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Robson Azevedo Dutra, Adriana Cartafina Perez Boscollo
Background: The anorectal anomalies consist in a complex group of birth defects. Laparoscopic-assisted anorectoplasty improved visualization of the rectal fistula and the ability to place the pull-through segment within the elevator muscle complex with minimal dissection. There is no consensus on how the fistula should be managed. Aim: To evaluate the laparoscopic-assisted anorectoplasty and the treatment of the rectal urinary fistula by a bipolar sealing device...
July 2016: Arquivos Brasileiros de Cirurgia Digestiva: ABCD, Brazilian Archives of Digestive Surgery
Tiago Rivello Elmor, Mauricio Rubinstein, Guilherme Lima, Antonio Cesar Cruz, Clovis Fraga Tenório Pereira, Irineu Rubinstein
OBJECTIVE: to describe our experience with a minimally invasive approach for persistent vesicourethral anastomotic leak (PVAL) after Laparoscopic Radical Prostatectomy (LRP). METHODS: from 2004 to 2011, two surgeons performed LRP in 620 patients. Ten patients had PVAL, with initially indicated conservative treatment, to no avail. These patients underwent a minimally invasive operation, consisting of an endoscopically insertion of two ureteral catheters to direct urine flow, fixed to a new urethral catheter...
May 2016: Revista do Colégio Brasileiro de Cirurgiões
Idris Kivanc Cavildak, Ismail Nalbant, Can Tuygun, Ufuk Ozturk, Hasan Nedim Goksel Goktug, Hasan Bakirtas, Muhammed Abdurrahim Imamoglu
OBJECTIVE: To examine the outcomes and to compare the effectiveness of laparoscopic ureterolithotomy and flexible URS in patients with proximal ureteral stones greater than 10 mm in diameter. MATERIAL AND METHODS: A total of 150 patients who were performed laparoscopic ureterolithotomy and flexible URS because of uretral stones in our urology clinic between January 2010 and June 2015, were analyzed retrospectively. We constituted two groups; 70 patients who were performed laparoscopic ureterolithotomy were included in group I while flexible URS-performed 80 patients in group II...
January 2016: Urology Journal
Athanasios Bantis, Georgios Tsakaldimis, Athanasios Zissimopoulos, Christos Kalaitzis, Stilianos Gianakopoulos, Michail Pitiakoudis, Alexandros Polichronidis, Stavros Touloupidis
OBJECTIVE: Ureteroscopic lithotripsy (URS) and Extracorporeal shock wave lithotripsy (ESWL) are highly effective for the treatment of uretral lithiasis and remain the treatment option for the majority of patients for more than two decades. In the present study we aimed to evaluate the levels of serum tumor necrosis factor A (TNFa) and interleucin 6 (IL6) in patients undergoing ESWL and URS. SUBJECTS AND METHODS: A total number of seventy patients were involved in our study...
September 2015: Hellenic Journal of Nuclear Medicine
Georgios Tsakaldimis, Athanasios Bantis, Athanasios Zissimopoulos, Christos Kalaitzis, Stilianos Gianakopoulos, Michail Pitiakoudis, Alexandros Polichronidis, Stavros Touloupidis
OBJECTIVE: Extracorporeal shock wave lithotripsy (ESWL) is highly effective for the treatment of uretral lithiasis and remains the first treatment option for the majority of patients when ureteral lithiasis can not be treated otherwise for more than two decades. In the present study we aim to evaluate the levels of serum tumor necrosis factor a (TNF-a) and interleucin 6 (IL-6) in patients undergoing ESWL and investigate whether preESWL levels of serum TNF-a and IL-6 correllate with any possible infectious complications after ESWL...
September 2015: Hellenic Journal of Nuclear Medicine
Nouran O El Said, Lamia El Wakeel, Khaled M Kamal, Abd El Reheem Morad
OBJECTIVE: To evaluate the safety and efficacy of alfuzosin treatment on rate and time of stone expulsion in patients with uncomplicated distal ureteral stones. PATIENTS AND METHODS: Prospective, randomized, open-label, controlled study. Patients > 18 years of age presenting to the outpatient urology clinic with uncomplicated radio-opaque stones located in the distal third of the ureter and of size ≤ 10 mm were included. Patients were randomly assigned to either a control group (n=26) and received standard of care management (daily oral hydration and diclofenac 75 mg IM on demand) or to the alfuzosin group (n=28) and received alfuzosin SR 5 mg twice daily in addition to standard of care management...
