Biomedical subjects
Publications and source records attributed to I Iriarte Soldevilla.
We report a case of vesicovaginal fistula in an 8-year-old girl caused by a foreign body in the vagina. The foregoing condition was associated with vesical lithiasis. Correction of the fistula was performed during the same surgical procedure for stone removal, without waiting for 3-6 months to elapse as advocated by most of the authors. A review of the literature revealed only one such case has been reported earlier.
A retrospective study was undertaken on 147 cases of bladder tumors T1 GI-II that were treated over the period 1984-1987. Of these, 9 (6.1%) were tumors in patients under 40 years of age. All the foregoing 9 cases, and only 97 of the remaining 138 cases could be evaluated and compared. The male to female ratio was 8:1. Both patient groups were similar with respect to tumor grade, number, and size. All patients were treated by TUR and received chemotherapy post-operatively. Of the 9 patients under 40 years of age, 2 (22.2%) patients classed as GII had tumor recurrence and total cystectomy was performed in one (11.1%) due to tumor upgrading; whereas for the remaining patient group tumor recurrence was 37.7% and tumor progression was 6.6%. This finding shows that the choice of treatment or the decision to follow patients more or less closely cannot be based on patient age. Treatment should be based on patient overall condition and tumor grade and stage.
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