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https://www.readbyqxmd.com/read/29650262/triple-flap-technique-for-vulvar-reconstruction
#1
R Mercut, R Sinna, R Vaucher, P A Giroux, N Assaf, A Lari, S Dast
OBJECTIVE: Perineal defects are encountered ever more frequently, in the treatment of vulvar cancers or abdominoperineal resection. The surgical treatment of vulvar cancer leads to significant skin defect. The aim of the reconstruction is not to provide volume but rather to resurface perineum. We propose a new solution to cover the extensive skin defect remaining after excision. METHODS: We report 3 patients who underwent large excision for vulvar cancer, with lymph node dissection...
April 9, 2018: Annales de Chirurgie Plastique et Esthétique
https://www.readbyqxmd.com/read/29627882/an-animal-model-of-faecal-incontinence-and-sacral-neuromodulation
#2
James F X Jones
The pudendal nerves can be injured during traumatic vaginal childbirth and result in faecal incontinence. Some of these incontinent patients benefit from chronic sacral neuromodulation and the mechanism of action of this therapy has been a focus of many studies. In 2008, a rodent model of neuropathic faecal incontinence was introduced and subsequently validated through a series of investigations. This review summarizes the decade-long contribution of Professor Ronan O'Connell to the inception and application of this rodent model of faecal incontinence and sacral neuromodulation...
April 8, 2018: Irish Journal of Medical Science
https://www.readbyqxmd.com/read/29618089/a-rare-ultrasonographic-finding-in-pudendal-neuralgia-posteriorly-prolapsed-cervix
#3
Ke-Vin Chang, Wei-Ting Wu, Levent Özçakar, Carlo Martinoli
No abstract text is available yet for this article.
March 30, 2018: Pain Medicine: the Official Journal of the American Academy of Pain Medicine
https://www.readbyqxmd.com/read/29606539/anatomy-of-the-pudendal-nerve-and-other-neural-structures-around-the-proximal-hamstring-origin-in-males
#4
Gregory L Cvetanovich, Bryan M Saltzman, Gift Ukwuani, Rachel M Frank, Nikhil N Verma, Charles A Bush-Joseph, Shane J Nho
PURPOSE: To define the anatomy of the pudendal nerve in relationship to the proximal hamstring and other nearby neurological structures during proximal hamstring repair. METHODS: Six fresh-frozen human cadaveric hemi-pelvises from male patients ages 64.0 ± 4.1 years were dissected in prone position with hips in 10° flexion to identify the relationship of proximal hamstring origin to surrounding neurologic structures including the pudendal nerve, sciatic nerve, and posterior femoral cutaneous nerve...
March 29, 2018: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/29604315/physical-examination-for-men-and-women-with-urological-chronic-pelvic-pain-syndromes-a-mapp-network-study
#5
Claire C Yang, Jane L Miller, Adam Omidpanah, John N Krieger
OBJECTIVES: To examine the feasibility of implementing a standardized, clinically relevant genitourinary examination for both men and women and to identify physical examination findings characteristic of urological chronic pelvic pain syndromes (UCPPS). METHODS: This study analyzed two samples: men and women with UCPPS who participated in the MAPP Research Network Epidemiology and Phenotyping (EP) Study, and age-matched controls who were either positive for chronic fatigue syndrome or healthy (pain-free)...
March 28, 2018: Urology
https://www.readbyqxmd.com/read/29599702/age-related-changes-in-neuromodulatory-control-of-bladder-micturition-contractions-originating-in-the-skin
#6
Harumi Hotta, Harue Suzuki, Kaori Iimura, Nobuhiro Watanabe
The brainstem is essential for producing micturition contractions of the urinary bladder. Afferent input from perineal skin evoked by gentle mechanical stimulation inhibits micturition contractions by decreasing both ascending and descending transmissions between the brainstem and spinal cord. Dysfunction of this inhibitory mechanism may be one cause of the increase in the prevalence of overactive bladder in old age. The aim of this study was to examine effect of aging on function of skin afferent fibers that inhibit bladder micturition contractions in rats...
