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https://www.readbyqxmd.com/read/29656064/a-prospective-study-of-patient-reported-pain-after-bulbar-urethroplasty
#1
Patrick Evans, Sorena Keihani, Benjamin N Breyer, Bradley A Erickson, James M Hotaling, Sara M Lenherr, Jeremy B Myers
PURPOSE: To understand the prevalence of chronic perineal pain, activity limitations, and patient satisfaction after urethroplasty. METHODS: From 2014-2016, we prospectively enrolled men undergoing urethroplasty for bulbar urethral strictures. Patients, before and after surgery, completed questions from the Core Lower Urinary Tract Symptom Score (CLSS) assessing pain frequency in the bladder and penis/urethra, as well as non-validated questions assessing perineal pain...
April 12, 2018: Urology
https://www.readbyqxmd.com/read/29649079/in-search-of-mobile-applications-for-urogynecology-providers
#2
Shannon L Wallace, Shailja Mehta, Sara Farag, Robert S Kelley, Katherine T Chen
INTRODUCTION: Thousands of medical applications (apps) are available for mobile devices. Finding accurate, health care provider-centered apps may be time consuming and frustrating for urogynecologists. The objective of this study was to identify and evaluate urogynecology (urogyn) apps using a modified APPLICATIONS scoring system. MATERIALS AND METHODS: Urogyn apps were identified from the Apple iTunes and Google Play Stores using the following 10 MeSH terms: urogynecology, incontinence, prolapse, urinary tract infection, pelvic surgery, fecal incontinence, defecation disorder, voiding disorder, urethral diverticulum, and fistula...
April 11, 2018: Female Pelvic Medicine & Reconstructive Surgery
https://www.readbyqxmd.com/read/29644476/reconstructive-management-pearls-for-the-transgender-patient
#3
REVIEW
Geolani W Dy, Jeff Sun, Michael A Granieri, Lee C Zhao
PURPOSE OF REVIEW: A growing number of transgender patients are seeking gender-affirming genital reconstructive surgery (GRS). These complex procedures have high complication rates. We describe common surgical pitfalls in GRS and approaches for minimizing complications. RECENT FINDINGS: Penile inversion vaginoplasty has been associated with excellent cosmetic and functional outcomes. A robotic-assisted dissection may minimize risk of rectal injury. As a younger transgender population chooses pubertal suppression, alternative sources for lining the vaginal canal, such as enteric vaginoplasties, may be more widely utilized...
April 11, 2018: Current Urology Reports
https://www.readbyqxmd.com/read/29644382/prolapse-reduction-deteriorates-the-urethral-closure-mechanism
#4
Yasmine Khayyami, Gunnar Lose, Niels Klarskov
INTRODUCTION AND HYPOTHESIS: Pelvic organ prolapse (POP) reduction is often performed in the preoperative assessment of women before POP surgery. Using urethral pressure reflectometry (UPR), we sought to investigate how POP reduction affects the urethral closure mechanism. METHODS: Women with anterior or posterior vaginal wall prolapse stage ≥II with and without POP reduction were examined with a speculum. We performed prolapse staging according to the Pelvic Organ Prolapse Quantification system, UPR measurements at rest and during squeezing, and standardized stress tests with 300 ml saline...
April 11, 2018: International Urogynecology Journal
https://www.readbyqxmd.com/read/29643889/therapeutic-effects-of-visual-standard-channel-combined-with-f4-8-visual-puncture-super-mini-percutaneous-nephrolithotomy-on-multiple-renal-calculi
#5
Zhenyu Cui, Yanjun Gao, Wenzeng Yang, Chunli Zhao, Tao Ma, Xiaoqiang Shi
Objective: To evaluate the therapeutic effects of visual standard channel combined with F4.8 visual puncture super-mini percutaneous nephrolithotomy (SMP) on multiple renal calculi. Methods: The clinical data of 46 patients with multiple renal calculi treated in Affiliated Hospital of Hebei University from October 2015 to September 2016 were retrospectively analyzed. There were 28 males and 18 females aged from 25 to 65 years old, with an average of 42.6. The stone diameters were 3...
