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https://www.readbyqxmd.com/read/28508877/an-overview-of-female-to-male-gender-confirming-surgery
#1
REVIEW
Shane D Morrison, Mang L Chen, Curtis N Crane
Gender dysphoria is estimated to occur in approximately 25 million people worldwide, and can have severe psychosocial sequelae. Medical and surgical gender transition can substantially improve quality-of-life outcomes for individuals with gender dysphoria. Individuals seeking to undergo female-to-male (FtM) transition have various surgical options available for gender confirmation, including facial and chest masculinization, body contouring, and genital surgery. The World Professional Association for Transgender Health guidelines should be met before the patient undergoes surgery, to ensure that gender-confirming surgery is appropriate and indicated...
May 16, 2017: Nature Reviews. Urology
https://www.readbyqxmd.com/read/28506861/do-urinary-leakage-circumstances-in-women-with-urinary-incontinence-correlate-with-physician-diagnosis-and-urodynamic-results-a-questionnaire-validation-study
#2
Krystel Nyangoh Timoh, Arnaud Fauconnier, Marion Ravit, Georges Bader, Catalina Varas Ramos, Xavier Fritel
OBJECTIVES: To investigate if leakage circumstances collected using the Urinary Leakage Circumstances Questionnaire (ULCQ) are correlated with physician diagnosis and urodynamic results and resolve after surgery. METHODS: The ULCQ was developed to investigate leakage circumstances encountered by incontinent women. Women completed both the ULCQ and the International Consultation on Incontinence Questionnaire-Urinary Incontinence Short Form (ICIQ-UI SF) before clinical and urodynamic exam...
May 12, 2017: Urology
https://www.readbyqxmd.com/read/28503734/retropubic-tissue-fixation-system-tensioned-mini-sling-carried-out-under-local-anesthesia-cures-stress-urinary-incontinence-and-intrinsic-sphincter-deficiency-1-year-data
#3
Ryoko Nakamura, Masahiro Yao, Yoshiko Maeda, Akiko Fujisaki, Yuki Sekiguchi
OBJECTIVES: To assess the outcomes of the tissue fixation system midurethral sling for the treatment of intrinsic sphincter deficiency. METHODS: We retrospectively studied a total of 96 intrinsic sphincter deficiency patients treated with the tissue fixation system midurethral sling at Yokohama Motomachi Women's Clinic from 2006 to 2015. We evaluated intraoperative and 1-year postoperative results. Regarding the cure rate, we divided patients into three groups: (i) patients with maximum urethral closure pressure <20 and Valsalva leak point pressure <65 combined (n = 17); (ii) patients with maximum urethral closure pressure <20 (n = 55); and (iii) patients with Valsalva leak point pressure <65 (n = 47)...
May 14, 2017: International Journal of Urology: Official Journal of the Japanese Urological Association
https://www.readbyqxmd.com/read/28503233/single-penile-incision-for-combined-hypospadias-and-inguinal-surgery-a-comparative-study
#4
Michael E Chua, Naif Alqarni, Jessica M Ming, Fahad Alyami, Joana Dos Santos, Roberto Iglesias Lopes, Walid A Farhat, Martin A Koyle
INTRODUCTION: We sought to compare the surgical outcomes of hypospadias repair with correction of inguinal pathology using a single penile incision vs. conventional approach using two incisions. METHODS: This is a retrospective study that reviewed all patients who underwent concurrent surgical repair for both hypospadias and inguinal pathologies between January 2003 and November 2015. Patients were classified into Group A, conventional (inguinal or scrotal and penile incision) approach; or Group B, single penile incision approach...
May 2017: Canadian Urological Association Journal, Journal de L'Association des Urologues du Canada
https://www.readbyqxmd.com/read/28501419/brachytherapy-for-conservative-treatment-of-invasive-penile-carcinoma-prognostic-factors-and-long-term-analysis-of-outcome
#5
Alexandre Escande, Christine Haie-Meder, Renaud Mazeron, Pierre Maroun, Andrea Cavalcanti, Renaud de Crevoisier, Antoine Schernberg, Fanny Marsolat, Pierre Blanchard, Florent Martinetti, Alberto Bossi, Isabelle Dumas, Eric Deutsch, Cyrus Chargari
PURPOSE: To report the largest experience with brachytherapy as a conservative approach for the treatment of penile carcinoma. METHODS AND MATERIALS: We examined the outcomes of 201 patients treated at our institution over 45 years for invasive squamous cell carcinoma of the glans penis by brachytherapy. RESULTS: With a median follow-up of 10.7 years, local relapse as first failure was reported in 37 patients (18.9%), and 24 of 31 patients (77...