2018: Frontiers in Neuroscience
https://www.readbyqxmd.com/read/29589145/anatomical-description-of-the-umbilical-arteries-and-impact-of-their-ligation-on-pelvic-and-perineal-vascular-supply-after-cystectomy-in-women
#7
E Chantalat, C Vaysse, M C Delchier, B Bordier, X Game, P Chaynes, E Cavaignac, M Roumiguié
OBJECTIVE: In radical cystectomy, the surgeon generally ligates the umbilical artery at its origin. This artery may give rise to several arteries that supply the sexual organs. Our aim was to evaluate pelvic and perineal devascularisation in women after total cystectomy. PATIENTS AND METHODS: We carried out a prospective anatomical and radiological study. We performed bilateral pelvic dissections of fresh adult female cadavers to identify the dividing branches of the umbilical artery...
March 27, 2018: Surgical and Radiologic Anatomy: SRA
https://www.readbyqxmd.com/read/29565955/chronic-pelvic-pain-neurogenic-or-non-neurogenic-warm-detection-threshold-testing-supports-a-diagnosis-of-pudendal-neuropathy
#8
Stanley J Antolak, Christopher M Antolak
BACKGROUND: Chronic pelvic pain (CPP) in men is rarely considered to have a neurogenic (neuropathic) basis. Separation of neurogenic from non-neurogenic pain is possible using clinical examination and neurophysiologic tests. A definite diagnosis of neuropathic pain can be made. OBJECTIVES: We aim to demonstrate that definite pudendal neuropathic abnormalities can be supported by a quantitative sensory test (QST) called the warm temperature threshold detection (WDT) test in men with CPP...
March 2018: Pain Physician
https://www.readbyqxmd.com/read/29552737/test-retest-reliability-of-internal-pudendal-artery-blood-flow-using-color-doppler-ultrasound-in-healthy-women
#9
Joanie Mercier, An Tang, Mélanie Morin, Marie-Claude Lemieux, Samir Khalifé, Barbara Reichetzer, Chantale Dumoulin
INTRODUCTION AND HYPOTHESIS: The internal pudendal artery (IPA) is one of the main arteries supplying the pelvic floor muscles (PFMs) and vulvo-vaginal tissues. Its assessment with color Doppler ultrasound has been documented previously, but the reliability of IPA measurements has never been assessed. This study evaluates the test-retest reliability of IPA blood flow parameters measured by color Doppler ultrasound under two conditions: at rest and after a PFM contraction task. METHODS: Twenty healthy women participated in this study...
March 19, 2018: International Urogynecology Journal
https://www.readbyqxmd.com/read/29531871/development-of-a-three-dimensional-surgical-navigation-system-with-magnetic-resonance-angiography-and-a-three-dimensional-printer-for-robot-assisted-radical-prostatectomy
#10
Wataru Jomoto, Masao Tanooka, Hiroshi Doi, Keisuke Kikuchi, Chiemi Mitsuie, Yusuke Yamada, Toru Suzuki, Toshiko Yamano, Reiichi Ishikura, Noriko Kotoura, Shingo Yamamoto
We sought to develop a surgical navigation system using magnetic resonance angiography (MRA) and a three-dimensional (3D) printer for robot-assisted radical prostatectomy (RARP). Six patients with pathologically proven localized prostate cancer were prospectively enrolled in this study. Prostate magnetic resonance imaging (MRI), consisting of T2-weighted sampling perfection with application-optimized contrasts using different flip-angle evolutions (SPACE) and true fast imaging with steady-state precession (true FISP), reconstructed by volume rendering, was followed by dynamic contrast-enhanced MRA performed with a volumetric interpolated breath-hold examination (VIBE) during intravenous bolus injection of gadobutrol...
