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https://www.readbyqxmd.com/read/29898866/back-to-the-future-the-cecil-culp-technique-for-salvage-penile-reconstructive-procedures
#1
D A Weiss, C J Long, J R Frazier, A R Shukla, A K Srinivasan, T F Kolon, H DiCarlo, J P Gearhart, D A Canning
INTRODUCTION: Re-operative penile reconstruction is challenging and requires tension-free skin closure. The repair popularized by Cecil and Culp in the 1940s, using the scrotum to provide a temporary vascularized bed for complex hypospadias repairs, fell out of favor due to temporal trends towards single-stage repairs and concern for utilizing hair-bearing skin on the penile shaft. OBJECTIVE: It was hypothesized that a modified Cecil-Culp (CC) concept of penile scrotalization, leaving the penis attached to the scrotum for 1 year rather than 6 weeks as originally described, improves outcomes with this reconstruction for ventral skin deficiency or poor vascular support...
May 30, 2018: Journal of Pediatric Urology
https://www.readbyqxmd.com/read/29892487/twin-penile-skin-flap-is-it-the-answer-for-repair-of-long-anterior-urethral-strictures
#2
Diaaeldin Mostafa, Hisham Elshawaf, M Kotb, Abdelwahab Elkassaby
Objective: To present our twin ventral penile skin flap technique for the management of complex long anterior urethral strictures not caused by lichen sclerosis (LS), with evaluation of surgical outcome and complications. Patients and methods: We retrospectively reviewed patients diagnosed with long complex anterior urethral strictures who were all referred to Ain Shams University hospital and operated on by three reconstructive surgeons. The surgical procedure was carried out as follows: exposure of the urethra through a ventral longitudinal penile skin incision and another perineal incision; two ventral longitudinal dartos-based penile skin flaps are used for urethral augmentation as onlay flaps...
June 2018: Arab Journal of Urology
https://www.readbyqxmd.com/read/29891187/the-association-between-continuous-antibiotic-prophylaxis-and-uti-from-birth-until-initial-postnatal-imaging-evaluation-among-newborns-with-antenatal-hydronephrosis
#3
B K Varda, J B Finkelstein, H-H Wang, T Logvinenko, C P Nelson
INTRODUCTION: There is a lack of consensus regarding the use of continuous antibiotic prophylaxis (CAP) during the interval between birth and initial postnatal imaging in infants with a history of antenatal urinary tract dilation (AUTD). OBJECTIVE: To determine the incidence of urinary tract infection (UTI), and the association between CAP use and UTI during the interval between birth and the first postnatal renal ultrasound (RUS) in infants with AUTD. STUDY DESIGN: A single-institution, retrospective cohort study of newborns with a history of AUTD...
May 29, 2018: Journal of Pediatric Urology
https://www.readbyqxmd.com/read/29890234/principles-and-practice-of-hdr-penile-brachytherapy-planning-and-delivery-techniques
#4
Shireen Parsai, Sheen Cherian, Ryan K Berglund, Byron Lee, Matthew Kolar, Nancy Nagle-Hernan, Allan Wilkinson, Jay Ciezki
OBJECTIVES: To allow for organ preservation, high dose rate brachytherapy may be used in the treatment of localized penile cancer. Penile cancer is a rare malignancy, accounting for less than one percent of cancers in men in the United States. The standard treatment for localized disease is partial amputation of the penis. However, patients with T1b or T2 disease, less than 4 cm in maximum dimension and confined to the glans penis may be treated with brachytherapy as an organ-sparing approach...
June 8, 2018: Practical Radiation Oncology
https://www.readbyqxmd.com/read/29880703/neonatal-circumcision-and-urinary-tract-infections-in-infants-with-hydronephrosis
#5
Jonathan S Ellison, Geolani W Dy, Benjamin C Fu, Sarah K Holt, John L Gore, Paul A Merguerian
BACKGROUND: Boys with urinary tract abnormalities may derive a greater benefit from newborn circumcision for prevention of urinary tract infection (UTI) than the general population. However, the effect of newborn circumcision on UTI is not well characterized across the etiological spectrum of hydronephrosis. We hypothesized that boys with an early diagnosis of hydronephrosis who undergo newborn circumcision will have reduced rates of UTI. METHODS: The MarketScan data set, an employer-based claims database, was used to identify boys with hydronephrosis or hydronephrosis-related diagnoses within the first 30 days of life...
