keyword
https://read.qxmd.com/read/38496788/an-assessment-of-the-relationship-between-urethral-hypermobility-as-measured-by-ultrasound-and-the-symptoms-of-stress-urinary-incontinence-in-primiparous-women-9-18-months-postpartum
#1
JOURNAL ARTICLE
Paulina Maria Pająk, Edyta Wlaźlak, Grzegorz Surkont, Jarosław Kalinka
AIM: The aim of the study was to estimate the relationship between bladder neck hypermobility as assessed by ultrasound and the occurrence of stress urinary incontinence as measured with the UDI-6 questionnaire in primiparous women 9-18 months postpartum. MATERIALS AND METHODS: The study included 100 women 9-18 months after their first delivery, 19% of whom (study group) presented with urethral hypermobility. Ultrasound was used to determine the position and mobility of the bladder neck in order to assess the urethral hypermobility...
February 2024: Journal of Ultrasonography
https://read.qxmd.com/read/38446278/outcomes-of-one-stage-feminizing-genitoplasty-in-children-with-congenital-adrenal-hyperplasia-and-severe-virilization
#2
JOURNAL ARTICLE
Wael Abosena, Hisham AlMohamady Almetaher, Ashraf Ahmed El Attar, Ahmed Hassan Nofal, Essam Abdelaziz Elhalaby
PURPOSE: To present our surgical experience and outcomes in congenital adrenal hyperplasia (CAH) patients with severe virilization using a combined technique of total urogenital mobilization (TUM) and a modified pull-through vaginoplasty to perform a safe and effective one-stage feminizing genital reconstruction for these children. METHODS: Fourteen CAH patients with severe virilization, defined by a Prader IV and V rating of the external genitalia, underwent TUM followed by a limited vaginal pull-through procedure from June 2016 to December 2020...
March 6, 2024: Pediatric Surgery International
https://read.qxmd.com/read/38413297/factors-affecting-clean-intermittent-catheterization-compliance-among-children-and-adolescents-with-neurogenic-bladder-due-to-spina-bifida-and-caudal-regression-syndrome
#3
JOURNAL ARTICLE
Simran K Sidhu, M Sakhawi M Yusof, Susan Yy Woo, Poongkodi Nagappan
INTRODUCTION: Children and adolescents with neurogenic bladder often need clean intermittent catheterization (CIC) over a long period. Our study aimed to identify factors that affect CIC compliance and to determine if CIC compliance affected short-term urological outcomes among patients in Malaysia. STUDY DESIGN: 50 patients aged 2-18 years who perform CIC were included in this cohort study. Patient compliance with CIC was evaluated using the validated Intermittent Catheterization Adherence Scale (ICAS)...
February 15, 2024: Journal of Pediatric Urology
https://read.qxmd.com/read/38404556/catheter-associated-meatal-pressure-injuries-campi-in-patients-with-long-term-urethral-catheters-a-cross-sectional-study-of-200-patients
#4
JOURNAL ARTICLE
Kale Munien, Kapilan Ravichandran, Hannah Flynn, Nathan Shugg, David Flynn, Jonathan Chambers, Devang Desai
BACKGROUND: Indwelling urethral catheters (IDC) are ubiquitous to healthcare settings, and are associated with many familiar risks like haematuria, infections, bladder spasms and stones. However, a less known complication is catheter-associated meatal pressure injury (CAMPI), especially in those with long-term IDCs. The objective of this study was to explore the prevalence, associated features and management of CAMPI in adults with a long-term IDC. METHODS: A cross-sectional multi-centre study was undertaken of 200 adults with a long-term IDC across regional south-west Queensland, Australia between June 2019 to June 2021...
January 31, 2024: Translational Andrology and Urology
https://read.qxmd.com/read/38356705/the-effectiveness-and-safety-of-rectal-modular-dissection-for-male-middle-and-low-rectal-cancer-after-neoadjuvant-chemoradiation-therapy-the-short-term-outcome
#5
JOURNAL ARTICLE
Weijie Chen, Yuxin Liu, Yang An, Xiaoyuan Qiu, Jiaolin Zhou, Lin Cong, Guole Lin
Background: The purpose of this study was to assess the efficacy and safety of rectal modular dissection (RMD) in male patients with middle and low rectal cancer. RMD is a technique used to guide the surgical procedure for rectal mobilization, with the ultimate goal of achieving total mesorectal excision. In order to evaluate the effectiveness of RMD, a single-center, non-inferiority randomized clinical trial was carried out. Methods: Eligible patients were randomly assigned into two groups: the RMD group and the traditional rectal mobilization (TRM) group...
