ABSTRACT
Vesicoureteral reflux during formalin therapy of intractable hemorrhagic cystitis can be prevented with Fogarty catheters inserted cystoscopically into the lower ureters. With this technique formalin instillation and cystography can be done through the cystoscope at the same time. Topical intravesical vasopressin did not, in our experience, lessen the bladder hemorrhage.
Subject(s)
Catheterization , Cystitis/therapy , Formaldehyde/therapeutic use , Hemorrhage/therapy , Vesico-Ureteral Reflux/prevention & control , Aged , Catheterization/methods , Cystitis/complications , Cystoscopy , Hemorrhage/complications , Humans , Male , Middle Aged , Therapeutic Irrigation , Vesico-Ureteral Reflux/complicationsABSTRACT
The association between phenacetin abuse and renal papillary necrosis is widely known. Recently, reports in the European literature indicated a possible correlation between phenacetin abuse and the development of transitional cell carcinoma of the renal pelvis and bladder. A case of transitional cell carcinoma associated with phenacetin abuse is presented. The pharmacology of phenacetin metabolites is discussed, and the world literature is reviewed. The data available warrant careful reappraisal of the ready availability of phenacetin.
Subject(s)
Carcinoma, Transitional Cell/chemically induced , Phenacetin/adverse effects , Substance-Related Disorders , Urinary Bladder Neoplasms/chemically induced , Humans , Male , Middle AgedABSTRACT
Bilateral anorchism is a rare condition. In the past almost all of these patients have undergone surgical exploration. With modern laboratory determinations of serum gonadotropin and testosterone it is now possible to avoid operation in a large number of these cases. A case is presented that illustrates this point and a protocol is established for the treatment of bilateral anorchism, including indications for operation and conservative management.