February 28, 2017: International Journal of Radiation Oncology, Biology, Physics
https://www.readbyqxmd.com/read/28501111/laparoscopic-dissection-and-division-of-distal-fistula-in-boys-with-rectourethral-fistula
#6
Chen Wang, Mei Diao, Long Li, Shuli Liu, Zheng Chen, Xu Li, Wei Cheng
BACKGROUND: Congenital rectourethral fistula (RUF) is the most common form of anorectal malformations found in boys. The aim of this study is to review our experience with dissection and division of distal fistula using laparoscopic surgery in the management of RUF, especially rectourethral bulbar fistula. METHODS: One hundred and two consecutive boys with congenital RUF who underwent conventional or single-incision laparoscopic surgery between July 2008 and June 2015 were enrolled in the study...
May 1, 2017: Journal of Surgical Research
https://www.readbyqxmd.com/read/28499524/one-stage-gender-confirmation-surgery-as-a-viable-surgical-procedure-for-female-to-male-transsexuals
#7
Borko Stojanovic, Marta Bizic, Marko Bencic, Vladimir Kojovic, Marko Majstorovic, Milos Jeftovic, Dusan Stanojevic, Miroslav L Djordjevic
BACKGROUND: Female-to-male gender-confirmation surgery (GCS) includes removal of breasts and female genitalia and complete genital and urethral reconstruction. With a multidisciplinary approach, these procedures can be performed in one stage, avoiding multistage operations. AIM: To present our results of one-stage sex-reassignment surgery in female-to-male transsexuals and to emphasize the advantages of single-stage over multistage surgery. METHODS: During a period of 9 years (2007-2016), 473 patients (mean age = 31...
May 2017: Journal of Sexual Medicine
https://www.readbyqxmd.com/read/28497446/the-role-of-water-jet-dissection-in-improving-erectile-function-and-urinary-continence-after-nerve-sparing-prostatectomy
#8
Peter V Glybochko, Leonid M Rapoport, Eugene A Bezrukov, Eugene S Sirota, Gurgen A Martirosyan
OBJECTIVES: The aim of this study was to assess erectile function (EF) and urinary continence (UC) recovery after nerve-sparing retropubic radical prostatectomy (NS-RRPE) and nerve-sparing laparoscopic radical prostatectomy (NS-LRPE) depending on the neurovascular bundle (NVB) dissection technique used. METHODS: Twenty-four hour pad test was used to assess the degree of postoperative UC 1, 6 and 12 months after the surgery. For the purpose of EF assessment, International Index of Erectile Function-5 (IIEF-5) questionnaire was used...
May 10, 2017: Urologia
https://www.readbyqxmd.com/read/28480344/urethral-strictures-after-bipolar-transurethral-resection-of-prostate-may-be-linked-to-slow-resection-rate
#9
Guan Hee Tan, Shamsul Azhar Shah, Nurayub Md Ali, Eng Hong Goh, Praveen Singam, Christopher Chee Kong Ho, Zulkifli Md Zainuddin
PURPOSE: This study aimed to determine the urethral stricture (US) rate and identify clinical and surgical risk factors associated with US occurrence after transurethral resection of the prostate using the bipolar Gyrus PlasmaKinetic Tissue Management System (PK-TURP). MATERIALS AND METHODS: This was an age-matched case-control study of US occurrence after PK-TURP. Retrospective data were collected from the hospital records of patients who had a minimum of 36 months of follow-up information...
May 2017: Investigative and Clinical Urology
https://www.readbyqxmd.com/read/28479764/role-of-tubularization-of-urethral-plate-in-development-of-urethrocutaneous-fistula-post-hypospadias-repair
#10
Basim S Alsaywid, Abdullah K Mohammedkhalil, Abdullah A Mesawa, Saif Y Alzahrani, Aseel H Askar, Wesam T Abuznadah, Mohamoud H Alrimawi
INTRODUCTION: This study aimed to demonstrate the outcome of hypospadias repair in the pediatric population using the tubularized urethral plate technique and to compare the incidence of fistula between incised and unincised urethral plate. METHODOLOGY: This is a retrospective cohort study of pediatric patients who had hypospadias repair in a tertiary hospital in Jeddah, Saudi Arabia, between January 2000 and December 2012. They were divided into two main groups according to the status of the urethral plate: Group A included patients who had incision of the urethral plate just before tubularization, and Group B included patients who underwent tubularization without incision...
