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Urethral stenosis

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https://www.readbyqxmd.com/read/29406986/was-ugo-foscolo-1778-1827-affected-by-alpha-1-antitrypsin-deficiency
#1
A Perciaccante, C Negri, A Coralli, P Charlier, O Appenzeller, R Bianucci
Niccolò Ugo Foscolo (1778-1827), known as Ugo, is one of the masters of the Italian poetry. A writer and a revolutionary, he embraced the ideals of the French Revolution and took part in the stormy political discussions, which the fall of the Republic of Venice had provoked. Despite his poor health, Foscolo lived an adventurous life serving as a volunteer in the Guardia Nazionale and in the Napoleonic army. Following Napoleon's fall (1814), he went into voluntary exile in early 1815. He reached London in Sept...
February 2018: Medical Hypotheses
https://www.readbyqxmd.com/read/29398588/preliminary-report-surgical-outcomes-following-genitoplasty-in-children-with-moderate-to-severe-genital-atypia
#2
K J Bernabé, N J Nokoff, D Galan, D Felsen, C E Aston, P Austin, L Baskin, Y-M Chan, E Y Cheng, D A Diamond, R Ellens, A Fried, S Greenfield, T Kolon, B Kropp, Y Lakshmanan, S Meyer, T Meyer, A M Delozier, L L Mullins, B Palmer, A Paradis, P Reddy, K J Scott Reyes, M Schulte, J M Swartz, E Yerkes, C Wolfe-Christensen, A B Wisniewski, D P Poppas
INTRODUCTION: Prior studies of outcomes following genitoplasty have reported high rates of surgical complications among children with atypical genitalia. Few studies have prospectively assessed outcomes after contemporary surgical approaches. OBJECTIVE: The current study reported the occurrence of early postoperative complications and of cosmetic outcomes (as rated by surgeons and parents) at 12 months following contemporary genitoplasty procedures in children born with atypical genitalia...
February 1, 2018: Journal of Pediatric Urology
https://www.readbyqxmd.com/read/29392185/loss-of-renal-function-after-retrograde-ureteral-placement-of-an-allium-stent-for-severe-ureteral-stricture
#3
Stefano Salciccia, Alessandro Sciarra, Milena Polese, Alpi Giorgio, Martina Maggi, Alessandro Gentilucci, Mauro Ciccariello, Giuseppe D'Eramo, Houssain Shahabadi, Silvia Lai, Gian Piero Ricciuti
Background: Ureteral strictures are a recurrent chronic condition that leads to severe side effects and poor quality of life. Management of ureteral stricture is a great challenge for urologists and no specific guidelines exist. Retrograde Allium® ureteral stent (AUS) is a newly developed ureteral stent to treat either bulbar urethral or ureteral stenosis. Case Presentation: We describe a case of a 74-year-old Caucasian adult male presenting with a severe ureteral stricture secondary to an ureteroscopy for stone disease...
2018: Journal of Endourology Case Reports
https://www.readbyqxmd.com/read/29388172/-a-rare-cause-of-perinatal-postrenal-failure-with-megalourethra
#4
Christine Nagel, Barbara Wiewrodt, Clemens Wirth, Gerd Ohnheiser, Johannes Wirbelauer
We present a case of a premature infant with a presumed obstructive uropathy found to be a megalourethra leading to a perinatal postrenal failure. A megalourethra - an uncommon cause of urethral dilatation - is a congenital, non-obstructive anomaly of the penile erectile tissue. We think that a distal stenosis resulted in dysplasia of the penile tissue and an aspect of a megalourethra. Further diagnostic workup included urinary tract sonograms, a voiding cystourethrogram and MAG3 scintigrafy. Initially the patient was managed with supportive care such as a suprapubic urinary catheter, followed by surgical intervention (Bengt Johanson)...
January 31, 2018: Zeitschrift Für Geburtshilfe und Neonatologie
https://www.readbyqxmd.com/read/29353847/-diagnosis-and-treatment-of-six-patients-with-crohn-s-disease-complicated-by-recto-perineal-urethral-fistula
#5
Hirosuke Kuroki, Kazutaka Koganei, Kenji Tatsumi, Ryo Futatsuki, Kyoko Yamada, Katsuhiko Arai, Nao Obara, Hideaki Kimura, Akira Sugita, Tsuneo Fukushima
Recto-perineal-urethral fistula caused by Crohn's disease is a rare, for which fundamental treatment has not been established yet. We analyzed the clinical characteristics, diagnosis, treatment, and prognosis of six male patients with anorectal lesions caused by Crohn's disease. Three patients were treated with abdominoperineal resection and the other three with rectal excision without anastomosis. Excluding one case, which presented worsening immediately after surgery, symptoms of urethral fistula improved without urethral stenosis, dysuria, or sexual dysfunction...