January 2, 2018: Curēus
https://www.readbyqxmd.com/read/29526251/robot-assisted-pudendal-neurolysis-in-the-treatment-of-pudendal-nerve-entrapment-syndrome
#11
P Moscatiello, D Carracedo Calvo, L Yupanqui Guerra, M E Rivera Martínez, A Mendiola de la Hoza, M Sánchez Encinas
INTRODUCTION: Pudendal nerve entrapment syndrome (PNE) is characterised by the presence of neuropathic pain in the pudendal nerve (PN) territory, associated or not with urinary, defecatory and sexual disorders. Surgical PN decompression is an effective and safe alternative for cases when conservative treatment fails. The aim of this study is to describe the first robot-assisted pudendal neurolysis procedure performed in our country. MATERIAL AND METHODS: We describe step by step the technique of robot-assisted laparoscopic neurolysis of the left PN performed with intraoperative neurophysiological monitoring on a 60-year-old patient diagnosed with left PNE...
March 8, 2018: Actas Urologicas Españolas
https://www.readbyqxmd.com/read/29482706/a-rare-case-rupture-of-internal-pudendal-and-uterine-artery-in-a-vaginal-delivery
#12
Novera G Chughtai, Raheela Mohsin Rizvi
The management of puerperal hematomas after normal delivery has always been challenging for obstetricians. Vulvar, vulvovaginal, or paravaginal hematomas are common. On the other hand, retroperitoneal hematomas are uncommon and can be life-threatening. The diagnosis of vascular injury is rarely made preoperatively as atonic or traumatic postpartum hemorrhage (PPH), uterine rupture and amniotic fluid embolism are more common differential diagnoses. Injury to internal pudendal and uterine vessels is extremely rare in cases of vaginal delivery and, therefore, the literature on this topic is very scarce...
March 2018: Journal of the College of Physicians and Surgeons—Pakistan: JCPSP
https://www.readbyqxmd.com/read/29457288/injury-to-the-perineal-branch-of-the-pudendal-nerve-in-men-outcomes-from-surgical-resection-of-the-perineal-branches
#13
Eric L Wan, A Lee Dellon
OBJECTIVE: The objective is to report the outcome of an anterior surgical approach to treat neuroma of the perineal branch of the pudendal nerve (PBPN). PATIENTS AND METHODS: An IRB-approved prospective study enrolled 14 consecutive male patients from 2011 through 2015 who had symptoms of perineal/scrotal pain. Each patient had a successful, diagnostic, pudendal nerve block. The surgical procedure was resection of the PBPN and implantation of the nerve into the obturator internus muscle...
February 2018: Microsurgery
https://www.readbyqxmd.com/read/29455045/impact-of-transvaginal-modified-sacrospinous-ligament-fixation-with-mesh-for-the-treatment-of-pelvic-organ-prolapse-before-and-after-studies
#14
Qinyi Zhu, Huimin Shu, Guiqiang Du, Zhiyuan Dai
BACKGROUND: Pelvic organ prolapse (POP) is a common disease in women. The aim of this research was to evaluate the safety, efficacy and complication of transvaginal modified sacrospinous ligament fixation with mesh using for the treatment of vaginal vault prolapse. MATERIALS AND METHODS: This was a prospective study including information from 60 symptomatic women with anterior-apical pelvic floor prolapse. The patients underwent transvaginal modified sacrospinous ligament fixation combined with anterior vaginal wall mesh between May 2014 and Sep 2015...
February 16, 2018: International Journal of Surgery
https://www.readbyqxmd.com/read/29435745/a-step-towards-stereotactic-navigation-during-pelvic-surgery-3d-nerve-topography
#15
A R Wijsmuller, C Giraudeau, J Leroy, G J Kleinrensink, E Rociu, L G Romagnolo, A G F Melani, V Agnus, M Diana, L Soler, B Dallemagne, J Marescaux, D Mutter
BACKGROUND: Long-term morbidity after multimodal treatment for rectal cancer is suggested to be mainly made up by nerve-injury-related dysfunctions. Stereotactic navigation for rectal surgery was shown to be feasible and will be facilitated by highlighting structures at risk of iatrogenic damage. The aim of this study was to investigate the ability to make a 3D map of the pelvic nerves with magnetic resonance imaging (MRI). METHODS: A systematic review was performed to identify a main positional reference for each pelvic nerve and plexus...
