These patients have similar survival rates compared to those from the platinum sensitive patient group and the therapy principles of a chronic disease are applicable.”
“The aim of this study is to evaluate and compare the effectiveness of pessaries and surgery in women with symptomatic pelvic organ prolapse.
A total of 554 women
with symptomatic pelvic organ prolapse (POP) were recruited and treated with either a vaginal pessary (n = 359) or surgery (n = 195). Using the validated Sheffield POP questionnaire, outcomes were evaluated and then compared at 1 year.
At 1 year, the only significant difference between the two groups was increased frequency of intercourse in the surgery group (54% vs 46%; p = 0.028), which was not selleck significant when controlled for age. There was a statistically significant improvement in prolapse, urinary, bowel, and sexual function in both pessary users and those treated surgically.
One year after treatment, women with POP report similar improvement in urinary, bowel, sexual ABT-737 molecular weight function, and quality of life parameters when treated with pessary or surgical correction.”
“Study Design. Case description.
Objectives. To present a case of a missed diagnosis of penetrating spine injury by wood and review of the literature.
Summary
of Background Data. Penetrating spinal injuries by wood are rare injuries. Less than 10 cases with penetrating spine injuries by a wooden fragment had been reported earlier.
Methods. A 23-year-old man had fallen from 3 m high tree and sustained a penetrating wound on his right lower back. As the direct radiographic evaluation was normal, the diagnosis of foreign body was missed. Eventually, the diagnosis was made on admission of the patient with purulent discharge from his wound, 1-week postprimary closure. Hypoesthesia of S1, S2, and S3 alone, were noted neurologically. The computed tomography and magnetic resonance imaging of patient revealed an intraspinal foreign body pierced through the S1-S2 interlaminary space. Extraction of the wooden BIBF 1120 purchase fragment was then performed
by limited S1 laminectomy and the dural defect was also repaired.
Results. With appropriate antibiotherapy, patient recovered, with no sequela.
Conclusion. Due to its density and radiologic properties, it is not unusual for wood to be overlooked, unless detailed imaging with computed tomography or magnetic resonance imaging is used.”
“Only one case of carcinosarcoma in the pouch of douglas has been reported in the English literature.
The author herein reports a case of carcinosarcoma of the pouch of douglas. A rapidly growing tumor (10 cm in diameter) was found in the pelvic cavity of a 51-year-old woman, and an operation was performed for the clinical diagnosis of left ovarian malignancy. However, it was found that the tumor was located in the pouch of douglas, free of ovarian involvement.