2018: Nihon Shokakibyo Gakkai Zasshi, the Japanese Journal of Gastro-enterology
https://www.readbyqxmd.com/read/29244271/laparoscopic-dismembered-pyeloplasty-combined-with-port-entrance-flexible-renoscopic-lithotripsy
#6
Kaan Gokcen, Gokhan Gokce, Gokce Dundar, Resul Cicek, Halil Gulbahar, Emin Yener Gultekin
INTRODUCTION: Ureteropelvic junction obstruction and concomitant calculus disease may coexist. We demonstrate our use of flexible renoscopy during laparoscopic pyeloplasty for caliceal stone removal. PATIENT AND METHODS: A 28-year-old female patient presented with recurrent attacks of flank pain of two years duration. When noncontrast-CT and DTPA were performed, the patient was diagnosed with ureteropelvic junction stenosis and 3 stones with a total burden of 14mm in the lower pole of right kidney...
December 18, 2017: International Braz J Urol: Official Journal of the Brazilian Society of Urology
https://www.readbyqxmd.com/read/29234536/role-of-urethral-plate-and-fossa-navicularis-biopsies-in-the-detection-of-balanitis-xerotica-obliterans-in-boys-undergoing-redo-hypospadias-repair
#7
Mohamed Sultan, Mohamed El-Shazly, Eid Elsherif, Sheren Younes, Mohamed Selim
Objectives: To evaluate the presence of balanitis xerotica obliterans (BXO), clinically and pathologically, in the urethra of boys with failed previous hypospadias repair and where surgical management was planned. Patients and methods: Between February 2010 and March 2015, boys with failed distal penile hypospadias repair who were planned for surgical management were evaluated for the presence of clinical and pathological evidence of BXO. Samples were obtained from the urethral plate and fossa navicularis, after obtaining informed consent and ethical approval...
December 2017: Arab Journal of Urology
https://www.readbyqxmd.com/read/29234534/comparison-of-interrupted-and-continuous-suture-urethroplasty-in-tubularised-incised-plate-hypospadias-repair-a-prospective-study
#8
Archika Gupta, Rajesh Gupta, Punit Srivastav, Ankush Gupta
Objective: To compare the effect of interrupted- and continuous-suture urethroplasty on complication rates in Snodgrass tubularised incised-plate (TIP) hypospadias repair. Patients and methods: This was a prospective randomised study comprising 100 boys (age range 1-5 years) with primary subcoronal, distal- and mid-penile hypospadias who underwent repair from October 2010 to March 2015 in a tertiary care hospital. Boys with glanular, recurrent, and proximal hypospadias were excluded from the study...
December 2017: Arab Journal of Urology
https://www.readbyqxmd.com/read/29221617/minor-procedure-major-impact-patient-reported-outcomes-following-urethral-meatotomy
#9
Briony K Varda, Tanya Logvinenko, Stuart Bauer, Bartley Cilento, Richard N Yu, Caleb P Nelson
INTRODUCTION: Urethral meatotomy as treatment for meatal stenosis is a common pediatric urology procedure; however, little is known about the patient experience following this procedure. OBJECTIVE: We aim to evaluate clinical factors associated with patient-reported symptom improvement after urethral meatotomy. STUDY DESIGN: The families of boys undergoing urethral meatotomy between 2/2013 and 8/2016 received a survey by mail 6 weeks after surgery...
November 17, 2017: Journal of Pediatric Urology
https://www.readbyqxmd.com/read/29175892/interrupted-versus-continuous-suturing-for-vesicourethral-anastomosis-during-radical-prostatectomy-protocol-for-a-systematic-review-and-meta-analysis
#10
Karl Friedrich Kowalewski, Christian Tapking, Svetlana Hetjens, Felix Nickel, Philipp Mandel, Manuel Ritter, Maximilian Christian Kriegmair
INTRODUCTION: Radical prostatectomy is the mainstay of treatment for prostate cancer. The vesicourethral anastomosis is a critical step, which most likely impacts urinary continence and urethral stenosis. To date, it still remains unclear whether interrupted and continuous suturing for the anastomosis have different outcomes. Therefore, the aim of this systematic review and meta-analysis is to compare different suture techniques for vesicourethral anastomosis in terms of surgical and functional parameters...
