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urethral mobility

Giacomo Maria Pirola, Eugenio Martorana, Francesco Antonio Fidanza, Luca Reggiani Bonetti, Stefano Puliatti, Alessandra Bonora, Salvatore Micali, Giampaolo Bianchi
INTRODUCTION: About 20% of patients with a diagnosis of primary renal cell carcinoma (RCC) present directly with metastatic disease. The aim of the present manuscript is to describe, for the first time a RCC metastasis located to the distal female urethra and to present an update on metastatic locations to the male spermatic cord. MATERIALS AND METHODS: We report two cases of rare RCC metastases. The first concerns a 92-year-old female patient who came to our attention for recurrent urethral bleeding, which was initially believed to be secondary to urethral mucosal ectropion...
October 8, 2016: Urologia
M R Zaontz, G E Dean
Historically, significant ventral penile curvature secondary to corporal body disproportion has been corrected either by dorsal plication or division of the urethral plate. In the rare situations where there is severe chordee in the face of an intact urethra with an orthotopic meatus, division of the urethral plate is commonly performed at the time of grafting the ventral defect created by incising the tunica albuginea. Subsequently, a staged procedure is necessary to reconnect the urethra at a later date. Herein the authors present a novel technique that shows it is possible to perform successful dermal patch orthoplasty without division of the urethra in patients with a normal orthotopic meatus and urethra via urethral mobilization...
August 2016: Journal of Pediatric Urology
Dmitriy Nikolavsky, Mourad Abouelleil, Michael Daneshvar
OBJECTIVES: To introduce a novel surgical technique for the reconstruction of distal urethral strictures using buccal mucosal graft (BMG) through a transurethral approach. METHODS: A retrospective institution chart review was conducted of all the patients who underwent a transurethral ventral BMG inlay urethroplasty from March 2014 to March 2016. Patients with greater than one-year follow-up were included. Steps of the procedure: transurethral ventral wedge resection of the stenosed segment and transurethral delivery and spread fixation of appropriate BMG inlay into the resultant urethrotomy...
November 2016: International Urology and Nephrology
Gabriel Luiz Pecci, Alessandra Mazzo, Laís Fumincelli, Roberta Corsini Neves, Rachel Cristina Rodrigues Dos Santos, Marcelo Ferreira Cassini, Silvio Tucci
AIMS AND OBJECTIVES: Identify how catheters and lubricants have been used among patients using intermittent urinary catheterization in rehabilitation. BACKGROUND: The clean intermittent urinary catheterization technique is an invasive procedure can cause discomfort, pain and urethral traumas. The use of lubricants and lubricated urinary catheters reduces the friction between the catheter and the urethral mucosa, minimizing the risks. DESIGN: A descriptive exploratory design was used...
July 5, 2016: Journal of Clinical Nursing
Kai-Hua Zhou, Cong-Feng Luo, Nong Chen, Cheng-Fang Hu, Fu-Gen Pan
BACKGROUND: The incidence of pelvic fractures in trauma patients is reported to be 3-8.2%, with roughly half of these fractures being caused by high energy injuries with a potential for catastrophic hemorrhage and death. Indications for internal fixation of anterior pelvic ring are controversial. Because of fears of disturbing the pelvic hematoma and causing additional hemorrhage, open reduction and internal fixation of pelvic ring disruption is routinely delayed. In contrast to conventional surgery, percutaneous screw fixation is gaining popularity in the treatment of pelvic and acetabular fractures mainly because of minimal soft tissue damage, less operative blood loss, early surgical intervention and comfortable mobilization of the patient...
May 2016: Indian Journal of Orthopaedics
Bo-Ra Yun, Hye Jin Yang, Jin Bae Weon, Jiwoo Lee, Min Rye Eom, Choong Je Ma
BACKGROUND: Dianthus superbus, one of traditional herbal medicine, is widely used to treat urethritis, carbuncles and carcinoma. OBJECTIVE: A simultaneous determination method was established for controlling the quality of D. superbus using the eight compounds, (E)-methyl-4-hydroxy-4-(8a-methyl-3-oxodecahydronaphthalen-4a-yl) (1), diosmetin-7-O(2'',6''-di-O-α-L-rhamnopyranosyl)-β-D-glucopyranoside (2), vanillic acid (3), 4-hydroxyphenyl acetic acid (4), 4-methoxyphenyl acetic acid (5), (E)-4-methoxycinnamic acid (6), 3-methoxy-4-hydroxyphenylethanol (7), and methyl hydroferulate (8) isolated from D...
