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1.
Int. braz. j. urol ; 44(6): 1252-1255, Nov.-Dec. 2018. graf
Article Dans Anglais | LILACS | ID: biblio-975670

Résumé

ABSTRACT Encrusted cystitis (EC) was first described as chronic cystitis with mucosal calcification in 1914 (1). It is a very rare chronic inflammatory disease presenting with dysuria, pelvic pain and gross hematuria. Voided urine contains mucus or calcified mucopurulent stone like particles. Urinalysis always reveals alkaline pH. It may be present in healthy individuals with no predisposing etiological factors (2-4). Etiologically, previous urological diseases, immunosuppression, urinary infection with urea splitting bacteria, or urological interventions resulting in bladder mucosa trauma may also be present (5, 6). In the present case report, we describe a novel treatment for EC with intravesical dimethyl sulfoxide.


Sujets)
Humains , Mâle , Adulte , Diméthylsulfoxyde/usage thérapeutique , Corynebacterium/classification , Infections à Corynebacterium/traitement médicamenteux , Cystite/traitement médicamenteux , Administration par voie vésicale , Maladie chronique , Résultat thérapeutique , Corynebacterium/isolement et purification , Infections à Corynebacterium/diagnostic , Infections à Corynebacterium/microbiologie , Cystite/diagnostic , Cystite/microbiologie
2.
Int. braz. j. urol ; 40(5): 613-619, 12/2014. tab, graf
Article Dans Anglais | LILACS | ID: lil-731122

Résumé

Introduction We aimed to assess the relationship between prostate volume (PV) and high grade prostate carcinoma (HGPCa) in patients with benign and suspicious digital rectal examination (DRE) in our prostate biopsy cohort. Materials and methods Between 2009-2012, 759 consecutive initial transrectal systematic 12 cores prostate biopsies were included. PVs were calculated with transrectal ultrasound. Only prostate adenocarcinomas (PCa) were included into the study. For standardization, patients with missing data, and who have been exposed to any form of hormonal or radiation therapy were excluded. Patients were categorized with DRE (negative or positive) and Gleason sum [<7: low grade PCa(LGPCa), ≥7: HGPCa]. Results Median PV was significantly lower in patients with HGPCa. There was a significantly increased risk of HGPCa with PV according to all groups in univariate logistic regression (LR). The significant relationship continued in multivariate LR with PSA and age. We found a PV cut-off value of 47.9cc for HGPCa. HGPCa was significantly higher in <47.9 volume, both in DRE positive and negative patients and in the whole cohort, although LGPCa did not differ significantly. Conclusions There is a significant relationship between HGPCa and decreasing PV. The continued significant relationship both in DRE negative and positive patients reinforces this relation. .


Sujets)
Sujet âgé , Humains , Mâle , Adulte d'âge moyen , Carcinomes/anatomopathologie , Toucher rectal/méthodes , Prostate/anatomopathologie , Tumeurs de la prostate/anatomopathologie , Biopsie , Carcinomes , Modèles logistiques , Grading des tumeurs , Antigène spécifique de la prostate/sang , Prostate , Tumeurs de la prostate , Normes de référence , Études rétrospectives , Facteurs de risque , Courbe ROC , Charge tumorale
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