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https://www.readbyqxmd.com/read/28794591/patient-treatment-preferences-for-symptomatic-refractory-urodynamic-idiopathic-detrusor-overactivity
#1
Christina L Fontaine, Ian Rudd, Mahreen Pakzad, Rizwan Hamid, Jeremy L Ockrim, Tamsin J Greenwell
INTRODUCTION: There is a multiplicity of treatments currently available for patients with symptomatic refractory urodynamic idiopathic detrusor overactivity (SRU IDO). We have assessed patient treatment preferences and their outcomes over a 12-month period from January 1 2009 to December 31 2009. PATIENTS AND METHODS: A retrospective database of all patients with SRU IDO was reviewed for patient demographics, treatment preference, and outcome. All patients attending for treatment in the time period were offered: no further treatment, repeat bladder training ± antimuscarinic (BT ± AM), acupuncture, intravesical botulinum toxin injection, sacral neuromodulation (SNM), clam cystoplasty ± Mitrofanoff channel formation, and ileal conduit...
July 2017: Urology Annals
https://www.readbyqxmd.com/read/28777480/serous-lined-stapled-pouch-wall-plication-initial-results-of-a-simple-and-quick-novel-continence-mechanism-in-troubleshooting-secondary-to-continent-cutaneous-urinary-diversion
#2
Hubertus Riedmiller, Arkadius Kocot, Charis Kalogirou
OBJECTIVES: To report a novel and straightforward technique of a secondary continent outlet for continent cutaneous urinary diversion (CCUD) reservoirs without the need for further bowel resection, reducing operation time and hospitalization. PATIENTS AND METHODS: From 2015 to 2017, 6 patients with unreconstructable, incontinent outlets (out of a total pool of n=595 CCUD patients) have undergone the technique described here at our department. It relies on the Mitrofanoff principle, using a stapled full-thickness pouch wall plication, which creates a flap-valve continence mechanism...
August 4, 2017: BJU International
https://www.readbyqxmd.com/read/28733160/triamcinolone-injection-for-treatment-of-mitrofanoff-stomal-stenosis-optimizing-results-and-reducing-cost-of-care
#3
P P Reddy, A C Strine, T Reddy, P H Noh, W R DeFoor, E Minevich, C A Sheldon, B A VanderBrink
INTRODUCTION: Stomal stenosis is the most common complication after the creation of a continent catheterizable channel (CCC), but is challenging to treat. OBJECTIVE: To describe early experience with triamcinolone injection for the treatment of stomal stenosis. MATERIALS AND METHODS: A retrospective review was performed of patients who had undergone a triamcinolone injection (40 mg/ml) for the treatment of stomal stenosis at the present institution...
July 4, 2017: Journal of Pediatric Urology
https://www.readbyqxmd.com/read/28625744/the-anterior-sagittal-transrectal-approach-astra-for-cases-associated-with-rectal-implantation-of-the-urethra-a-retrospective-review-of-six-cases
#4
A Macedo, M I S Silva, J A Pompermaier, S L Ottoni, R de Castro, M Leal da Cruz
INTRODUCTION: Severe genital abnormalities such as urogenital sinus and urethral duplication with ectopic urethra in the rectum represent a major challenge in reconstructive urology. OBJECTIVE: We aimed to review our cases presenting with functional ectopic urethra implanted in the rectum that were treated through an ASTRA approach. METHODS: We reviewed the medical records of all patients who had undergone an ASTRA approach from 2005-2016...
May 17, 2017: Journal of Pediatric Urology
https://www.readbyqxmd.com/read/28587757/cevl-interactive-best-surgical-practices-for-open-mitrofanoff-procedure
#5
EDITORIAL
Thomas de Los Reyes, Max Maizels, Robert Dale, Kourosh Afshar, Patrick Meade, Andrew MacNeily
No abstract text is available yet for this article.