2024: Journal of Cancer
https://read.qxmd.com/read/38350364/comparing-two-surgical-techniques-in-distal-hypospadias-repair-urethral-mobilization-vs-urethral-plate-tubularization
#6
JOURNAL ARTICLE
Sinan Kılıç
OBJECTIVES: While numerous techniques have been described for hypospadias repair, the Tubularized Incised Plate (TIP) procedure is currently the most frequently used method. On the other hand, urethral mobilization techniques have less frequent preference. In this study, we aimed to compare the outcomes of these two techniques in patients with distal hypospadias, particularly those with the urethral meatus located at the coronal and subcoronal. MATERIAL AND METHODS: A total of 75 patients with distal hypospadias underwent surgery...
February 12, 2024: Fr J Urol
https://read.qxmd.com/read/38243172/the-long-term-consequences-of-the-hypospadias-salvage-repair-issue
#7
JOURNAL ARTICLE
Hisham M Hammouda, Ahmed A Shahat, Ahmed S Safwat, Taha M Taha
PURPOSE: To present the long-term results of redo-hypospadias at our tertiary referral center following a failed prior repair. METHODS: One hundred sixty-four individuals with a history of unsuccessful repairs qualified for our retrospective cohort study. Our inclusion criteria were as follows: pre-operative data that was accessible, redo-hypospadias that was successfully repaired, and at least three years of follow-up at the last hospital visit. RESULTS: The mean patient age was 91...
January 19, 2024: BMC Pediatrics
https://read.qxmd.com/read/38211760/semi-quantitative-tissue-perfusion-assessment-using-indocyanine-green-in-complex-open-urethral-reconstruction
#8
Xinyuan Zhang, Jeffrey S Lin, Amanda Raines, Judith C Hagedorn, Nicolas Fernandez, Alexander J Skokan
INTRODUCTION: Current assessment of critical tissue in genitourinary reconstruction, including graft beds and tissue flaps, primarily relies upon qualitative visual and tactile assessment by experienced surgeons. Here we explore the feasibility of using intravenous indocyanine green (ICG) for semi-quantitative assessment of perfusion in complex open urethral reconstruction. METHOD: A standardized protocol for intravenous use of ICG and near-infrared fluorescence was established...
January 9, 2024: Urology
https://read.qxmd.com/read/38197721/surgery-for-female-urethral-stricture
#9
REVIEW
Béatrice Bouchard, Lysanne Campeau
BACKGROUND: Female urethral stricture (FUS) is a rare entity that causes great morbidity and suffering in those affected. As the available scientific data is sparce, there are no formal guidelines or standard of care for this disease. METHODS: This is a narrative review of the surgical management for female urethral stricture. The literature review was performed on PubMed. Articles were limited to English, but there was no limitation in terms of date. RESULTS: Management of FUS is divided between endoscopic and open surgical repair...
January 10, 2024: Neurourology and Urodynamics
https://read.qxmd.com/read/38042687/how-we-select-our-surgical-approach-for-cloacal-reconstruction
#10
JOURNAL ARTICLE
Briony K Varda, Marc A Levitt
During cloacal reconstruction, we consider both common channel (CC) and urethral length when deciding between total urogenital mobilization (TUM) and a urogenital separation (UGS). Our concern about TUM in the case of a short urethra is resultant bladder neck incompetence, while conversion to UGS after completing the TUM dissection may result in urethral injury. Use of an interposition flap harvested from the ischiorectal fossa is another measure we use to prevent potential complications.
November 18, 2023: Journal of Pediatric Urology
https://read.qxmd.com/read/38036219/robotic-management-of-complex-vesicourethral-anastomosis-stenosis-with-transperineal-urethral-advancement-a-step-by-step-technique
#11
Veronica I Rodriguez, Valeria Celis, Aref Sayegh, Luis G Medina, Desiree Sanchez, Rene Sotelo
BACKGROUND: Vesicourethral anastomosis stenosis (VUAS) refers to the diameter narrowing of a vesicourethral anastomosis (VUA). It is a known complication after radical prostatectomy that nowadays presents in less than 1% of these cases [1,2]. When the lumen narrows sufficiently to impede urine flow, obstructive symptoms arise [2]. While the incidence of VUAS used to be notably higher prior to the widespread use of the robotic approach, traditional procedures still fail in up to 42% of cases [1,3]...
