PTU - Polskie Towarzystwo Urologiczne
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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.

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