January 2018: Pakistan Journal of Medical Sciences Quarterly
https://www.readbyqxmd.com/read/29617074/evaluation-of-urodynamic-parameters-after-sling-surgery-in-men-with-post-prostatectomy-urinary-incontinence
#6
Odair Gomes Paiva, João Paulo Cunha Lima, Carlos Alberto Bezerra
OBJECTIVE: To evaluate urodynamic alterations after sub-urethral sling surgery (SSU) in patients with post-prostatectomy urinary incontinence (PPUI). MATERIALS AND METHODS: We evaluated data of 22 patients submitted to radical prostatectomy (RP) or transurethral resection of prostate (TURP) that presented post-surgical urinary incontinence and were treated with SSU implant in a pilot study previously performed in our institution. METHODS: Those patients with PPUI were evaluated by urodynamic exam (UD) before and after surgery, and the parameters were compared, including uroflow, cystometry and micturition study...
January 25, 2018: International Braz J Urol: Official Journal of the Brazilian Society of Urology
https://www.readbyqxmd.com/read/29616284/-urology-and-alternative-medicine-1900-1970
#7
REVIEW
F G Mildenberger
Disorders of the lower abdomen were often associated with sexually transmitted diseases (STDs) or related conditions. The urological diagnostic workup and treatment was based on the idea that technical devices and objective scientific examination methods would lead to targeted success. The fact that illnesses such as urinary retention, urinary incontinence, urge incontinence, orchitis or urethritis often implicated psychosomatic complications and had a possibly far more important impact on sexual life did not play a role in the early years of urology...
April 3, 2018: Der Urologe. Ausg. A
https://www.readbyqxmd.com/read/29600405/comparing-postoperative-voiding-dysfunction-after-mid-urethral-sling-using-either-a-babcock-or-kelly-clamp-tensioning-technique
#8
Olivia H Chang, Michele R Hacker, Peter L Rosenblatt, Dayna Neo, Emily Von Bargen, Iman Berrahou, Amy Le, Roger Lefevre, Lekha S Hota
INTRODUCTION AND HYPOTHESIS: The objective was to compare postoperative urinary retention using the Babcock and Kelly clamps for retropubic midurethral sling (RPS) tensioning. METHODS: This was a retrospective cohort of isolated RPS procedures from December 2010 through April 2016 by five fellowship-trained surgeons at two institutions. Slings were tensioned with a Babcock clamp by grasping a 3-mm midline fold of mesh (RPS-B) or a Kelly clamp as a spacer between the sling and suburethral tissue (RPS-K)...
March 29, 2018: International Urogynecology Journal
https://www.readbyqxmd.com/read/29595041/time-of-catheterization-is-an-independent-predictor-of-immediate-and-early-urinary-continence-recovery-after-radical-prostatectomy
#9
Marta Rossanese, Alessandro Crestani, Vito Palumbo, Gianluca Giannarini, Antonino Inferrera, Giacomo Novara, Claudio Valotto, Vincenzo Ficarra
BACKGROUND: The purpose of the present study was to investigate the potential impact of catheter removal time on immediate and early urinary continence recovery in a series of patients who underwent Radical Prostatectomy (RP). METHODS: We prospectively collected and analyzed the clinical records of 197 patients who underwent open RP between January 2014 and December 2016. A single surgeon using the urethral fixation technique performed all procedures. Patients receiving surgery between Monday and Wednesday performed a cystogram on POD 2...
March 28, 2018: Minerva Urologica e Nefrologica, the Italian Journal of Urology and Nephrology
https://www.readbyqxmd.com/read/29567018/mechanism-of-action-of-the-trans-obturator-sling-tos-for-post-radical-prostatectomy-incontinence-a-multi-institutional-prospective-study-using-dynamic-mri
#10
Arman A Kahokehr, John P Selph, Michael J Belsante, Mustafa Bashir, Keitaro Sofue, Timothy J Tausch, Timothy C Brand, Jessica C Lloyd, Zachariah Goldsmith, Jack R Walter, Andrew C Peterson
OBJECTIVES: To compare the length of the membranous (functional) urethra in male patients who underwent the male trans-obturator sling (TOS) for post radical prostatectomy urinary incontinence (PPI). The TOS is in established use for treatment of PPI however the precise mechanism of action is unknown. METHODS: Prospective case controlled approved study on men undergoing male TOS surgery from 2008 to 2014. The comparison arm included patients without incontinence after RP...