November 28, 2023: Urology
https://read.qxmd.com/read/37966496/evaluation-of-pelvic-structural-abnormalities-in-primiparous-women-with-stress-urinary-incontinence
#12
JOURNAL ARTICLE
Li Shi, Yujiao Zhao, Weijun Li, Lihua Chen, Wen Shen, Lidong Zhai
INTRODUCTION AND HYPOTHESIS: The objective was to evaluate the morphological characteristics of pelvic floor structure specific to de novo stress urinary incontinence (SUI) in primiparous women using three-dimensional (3D) reconstruction fusion technology based on static MRI combined with dynamic MRI. METHODS: Eighty-one primiparous women after the first vaginal delivery were studied, 40 with SUI and 41 without SUI. 3D reconstruction models based on static MRI were used to describe the anatomical abnormalities of pelvic floor tissues...
November 15, 2023: International Urogynecology Journal
https://read.qxmd.com/read/37937374/which-parameters-related-to-the-female-urethra-and-pelvic-floor-determine-therapy-selection-for-recurrent-female-stress-urinary-incontinence-ici-rs-2023
#13
REVIEW
Jeremy Ockrim, Rohna Kearney, D Carolina Ochoa, Hashim Hashim, Gommert Van Koeveringe, Christopher Chermansky, Linda Cardozo, Alan Wein, Paul Abrams
INTRODUCTION: The evidence basis for therapy selection in women who have failed primary stress urinary incontinence (SUI) surgery is limited. The ICI-RS group discussed the available data at its meeting in June 2023, particularly the anatomical characteristics as assessed using magnetic resonance imaging (MRI) and ultrasound (US) modalities, functional characteristics associated with storage and voiding urodynamic assessment, as well as the patient characteristics that might influence outcomes...
November 8, 2023: Neurourology and Urodynamics
https://read.qxmd.com/read/37870717/separation-of-the-glanular-part-of-the-urethral-plate-mobilization-of-the-distal-part-of-the-neourethra-and-creation-of-the-glanular-groove-a-new-modification-of-second-stage-thiersch-duplay-urethroplasty-in-proximal-hypospadias-repair
#14
JOURNAL ARTICLE
Hamed Mohamed El-Darawany, Mahmoud Elsayed Al-Damhogy, Ossamah Saleh Alsowayan, Mohamed Salah Kandil, Saad Rizk Saad, Mohamed Rasheed Taha
PURPOSE: To evaluate the effect of separation of the glanular part of the urethral plate from the underlying glans penis with creation of a glanular groove for free accommodation of the neourethra as a new modification of Thiersch-Duplay urethroplasty in proximal hypospadias repair. PATIENTS AND METHODS: Between January 2016 and January 2022, 35 patients with proximal hypospadias underwent a modified Thiersch-Duplay two-stage procedure. The glanular portion of the urethral plate was either separated from the underlying glanular tissue or discarded if found scared with mobilization of the distal portion of the neourethra to reach the tip of the glans penis...
October 23, 2023: International Urology and Nephrology
https://read.qxmd.com/read/37842208/defining-the-indications-of-patio-technique-for-urethrocutaneous-fistula-repair
#15
JOURNAL ARTICLE
Prativa Choudhury, Shivani Phugat, Vishesh Jain, Devendra Kumar Yadav, Anjan Kumar Dhua, Vivek Verma, Ajay Verma, Sachit Anand, Sanchita Singh, Prabudh Goel
INTRODUCTION: Despite the advancements in technique and technology, urethrocutaneous fistula (UCF) formation continues to be the most common complication after hypospadias repair. OBJECTIVE: The objective of the current synthesis is to define the indications of PATIO technique for UCF repair. MATERIALS AND METHODS: The review was conducted in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines...