November 25, 2017: BMJ Open
https://www.readbyqxmd.com/read/29174625/congenital-stenosis-of-the-external-orifice-of-the-urethra-in-a-female-child
#11
Zhengzhou Shi, Zhoutong Chen, Dapeng Jiang
Limited numbers of pediatric stenosis of the external orifice of the urethra have been reported. We report a case of congenital stenosis of the external orifice of the urethra in a female child who underwent meatoplasty. As an initial strategy for congenital stenosis of the external orifice of the urethra in girls, dilatation of the stenosed urethral meatus may be another management of choice.
November 22, 2017: Urology
https://www.readbyqxmd.com/read/29170049/brachytherapy-for-conservative-treatment-of-invasive-penile-carcinoma-in-older-patients-single-institution-experience
#12
Alexandre Escande, Pierre Maroun, Isabelle Dumas, Antoine Schernberg, Alberto Bossi, Renaud De Crevoisier, Eric Deutsch, Christine Haie-Meder, Cyrus Chargari
BACKGROUND: No study has examined the possibility to perform an organ sparing strategy in older patients with penile carcinoma, and amputation is frequently proposed. We report our experience of interstitial brachytherapy for the conservative treatment of penile carcinoma confined to the glans in patients aged of 70years and more. METHODS: A total of 55 patients candidates to conservative brachytherapy were identified. Median age was 73.8years (range: 70-95years)...
November 20, 2017: Journal of Geriatric Oncology
https://www.readbyqxmd.com/read/29133164/pre-incision-urethral-plate-width-does-not-impact-short-term-tubularized-incised-plate-urethroplasty-outcomes
#13
N C Bush, W Snodgrass
INTRODUCTION: Two reports have found that urethral plate (UP) widths <8 mm before tubularized incised plate (TIP) incision increased urethroplasty complications. The present study measured pre-incision UP width in consecutive boys undergoing TIP to determine if it affected outcomes. METHODS: The present study followed the method previously used by Holland and Smith, and Sarhan et al. to measure UP width before creating glans wings or performing midline plate incision in consecutive patients with primary hypospadias and ventral curvature <30°, who all underwent TIP repair (Summary Fig...
December 2017: Journal of Pediatric Urology
https://www.readbyqxmd.com/read/29119701/management-of-urethral-stricture-high-pressure-balloon-dilation-versus-optical-internal-urethrotomy
#14
Yohei Kumano, Takashi Kawahara, Taku Mochizuki, Daiji Takamoto, Teppei Takeshima, Sinnnosuke Kuroda, Jun-Ichi Teranishi, Kazuhide Makiyama, Yasuhide Miyoshi, Yasushi Yumura, Masahiro Yao, Hiroji Uemura
OBJECTIVE: Urethral stenosis is a disease in which the lumen of the urethra becomes constricted by fibrosis. Such stenoses have been treated by urethral dilation using a bougie and optical internal urethrotomy (OIU). Recently, high-pressure balloon dilation (BD) has been developed as a new treatment method for urethral stenosis. The present study compared the effectiveness of urethral dilation by BD and OIU. METHODS: Twenty-two patients of urethral stenosis were treated at Yokohama City University Medical Center between 2005 and 2015...
November 9, 2017: Lower Urinary Tract Symptoms
https://www.readbyqxmd.com/read/29107132/staged-urethroplasty-for-penile-urethral-strictures-from-lichen-sclerosus-and-failed-hypospadias-repair
#15
Bradley D Figler, Andrew Gomella, Logan Hubbard
OBJECTIVE: To present our technique for staged urethroplasty with buccal mucosa graft. METHODS: The patient presented is a 42-year-old man with a history of congenital hypospadias repaired as a child. He developed a penile urethral stricture at age 30 and was managed with self-intermittent dilation. Recently, dilation became more difficult, and he was referred for reconstruction. Workup revealed a high-grade stricture extending from the meatus to the site of the previous anastomosis at the penoscrotal junction...