June 2017: Journal of Pediatric Urology
https://www.readbyqxmd.com/read/28413306/urogenital-management-in-cloaca-an-alternative-approach
#6
Harshjeet Singh Bal, Sudipta Sen, Cenita Sam, Jacob Chacko, John Mathai, S R Regunandan
INTRODUCTION: In the management of cloaca, there is concern that dissection of the urogenital sinus in early childhood with the aim of total anatomical correction is hazardous. Avoiding such mobilization and providing mitrofanoff channel, when needed, till peripubertal period reduces complications and is technically easier. MATERIALS AND METHODS: Forty-three cases of cloaca were managed in the period 2004-2016. Case records and radiology were reviewed retrospectively...
April 2017: Journal of Indian Association of Pediatric Surgeons
https://www.readbyqxmd.com/read/28319023/isolated-bilateral-simplex-ureteric-ectopia-bladder-capacity-as-an-indicator-of-continence-outcome
#7
Vasilis Stavrinides, Paul Charlesworth, Dan Wood, Divyesh Desai, Abraham Cherian, Imran Mushtaq, Peter Cuckow, Naima Smeulders
INTRODUCTION: Isolated bilateral simplex ectopic ureters (BSEUs) are rare but pose a therapeutic challenge: ureteric reimplantation alone does not accomplish continence in all. Identifying the patients needing additional procedures for continence early could prevent multiple operations. OBJECTIVE: Potential preoperative indicators for postoperative continence are explored in eight BSEU girls without cloacal, anorectal, or spinal anomalies. STUDY DESIGN: With institutional approval, all patients with BSEU between 1985 and 2012 were retrospectively reviewed...
March 6, 2017: Journal of Pediatric Urology
https://www.readbyqxmd.com/read/27992757/update-on-continent-catheterizable-channels-and-the-timing-of-their-complications
#8
Deborah L Jacobson, John C Thomas, John Pope, Stacy T Tanaka, Douglass B Clayton, John W Brock, Mark C Adams
PURPOSE: We previously reported catheterizable channel associated outcomes and concluded that the incidence of postoperative complications was greatest in the first 2 years after surgery. At that time our followup was short. In this series we sought to determine whether complications continued to accumulate with longer followup in an updated cohort of patients. MATERIALS AND METHODS: We comprehensively reviewed the outcomes in 81 consecutive patients who underwent construction of a MACE (Malone antegrade continence enema) and/or a Mitrofanoff channel in association with complex genitourinary reconstruction...
December 16, 2016: Journal of Urology
https://www.readbyqxmd.com/read/27914585/bladder-augmentation-in-anuric-defunctioned-microbladders-and-a-novel-antireflux-mechanism-for-mitrofanoff-anastomosis-to-the-ileal-patch
#9
Joana Lopes, Andy Robb, Liam McCarthy
BACKGROUND/PURPOSE: Reconstruction of microbladders is a difficult surgical challenge: How can a neobladder be recreated when >90% of the new bladder is augmented patch, and how can a Mitrofanoff conduit be anastomosed when the native bladder is so tiny? This series describes microbladders secondary to anuria and/or diversion that required augmentation. This was done using a de-tubularized ileal segment, and because of the small size of the native bladder, Mitrofanoff anastomosis was performed to the bowel patch (using a novel "Keel Procedure")...
February 2017: Journal of Pediatric Surgery
https://www.readbyqxmd.com/read/27793447/conservative-surgery-with-combined-high-dose-rate-brachytherapy-for-patients-suffering-from-genitourinary-and-perianal-rhabdomyosarcoma
#10
Jörg Fuchs, Frank Paulsen, Martin Bleif, Ulf Lamprecht, Nicola Weidner, Daniel Zips, Felix Neunhoeffer, Guido Seitz
BACKGROUND AND PURPOSE: Outcome of patients with genitourinary rhabdomyosarcoma has been improved in the past, but organ preservation rates are too low. Conservative surgery with LDR-brachytherapy has been advocated, but LDR-brachytherapy is often not available. We wanted to establish a novel treatment modality combining HDR-brachytherapy and conservative surgery. MATERIAL AND METHODS: We performed an organ preserving tumor resection with intraoperative placement of brachytherapy tubes...
