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PubMed1984

[Ectopic ureterocele of an adult male].

A case of ectopic ureterocele in a 50-year-old male is reported. He was admitted to the hospital with complaints of miction pain, cloudy urine and fever attack. He had had pain at voiding from time to time during the past 10 years. The prostata was swollen, edematous and tender. Cystoscopy revealed a large bulge in the left trigone to bladder neck, and two ureteral orifices in the right, but none in the left. Complete duplication of the right ureter, lateral deviation of left ureter, and bladder deviation to the right were detected on the drip infusion pyelogram. An ectopic ureteral opening was present in the posterior urethra. A 5 Fr ureteral catheter inserted into this orifice revealed a dilated & tortuous left ureter which belonged to the left upper half kidney. No communication between the ureter & seminal vesicle was revealed by seminal vesiculography. Ureterectomy from left upper half kidney and resection of ureterocele were performed together with ureterovesicoanastomosis to drain urine from the left lower half of kidney.

Cystoscopy↗
PubMedDate not supplied

Stress-coping response to genitourinary carcinoma in men.

In this descriptive study of 30 men with chronic genitourinary cancer, subjects were found to have minimal emotional distress in response to a periodic diagnostic procedure (cystoscopy). State anxiety levels and critical thinking ability measured preprocedure were not significantly different from levels obtained six to eight weeks postprocedure in subjects with negative biopsy results. Routine hospitalization for diagnostic monitoring was found, during COPE interview (Weisman & Worden, 1976), to be less stressful than regular work or financial and family concerns. Subjects with higher concurrent life stress had higher state anxiety and achieved less resolution of problems. Although anxiety levels for the group were within normal limits, 33% of the sample were categorized as having high anxiety on at least one testing occasion. This high-anxiety group had more severe behavioral responses, including feelings of depression, helplessness, and inability to set priorities.

Adaptation, Psychological↗
PubMed1983

Unexplained hematuria.

In 270 consecutive patients who presented with hematuria over a 12-month period, complete visualization of the urinary tract by urography and cystoscopy indicated a causative lesion in over 90%. Where a cause could not be found on the first presentation, the initial evaluation was repeated within 4 months, revealing the previously missed diagnoses in four patients. Of patients who bled while receiving anticoagulants, 17% were found to have an important underlying cause other than anticoagulant therapy. Despite repeated evaluation, and in many instances more elaborate investigation with angiography, computerized tomography and ultrasonography, no reasonable diagnosis could be made in 6% (12% of those with microscopic hematuria, 4% with gross hematuria). One hundred and fifty-nine patients with unexplained hematuria, seen between 1975 and 1983, were studied. The triad of "gross, total and painless" was present in 15%. Patients who bled heavily from one kidney without any apparent cause benefited from orally administered epsilon aminocaproic acid.

Anticoagulants↗
PubMed1983

[Photocystoscopy: experience with a new telescope and polaroid camera].

The ability to photograph the interior of the bladder accurately just by pressing a button has great clinical merit. This approach, which has become a basic method in gastrointestinal endoscopy, is now possible in cystoscopy. We will call this technique which uses a newly designed telescope, Olympus A 3405 and Polaroid Instant Endocamera EC-3 with Polaroid High Speed Color Land Film 600, photocystoscopy . The telescope used in photocystoscopy has more improved resolution and homogeneous brightness through its field of view than the conventional telescope, Olympus O 3405. The photographic image of the bladder interior taken by the Polaroid camera has a good color and fine resolution but its size which is 2.5 cm in diameter is too small for clinical use. Color instantographs by the Polaroid camera are most appropriate for use in photocystoscopy , but many devices and improvements are necessary before it can be used routinely.

Cystoscopes↗
PubMedDate not supplied

[Long-term non-malformative urinary infections in children. (I)].

Non malformative long term urinary tract infections affect above all the female sex. The specific anatomic conditions explain only in part the predisposition for the female sex. Other determinants are the individual susceptibility and bacterial virulence. The authors studied 169 pediatric patients with recurrent urinary tract infections; of which 159 where females. The study of the blood group in 70 patients showed a net predominance of the groups B and AB. About one-third of the patients studied presented a scarce symptomatology or complete absence. The urodynamic study in 120 patients has revealed an abnormal pattern in more than 80% of the cases. According to the authors the abnormal urodynamic pattern is related to the long-term infection and is reversible in the cases which are curable. In about one-third of the cases with long-term infections which are resistent to the therapy, the cystoscopy has revealed a cystitis cystica. The study carried out by the authors permits precise indications on the specific tests that must be effectuated in this particular type of pathology and the indications of treatment.

Adolescent↗
PubMed1984

[A case of leiomyoma of the urinary bladder in a woman with the chief complaint of total urinary retention].