June 7, 2018: Pediatrics
https://www.readbyqxmd.com/read/29875973/-sickle-cell-trait-and-haemophilia-a-rare-association
#6
Hayat El Maataoui, Amina Fahi, Bouchra Oukkache
In this paper we analyze the combination of HbAS disease and haemophilia A must be exceedingly rare. Because of this rarity we report the case of two brothers with sickle cell trait and major haemophilia A. We conclude that it is about a post-circumcision bleeding due to major hemophilia A associated to sickle cell AS, this association was a systematic discovery.
2018: Pan African Medical Journal
https://www.readbyqxmd.com/read/29869184/a-systematic-review-of-the-current-status-of-safer-conception-strategies-for-hiv-affected-heterosexual-couples-in-sub-saharan-africa
#7
REVIEW
D Joseph Davey, S West, V Umutoni, S Taleghani, H Klausner, E Farley, R Shah, S Madni, S Orewa, V Kottamasu, V Rice, Z Robbin, K M Wall
We conducted a systematic review of safer conception strategies (SCS) for HIV-affected couples in sub-Saharan Africa to inform evidence-based safer conception interventions. Following PRISMA guidelines, we searched fifteen electronic databases using the following inclusion criteria: SCS research in HIV-affected couples; published after 2007; in sub-Saharan Africa; primary research; peer-reviewed; and addressed a primary topic of interest (SCS availability, feasibility, and acceptability, and/or education and promotion)...
June 4, 2018: AIDS and Behavior
https://www.readbyqxmd.com/read/29845314/outcomes-of-circumcision-in-children-with-single-ventricle-physiology
#8
Joseph A Sujka, Richard Sola, Amy Lay, Shawn D St Peter
PURPOSE: Children with single ventricle physiology (SVP) have been shown to have a high morbidity and mortality after non-cardiac surgical procedures. Elective circumcision is one of the most common pediatric operations with low morbidity and mortality. The purpose of our study was to review our institutional experience with SVP children undergoing circumcisions to determine peri-operative course and outcomes. METHODS: We performed a retrospective review of children with SVP who underwent an elective circumcision from 2000 to 2017...
May 29, 2018: Pediatric Surgery International
https://www.readbyqxmd.com/read/29807809/dnaja4-deficiency-enhances-nf-kappa-b-related-growth-arrest-induced-by-hyperthermia-in-human-keratinocytes
#9
Yu-Zhe Sun, Yi Ren, Yu-Jing Zhang, Yang Han, Yang Yang, Ya-Li Gao, Li-Li Zhu, Rui-Qun Qi, Hong-Duo Chen, Xing-Hua Gao
BACKGROUND: Hyperthermia is an effective treatment against cancer and human papillomavirus (HPV) infection. Previous studies have shown that heat shock proteins are crucial to the action of hyperthermia. OBJECTIVES: To examine the effects of hyperthermia in combination with DNAJA4-deficiency on human keratinocytes and Condyloma acumunatum (CA) tissues. METHODS: HaCaT cells were subjected to 44 °C (compared to 37 °C) waterbath for 30 min for stimulation...
May 23, 2018: Journal of Dermatological Science
https://www.readbyqxmd.com/read/29793881/using-concentration-curves-to-assess-organization-specific-relationships-between-surgeon-volumes-and-outcomes
#10
Michael H Kanter, Yii-Chieh Huang, Zina Kally, Margo A Gordon, Charles Meltzer
BACKGROUND: A well-documented association exists between higher surgeon volumes and better outcomes for many procedures, but surgeons may be reluctant to change practice patterns without objective, credible, and near real-time data on their performance. In addition, published thresholds for procedure volumes may be biased or perceived as arbitrary; typical reports compare surgeons grouped into discrete procedure volume categories, even though the volume-outcomes relationship is likely continuous...
