The occurrence rates of cystitis, hematuria, vesical contracture, urethral stricture were 28.3%, 5.0%, 1.7%, 1.7%, respectively in group A, 25.4%, 4.8%, 0%, 0%, respectively in group B, showing no significant difference between the two groups (P>0.05).
In group A, significant difference between the urodynamics before and after treatment was observed (P < 0.01) , the clinical symptoms of 13 patients disappeared, and the vesical volumes of 10 patients increased significantly.
The patients in group A were treated by intravesical instillation with 20 ml of 2% idocaine at first and with 100 ml of 0.2% sodium hyluronate containing 10 mg of dexamethasone 10 min later, once a week for 6 weeks.
In the group of without acute urinary retention, the mean age of the patients was (72.04±9.19) years, the mean course of BPH was (6.35 ±3.93), the mean prostate volume was (43.51±23.45)ml, the mean the length of intravesical prostatic protrusion (2.14±1.61)cm.
Results In the group of acute urinary retention, the mean age of the patients was (73.30 ±9.59) years, the mean course of BPH was (6.40±4.84) years, the mean prostatic volume was (58.18 ±36.66)ml, the mean the length of intravesical prostatic protrusion (2.56 ±1.72)cm;
The recurrence rates in those who had prophylactic intravesical instillation immediately after surgery and in those who had the instillation 3 weeks after surgery were 32.3%(10/31) and 34.9%(30/86),respectively.
Because of rapid deterioration of the condition caused by septic shock and multiple organ dysfunction (MODS) followed by a vesical rash we consider streptococcal toxic shock syndrome.
The first renal failure had developed after crushing a vesical calculus, while the second followed prostatectomy.
Concentrations in both fractions were equal, 2.44 mg/l and 2.5 mg/l, respectively indicating that the penetration of ofloxacin into the prostate gland and into the vesical glands are of the same magnitude.
The vesical mucosal injury was evaluated macroscopically and microscopically.
Drug interaction with other non-vesical muscarinic receptors produces a range of undesired adverse events.
Finally, intravesical lignocaine retained in the bladder for 15 min did not influence the BP response to cold receptor stimulation in patients with spinal cord disease and DH.
The latter were divided into five groups according to type of irrigation fluid (glycine 1.5%, sorbitol 2.7%, mannitol 0.54%, and H2O), fluid temperature, and intravesical pressure during irrigation.
This study suggests that high intravesical pressure during transurethral surgery might enhance bacterial adherence to urothelium and thereby increase the risk of manifest infection in the postoperative course.
A case of BCG sepsis with bone marrow and liver involvement after intravesical BCG instillation
The case described concerns a 68-year-old male patient, who received intravesical BCG instillations for non-resectable urothelial carcinoma (stage pT1, G2).