2023: Journal of Indian Association of Pediatric Surgeons
https://read.qxmd.com/read/37827921/technical-aspects-of-the-koff-procedure-urethral-mobilization-in-anterior-hypospadias
#16
JOURNAL ARTICLE
A Mariani, M Barras, Y Jafar, D Demede, D Gorduza, S Faraj, P Mouriquand
INTRODUCTION: In our center the level of division of the corpus spongiosum as the determinant to classifying hypospadias. The hypospadias with a distal division is less severe and they present a little curvature. MATERIAL AND METHODS: We present a case of distal hypospadias corrected by Koff technique and we showed our tricks for avoiding curvature. RESULTS: In this selected case a Koff procedure are preferred because it has the main advantage of exicing the dysplastic tissues and avoiding a urethroplasty using nonurethral tissues...
September 22, 2023: Journal of Pediatric Urology
https://read.qxmd.com/read/37805049/the-posterior-sagittal-approach-provides-optimal-exposure-for-urethral-reconstruction-in-children-with-a-history-of-anorectal-malformations
#17
JOURNAL ARTICLE
Athanasios Tyraskis, Jana El-Sayed, Laura Tiusaba, Shimon E Jacobs, Teresa L Russell, Christina Feng, Erin Teeple, Christina P Ho, Hans G Pohl, Andrea T Badillo, Marc A Levitt, Briony K Varda
OBJECTIVE: To present a unique series of children with previously repaired anorectal malformations (ARM) with subsequent urethral pathology repaired via a posterior sagittal exposure and highlight the associated technical advantages. METHODS: Using a retrospective review of all procedures performed in our pediatric colorectal and pelvic reconstruction program from January 2020 through December 2022, we compiled a case series of patients with a history of ARM and prior PSARP who had urethral pathology and concurrent indication for redo-PSARP...
October 5, 2023: Urology
https://read.qxmd.com/read/37783986/-dynamic-magnetic-resonance-imaging-of-the-pelvic-floor-clinical-application
#18
REVIEW
C Kämpfer, C C Pieper
BACKGROUND: Dynamic magnetic resonance imaging (MRI) of the pelvic floor plays a key role in imaging complex pelvic floor dysfunction. The simultaneous detection of multiple findings in a complex anatomic setting renders correct analysis and clinical interpretation challenging. OBJECTIVES: The most important aspects (anatomy of the pelvic floor, three compartment model, morphological and functional analysis, reporting) for a successful clinical use of dynamic MRI of the pelvic floor are summarized...
October 2, 2023: Radiologie (Heidelb)
https://read.qxmd.com/read/37760210/effect-of-perineal-urethrostomy-on-the-length-of-the-urethra-of-the-cat-a-cadaveric-study
#19
JOURNAL ARTICLE
Anna Shipov, Inbar Israeli, Jean-Philippe Billet, Yoav Adam, Joshua Milgram
UNLABELLED: Perineal urethrostomy in cats is indicated for urethral pathologies located distal to the bulbourethral glands. The description of the bulbourethral glands as the cranial landmark when performing a PU is based on the increased urethral diameter at this location, rather than on an anatomical limitation. This suggests that urethral pathologies cranial to the bulbourethral glands could potentially be treated with PU. At present, the extent to which the pelvic urethra can be mobilized is unknown...
September 5, 2023: Animals: An Open Access Journal From MDPI
https://read.qxmd.com/read/37755551/pelvic-floor-parameters-predict-postpartum-stress-urinary-incontinence-a-prospective-mri-study
#20
JOURNAL ARTICLE
Cong You, Yujiao Zhao, Cheng Zhang, Mengyao Chen, Wen Shen
OBJECTIVE: To investigate the pelvic floor changes in primiparas with postpartum stress urinary incontinence (SUI) after vaginal delivery using pelvic floor MRI. MATERIALS AND METHODS: Fifty-two women were enrolled in the primiparous stress urinary incontinent (PSUI) group and 51 in the primiparous continent (PC) group. Thirty nulliparas were also recruited as the nulliparous control (NC) group. Levator ani muscle (LAM) injury, levator hiatus area (LHA), H-line, M-line, the distance from the bladder neck and cervix to the pubococcygeal line (B-PCL and U-PCL), levator plate angle, the anterior angle of the urethra, bladder neck descent, retrovesicourethral angle, functional urethral length, and a bladder neck funnel were evaluated on MRI images...
September 27, 2023: Insights Into Imaging
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