April 2017: Urology Annals
https://www.readbyqxmd.com/read/28479762/transurethral-resection-of-prostate-in-benign-prostatic-enlargement-with-underactive-bladder-a-retrospective-outcome-analysis
#11
Ashok Kumar Sokhal, Rahul Janak Sinha, Bimalesh Purkait, Vishwajeet Singh
PURPOSE: The purpose of this study was to evaluate the clinical outcome and efficacy of transurethral resection of the prostate in patients of benign prostatic enlargement (BPE) with underactive bladder. MATERIALS AND METHODS: Retrospective study of 174 patients, who underwent transurethral resection of prostate (TURP) between 2008 and 2015, for lower urinary tract symptoms with BPE with bladder underactivity. Clinical history, physical examination, renal function test, urinalysis, cystourethroscopy, transabdominal or transrectal ultrasonography, and urodynamic study were recorded...
April 2017: Urology Annals
https://www.readbyqxmd.com/read/28476681/the-risk-of-recurrent-urinary-incontinence-requiring-surgery-after-suburethral-sling-removal-for-mesh-complications
#12
P Ramart, A L Ackerman, S Cohen, J H Kim, S Raz
OBJECTIVES: We sought to examine the risk of recurrent stress urinary incontinence (SUI) after suburethral sling mesh removal or excision. METHODS: We conducted a retrospective cohort study of patients who were continent before removal or excision of synthetic mid-urethral slings; this cohort of 278 subjects was much larger than seen in previous such studies. Patients with preoperative incontinence, additional vaginal mesh placements, prior mesh revision/excision, existing SUI, and prior pelvic radiation or fistula were excluded...
May 2, 2017: Urology
https://www.readbyqxmd.com/read/28469305/a-novel-composite-two-stage-urethroplasty-for-complex-penile-strictures-a-multicenter-experience
#13
Pankaj M Joshi, Guido Barbagli, Vikram Batra, Sandesh Surana, Atef Hamouda, Salvatore Sansalone, Dimitris Costi, Massimo Lazzeri, Craig Hunter, Devang J Desai, Fabio Castiglione, Sanjay B Kulkarni
INTRODUCTION: Complex penile strictures are usually repaired using a two-stage urethroplasty. Buccal mucosal graft (BMG) placed in the first stage can have a significant contraction rate, which may require a subsequent revision surgery. We describe a composite two-stage penile urethroplasty using BMG for patients of complex penile strictures who have some salvageable urethral plate. METHODS: Within a multi-institutional cohort, 82 patients underwent a two-stage urethroplasty for complex stricture of the penile urethra...
April 2017: Indian Journal of Urology: IJU: Journal of the Urological Society of India
https://www.readbyqxmd.com/read/28466072/-hair-in-the-bladder-an-unusual-finding
#14
Luca Cindolo, Maida Bada, Roberto Bellocci, Piergustavo De Francesco, Pietro Castellan, Francesco Berardinelli, Fabio Neri, Luigi Schips
Trichobezoar is a rare condition whereby a hairball is found in the human stomach or gastrointestinal tract, most frequently in young women, mainly in association with a psychiatric disorder. Trichobezoar cases have also been reported in the bladder and represent a rare complication of foreign bodies, called "hair nidus or hair ball," in patients with chronic catheter. Approximately 10% to 15% of patients on long-term urethral catheter or clean intermittent self-catheterization develop urinary tract stones...
2017: Journal of Endourology Case Reports
https://www.readbyqxmd.com/read/28465697/the-effect-of-urethral-catheterization-on-the-level-of-prostate-specific-antigen
#15
Mohammad Hossein Izadpanahi, Hojatollah Salimi, Amir Javid, Salman Eslami
BACKGROUND: The normal prostate-specific antigen (PSA) level in patients with urethral catheterization is a controversy. We designed this study to investigate the effect of nontraumatic urethral catheterization without urinary retention on serum PSA. MATERIALS AND METHODS: Seventy patients scheduled for urethral catheterization before elective surgeries were randomly selected and included in the study. They were categorized into two age groups: 40-60 years (Group A) and over 60 years (Group B)...