Benign nonepithelial tumor of the urinary bladder is very rare. We experienced a case of a 33-year-old woman who complained of total urinary retention. Vaginal examination revealed a hen's egg sized retrovesical tumor. IVP revealed a filling defect on the cystogram. Cystoscopy revealed protrusion of left side of the bladder neck and intact mucosa. Transvaginal needle biopsy of the tumor was done, and pathohistological diagnosis of the tumor was done, and pathohistological diagnosis of the specimen was leiomyoma. The tumor was intramural type and was resected. It was 5.5 X 5 X 5 cm in size, weighed 80 g, and pathohistological diagnosis was leiomyoma of the urinary bladder. 57 cases of leiomyoma of the urinary bladder including this case have been reported in Japan. No special method of diagnosing leiomyoma of the urinary bladder exists, but in some cases, needle biopsy is very effective.

Adult↗
PubMedDate not supplied

[Cyclophosphamide haemorragic cystitis in a child. Radiological and endoscopic aspects (author's transl)].

Haemorragic cystitis is a well known complication of cyclophosphamide therapy. In the reported case, a 7 years old boy treated for lymphosarcoma, as an excretory urogram demonstrated important focal irregularity of the bladder wall. Cystoscopy revealed areas of important bullous oedema with generalized hyperemia. A biopsy disclosed normal urothelium raised by oedematous and congestive chorion and excluded a malignant tumor. Various kinds of endoscopic and surgical procedures are reported to control persisting hematuria after withdrawal of the cyclophosphamide treatment.

Child↗
PubMed1982

Pseudomonas cepacia infection in children.

Over a four year period 8 cases of Pseudomonas cepacia (PC) infection were diagnosed in our unit. Two patients developed PC septicemia following the insertion of porcine arterio venous grafts for hemodialysis access. Six developed PC peritonitis whilst on peritoneal dialysis and one a PC urinary tract infection following cystoscopy. Of the three patients who died two were known to have had PC septicemia. This infection was seen in patients whose host defence mechanisms were considerably impaired or when foreign or prosthetic material had been inserted. PC has developed a resistance to most broad spectrum antibiotics and antiseptics and is easily cultured in ordinary media. Prophylactic use of antibiotics such as the cephalosporins in peritoneal dialysis solutions appears to greatly increase the risk of developing serious infection with PC. Early detection and treatment of this unusual organism with appropriate antibiotics is mandatory.

Adolescent↗
PubMedDate not supplied

[Diagnosis of a non-functioning kidney pelvis in adults: a report on 12 cases (author's transl)].

Two types of non-functioning supernumerary kidney pelvis are defined by analyzing 12 cases discovered in adult life. Those of congenital origin from glomerular aplasia, sometimes associated with a ureterocele or an ectopic anastomosis, and those due to an acquired lesion such as lithiasis, vesico-ureteral reflux, or secondary infection of a pocket of fluid. Radiological diagnosis is made by IVU with descending cystography and films taken during micturition. Cystoscopy and possibly retrograde ureteropyelography are essential in order to confirm the diagnosis.

Cystoscopy↗
PubMed1980

[Calibration of the urethra and video-cystomanometry. Indication and technic].

Recurrent urinary tract infections, vesicoureteral reflux and enuresis in children want a detailed urologic evalution which often makes - in addition to obvious urinealysis, urine culture, excretory urography and voiding cystourethrography-extended diagnostics necessary including an urethral calibration to definitely exclude a distal urethral stenosis, and a cystoscopy under general anesthesia in order to reveal abnormalities of shape and placement of the ureteral orifice (e.g. lateral placement, "stadium", "horseshoe" or "golf-hole" shape). Then micturition urodynamic flow studies using a suprapubic cystocath are done to recognize an infravesical obstruction, a sphincter dyssynergia, an unstable bladder, an uninhibited bladder or a neurogenic bladder. All these examinations are imperative concerning the decision on either conservative (medical) or surgical treatment or both.

Cystoscopy↗
PubMed1995

Transurethral microwave thermotherapy (TUMT) for benign prostatic hyperplasia (BPH)--our first 100 cases.

One hundred consecutive cases treated by Transurethral Microwave Thermotherapy (TUMT) since October 1991 were analysed to assess its efficacy and safety. Out of these, 28 were in urinary retention. Patients were selected based on Madsen Symptom Score (MSS), Uroflowmetry, Transrectal Ultrasound Scanning (TRUS) plus biopsy and flexible cystoscopy. In the non-retention group, symptomatic improvement was 81%; mean MSS dropped from 13.6 to 2.6 at one year. Objective improvement was less marked: mean peak urine flowrate (PFR) (+45%), mean residual volume (-63%) and mean prostatic volume (-15%). 8.3% had failed TUMT requiring TURP. In the retention group, 79% was able to void freely after TUMT. Fourteen percent underwent TURP. Based on given criteria, the overall response rate for MSS and PFR averaged 71% at 3 months, 72% at 6 months and 84% at 1 year. Sixty-seven percent of patients who responded to a phone interview were satisfied with TUMT treatment. Minimal morbidity was encountered: temporary retention for non-retention group (24%), UTI (9%), haematuria (7%), impotence (2%) and fistula (1%). There was no treatment-related death. The results showed that TUMT is a viable alternative and safe treatment of BPH.

