CLINICAL PICTURE OF DAMAGE TO THE URINARY SYSTEM IN INTERSTITIAL CYSTITIS IN WOMEN Article published in Urologia Polska 1986/39/4.
authors
-
Wiktor Łotocki
- Z Kliniki Ginekologii i Położnictwa Septycznego Instytutu Położnictwa
i Chorób Kobiecych AM w Białymstoku
Kierownik Kliniki: prof. dr hab. med. W. Łotacki
Dyrektor Instytutu: prof. dr hab. med. M. Szamatowicz
summary
- The observations of eight women with interstitial cystitis demonstrated in the detrusor muscle presence of ulcerations of varying size and depth, local oedema and atrophy of the mucosa, and bladder scarring and fibrosis of varying degree. Narrowing and stiffening of the ureters was observed in the segments near to the bladder, vesicoureteral reflux, dilatation of the calycopelvic system and hydronephros signs. In two patients spontaneous bladder fistula developed with urine leakage into the retroperitoneal space.
- The treatment included surgical removal of the purulent and inflammatory lesions in the smali pelvis, and excision of the ulcerated part of the bladder.
- In two women antireflux transplantation of ureters was indispansable. Two patients with spontaneous bladder fistulae in the fibrotic wall died of urosepsis.
references
- 1. Ajwazjan A. W., Wojno-Jaseneckij A. M.: Ostrye zabolewanija poczek i mo-
- czewych putej. Nauka, Moskwa, 1985, 173. ? 2. Cibert J., Garbit J. L., Massoumi R.:
- L'ileocystoplastie dans le traitment de la cystiite chrońi±ue d'etiologie non tuber-
- culeuse, non neoplasti±ue, non bilharzienne, de la cystalgie et de la pollakiurie
- sans cystite. R¶flexions sur les pollakuries rebelles a ragrandissement intestinal
- dans les cystites ehroni±ues. J. Urol. Nephrol., 1968, 74, 159. ? 3. Hand J. R.: In
- terstitial cystitis: Report of 223 cases {204 women and 19 men). J. Urol.. 1949. 61,
- 291. ? 4. Hunner G.L.: A rare type of bladder ulcer in women. Trans. Soc. Surg.
- Gyn. Ass., 1914, 27, 247. ? 5. Karpati E., Antal A.: Uber die lokale Blasenbehand-
- lung von Patienten mit interstitieller Zystitis im Spiegel der Regranulation der
- Mastozyten. Z. Urol., 1975, 68, 625. ? 6. Karpati F., Denes L., Buttner K.: Inter-
- stitielle Zystitds == autoimimune Zvstitis? Interstitielle Zystitiis als Teilkrankheit des
- Lupus erythematosus. Z. Urol.. 1975. 68, 633. ? 7. Klahr S., Massry S.G.: Contem-
- porary nephrology. Plenum Medical Book Company. New York, London, 1981. ?
- 8. Krane R.J., Siroky M.B.: Clinical neuro-urology. Little-Brown, Boston, 1979, 206.
- ? 9. Kremlina H., Lutzeyer W., Heintz R.: Gynakolosische Urologie und Nephrolo
- gie. Urban-Schwarzenberg, 1982, 225. ? 10. Litschgi M.: Genitalendometriose. Atio-
- logie, Pathologie. Klinik und Therapie. S. Kargel, Basel. 1985, 87.
- 11. Magasi P.: Surgery of the neurogenic bladder. Akademiai Kiadó, Budapest,
- 1982. 67. ? 12. Oravisto K.J., Alfthan O.S., Jokinen E.J.: Interstitial cystitis. Cli
- nical and immunological findings. Scand. J. Urol. Neohrol., 1970, 4, 37. ? 13. Ship-
- ton E. A.: Hunner's ulcus (chronic interstitial cystitis). A manifestation of collagen
- disease. Brit. J. Urol.. 1965. 37. 443. ? 14. Soszka S., Łotocki W.: Trofika zavesneho
- aparatu materriice u żien po menopauze. Cs. Gynek., 1979, 44, 502.
|