May 2016: Pharmacognosy Magazine
Liv Rimstad Moksnes, Rune Svenningsen, Hjalmar A Schiøtz, Kjartan Moe, Anne C Staff, Sigurd Kulseng-Hanssen
OBJECTIVE: To compare intermittent catheterization, sling mobilization, and sling transection for treatment of urinary retention after mid-urethral sling surgery. METHODS: Data registered in the Norwegian Female Incontinence Registry from 1998 to 2013 were analyzed in this cohort study to compare subjective and objective outcomes after intermittent catheterization, sling mobilization, and sling transection as management of postoperative urinary retention after mid urethral sling surgery...
May 31, 2016: Neurourology and Urodynamics
M M Marei, A E Fares, A H Abdelsattar, K S Abdullateef, H Seif, M M Hassan, M Elkotby, G Eltagy, M M Elbarbary
BACKGROUND: Virilized females due to congenital adrenal hyperplasia represent the most common form of female disorders of sexual development. The anomaly therein is an external virilization to resemble male genitalia and a persistent urogenital sinus. OBJECTIVES: To study the anatomical details of the virilized female cases operated upon between 2011 and 2015. This anatomical description is presented to support the current surgical strategy of partial urogenital mobilization to correct this anomaly...
March 2, 2016: Journal of Pediatric Urology
B Gachon, D Desseauve, L Fradet, A Decatoire, P Lacouture, F Pierre, X Fritel
INTRODUCTION: The role of pregnancy in pelvic floor disorders occurrence remains poorly known. It might exist a link between changes in ligamentous laxity and changes in pelvic organ mobility during this period. Our objective was to conduct a non-systematic review of literature about changes in pelvic organ mobility as well as in ligamentous laxity during pregnancy and postpartum. METHODS: From the PubMed, Medline, Cochrane Library and Web of Science database we have selected works which pertains clinical assessment of pelvic organ mobility (pelvic organ prolapse quantification), ultrasound assessment of levator hiatus and urethral mobility, ligamentous laxity assessment during pregnancy and postpartum...
June 2016: Progrès en Urologie
Mário Maciel de Lima, Mário Maciel de Lima, Fabiana Granja
BACKGROUND: Steatocystoma simplex is an uncommon skin lesion with a histological pattern that is identical to that of steatocystoma multiplex. We are reporting this case of steatocystoma simplex for its uncommon location in the penile foreskin, and its occurrence in a Wapishana man. CASE PRESENTATION: A 56-year-old man of Wapishana ethnicity presented with complaints of referred penile discomfort and pain during sexual intercourse for 5 years. A physical examination revealed a mobile, compressible subcutaneous non-tender mass of 4 cm diameter located on the left-side of his penile foreskin...
2016: Journal of Medical Case Reports
Carlos A Medina, Elisabetta Costantini, Eckhard Petri, Sherif Mourad, Ajay Singla, Silvia Rodríguez-Colorado, Oscar Contreras Ortiz, Stergios K Doumouchtsis
AIMS: To review available evidence regarding evaluation and treatment of stress urinary incontinence (SUI) and provide recommendations for management of urinary incontinence under specific conditions determined by the International Federation of Gynecology and Obstetrics (FIGO) Working Group. METHODS: The FIGO Working Group discussed the management of SUI during meetings and assessed the evidence. The search of evidence was performed using MEDLINE(®) and Cochrane databases as well as additional searches from societies and major organizations for additional guidelines and recommendations and hand searches from bibliographies...
March 7, 2016: Neurourology and Urodynamics
Isuzu Meyer, Jeff M Szychowski, Jana D Illston, Alison M Parden, Holly E Richter
OBJECTIVE: To assess whether use of a vaginal cotton-tipped swab is equivalent to the standard Q-tip test regarding urethral mobility. Secondarily, to examine whether both tests agree in hypermobility diagnosis, discomfort level, and patients' preference. METHODS: In this randomized crossover trial, women with stress urinary incontinence without prolapse beyond the hymen were randomized to undergo either a vaginal or urethral mobility test first followed by the alternate approach...