2017: Journal of Research in Medical Sciences: the Official Journal of Isfahan University of Medical Sciences
https://www.readbyqxmd.com/read/28463605/comparison-of-poly-l-lactide-co-%C3%AE%C2%B5-caprolactone-and-poly-trimethylene-carbonate-membranes-for-urethral-regeneration-an-in-vitro-and-in-vivo-study
#16
Reetta Sartoneva, Panu Nordback, Suvi Haimi, Dirk W Grijpma, Kalle Lehto, Rooney Niall, Riitta Seppänen-Kaijansinkko Md Dds PhD, Susanna Miettinen, Tuija Lahdes-Vasama
Urethral defects are normally reconstructed using patient's own genital tissue; however, in severe cases, additional grafts are needed. We studied the suitability of poly(L-lactide-co-ε-caprolactone) (PLCL) and poly(trimethylene carbonate) (PTMC) membranes for urethral reconstruction in vivo. Further, the compatibility of the materials was evaluated in vitro with human urothelial cells (hUC). The attachment and viability of hUCs and the expression of different urothelial cell markers (Cytokeratin 7, 8, 19 and Uroplakin Ia, Ib and III) were studied after in vitro cell culture on PLCL and PTMC...
May 2, 2017: Tissue Engineering. Part A
https://www.readbyqxmd.com/read/28462639/can-laparoscopy-be-part-of-a-paediatric-surgery-outreach-service
#17
R Peeraully, R Hill, D Colliver, A Williams, S Motiwale, B Davies
INTRODUCTION The aim of this study was to assess the outreach laparoscopic service delivered by four paediatric surgeons to a district general hospital (DGH). METHODS A retrospective review was carried out of all laparoscopic procedures performed in a single DGH between January 2004 and November 2014 by the four paediatric surgeons providing the outreach service. All operations were identified from the electronic theatre system and archived correspondence. Demographic and clinical details were obtained from contemporaneous records...
May 2017: Annals of the Royal College of Surgeons of England
https://www.readbyqxmd.com/read/28462000/prostatic-abscesses-a-case-report-and-review-of-the-literature-on-current-treatment-approaches
#18
Mariam Choudhry, Gianluca Pellino, Constantinos Simillis, Shengyang Qiu, Christos Kontovounisios
Prostatic abscess (PA) is a rare clinical entity due to a variety of causative organisms including gram-negative bacilli, anaerobic and fungal agents. We report on a 55-year-old, HIV(+) patient presenting with a 2-week history of urethral discharge and a large PA. He was successfully treated with a combination of radiological-guided transperineal drainage plus antibiotics. Treatment decisions in patients with PA are multifactorial and should be made with all diagnostic information available from the most current modes of medical imaging...
2017: Central European Journal of Urology
https://www.readbyqxmd.com/read/28458711/urinary-tract-infections-in-kidney-transplant-recipients-1-st-year-after-transplantation
#19
Seyyede Fatemeh Shams, Elham Shaarbaf Eidgahi, Zahra Lotfi, Azad Khaledi, Sepideh Shakeri, Maryam Sheikhi, Afsane Bahrami
BACKGROUND: One of the main causes of adverse complications following kidney transplantation is urinary tract infection (UTI). This study was done to define the incidence rate, clinical profiles, causative microorganisms, and UTI risk factors among kidney transplant recipients in Mashhad city. MATERIALS AND METHODS: In this retrospective study, we perused medical files of 247 kidney recipients who underwent transplant surgery at Mashhad University Montaserie Hospital, during 2012-2014...
2017: Journal of Research in Medical Sciences: the Official Journal of Isfahan University of Medical Sciences
https://www.readbyqxmd.com/read/28454897/collagenase-clostridium-histolyticum-in-the-treatment-of-urologic-disease-current-and-future-impact
#20
REVIEW
Andrew T Gabrielson, Jonathan T Spitz, Wayne J G Hellstrom
INTRODUCTION: Peyronie's disease (PD) is a connective tissue disorder resulting in the abnormal accumulation of type I to III collagen, fibrin, and disorganized elastic fibers in the tunica albuginea of the penis. Many medical and non-pharmacologic modalities have been used in the treatment of PD; however, these approaches have proved largely ineffective, with surgery being the only definitive treatment. Intralesional injection of collagenase Clostridium histolyticum (CCH) has recently become the gold standard for minimally invasive treatment of PD, and studies have suggested the role of CCH could expand to the treatment of other urologic conditions such as urethral stricture disease...
April 25, 2017: Sexual Medicine Reviews
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