ABSTRACT
Bladder Pain Syndrome (BPS) is a puzzling and complicated disorder. 12 such patients, with a mean age 48.3 years, were treated with weekly intravesical instillation of admixture of alkalinized lidocaine, bupivacaine, heparin and steroids for six weeks. Evaluating the benefits of this therapy, patients experienced 82.2% & 90.9% relief at 3rd & 6th week of instillation. After completion of six cycles of therapy, patients experienced 68.7% & 65.3% relief at 3rd & 6th month follow up, concluding the early and long term relief of BPS.
Subject(s)
Anesthetics, Local , Bupivacaine , Cystitis, Interstitial , Heparin , Lidocaine , Humans , Lidocaine/administration & dosage , Bupivacaine/administration & dosage , Middle Aged , Administration, Intravesical , Heparin/administration & dosage , Female , Anesthetics, Local/administration & dosage , Cystitis, Interstitial/drug therapy , Treatment Outcome , Adult , Male , Aged , Steroids/administration & dosage , Steroids/therapeutic use , Drug Therapy, CombinationABSTRACT
We report herein a clinical case of a patient with femur fracture due to metastasis from penile squamous cell carcinoma. A young man, who was treated for carcinoma penis, presented with pathological fracture of femur and lung metastasis from metastatic carcinoma penis after 18 months. Long bone metastasis from penile cancer is extremely rare, to the best of our knowledge; this is the first report of a patient with penile cancer spread to the femur from primary squamous cell carcinoma of the penis.
ABSTRACT
Female urethral injuries associated with Pelvic fracture are not as uncommon as it was previously thought. Primary endoscopic realignment of proximal urethra and catheterisation on guide-wire is very good procedure in early presentation. Every female patient with urethral injury due to pelvic fracture should be referred for primary repair to decrease the avoidable morbidity of these patients.