June 2018: Joint Commission Journal on Quality and Patient Safety
https://www.readbyqxmd.com/read/29785658/incidence-and-risk-factors-for-positive-urine-culture-at-the-time-of-pediatric-urologic-surgery
#11
Michael A Maccini, David J Chalmers, Vijaya M Vemulakonda, Jeffrey B Campbell
PURPOSE: Urinary tract infections are relatively common in pediatric patients. Unrecognized bacteriuria at the time of urologic surgery puts patients at increased risk for perioperative complications. Many pediatric urologists obtain preoperative or intraoperative urine cultures prior to surgery, but data are lacking regarding rates and risk factors for positive intraoperative urine cultures. We conducted a retrospective cohort study of patients undergoing pediatric urologic surgery to examine factors associated with positive intraoperative urine cultures...
May 21, 2018: International Urology and Nephrology
https://www.readbyqxmd.com/read/29785364/neo-glans-reconstruction-after-glans-amputation-during-circumcision-using-autologous-buccal-mucosal-graft
#12
Andry Giovanny, Irfan Wahyudi, Arry Rodjani
No abstract text is available yet for this article.
May 2018: Urology Case Reports
https://www.readbyqxmd.com/read/29779415/male-circumcision-for-hiv-prevention-female-risk-compensatory-behaviour-in-south-africa
#13
Clare Greevy, Rebecca King, Firoza Haffejee
South Africa promotes male circumcision (MC) as an HIV prevention method and implemented a national plan to scale-up MC in the country from 2012 to 2016. Literature has suggested that female risk compensatory behaviours (RCBs) are occurring in countries where these programmes have been implemented. Behaviours such as decreased condom use, concurrent sexual partners and sexual activity during the circumcision wound-healing period have the potential to jeopardise the campaigns' objectives. Literature has shown that directly providing women with MC information results in correct knowledge however, previous studies have not directly sought women's views and ideas on engagement with the information...
May 20, 2018: AIDS Care
https://www.readbyqxmd.com/read/29777640/factors-associated-with-parental-intent-not-to-circumcise-daughters-in-enugu-state-of-nigeria-an-application-of-the-theory-of-planned-behavior
#14
Cajetan I Ilo, Sandra A Darfour-Oduro, Jerome O Okafor, Diana S Grigsby-Toussaint, Ignatius O Nwimo, Chinagorom Onwunaka
This study explored intention of parents not to circumcise daughters in Enugu State, Nigeria using theory of planned behavior (TPB) as a framework. A survey of 1345 parents was carried out using structured questionnaire with FGM question items based on TPB constructs of attitude, subjective norm (SN), perceived behavioral control (PBC), and intention. Intention was dichotomized into two categories and logistic regression analysis was performed to examine the association between the constructs of TPB while controlling for some socio-demographic factors...
March 2018: African Journal of Reproductive Health
https://www.readbyqxmd.com/read/29774802/the-notion-of-manhood-embedment-in-the-practice-of-traditional-male-circumcision-in-ngove-village-limpopo-south-africa
#15
Tryphosa Siweya, Tholene Sodi, Mbuyiselo Douglas
Traditional male circumcision (TMC) is a cultural ritual that involves the removal of the penile foreskin of a male person undertaken as part of a rite of passage from childhood into adulthood. The aim of the study was to determine the notions of manhood in TMC by African adolescent boys in Ngove Village, Limpopo Province. This was a qualitative study that sampled a total of 20 adolescent boys through purposive sampling. Data were collected using semistructured interviews and analyzed through interpretive phenomenological analysis (IPA)...
May 1, 2018: American Journal of Men's Health
https://www.readbyqxmd.com/read/29770316/preputialplasty-can-be-considered-an-alternative-to-circumcision-when-how-why-experience-of-italian-centre
#16
Rossella Angotti, Francesco Molinaro, Francesco Ferrara, Chiara Pellegrino, Edoardo Bindi, Giulia Fusi, Mario Messina
Background: Phimosis is a condition in which the foreskin cannot be portrayed on the glans. It is a physiological and common condition in the pediatric age. The pathological form derives from an inflammatory or traumatic lesion. Circumcision is the most common surgical treatment of phimosis but it is a controversial practice, especially in occidental world. Methods: We enrolled 61 patients with pathological phimosis (22/balanoposthitis, 18/painful erection, 21/urinary discomfort) between 2015-2017...
