ABSTRACT
Intrauterine devices (IUD) can lead to several complications, including uterine perforation, ectopic pregnancy, spontaneous abortion and pelvic inflammatory disease, but these occur infrequently. The migration of an intrauterine device into the bladder, with the formation of a stone, occurs rarely. We report a case of a 45-year-old multiparous woman, with an egg sized and shaped bladder stone around an intrauterine device.
Subject(s)
Female , Humans , Middle Aged , Pregnancy , Abortion, Spontaneous , Calculi , Foreign Bodies , Intrauterine Devices , Ovum , Pelvic Inflammatory Disease , Pregnancy, Ectopic , Urinary Bladder Calculi , Urinary Bladder , Uterine PerforationABSTRACT
PURPOSE: The urodynamic findings and subjective symptoms, in patients complaining of persistent lower urinary tract symptoms (LUTS) after a transurethral resection of the prostate (TURP) were evaluated. On the basis of these evaluations, the correlation, if any, between the urodynamic findings and the subjective symptoms was investigated. MATERIALS AND METHODS: A total of 47 men, with persistent voiding dysfunction more than a year following TURP, were evaluated using the international prostate symptom score (IPSS) and multichannel urodynamics. The patients were classified into three groups: obstructed (15ml/sec), according to their Abrams-Griffiths nomogram. RESULTS: From the urodynamic study, after the TURP, 6, 7 and 34 patients were placed into the obstructed, equivocal and unobstructed groups, respectively. There were no significant differences in the IPSS, and irritative and obstructive voiding symptom scores, between the obstructed, equivocal and unobstructed groups. The average IPSS in LUTS, with, and without, detrusor instability were 17.2+/-8.4 and 16.3+/-2.6 (p>0.05). The Qmax, detrusor pressure and residual urine volume, of the unobstructed group was significantly higher than those of the other two groups. CONCLUSIONS: Detrusor instability was the most frequent urodynamic finding in the patients complaining of persistent LUTS after TURP, but it is necessary to perform the urodynamics to decide on the appropriate treatment; either medical treatment, for the detrusor instability without a bladder outlet obstruction, or surgical removal of a bladder outlet obstruction. The symptoms were not reliable in predicting the urodynamic findings in regard to an obstruction and detrusor instability.
Subject(s)
Humans , Male , Lower Urinary Tract Symptoms , Nomograms , Prostate , Prostatic Hyperplasia , Transurethral Resection of Prostate , Urinary Bladder Neck Obstruction , Urination Disorders , UrodynamicsABSTRACT
Although metastatic renal cell carcinoma is not uncommon, metastases to the ureteral stump and bladder are very rare. A 69-year-old woman who had undergone radical nephrectomy because of right renal cell carcinoma about 8 years ago, visited our hospital for evaluation of painless gross hematuria. Histologic examination of the removed ureteral stump and bladder specimen demonstrated metastatic renal cell carcinoma. We report a case of renal cell carcinoma with metastases to the ureteral stump 5 years after radical nephrectomy and bladder 8 years after radical nephrectomy.