Objective: To study the acceptability, efficacy, adverse effect and user satisfaction of Levonorgestrel intrauterine system (LNG IUS) for treatment of menorrahgia.?Method: This was an observational descriptive study c...Objective: To study the acceptability, efficacy, adverse effect and user satisfaction of Levonorgestrel intrauterine system (LNG IUS) for treatment of menorrahgia.?Method: This was an observational descriptive study conducted in ESI PGIMSR over a period from Jan 2008-June 2011. 70 women presented in O.P.D with heavy menstrual bleeding having no contraindication for device, consenting for LNG IUS underwent its insertion. Menstrual pattern, pictorial blood loss assessment chart score, adverse effects, and rate of acceptability and satisfaction were recorded at 3, 6 and 12 months after procedure. Results: The mean age of the sample was 39.92?yrs ± 3.27.?Indication for device insertion was DUB in 81.42% (57), fibroid 8.57% (6), adenomyosis in 10% (7). The expulsion rate was 4.2% (3), removal rate was 7.14% (5) and continuation rate is 88.57% (62). 2.28% (3) patients underwent hysterectomy because of continuous bleeding even after 3?-?4 months of insertion. On follow-up at one year out of 62 patients, 33.87% (21) were amenorrhic and 51.61% (32) have?regular period, while 3.07% (2) patients had irregular period.?Conclusion: LNG IUS is a less invasive, effective treatment modality for menorrahgia with reasonable efficacy.展开更多
Unusual site metastasis as a presenting complaint of renal cell carcinoma(RCC)has been reported previously in the literature.RCC is a tumor with notoriously unpredictable behavior.The authors report an unusual case of...Unusual site metastasis as a presenting complaint of renal cell carcinoma(RCC)has been reported previously in the literature.RCC is a tumor with notoriously unpredictable behavior.The authors report an unusual case of metachronous bilateral testicular metastasis in a patient who operated for RCC.The case highlights the unique behavior of RCC with an unusual site of metastasis.A 72-year-old patient presented with bilateral scrotal swelling of 1-month duration.There was a history of left radical nephrectomy for RCC 4 years prior.He underwent a bilateral high inguinal orchidectomy and diagnosis of chromophobe RCC was made on histopathological examination.展开更多
文摘Objective: To study the acceptability, efficacy, adverse effect and user satisfaction of Levonorgestrel intrauterine system (LNG IUS) for treatment of menorrahgia.?Method: This was an observational descriptive study conducted in ESI PGIMSR over a period from Jan 2008-June 2011. 70 women presented in O.P.D with heavy menstrual bleeding having no contraindication for device, consenting for LNG IUS underwent its insertion. Menstrual pattern, pictorial blood loss assessment chart score, adverse effects, and rate of acceptability and satisfaction were recorded at 3, 6 and 12 months after procedure. Results: The mean age of the sample was 39.92?yrs ± 3.27.?Indication for device insertion was DUB in 81.42% (57), fibroid 8.57% (6), adenomyosis in 10% (7). The expulsion rate was 4.2% (3), removal rate was 7.14% (5) and continuation rate is 88.57% (62). 2.28% (3) patients underwent hysterectomy because of continuous bleeding even after 3?-?4 months of insertion. On follow-up at one year out of 62 patients, 33.87% (21) were amenorrhic and 51.61% (32) have?regular period, while 3.07% (2) patients had irregular period.?Conclusion: LNG IUS is a less invasive, effective treatment modality for menorrahgia with reasonable efficacy.
文摘Unusual site metastasis as a presenting complaint of renal cell carcinoma(RCC)has been reported previously in the literature.RCC is a tumor with notoriously unpredictable behavior.The authors report an unusual case of metachronous bilateral testicular metastasis in a patient who operated for RCC.The case highlights the unique behavior of RCC with an unusual site of metastasis.A 72-year-old patient presented with bilateral scrotal swelling of 1-month duration.There was a history of left radical nephrectomy for RCC 4 years prior.He underwent a bilateral high inguinal orchidectomy and diagnosis of chromophobe RCC was made on histopathological examination.