November 2016: Radiotherapy and Oncology: Journal of the European Society for Therapeutic Radiology and Oncology
https://www.readbyqxmd.com/read/27760973/-urinary-diversion-using-an-appendicovesicostomy-for-idiopathic-urethral-stricture-a-case-report
#11
Takuro Sunada, Satoshi Kamido, Akihiro Hamada, Keiji Kato, Hirotsugu Uetsuki, Hiroaki Kawanishi, Kazuhiro Okumura
A 55-year-old woman was referred to our hospital with dysuria. We were unable to catheterize her using a nelaton catheter because of a urethral stricture, resulting in a large residual urine volume on ultrasonography. The circumference of the periurethral tissue was also thickened and the entire length of the urethra was stenotic, without apparent cause, on magnetic resonance imaging. Biopsy did not reveal malignancy. The pathological diagnosis of the periurethral tissue was simply fibrosis, and there was no definitive diagnosis...
September 2016: Hinyokika Kiyo. Acta Urologica Japonica
https://www.readbyqxmd.com/read/27717734/-continent-cutaneous-urinary-diversion-after-cystectomy-for-cancer-a-reliable-alternative-a-monocentric-retrospective-study
#12
C Vuichoud, M-A Perrouin-Verbe, V Phe, M-O Bitker, J Parra, E Chartier-Kastler
INTRODUCTION: Among available urinary diversion, continent cutaneous urinary diversion (CCUD) is not frequently used after cystectomy for malignancy. The aim of our work was to assess mid-term oncological and functional outcomes of CCUD in case of malignancies. PATIENTS AND METHODS: We retrospectively included all patients who underwent CCUD after radical cystectomy for cancer (according Mitrofanoff or Monti's principle) between July 2001 and November 2015 in our department...
September 2016: Progrès en Urologie
https://www.readbyqxmd.com/read/27707652/bladder-continent-catheterizable-conduit-the-mitrofanoff-procedure-long-term-issues-that-should-not-be-underestimated
#13
Alice Faure, Rebecca Cooksey, Aurore Bouty, Alan Woodward, John Hutson, Mike O'Brien, Yves Heloury
BACKGROUND: Effective bladder emptying by clean intermittent catheterization for children with severe bladder dysfunction is critical for renal preservation and social integration. Use of a continent catheterizable conduit (CCC) as urethral alternative procedure provides effective bladder drainage. However, it brings a substantive maintenance. METHODS: Retrospective review of the indications and long-term outcomes of 54 patients with a Mitrofanoff procedure in a single center over a 20-year period (1995-2015)...
March 2017: Journal of Pediatric Surgery
https://www.readbyqxmd.com/read/27522318/male-and-female-aphallia-associated-with-severe-urinary-tract-dysplasia
#14
Ariella A Friedman, Paul F Zelkovic, Edward F Reda, Israel Franco, Lane S Palmer
INTRODUCTION: Aphallia is exceedingly rare (1/30 million births). Previous reports have provided limited detail on associated urinary tract findings. OBJECTIVE: We reviewed urinary tract anomalies in two boys with aphallia (patients 1 and 2) and a girl with urinary tract dysplasia, a similar external appearance and lack of corporal tissue (patient 3), also consistent with aphallia. CASE REPORTS (FIGURE): Patients 1 and 2 both had a 46XY karyotype, bilateral descended testes in well-formed scrotums, and posterior skin tags containing rudimentary urethras...
August 2016: Journal of Pediatric Urology
https://www.readbyqxmd.com/read/27499279/spontaneous-bladder-rupture-in-non-augmented-bladder-exstrophy
#15
Sarah Giutronich, Aurélien Scalabre, Thomas Blanc, Peter Borzi, Yves Aigrain, Mike O'Brien, Pierre D E Mouriquand, Yves Heloury
OBJECTIVE: Bladder perforation is not commonly described in bladder exstrophy patients without bladder augmentation. The goal of this study was to identify the risk factors of spontaneous perforation in non-augmented exstrophy bladders. METHODS: The study was a retrospective multi-institutional review of bladder perforation in seven male and two female patients with classic bladder exstrophy-epispadias (E-E). RESULTS: Correction of E-E was performed using Kelly repair in two and staged repair in seven (Table)...