Adult↗
PubMed1995

Laparoscopic and cystopic findings in patients with chronic pelvic pain in Eshowe, South Africa.

Forty two Zulu women who reported pelvic pain of more than six months duration were evaluated using laparoscopy and cystoscopy. Chronic pelvic inflammatory disease (57 pc) and pelvic adhesions (12 pc) involving the reproductive organs were the most common pathologies found. An interesting associated finding was a very high incidence (21.5 pc) of schistosomiasis. We are not able to find any pelvic pathology in only 14.4 pc of patients. This study confirms the opinion that chronic pelvic pain is usually associated with organic pathology.

Adult↗
PubMed1995

[Proliferative cystitis forming tumorous lesion: a case report].

A 66-year-old woman was admitted with asymptomatic macrohematuria. Cystoscopy revealed bladder tumor with a diameter of about 1.5 cm and smooth surface. Transurethral resection was performed and histological examination showed proliferative cystitis, mainly consisting of cystitis glandularis. Proliferative cystitis is not so rare, but tumorous formation of it seems to be unusual.

Aged↗
PubMed1995

[Enterovesical fistulas in Crohn disease: diagnosis and treatment].

Internal fistula is a complication of Crohn's disease. Among 589 patients operated upon at Hôpital Saint-Antoine between 1970 and 1992, 17 (2.9%) had entero-vesical fistula. Ileovesical fistulas were twice as frequent as sigmoidovesical fistulas. Typical symptoms were pneumaturia, fecaluria, and recurrent urinary tract infection. Cystoscopy was performed in 8 patients and determined the site of the fistula in each case. The indication for operation was the fistula itself (35%) or another complication of Crohn's disease (65%). Associated lesions were as follows: 6 entero-enteral, 2 ileogenital, 5 enterocutaneous fistulas and 6 intraabdominal abscesses. Resection of the bowel segment responsible for the fistula was performed in every case, with primary anastomosis in 9 cases and enterostomy in 8 cases. The vesical opening was excised and sutured in 10 cases and left open in 7 cases. An urethral catheter was left in place for at least 7 days. There was no postoperative death; one postoperative external vesical fistula healed without reoperation. Seven enterostomies have been closed, one is definitive. There were no late recurrences of vesical fistula.

Adolescent↗
PubMed1995

[A case of congenital hourglass bladder].

In congenital hourglass bladder, the intravesical lumen is horizontally divided into upper and lower compartments and the bladder looks like an hourglass. Most patients suffering from this disorder are adults. It occurs predominantly in men. The main symptom is inflammation of the bladder. Diagnosis has usually been made by cystography and endoscopy. The patient we report herein was a 45-year-old woman who visited us mainly due to symptoms of vesical inflammation. We performed DIP, CT, MRI, cystography and cystoscopy, and diagnosed the case as congenital hourglass bladder based on the images that were obtained. We report and discuss this case, with some information from the literature, since we believe that this is the first case of CT and MRI being performed for this condition.

Cystoscopy↗
PubMed1994

[Acquired enterovesical fistulas].

We report on 23 patients with acquired vesicoenteric fistula treated during the past 12 years: 48% of these were of inflammatory etiology (11 cases), 35% were caused by neoplasms (8 cases) and 17% were iatrogenic (4 cases). The most frequent symptoms were pneumaturia and fecaluria (78% of cases). Cystoscopy was the most useful diagnostic procedure in detecting fistula (13 of 18 cases). Other imaging techniques, though less effective for diagnosis, were useful in assessing the status of the GI tract and, at times, in determining the etiology of the fistulae. Treatment depends on the etiology, localization and patient general condition. The technique most frequently applied in our series was resection of the fistulous tract, together with the compromised intestinal segment, and bladder suture.

Adult↗
PubMedDate not supplied

[Bladder lavage cytology in the diagnosis and follow-up of superficial bladder cancer].

Classical mictional cytology (MC) has a series of widely recognized limitations for the diagnosis and follow-up of surface vesical carcinoma (SVC). A prospective study was conducted in 171 patients with suspected signs and symptoms or a background of SVC using cystoscopy, MC and vesical lavage cytology (LC). Overall sensitivity was 98.8%, 45.4% and 66.6% respectively. LC showed a significant difference (p < 0.05) when compared to MC in suspected disease with no SVC background, and follow-up with endovesical prophylaxis.

Adult↗