Urinary tract endometriosis is rare, especially suburethral endometriosis with symptoms of dysuria and urgency is very rare. We report a case of successful surgically treated suburethral endometriosis through the Retzius space.
Dysuria ; Endometriosis ; Female ; Urinary Tract

In our hospital, we experienced a case of left solitary cystic kidney. She was sixty years old woman. Her chief complaints were dull pain on left upper abdomen, terminal dysuria. tenesmus. and frequency. Cyst was situated to lower pole of kidney. Cyst was dissected from renal parenchyma. It contained about 250cc serous and clear cystic fluid, Post-operative general condition was good and her chief complaints were disappeared almostly.
Abdomen ; Bone Cysts* ; Dysuria ; Female ; Humans ; Kidney*

Skene's duct cyst in the adult is rare lesion. A 40-year-old woman was referred with a chief complaint of dysuria. Examination of the external genitalia revealed a 1 cm cystic mass on the right side of the urethral orifice. VCUG, ultrasonography and cystourethroscopy showed no abnormal findings. A surgical excision was decided as it was considered that the most probable diagnosis was a Skene's duct cyst. The pathology report showed the cyst wall was lined by stratified squamous epithelium and confirmed the clinical diagnosis of Skene's duct cyst.
Adult* ; Diagnosis ; Dysuria ; Epithelium ; Female ; Genitalia ; Humans ; Pathology ; Ultrasonography

We report a case of pyelonephritis caused by Candida kefyr, which has been previously described as C. pseudotropicalis. The patient who had been having multiple intrarenal stones and ureteral stones for ten years was admitted for fever, left flank pain, and dysuria. In the blood culture, C. kefyr was isolated. These symptoms and signs were successfully resolved with a new antifungal agent, voriconazole. After the resolution of symptoms and signs, the patient took extracorporeal shock wave lithotripsy for intrarenal stones and ureteral stones.
Candida* ; Dysuria ; Fever ; Flank Pain ; Humans ; Lithotripsy ; Pyelonephritis* ; Shock ; Ureter

The term "urethral syndrome" is used to describe, in the female, a syndrome of recurrent episodes of frequency of voiding and dysuria, without evidence of infection in the urine. The treatment for this syndrome is usually not easy in office practice. The submucosal injection of triamcinolone acetonide around Skene's gland to decrease inflammation and scarring was done for 20 patients with urethral syndrome and the following results were observed. 1) Of a total of 20 cases, 7 cases had excellent effect( 35%), 8 cases were improved (40%) , and other 5 cases got no effect ( 25%). So overall effect rate was 75%. 2) No side effect was noted in all patients. 3) Triamcinolone periurethral injection is a simple, effective office procedure for urethral syndrome, but it is desirable to have further evaluation for more patients and longer period.
Cicatrix ; Dysuria ; Female ; Humans ; Inflammation ; Triamcinolone Acetonide ; Triamcinolone*

PURPOSE: Although acute uncomplicated cystitis in women is relatively common, there have been few studies on lower urinary tract symptoms (LUTS) related to cystitis. The aim of this study was to assess characteristic troublesome symptoms in female patients with acute uncomplicated cystitis using a symptom questionnaire designed at our clinic. MATERIALS AND METHODS: An routine urinalysis and urine cultures were performed in 310 women who had visited our clinic between January 2005 and June 2006. Of these patients, 172 who had pyuria(mean age, 47.4+/-15.3 years) were screened for major symptoms using the questionnaire. The questionnaire included four categories of symptoms(14 symptoms): LUTS, local symptoms, general symptoms, and pain-related symptoms. The severity of symptoms was rated on a 4-point scale from 0(no symptoms) to 3(severe symptoms). The severity of symptoms was compared with the results of the routine urinalysis and urine cultures. RESULTS: Urine cultures were positive in 107(62.2%) patients. Themost frequent and distressing symptom was dysuria, a pain-related symptom (89.0%, 1.78 points). Frequency was most common among LUTS(71.5%), and unwell was most common among the general symptoms(87.2%). In patients that were positive for urine cultures, the occurrence rate of low abdominal discomfort(81.3%, p=0.038) and irritability(72.9%, p=0.026) were significantly higher. CONCLUSIONS: The questionnaire may be useful to assess duration and relief time of LUTS and to determine the progress and treatment outcomes of acute uncomplicated cystitis. Further studies will be required to investigate the effects of acute uncomplicated cystitis related to LUTS.
Cystitis* ; Dysuria ; Female ; Humans ; Lower Urinary Tract Symptoms ; Questionnaires ; Urinalysis