February 12, 2018: Surgical Endoscopy
https://www.readbyqxmd.com/read/29428586/the-pedicled-internal-pudendal-artery-perforator-pipap-flap-for-ischial-pressure-sore-reconstruction-technique-and-long-term-outcome-of-a-cohort-study
#16
Catherine M Legemate, Monique van der Kwaak, David Gobets, Menno Huikeshoven, Paul P M van Zuijlen
BACKGROUND: The ischial region is the site most affected by pressure sores and has the highest recurrence and complication rates compared to other affected sites. We developed a practical and safe pedicled flap for reconstruction of ischial pressure sores based on the rich available perforators from the internal pudendal artery and the surplus of skin at the infragluteal fold. METHODS: A retrospective cohort study was conducted in all patients who underwent ischial pressure ulcer reconstruction using the PIPAP flap between March 2010 and March 2017...
February 7, 2018: Journal of Plastic, Reconstructive & Aesthetic Surgery: JPRAS
https://www.readbyqxmd.com/read/29423355/coverage-of-the-scrotum-after-fournier-s-gangrene
#17
Ahmed Hassan El-Sabbagh
Background: Fournier's gangrene is a necrotizing fasciitis caused by mixed aerobic and anaerobic bacteria and results in loss of skin and subcutaneous tissue in the perineal area. Coverage of testis varies from closure of the defect primarily, burying inside the thigh, using the remnants of the scrotum for tissue expansion and coverage by flaps. In this manuscript, scrotal advancement flaps and pudendal thigh flaps were used for coverage of the testis unilaterally or bilaterally according to the size of the defect following Fournier gangrene...
2018: GMS Interdisciplinary Plastic and Reconstructive Surgery DGPW
https://www.readbyqxmd.com/read/29423307/the-importance-of-the-bulbocavernosus-reflex
#18
REVIEW
Jean Gabriel Previnaire
The BCR consists of the contraction of the bulbocavernosus muscle in response to squeezing the glans penis or clitoris, and is mediated through the pudendal nerve. In case of a complete lesion, the presence of BCR is indicative of intact S2-S4 spinal reflex arcs and loss of supraspinal inhibition, determining an upper motor neuron (UMN) lesion, its absence a lower motor neuron (LMN) lesion. The BCR further helps distinguish conus medullaris from cauda equina syndromes. Sensory or motor function in the most caudal sacral segments, not BCR, defines the sacral sparing as part of the International Standards for Neurological Classification of Spinal Cord Injury (ISNCSCI)...
2018: Spinal Cord Series and Cases
https://www.readbyqxmd.com/read/29383969/contouring-pudendal-nerves
#19
Gunnar Steineck, Cecilia Bull, Fei Sjöberg
No abstract text is available yet for this article.
January 31, 2018: Acta Oncologica
https://www.readbyqxmd.com/read/29357337/dual-site-pudendal-nerve-infiltration-more-than-just-a-diagnostic-test
#20
Adrian Kastler, Julien Puget, Florence Tiberghien, Jean-Michel Pellat, Alexandre Krainik, Bruno Kastler
BACKGROUND: Pudendal neuralgia (PN) is a very painful and often disabling condition in which pudendal nerve blocks play an important role in both the diagnosis and management of PN. Some previous reports have advocated the use of pudendal nerve infiltration (PNI) as a diagnostic test only. OBJECTIVE: We aim to assess the outcomes of patients with typical refractory PN who underwent dual site computed tomography (CT)-guided pudendal nerve infiltration. STUDY DESIGN: A bicentric, retrospective cohort analysis...
January 2018: Pain Physician
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