INTRODUCTIONBuschke–Löwenstein tumour, also known as Giant condyloma acuminatum, is a rare, sexually transmitted disease that affects ano-genital region. BLT is a slow growing cauliflower-like tumour, locally aggressive and destructive. Human papillomavirus has been identified as an important contributory factor in the development of tumour.PRESENTATION OF CASEA 45 year uncircumcised male presented with complaints of cauliflower like growth on glans penis. Growth started as a small papule on the corona sulcus at 12 O’clock position 6 months back. Patient developed pain and dysuria due to compression of urethral meatus. Patient has history of multiple sexual partners.DISCUSSIONBLT, first described by Buschke and Lowenstein in 1925. They observed a penile lesion that clinically resembled both common condyloma acuminata and squamous cell carcinoma, but differing from both of them regarding the biological behaviour and the histopathological appearance. GCA can be differentiated from ordinary condylomas by the characteristic “pushing” rather than “infiltrating” effect that tends to compress and displace the underlying tissue.CONCLUSIONWe have successfully treated a penile BLT with surgical excision and no relapse up to 6 months. Surgical excision could be considered an effective therapy in the treatment.
Introduction:
Surgery is the only main treatment for anal fistula. Anal fistulas have been known to humans for over 2000 years, but as a result, surgical treatment remains difficult due to differences in recurrence rates and risk of incontinence.
Aim: To compare the efficacy, effectiveness, post operative outcome in fistulectomy with sphincteroplasty vs. fistulectomy with sphincteroplasty with martius flap repair.
Materials and Method: A total of 24 patients were selected for this study. Out of 24 patients, 13 patients who underwent fistulectomy with sphincteroplasty and 11 patients who underwent fistulectomy with sphincteroplasty with martius flap repair.
Results:
Fistulectomy with sphincteroplasty had success rate of 38.4% (5 patients) where 8 patients showed recurrence. The martius flap repair had success rate of 72.7% (8 patients) where 3 patients showed recurrence and were treated conservatively for 2 weeks and fistulas healed.
Conclusion: The outcomes of this study that martius flap has better post-operative results in terms of recurrence, incontinence; post op wound infection and patient satisfaction
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