March 19, 2018: Urology
https://www.readbyqxmd.com/read/29552498/suprapubic-catheter-placement-through-ileal-mesentery-causes-mechanical-small-bowel-obstruction-six-years-later-in-a-female-patient-with-turners-syndrome
#11
Niki Parikh, Robert Grand, Jayne McCauley, Ari Halldorsson, Cynthia Smith
Percutaneous suprapubic cystostomy (SPC) is a procedure performed to manage urinary retention when urethral catheterization is contraindicated or to improve the quality of life in cases such as neurogenic bladder. Although a simple procedure, it is associated with serious complications, increasing the morbidity and mortality. This case study demonstrates a delayed presentation of small bowel obstruction caused by a suprapubic catheter traversing through the ileal mesentery in a patient with no prior bowel surgeries...
March 2018: Urology Case Reports
https://www.readbyqxmd.com/read/29551557/surgical-management-of-anatomic-bladder-outlet-obstruction-in-males-with-neurogenic-bladder-dysfunction-a-systematic-review
#12
REVIEW
Toscane C Noordhoff, Jan Groen, Jeroen R Scheepe, Bertil F M Blok
CONTEXT: Surgical treatment of anatomic bladder outlet obstruction (BOO) may be indicated in males with neurogenic bladder dysfunction. A bothersome complication after surgery is urinary incontinence. OBJECTIVE: To identify the optimal practice in the surgical treatment of anatomic BOO in males with neurogenic bladder dysfunction, due to multiple sclerosis, Parkinson disease, spinal cord injury (SCI), spina bifida, or cerebrovascular accident (CVA). EVIDENCE ACQUISITION: A systematic review was conducted according to the Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) statement...
March 15, 2018: European Urology Focus
https://www.readbyqxmd.com/read/29549394/a-randomized-comparison-of-a-single-incision-needleless-contasure-needleless%C3%A2-mini-sling-versus-an-inside-out-transobturator-contasure-kim%C3%A2-mid-urethral-sling-in-women-with-stress-urinary-incontinence-24-month-follow-up-results
#13
Ozan Dogan, Aski Ellibes Kaya, Cigdem Pulatoglu, Alper Basbug, Murat Yassa
INTRODUCTION AND HYPOTHESIS: There is a shortage of reliable data on the efficiency of the under-investigated mini-slings to treat stress urinary incontinence (SUI). We aimed to compare the effectiveness of the single-incision needleless mini-sling (SIMS) with the transobturator inside-out mid-urethral sling (TOT). MATERIALS AND METHODS: Two hundred one women with clinically proven SUI were included in this single-center prospective randomized trial. The patients were randomly allocated to the groups...
March 16, 2018: International Urogynecology Journal
https://www.readbyqxmd.com/read/29545035/renal-trauma-increases-risk-of-future-hypertension
#14
E Charles Osterberg, Mohannad A Awad, Gregory P Murphy, Thomas W Gaither, Jennie Yoo, Jack W McAninch, Thanabhudee Chumnarnsongkhroh, Benjamin N Breyer
OBJECTIVE: To determine if traumatic renal injuries and/or computed tomography (CT) findings are predictive of HTN development following injury. METHODS: A retrospective review of a renal trauma database was performed from 1995-2015. Renal injuries were graded by the American Association for the Surgery of Trauma system, with high grade defined as 4 or 5. Non-renal genitourinary (GU) trauma (i.e. bladder, penile, urethral, and testicular) patients were selected as controls...
March 12, 2018: Urology
https://www.readbyqxmd.com/read/29532221/pelvic-floor-ultrasound-in-the-diagnosis-of-sling-complications
#15
Lewis Chan, Vincent Tse
PURPOSE: The mid-urethral synthetic sling (MUS) procedure has become the standard of care for treatment of female stress urinary incontinence. However, a small number of patients will have complications following MUS including failure, obstructive voiding, sling erosion, or chronic pain. This paper discusses the role of 2D and 3D ultrasound imaging in the evaluation of the female patient with complications following placement of a synthetic mid-urethral sling. RESULTS: The MUS is easily visualized as an echogenic structure on ultrasound and can be imaged by transperineal, transvaginal and introital approaches...
