Over the years the treatment of induratio penis plastica has known many ups and downs, using many drugs administered in different ways (Potaba, vit. E, Nimesulide, Orgotein) associated or not with other drugs (Potassium iodide, Cortisone). Verapamil has been used in the last two years. It is a calcium antagonist drug commonly used by cardiologists in treating arrhythmia. It is administered by injection directly into the plaque at a dose of 5 mg a week and has given good results with regard to pain and curvature of the shaft during erection. We treated 40 patients from 1995 to 1997, 13 with injection into the plaque and 27 with a new method of drug transportation called cryoelectrophoresis. The physical principles of this method are referred to and the authors’ experience and results of IPP treatment are described.
Bladder vaginal fistulas are one of the most common urological pathologies. They are mostly of iatrogenic origin and are a great handicap, especially with regard to the quality of life of the patients. The authors report on the experience gained by working together with gynaecology departments, giving some case reports and the therapeutic strategies used.
Chemotherapy using drugs such as mitomycin C or epirubicin is well known in the treatment of superficial bladder tumours, while use of BCG (Bacillus Calmette-Guérin) in the same pathology is more recent. The first authors to test the BCG were Co? and Feldman, then Zbar fixed the criteria for correct use in the treatment of superficial bladder tumours. First results encouraged the preparation of a drug that could reduce the toxic effects without reducing demonstrated efficacy. Our experience started recently with the introduction onto the market of the Connaught strain, which we prefer to use due to its low toxic effects. We wish to evaluate the tolerability of BCG in a short follow-up period (six months) with cystoscopic controls.
We report on a case of pulmonary thromboembolism following a hysteroscopic endometrial polypectomy in a patient at low risk for thromboembolic disorders. This is the first documented case of a thromboembolic episode immediately following hysteroscopic surgery. Thromboembolic complications of operative hysteroscopy are so infrequent that it is unclear whether or not heparin prophylaxis is indicated (
– Since last century cases of abnormal communication between bowel and bladder have been reported. The authors describe a case of enterovesical fistula with unclear symptoms secondary to adenocarcinoma of the colon, which had fully infiltrated the bladder wall and a segment of ileal loop. Surgical management consisted of removing the sigma, bladder and ileal segment.
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