PURPOSE: We wanted to investigate the efficacy and safety of the immunotherapeutic Uro-Vaxom for treating uncomplicated recurrent cystitis in female patients only. MATERIALS AND METHODS: Adult female patients were enrolled in this multicenter, open-label study if they had acute cystitis at the enrollment visit and positive results on urine culture (> or =10(3)CFU/ml). The patients were treated for 3 months with one capsule daily of Uro-Vaxom after antibiotic therapy, and they were observed for another 3 months. The primary efficacy criteria were the cystitis recurrence rates over 6 months, the distribution of cystitis and the proportion of patients with cystitis. RESULTS: A total of 50 patients were evaluated. During the 6-month trial, the number of cystitis recurrences was significantly reduced in comparison with the 6-month pretrial period (on the average 0.64 as compared to 3.0 recurrences, respectively p<0.001). The incidences of frequency, urgency and dysuria remained low until the end of the trial. Uro-Vaxom was well tolerated: side-effects were mentioned by 8% of the 50 patients, and there was no case leading to treatment withdrawal. CONCLUSIONS: Uro-Vaxom significantly reduced the incidence of cystitis during the 6 months of this study, including the 3 months of treatment. These results demonstrate that Uro-Vaxom is a valuable agent for prophylaxis of recurrent cystitis.
Adult ; Cystitis* ; Dysuria ; Escherichia coli ; Female ; Humans ; Incidence ; Recurrence

Seminal vesicle cyst (SVC) with ipsilateral renal agenesis is a rare congenital anomaly. When the patient is symptomatic, surgical treatment may be necessary. The open surgical approach, traditionally considered the definite form of treatment, has been associated with a high rate of morbidity. The laparoscopic approach for the management of SVCs has recently been described. A 18-year-old man presented with a 2-year history of dysuria and perineal pain. The diagnostic evaluation revealed a 45x35x48 mm sized left seminal vesicle cyst. In addition, he had a solitary, right, functioning kidney, with left renal agenesis. Transperitoneal laparoscopic excision of the cyst was performed successfully. The patient was discharged from the hospital on the fourth postoperative day and did not present with any complaints or complications.
Adolescent ; Congenital Abnormalities ; Dysuria ; Humans ; Kidney ; Kidney Diseases ; Seminal Vesicles

Phenol-glycerine subarachnoid blocks were performed in 5 patients, who had intractable perianal pain from postoperative rectal cancer. An initial diagnostic subarachoid block with 0. 25 ml of 0.5% tetracaine in 10% glucose through L 5-S 1 was performed with the patient in a sitting position tilted about 15 degree to the affected side. After evaluation of the test block, the following day a therapeutic block was undertaken by injecting 0. 15-0. 2 ml of 10% phenol-glycerine. Excellent relief occurred in all cases and in one of them the repeated block for recurrent pain was done and 5 months after the first block. One case required of successive blocks 3 times during 8 days with the old phenol glycerine solution over 1 year. Life duration ranged from days to more than 12 months after the blocks. As to complication, dysuria developed temporarily in 3 cases. The one-sided saddle block with 10% phenol glycerine for perianal cancer pain is remarkably safe as well as effective and should be employed more frequently.
Dysuria ; Glucose ; Glycerol ; Humans ; Phenol ; Rectal Neoplasms ; Tetracaine

A case of embryonal rhabdomyosarcoma of the bladder in a 6-month-old male infant, who presented dysuria with straining and dribbling, and a suprapubic palpable hard mass distinct from the distended bladder, was reported with brief review of literatures.
Dysuria ; Humans ; Infant ; Male ; Rhabdomyosarcoma, Embryonal* ; Urinary Bladder*