March 12, 2018: World Journal of Urology
https://www.readbyqxmd.com/read/29516095/a-model-for-sustained-collaboration-to-address-the-unmet-global-burden-of-bladder-exstrophy-epispadis-complex-and-penopubic-epispadis-the-international-bladder-exstrophy-consortium
#16
Rakesh S Joshi, Dhirendra Shrivastava, Richard Grady, Anjana Kundu, Jaishri Ramji, Pramod P Reddy, Joao Luiz Pippi-Salle, Jennifer R Frazier, Douglas A Canning, Aseem R Shukla
Importance: International collaboration to alleviate the massive burden of surgical disease is recognized by World Health Organization as an urgent need, yet the surgical mission model to treat reconstructive surgical challenges is often constrained in ensuring adequate patient follow-up, optimal outcomes, and sustainability. Objective: To determine whether a collaboration predicated on long-term commitment by surgeons returning to the same institution annually combined with an experienced host surgical team and infrastructure to ensure sustained patient follow-up could provide surgical care with acceptable outcomes to treat bladder exstrophy-epispadias complex (BE) and penopubic epispadias (PE)...
March 7, 2018: JAMA Surgery
https://www.readbyqxmd.com/read/29515214/complications-of-non-continent-cutaneous-urinary-diversion-in-adults-with-spinal-cord-injury-a-retrospective-study
#17
Cyrille Guillot-Tantay, Emmanuel Chartier-Kastler, Marie-Aimée Perrouin-Verbe, Pierre Denys, Priscilla Léon, Véronique Phé
STUDY DESIGN: Retrospective cohort study. OBJECTIVES: To report the long-term complications of non-continent cutaneous urinary diversion (NCCUD) in adult patients with spinal cord injury (SCI). SETTING: Hospital in Paris, France. METHODS: A retrospective single center study included all adult patients with SCI who underwent an ileal conduit between 1997 and 2014. Early complications were reported according to Clavien-Dindo classification...
March 7, 2018: Spinal Cord
https://www.readbyqxmd.com/read/29511587/long-term-follow-up-of-proximal-hypospadias-repair-urethral-stricture-should-be-excluded-in-adults-who-present-with-epididymo-orchitis
#18
Kailas P Bhandarkar, Dinesh H Kittur, Santosh V Patil, Sudhakar S Jadhav
Objective: Epididymo-orchitis (EO) is a well-known complication of urinary tract infections (UTI) in children. This is commonly seen in children who had hypospadias repair or in those who had surgery for anorectal malformation especially when it results in urethral stricture. However EO occurring as a complication of urethral stricture in adults operated for hypospadias in childhood is not well documented in the literature. Material and methods: This is a retrospective review of four adults who had proximal hypospadias repair in childhood...
March 2018: Turkish Journal of Urology
https://www.readbyqxmd.com/read/29493183/sexual-complications-of-penile-frature-in-men-who-have-sex-with-men
#19
Rodrigo Barros, Gabriel Lacerda, Alex Schul, Paulo Ornellas, Leandro Koifman, Luciano A Favorito
OBJECTIVES: Evaluate the demographic data, etiology, operative findings and results of surgical treatment of penile fracture (PF) in men who have sex with men(MSM) with emphasis on sexual complications. MATERIALS AND METHODS: We studied 216 patients underwent surgical correction of PF at our hospital. Patients self-identified as MSM were followed for at least 6 months. Demographic data, presentation, operative findings, International Index of Erection Function - 5 (IIEF-5) and the Premature Ejaculation Diagnostic Tool...
March 1, 2018: International Braz J Urol: Official Journal of the Brazilian Society of Urology
https://www.readbyqxmd.com/read/29485037/urinary-function-following-radical-cystectomy-and-orthotopic-neobladder-urinary-reconstruction
#20
Ameeta L Nayak, Ilias Cagiannos, Luke T Lavallée, Chris Morash, Duane Hickling, Ranjeeta Mallick, Rodney H Breau
INTRODUCTION: An orthotopic neobladder urinary diversion aims to minimize the physical and psychological effects of radical cystectomy through avoidance of a stoma and maintenance of urethral voiding. Neobladder function reported in the literature ranges widely due to differences in patient selection and method of assessment. The objective of the study was to characterize functional outcomes of consecutive patients treated at a tertiary care hospital. METHODS: A historical cohort of patients who underwent radical cystectomy with a neobladder diversion performed at The Ottawa Hospital between January 2006 and December 2014 were reviewed...
February 23, 2018: Canadian Urological Association Journal, Journal de L'Association des Urologues du Canada
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