April 2018: Gland Surgery
https://www.readbyqxmd.com/read/29747340/-the-impact-of-male-circumcision-on-the-natural-history-of-genital-hpv-infection-a-prospective-cohort-study
#17
F X Wei, M Guo, X J Ma, Y Huang, Y Zheng, L Wang, Y Sun, S J Zhuang, K Yin, Y Y Su, S J Huang, M Q Li, T Wu, J Zhang
Objective: To analyze the correlation between circumcision and incidence and clearance of male genital HPV infection. Methods: From May to July 2014, 18-55 year old men who had sexual behavior history were recruited from the general population in Liuzhou, Guangxi to set up a cohort. Totally, 113 circumcised and 560 uncircumcised men were enrolled and interviewed using a questionnaire (including information on demographic characteristics and sexual behaviors), then they were followed-up with 6-month interval for 2 times...
May 6, 2018: Zhonghua Yu Fang Yi Xue za Zhi [Chinese Journal of Preventive Medicine]
https://www.readbyqxmd.com/read/29745290/healthcare-providers-understanding-of-hiv-serodiscordance-in-south-africa-and-uganda-implications-for-hiv-prevention-in-sub-saharan-africa
#18
Ross Greener, Cecilia Milford, Francis Bajunirwe, Faith N Mosery, Claudia K Ng, Rachel Rifkin, Jasmine Kastner, Lavanya Pillay, Angela Kaida, David R Bangsberg, Jennifer A Smit, Lynn T Matthews
HIV transmission within stable heterosexual HIV serodiscordant couples accounts for almost half the new incident infections in South Africa and Uganda. Advances in HIV prevention provide opportunities to reduce transmission risk within serodiscordant partnerships (e.g., antiretroviral treatment (ART), pre-exposure prophylaxis (PrEP), medical male circumcision, and couples-based HIV counselling and testing). These interventions require a clinical encounter with a provider who recognises prevention opportunities within these partnerships...
May 10, 2018: African Journal of AIDS Research: AJAR
https://www.readbyqxmd.com/read/29744480/technique-for-single-stage-reconstruction-of-obliterative-or-near-obliterative-long-urethral-strictures-in-circumcised-patients
#19
Sher Singh Yadav, Vivek Kumar Singh, Vinay Tomar, Neeraj Agarwal, Anil Gulani
Purpose: To report our initial experience with urethral reconstruction using a combined dorsal lingual mucosal graft (LMG) and ventral onlay preputial flap for long obliterative or near-obliterative strictures in circumcised patients. Materials and Methods: This was a retrospective study of 10 patients from January 2015 to June 2017 with long obliterative or near-obliterative anterior urethral strictures and circumcised prepuces. All patients underwent a combined approach using a dorsally LMG and a narrow preputial onlay flap ventrally to create a 26-30 Fr...
May 2018: Investigative and Clinical Urology
https://www.readbyqxmd.com/read/29743062/-we-don-t-want-our-clothes-to-smell-smoke-changing-malaria-control-practices-and-opportunities-for-integrated-community-based-management-in-baringo-kenya
#20
Jacinter A Amadi, Daniel O Olago, George O Ong'amo, Silas O Oriaso, Isaac K Nyamongo, Benson B A Estambale
BACKGROUND: The decline in global malaria cases is attributed to intensified utilization of primary vector control interventions and artemisinin-based combination therapies (ACTs). These strategies are inadequate in many rural areas, thus adopting locally appropriate integrated malaria control strategies is imperative in these heterogeneous settings. This study aimed at investigating trends and local knowledge on malaria and to develop a framework for malaria control for communities in Baringo, Kenya...
May 9, 2018: BMC Public Health
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