October 26, 2017: Urology
https://www.readbyqxmd.com/read/29104787/does-asymptomatic-prostatic-inflammation-alter-the-outcome-of-transurethral-resection-of-prostate
#16
Anuj Deep Dangi, Ramya Nagarajan, Arabind Panda, Ramani Manoj Kumar, Antony Devasia, Nitin Kekre
Introduction: There is contradictory evidence in literature with respect to the association of asymptomatic prostatic inflammation on biopsy with complications of Transurethral Resection of Prostate. The aim of the present study was to evaluate the association of prostatitis in biopsy specimens of patients undergoing transurethral resection of prostate with bladder neck contracture (the primary end point) and other complications. Material and methods: Patients who had undergone transurethral resection at a single centre between 2005 and 2010, with a minimum of 3 months follow-up were included...
2017: Central European Journal of Urology
https://www.readbyqxmd.com/read/29098193/double-intracavernous-breakage-of-sachse-s-knife-blade-management-of-a-rare-complication-performing-direct-vision-internal-urethrotomy
#17
Alfonso Benincasa, Alberto Saita, Angelo Pinto, Carmine Pilerci, Lamberti Francesco, Aniello Russo, Giuseppe Benincasa
Background: Although the breakage of a Sachse's knife blade is already a rare event while performing optical internal urethrotomy, a double failure appears to be at the same time a unique and a challenging complication to manage since no reference has emerged from literature review. Case Presentation: A male patient, 80 years of age, underwent retreatment of recurrent urethral stricture that occurred after transurethral resection of the prostate. The latter was complicated by severe intraoperative urethrorrhagia; this is the reason he was transferred from another institution where at first a suprapubic cystostomy was carried out, followed by urethral recanalization through internal urethrotomy and finally he underwent intracavernous Sachse's knife blade discharge...
2017: Journal of Endourology Case Reports
https://www.readbyqxmd.com/read/29071159/mathieu-technique-with-incision-of-the-urethral-plate-versus-standard-tubularised-incised-plate-urethroplasty-in-primary-repair-of-distal-hypospadias-a-prospective-randomised-study
#18
Mostafa Khalil, Tarek Gharib, Waleed El-Shaer, Ahmed Sebaey, Basheer Elmohamady, Khalid Elgamal
OBJECTIVE: To compare outcomes of the Mathieu incised-plate (Mathieu-IP) technique vs the standard tubularised incised-plate (TIP) technique for primary management of distal hypospadias. PATIENTS AND METHODS: Between April 2012 and August 2015, 66 patients (aged 15-60 months) with primary distal hypospadias were randomly allocated to two groups. Group 1 included 34 patients who underwent Mathieu-IP repair and Group 2 included 32 patients managed using the TIP technique for primary management of distal hypospadias...
September 2017: Arab Journal of Urology
https://www.readbyqxmd.com/read/29068537/anti-fibrotic-function-of-cu-bearing-stainless-steel-for-reducing-recurrence-of-urethral-stricture-after-stent-implantation
#19
Jing Zhao, Ling Ren, Meixia Liu, Tong Xi, Bingchun Zhang, Ke Yang
Recurrent stenosis is the main reason inducing the failure of urethral stricture treatment. Our previous study has found that the 316L type Cu bearing stainless steel (316L-Cu SS) showed antimicrobial activity and anti-encrustation performance when it was used for relieving urethral obstructer. However, whether it can reduce the occurrence of fibrosis or not, we need further investigation to compare the cellular and molecular responses of human urethral scar fibroblast cells (USFCs) on 316L-Cu SS and medical grade 316L stainless (316L SS, as a control)...
October 25, 2017: Journal of Biomedical Materials Research. Part B, Applied Biomaterials
https://www.readbyqxmd.com/read/29039059/modified-tubularized-incised-plate-urethroplasty-reduces-the-risk-of-fistula-and-meatal-stenosis-for-proximal-hypospadias-a-report-of-63-cases
#20
Hamid Arshadi, Shabnam Sabetkish, Abdol-Mohammad Kajbafzadeh
PURPOSE: To report the feasibility of modified tubularized incised plate (TIP) urethroplasty technique for proximal hypospadias in 63 cases. METHODS: From January 2004 to March 2010, 63 patients underwent one-stage TIP urethroplasty (modified Snodgrass technique repair) using 2-3 of three covering layers (corpus spongiosum, dartos, and tunica vaginalis). The primary meatus was proximal penile, penoscrotal, scrotal, and perineal in 38, 13, 10, and 2 patients, respectively...
December 2017: International Urology and Nephrology
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