December 2016: Journal of Pediatric Urology
https://www.readbyqxmd.com/read/27349147/a-multi-institutional-study-of-perioperative-and-functional-outcomes-for-pediatric-robotic-assisted-laparoscopic-mitrofanoff-appendicovesicostomy
#16
Mohan S Gundeti, Michael E Petravick, Joseph J Pariser, Shane M Pearce, Blake B Anderson, Gwen M Grimsby, Ardavan Akhavan, Pankaj P Dangle, Aseem R Shukla, Thomas S Lendvay, Glenn M Cannon, Patricio C Gargollo
BACKGROUND: Robotic techniques are increasingly being used for reconstructive procedures in the pediatric population. OBJECTIVE: The present study reported the functional and perioperative outcomes of a multi-institutional cohort of pediatric patients who underwent robotic-assisted laparoscopic Mitrofanoff appendicovesicostomy (RALMA). STUDY DESIGN: Pediatric patients who underwent RALMA at five different centers were included. Positioning is shown (Summary Figure)...
December 2016: Journal of Pediatric Urology
https://www.readbyqxmd.com/read/27327575/primary-squamous-cell-carcinoma-arising-from-a-cutaneous-ureterovesical-stoma-modified-mitrofanoff-case-report-and-review-of-literature
#17
Balaji N Reddy, Madanika Subhash, Monika Pilichowska, George T Klauber
Squamous cell carcinoma arising from a urinary stoma is exceedingly rare, and none so far is reported from a cutaneous ureterovesical stoma. Squamous cell carcinoma usually occurs as a late complication of urinary diversion, and we report the first such case in a cutaneous ureterovesical stoma with a review of published literature.
January 2017: Urology
https://www.readbyqxmd.com/read/27191114/re-robot-assisted-laparoscopic-augmentation-ileocystoplasty-and-mitrofanoff-appendicovesicostomy-in-children-updated-interim-results
#18
Jeffrey A Cadeddu
No abstract text is available yet for this article.
June 2016: Journal of Urology
https://www.readbyqxmd.com/read/27142898/complications-after-bladder-augmentation-in-children
#19
Carlos Augusto Fernandes Molina, Gilson José de Lima, Marcelo Ferreira Cassini, Murilo Ferreira de Andrade, Inalda Facincani, Silvio Tucci Júnior
PURPOSE: Bladder augmentation is an effective surgical procedure for increasing bladder capacity and reducing pressure on the urinary system. It is indicated for patients with anomalies such as spina bifida, myelomeningocele, urethral valve and bladder exstrophy, who progress with low tolerance of medication. CASES: This was a retrospective study conducted on pediatric patients submitted to bladder augmentation from 2000 to 2011. RESULTS: 34 patients aged 4 to 17 years were submitted to bladder augmentation, 30 of them with an ileal loop and 4 with a ureter...
2016: Acta Cirúrgica Brasileira
https://www.readbyqxmd.com/read/26965407/idiopathic-female-pseudohermaphroditism-with-urethral-duplication-and-female-hypospadias
#20
Aureen Ruby D'Cunha, Jujju Jacob Kurian, Tarun John K Jacob
Female hypospadias is a rare anomaly of the female urethra where it opens on the anterior vaginal wall anywhere between the introitus and the fornix. It is often associated with other genitourinary anomalies such as Cloacal malformation, female pseudohermaphroditism, nonneurogenic neurogenic bladder and urethral duplication. Idiopathic female pseudohermaphroditism is extremely rare, and most cases occur secondary to adrenogenital syndrome or maternal androgen exposure. We report a unique case of a 1-year and 4-month-old girl who presented with ambiguous genitalia and renal failure secondary to a non-neurogenic neurogenic bladder...
March 10, 2016: BMJ Case Reports
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