ABSTRACT
An adenosquamous carcinoma of the penis is an exceedingly rare, highly malignant tumor, with histological features of a squamous cell carcinoma and an adenocarcinoma, which originates in the penile surface epithelium, and possibly in embryologically misplaced mucus glands of the perimeatal region of the glans mucosa. We report a case of an adenosquamous carcinoma of the penis in a 73-year-old man who had been suffering from a painful ulcerative mass on his penis for 2 years.
Subject(s)
Aged , Humans , Male , Adenocarcinoma , Carcinoma, Adenosquamous , Carcinoma, Squamous Cell , Epithelium , Mucous Membrane , Mucus , Penis , UlcerABSTRACT
PURPOSE: Because of the disappointing long-term results of transvaginal bladder neck suspension surgery for anatomical incontinence (AI), a pubovaginal sling, which was formerly operated for sphincteric incontinence (SI), was used to treat AI. The results of the pubovaginal sling for treating AI and the risk factors that affect the result were evaluated. MATERIALS AND MTHODS: A total 39 women with AI underwent a pubovaginal fascial sling using a strip of autologous rectus muscle fascia. The urethral sphincteric function was assessed by measuring the Valsalva leak point pressure. Fifteen patients has type I and 24 patients type II stress incontinence. The results of the pubovaginal sling were compared with those of 51 women who received the Raz precedure. The risk factors for the pubovaginal fascial sling were evaluated. RESULTS: The success rate of an autologous pubovaginal sling (95.6%) at mean follow-up period of (21 months) was significantly higher than that of the Raz bladder neck suspension (80.4%) during the same follow-up period (p<0.05). The success rate of the Raz procedure - 80.4%, 70.8% and 60.7% at 21, 36, 72 months - was decreased after months. The predictive factors for the pubovaginal sling - the number of deliveries, history of hystectomy, the type of stress incontinence, cystocele, urge incontinence, and age - had no significant effect on the success rate of the pubovaginal sling (p<0.05). CONCLUSIONS: A pubovaginal fascial sling may be an effective surgical treatment not only for treating sphincteric incontinence but also anatomical incontinence.
Subject(s)
Female , Humans , Cystocele , Fascia , Follow-Up Studies , Neck , Risk Factors , Urethra , Urinary Bladder , Urinary Incontinence, UrgeABSTRACT
PURPOSE: Because of the disappointing long-term results of transvaginal bladder neck suspension surgery for anatomical incontinence (AI), a pubovaginal sling, which was formerly operated for sphincteric incontinence (SI), was used to treat AI. The results of the pubovaginal sling for treating AI and the risk factors that affect the result were evaluated. MATERIALS AND MTHODS: A total 39 women with AI underwent a pubovaginal fascial sling using a strip of autologous rectus muscle fascia. The urethral sphincteric function was assessed by measuring the Valsalva leak point pressure. Fifteen patients has type I and 24 patients type II stress incontinence. The results of the pubovaginal sling were compared with those of 51 women who received the Raz precedure. The risk factors for the pubovaginal fascial sling were evaluated. RESULTS: The success rate of an autologous pubovaginal sling (95.6%) at mean follow-up period of (21 months) was significantly higher than that of the Raz bladder neck suspension (80.4%) during the same follow-up period (p<0.05). The success rate of the Raz procedure - 80.4%, 70.8% and 60.7% at 21, 36, 72 months - was decreased after months. The predictive factors for the pubovaginal sling - the number of deliveries, history of hystectomy, the type of stress incontinence, cystocele, urge incontinence, and age - had no significant effect on the success rate of the pubovaginal sling (p<0.05). CONCLUSIONS: A pubovaginal fascial sling may be an effective surgical treatment not only for treating sphincteric incontinence but also anatomical incontinence.
Subject(s)
Female , Humans , Cystocele , Fascia , Follow-Up Studies , Neck , Risk Factors , Urethra , Urinary Bladder , Urinary Incontinence, UrgeABSTRACT
Bacillus Calmette-Guerin(BCG) has been widely used for the prophylaxis of superficial bladder tumor recurrence and for the treatment of bladder carcinoma in situ. More than 95% of patients who receive BCG instillation tolerate the treatment well and side reactions have been reported in less than 5% of patients. Most side effects are minor and self-limiting. However, a rear occurrence of severe systemic reactions have been reported. Among the severe systemic reactions, hypersensitivity pneumonitis should be considered in patients with pneumonic complications after BCG instillation in cases where the culture for mycobacteria is negative in the sputum, brochoalveolar lavage and blood specimen. In addition, a fiberoptic bronchoscopy with transbronchial lung biopsy demonstrates a fibrosis of the alveolar septums, where there is and an increased lymphocyte count without tuberculous inflammatory changes, the and CD4:CD8 ratio is increased and no symptomatic response to antituberculosis chemotherapy is observed. Here we report a 68 years old man with interstitial pneumonitis following intravesical BCG instillation.
Subject(s)
Humans , Administration, Intravesical , Alveolitis, Extrinsic Allergic , Bacillus , Biopsy , Bronchoscopy , Carcinoma in Situ , Drug Therapy , Fibrosis , Lung , Lung Diseases, Interstitial , Lymphocyte Count , Mycobacterium bovis , Recurrence , Sputum , Therapeutic Irrigation , Urinary Bladder Neoplasms , Urinary BladderABSTRACT
Malignant mesothelioma occurs commonly in the peritonial cavity, pleural and pericardial cavity, also have been reconginzed in numerous other locations. However, it is rarely found in testis arised from tunica vaginalis. Aggressive surgery is necessary soon after diagnosis. Generally the prognosis is very poor and there is no consensus regarding treatment after surgery. We report a case of a 44 years old man with scrotal mass with recurrent pain for 2 years and pathologically diagnosed as a malignant mesothelioma in tunica vaginalis.
Subject(s)
Adult , Humans , Consensus , Diagnosis , Mesothelioma , Pleural Cavity , Prognosis , TestisABSTRACT
No abstract available.
ABSTRACT
Stensen's duct is located at the anterior border of the parotid gland below the zygomatic arch. It crosses the area between the masseter muscle and buccal fat pad, opening opposite to the second upper molar teeth. Because of such anatomical association by the Stensen's duct, we should search for any injuries on the Stensen's duct when there is deep facial laceration. This paper reports on a case of parotid sialocele which was caused by laceration of Stensen's duct. For treamtemnt, we made an internal fistula to the oral cavity in order to drain the sialocele