尿道原発と考えられた悪性リンパ腫の1例

82歳女.主訴は排尿困難と残尿感.膀胱底部から尿道周囲にかけて鶏卵大の腫瘤を認め, 生検で非ホジキンリンパ腫と診断された.他臓器に病変を認めなかった為, 尿道原発の悪性リンパ腫と診断し放射線療法を施行した.治療後, 腫瘍は著明に縮小したが肺転移が出現した.エトポシド単剤による化学療法を追加したが, 放射線治療後5ヵ月で腫瘍の急激な増加を認め癌死したA patient with a primary malignant lymphoma surrounding the female urethra is reported. Despite the good response of the primary tumor to radiotherapy, the patient died shortly after diagnosis due to disseminated disease. We reviewed 16 cases of this rare entity reported previously

Rhinosporidiosis presenting as an urethral polyp

Rhinosporidiosis is an inflammatory disease caused by Rhinosporidium seeberi, a protoctistan mesomycetozoa, member of a group of novel aquatic parasites, characterized by hyperplastic polypoid lesions of the nasal cavity and rarely other mucous membranes. We report an unusual presentation of rhinosporidiosis as an urethral polyp, which is only the second case of rhinosporidiosis reported from Pakistan

Malignant melanoma of the urethra: a rare histologic subdivision of vulvar cancer with a poor prognosis

Malignant melanoma of the urethra is a rare tumour that is difficult to diagnose and treat, resulting in a poor prognosis. In this paper, we present the case of a 65-year-old woman who was referred to a gynaecologist because of a urethral mass that mimicked a caruncle. The tumour was removed by local excision, and a pathological analysis revealed a malignant melanoma. Distal urethrectomy was performed after three months with no evidence of residual tumour. There was no evidence of disease at a six-year followup. In this paper, we compare the epidemiology, treatment, staging, and prognosis of vulvar cancer in general to malignant melanoma of the vulva in particular

Urethral Caruncle with Associated Renoureteric Anomalies

A urethral caruncle is a rare differential diagnosis for a prolapsed mass at the urethral meatus in a prepubertal girl. The aetiopathogenesis of this entity is unclear. We describe the presentation and treatment of a patient with a urethral caruncle and associated renal anomalies that have not been described earlier. The aetiology and treatment of the entity has also been discussed. Keywords: Urethral Caruncle, Premature menarche, Paediatric Bleeding per vagina, Crossed fused ectopi

A CLINICAL AND HISTOPATHOLOGICAL OF URETHRAL CARUNCLES

The clinical survey on 174 cases of urethral caruncle and histopathological study on 43 cases of them were reported. The incidence was 2.9% of female outpatients and 155 cases of them (89 %) were over 40 years old. Most of them were located along the posterior edge of the external urethral meatus. Acute cystitis was apparently combined in 47 cases of them (26.4 %). Surgical treatment was done on 80 cases and the recurrence was found in 13 cases of them (16.2 %). Although most of them were treated by simple resection of mass with electrocoagulation, we think that excision should be wide enough to include the base of the tumor and deep enough to include the full thickness of the mucous membrane. Trying to classify histologically 43 cases into 4 types according to Momose's classification, namely, epithelial, angiomatous, inflammatory and mixed type, 18 cases were the mixed type and the epithelial type was found in 13 cases. The histological classification of urethral caruncle is very difficult. The regeneration of blood vessels, infiltration of round cells and inflammatory edema in the interstitial tissue were commonly found in almost all of our cases. Therefore, we think that as histological classification, it might be better to divide simply into two types, the epithelial and the connective tissue type, as well as Saito's report. We experienced two cases with malignancy, one transitional cell carcinoma and one precancerous lesion, besides these 174 cases

尿閉を来たしたハイリスク患者に対する尿道ステント(アンジオメッドメモサーム)の使用経験

著者らは, 尿閉を来したハイリスク患者に対して, 尿道ステント(アンジオメッド・メモサーム)留置を試みて, 良好な結果が得られた.対象症例15例のうち, 2名は再度尿閉を来し, 1名はステントへの結石付着が原因でステントを抜去せざるをえなかったが, 残る12名はステント留置後から良好な排尿状態を保持することができた.また, BPHだけでなく, 原疾患がNGBと思われる症例に対しても効果を期待できることが確認できた.以上, 非侵襲的で簡便なこの手技は, 本来尿道カテーテルを留置されるべきハイリスク患者に自排尿を促せる, すなわちQOLを高めることのできる優れた手技であると示唆されたTransurethral resection of the prostate (TUR-P) has been established as the golden standard for the treatment of urinary retention in patients with benign prostatic hyperplasia (BPH). However, TUR-P is not performed on patients with certain high-risk complications. We have obtained favorable results using urethral stent (Angiomed-Memotherm) implantation to treat high-risk urinary retention patients. Here, we review the results obtained on 15 patients treated using this procedure. Two patients experienced recurrent urinary retention; in one patient, the stent had to be removed due to stone formation; in the remaining 12 patients, urination was favorable after stent implantation. Also, urethral stent implantation was found to be useful in 4 of the 7 patients with neurogenic bladder (rather than BPH) as the underlying disease. The present technique is convenient and noninvasive, and we strongly believe that it can improve the patient's quality of life (QOL) by facilitating urination in high-risk patients who would otherwise require urethral catheterization

Состояние уродинамики нижних мочевых путей при полипах уретры у женщин по данным урофлоуметрии

Обстежено 76 жінок з поліпом уретри середнім віком 64,8±1,1 року (28-81 рік), 93,4% з яких були старше 50 років. Усім жінкам були проведені урофлоуметрія за допомогою урофлоу-метра «Потік-К» та ультразвукове сканування нирок і сечового міхура. Нормальні кількісні показники потоку сечі спостерігалися у 53,9% хворих з нормальним та переривчастим типом уро-флоуграм. Лише у 15,8% випадків урофлоуграми не мали ніяких якісних змін. Найбільш частою ознакою змін сечовипускання при поліпах уретри був нестійкий переривчастий або перерваний потік сечі зі значними коливаннями об’ємної швидкості потоку протягом сечовипускання. Переривчастий, обструктивно-переривчастий і обструктивно-перерваний типи урофлоуграм склали майже половину від загального числа - 47,4%. Другою за частотою ознакою виявилося зниження показників об’ємної швидкості потоку сечі: обструктивний, обструктивно-переривчастий і обструктивно-перерваний типи сечовипускання в сумі склали 42,2% випадків. Проте, обидві ознаки спостерігалися лише у третині випадків - 29%. Хворі з рецидивом поліпа, що склали 2,6% від загальної кількості, мали обструктивний тип урофлоуграм

Results of surgical excision of urethral prolapse in symptomatic patients

Peer Reviewedhttps://deepblue.lib.umich.edu/bitstream/2027.42/139115/1/nau23232.pdfhttps://deepblue.lib.umich.edu/bitstream/2027.42/139115/2/nau23232_am.pd