fever and abdominal pain. Physical examination revealed lower abdominal mass associated with severe peritoneal irritation sign. The right testis was not palpated. Though the tumor might be the abdominal cryptorchid testis tumor. the other surgical abdominal conditions of non-urologic origin couldn't be rouled out. So, we performed emergent exploration. The mass had been ruptured and adhered to sigmoid colon. Histological examination revealed mixed germ cell tumor, composed of yolk sac tumor and classic seminoma. We performed systemic chemotherapy with bleomycin. etoposide and cisplatin under diagnosis of mixed germ cell tumor of stage III B-5.