TL;DR: The advantage of supra-vaginal amputation over abdominal hysterectomy with regard to these symptoms may result from the considerably less extensive manipulation of the bladder during supra- vaginal amputation.
TL;DR: In reply to the second letter regarding the paper on extraordinary urinary frequency, the authors thank Drs Asnes and Mones for their comments and respond to the third letter.
Abstract: In Reply— Thank you for the second letter regarding our paper on extraordinary urinary frequency We would like to respond to this as well We thank Drs Asnes and Mones for their comments Pollakiuria and pollakisuria are synonyms for urinary frequency Pollakis is a Greek term for often, although it has rather infrequent application in medical English, being limited only to pollakiuria and pollakidipsia in Dorland9s Dictionary1 The Oxford English Dictionary employs this prefix only in one word, the botanic term, pollakanthic2
TL;DR: The pollakisuria provoqued by distension of the uterus was not caused by hydrometra, but by neoplasia, and the pathogenesis of the adenocarcinoma in consideration of the hormonal status of the patient is discussed.
Abstract: Pollakisuria in adult goats can be caused by diseases of the urinary tract and by distension of parts of the genital tract leading to irritation of the bladder. Hydrometra is the most common cause of uterine distension in goats and usually can be resolved by prostaglandin injections. But other pathologies of the uterus can generate a similar syndrome. A dwarf goat was presented at the clinic with a history of chronic pollakisuria and tenesm. An initial ultrasonographic examination of the abdomen led to the suspicion of hydrometra, but treatment with injections of prostaglandin were not successful. Blood samples revealed low progesterone and high oestrogen values. A laparotomy was performed and an enlarged uterus with 1.5 L of mucous content and cystic ovaries were found and partially removed. A single solid leiomyoma was diagnosed histologically in the uterine wall. Two months later the goat's condition had deteriorated and therefore she was euthanized. Necropsy and pathohistological examination revealed the presence of a metastasized adenocarcinoma of the uterus. In this case, the pollakisuria provoqued by distension of the uterus was not caused by hydrometra, but by neoplasia. The syndrome and the pathogenesis of the adenocarcinoma in consideration of the hormonal status of the patient is discussed.
TL;DR: The case of an 80-year-old Caucasian man with an incarcerated urinary bladder into the scrotum who underwent surgical repair with mesh is described.
Abstract: Introduction
Cases of patients with inguinoscrotal hernia containing the urinary bladder are very rare. These patients usually present with frequent episodes of urinary tract infection, difficulty in walking, pollakisuria and difficulty in initiating micturition because of incarceration of the urinary bladder into the scrotum.
TL;DR: Chorei-to was administered orally to 30 patients who complained of lower urinary tract symptoms without pyuria, and its efficacy rate turned out to be 80%, but untoward effect such as epigastraligia was observed on 2 patients.
Abstract: Chorei-to was administered orally to 30 patients who complained of lower urinary tract symptoms without pyuria. Efficacy rate of pollakisuria was 92.9%, miction pain 85.8%, and voiding discomfort 85.7%. Total efficacy rate was 76.0%. No untoward effect was observed. Therefore, Choreito was thought to be an effective drug for the patients with lower urinary tract symptoms. Patients with the same symptoms tried Choreito-go-shimotsu-to, and its efficacy rate turned out to be 80%, but untoward effect such as epigastraligia was observed on 2 patients. These 2 drugs are thought to be effective on patients suffering from lower urinary tract symptoms.