May 2015: Pharmacotherapy
Carlos Cerdán Santacruz, Javier Cerdán Miguel
Rectouretral fistulas are a rare disease, but represent an important problem for the patient that suffers them and a challenge for the urologist and colorectal surgeon who has to manage them. A wide review has been performed focusing on etiopathogenic factors, diagnostic and therapeutic options including the analysis of different surgical techniques. PubMed, MEDLINE y EMBASE medical database were searched up to September 2014.
March 2015: Cirugía Española
Maurício D Cordeiro, Rafael F Coelho, Daher C Chade, Rodrigo R Pessoa, Mateus S Chaib, José R Colombo-Júnior, José Pontes-Júnior, Giuliano B Guglielmetti, Miguel Srougi
OBJECTIVE: To identify factors associated with survival after palliative urinary diversion (UD) for patients with malignant ureteric obstruction (MUO) and create a risk-stratification model for treatment decisions. PATIENTS AND METHODS: We prospectively collected clinical and laboratory data for patients who underwent palliative UD by ureteric stenting or percutaneous nephrostomy (PCN) between 1 January 2009 and 1 November 2011 in two tertiary care university hospitals, with a minimum 6-month follow-up...
February 2016: BJU International
L Donon, G Robert, P Ballanger
INTRODUCTION: Sacral nerve stimulation (NMS) is a therapeutic alternative for the treatment of urinary functional disorders as diverse as overactive bladder (OAB), urinary retention or pelvic pain syndromes. With the increasing use of NMS, we must deal with the postoperative management of this therapy. OBJECTIVE: We report the results, postoperative adverse events and their management in our center. PATIENTS: This is a retrospective single-center single-operator study of 93 patients who were tested for NMS between January 2005 and December 2013...
December 2014: Progrès en Urologie
V Canel, T Thubert, I Wigniolle, A L Rivain, H Fernandez, X Deffieux
OBJECTIVE: Retropubic mid-uretral sling (MUS) procedure may be complicated by bladder injury (intraoperative cystotomy). There is no scientific consensus on the length of catheter drainage following bladder injury during MUS procedure: it varies from hours to days. We have made it our policy to immediately remove the catheter. The objective of the current study was to assess the results associated with immediate removal of catheter drainage following intraoperative bladder injury during retropubic MUS procedure...
September 2014: Progrès en Urologie
S Maro, D Zarattin, T Baron, S Bourez, A de la Taille, L Salomon
INTRODUCTION: Bladder catheter can induce a Catheter-Related Bladder Discomfort (CRBD). Antagonist of muscarinic receptor is the gold standard treatment. Clonazepam is an antimuscarinic, muscle relaxing oral drug. The aim of this study is to look for a correlation between the type of surgical procedure and the existence of CRBD and to evaluate the efficiency of clonazepam. METHODS: One hundred patients needing bladder catheter were evaluated. Sexe, age, BMI, presence of diabetes, surgical procedure and existence of CRBD were noted...
September 2014: Progrès en Urologie
T Culty, M-O Timsit, Y Neuzillet, L Badet, F Kleinclauss
INTRODUCTION: Urinary fistula and ureteral stenosis occur respectively in 2-5% and 2-7.5% after kidney transplantation. The aim of the study was to do an overview about the complex management of these complications. MATERIAL AND METHODS: A bibliographical research in French and English language was carried out. Debates on the topic held within a meeting organized by the transplantation Committee of the French association of urology (CTAFU) have incremented the work...
October 2014: Progrès en Urologie
D Tripathi, O Anwar Bég
This paper studies the peristaltic transport of a viscoelastic fluid (with the fractional second-grade model) through an inclined cylindrical tube. The wall of the tube is modelled as a sinusoidal wave. The flow analysis is presented under the assumptions of long wave length and low Reynolds number. Caputo's definition of fractional derivative is used to formulate the fractional differentiation. Analytical solutions are developed for the normalized momentum equations. Expressions are also derived for the pressure, frictional force, and the relationship between the flow rate and pressure gradient...
2015: Computer Methods in Biomechanics and Biomedical Engineering
Nuran Alli, Ahu Yorulmaz
Isotretinoin (Iso) is the most effective drug against severe nodulocystic acne. As a synthetic oral retinoid, Iso exerts its actions by modulating cell growth and differentiation. Targeting all the pathophysiologic processes in acne development, Iso has been considered to be an unique drug, however it has several side effects. While chelitis, xerosis, ocular sicca, arthralgia, myalgia, headache, hyperlipidemia are the most common side effects, teratogenicity and depressive symptoms are the most concerning ones...
2015: Cutaneous and Ocular Toxicology
M F Trapeznikova, V V Bazaev, A N Shibaev, A G Luk'ianchikov, A V Vinogradov
The potentials for the use of free buccal mucosa graft in reconstruction plastic surgery of extended uretral stricture are evaluated. From 2007 to 2013, 9 operations in 8 patients (mean age 54,5+/-7,2 years) were performed. The average length of cicatricial uretral stricture was 5,1+/-0,7 cm. 1 patient has lesion in the upper third of the ureter, 4 patients - in the middle portion, and 4 patients - at the bottom portion. The causes of extended uretral stricture were following: long standing calculi (n=3), ureteral injury after ureterolithotripsy (n=2) and after bringing down the calcuus using loop (n=1), radiotherapy (n=3, one patient had bilateral injury)...
March 2014: Urologii︠a︡
S Forest, H Fassi Fehri, S Glachant, M Colombel, S Crouzet, E Ravier, A Gelet, X Martin
OBJECTIVE: To report our experience for the management of urethro-rectal fistula by the York Mason technique. PATIENTS AND METHODS: We retrospectively analyzed the data of patients treated surgically for FUR by the technique of York Mason, between 2000 and 2012. RESULTS: Seventeen patients were included in the study. All patients had a bowel diversion before surgery. We observed four recurrences of FUR (23.5%). Recurrences occurred in a radiation field for two patients and in a oncologic recurrence for 1 patient...
April 2014: Progrès en Urologie
Dragan Grbić, Dimitrije Jeremić, Sasa Vojinov, Milan Popov, Goran Marusić
INTRODUCTION: In males the ectopic ureter usually drains into the prostate (50%). During ureteric developement a thin membrane (Chawalla's membrane) separates the lumen of the ureter and the urogenital sinus at the point where the ureter joins the urogenital sinus. This membrane ruptures allowing urin to drain from the ureter to the urogenital sinus. The authors reported a case of renal dysplasia associated with ipsilateral uretral ectopia mimicking prostatic abscess. CASE REPORT: A subfebrile (37...
February 2014: Vojnosanitetski Pregled. Military-medical and Pharmaceutical Review
(no author information available yet)
The concentration of cerebral sodium uretic peptide was analyzed in patients with chronic cardiac insufficiency and in healthy volunteers. The study established that concentration of cerebral sodium uretic peptide was higher in patients with chronic cardiac insufficiency as compared control group and reflected severity of pathologic process. In patients with decreased ejection fraction the levels cerebral sodium uretic peptide were higher as compared with patients with preserved ejection fraction. According data of the present study the existing threshold of concentration of cerebral sodium uretic peptide has a lower diagnostic sensitivity to exclude chronic cardiac insufficiency (100 pg)...
August 2013: Klinicheskaia Laboratornaia Diagnostika
D Vandendriessche, J B Engrand, P Debodinance
OBJECTIVES: Evaluate functional and anatomical outcomes as well as complications, 1year after the implantation of the Ajust(®) sub-urethral adjustable single-incision sling. STUDY DESIGN: Prospective study on 60 female patients suffering from stress urinary or mixed urinary incontinence with quality of life assessment. Ambulatory surgeries were performed under local anesthesia with or without sedation. Pain was evaluated using the VAS scale. Postoperative follow-up was performed at 2 and 12months...
October 2013: Progrès en Urologie
B K Komiakov, V A Ochelenko
The article presents the immediate and long-term results of intestinoplasty of extensive uretral obstructions. From 2001 to 2012, 47 patients underwent intestinoplasty, and 3 patients--sigmoureteroplasty. 33 patients (66%) had unilateral lesions, and 17 (34%)--bilateral lesions. Postoperative complications occurred in 14% of cases. Early complications occurred in 6 (12%), late complications--in 1 (2%) patient. Complications requiring surgery occurred in 3 (6%) patients. The results of re-operations were successful...
May 2013: Urologii︠a︡
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