February 2016: Obstetrics and Gynecology
Abhinav Agarwal, Pranab Patnaik, Dipak Shaw, Vazir Rathee, Sartaj W Khan, Madhu Jain, Sameer Trivedi, U S Dwivedi
BACKGROUND: Stress urinary incontinence (SUI) is a prevalent problem within the female population with associated high psycho-social impact. Transobturator tape procedure is a well-established procedure to treat the same, but the results may be influenced by various preoperative demographic and clinical factors. PATIENTS AND METHODS: The study group comprised of 50 female patients with genuine SUI, who were then divided into subgroups based on demographic and clinical factors...
September 2015: Current Urology
Stephen D Marshall, Valary T Raup, Steven B Brandes
Asopa described the inlay of a graft into Snodgrass's longitudinal urethral plate incision using a ventral sagittal urethrotomy approach in 2001. He claimed that this technique was easier to perform and led to less tissue ischemia due to no need for mobilization of the urethra. This approach has subsequently been popularized among reconstructive urologists as the dorsal inlay urethroplasty or Asopa technique. Depending on the location of the stricture, either a subcoronal circumferential incision is made for penile strictures, or a midline perineal incision is made for bulbar strictures...
February 2015: Translational Andrology and Urology
Alexis Arnaud, Cyril Ferdynus, Luke Harper
INTRODUCTION: One of the main challenges in proximal hypospadias repair is correcting curvature. The best technique to achieve this remains the object of debate. Indeed, some authors believe the urethral plate should be kept and used as often as possible. In some cases, however, even after extensive mobilization and dorsal plication, significant curvature remains and it is necessary to transect the urethral plate. Having a reliable pre-dissection marker of the need for urethral transection would be useful in choosing a technique...
April 2016: Journal of Pediatric Urology
Cristina Naranjo-Ortiz, Ka Lai Shek, Andrew James Martin, Hans Peter Dietz
INTRODUCTION AND HYPOTHESIS: Functional anatomy of the bladder neck and proximal urethra has been studied extensively because of the belief that it is important for urinary continence. The aim of this study was to explore the limits of normality for pelvic floor ultrasound parameters of bladder neck and urethral mobility associated with stress urinary incontinence (SUI) and urodynamic stress incontinence (USI). METHODS: A retrospective study was conducted on 589 women seen for urodynamic testing in a tertiary urogynaecology clinic...
June 2016: International Urogynecology Journal
Katarzyna Jadwiga Macura, Richard Eugene Thompson, David Alan Bluemke, Rene Genadry
AIM: To define the magnetic resonance imaging (MRI) parameters differentiating urethral hypermobility (UH) and intrinsic sphincter deficiency (ISD) in women with stress urinary incontinence (SUI). METHODS: The static and dynamic MR images of 21 patients with SUI were correlated to urodynamic (UD) findings and compared to those of 10 continent controls. For the assessment of the urethra and integrity of the urethral support structures, we applied the high-resolution endocavitary MRI, such as intraurethral MRI, endovaginal or endorectal MRI...
November 28, 2015: World Journal of Radiology
Reynaldo G Gomez, Rodrigo A Campos, Laura G Velarde
OBJECTIVE: To present a novel reconstruction technique for patients with pelvic fracture urethral injuries (PFUI) with bulbar artery sparing. MATERIALS AND METHODS: We modified the traditional technique for PFUI reconstruction to preserve the proximal arterial inflow to the bulb. Since 2008, 26 consecutive patients have undergone this technique at our institution. The bulbar arteries are located using a Doppler ultrasound stethoscope and then the bulb is mobilized from one side only, without detachment from the perineum...
February 2016: Urology
Hidenobu Ishizaki, Shinya Nakashima, Takeomi Hamada, Takahiro Nishida, Naoki Maehara, Takuto Ikeda, Hiromasa Tsukino, Shoichiro Mukai, Toshiyuki Kamoto, Kazuhiro Kondo
Laparoscopic multi-visceral resection in patients with T4 colorectal cancer remains controversial. A 73-year-old man was admitted to the hospital for rectosigmoid cancer directly invading the urinary bladder trigone without distant metastasis. We successfully performed complete resection by laparoscopic anterior pelvic exenteration while preserving the anus. After laparoscopic mobilization of the rectum, urinary bladder, and prostate, the urethra and urethral catheter were dissected to reveal the lower rectum...
August 2015: Asian Journal of Endoscopic Surgery
Tsia-Shu Lo, Yiap Loong Tan, Eileen Feliz Mendoza Cortes, Yi-Hao Lin, Pei-Ying Wu, Leng Boi Pue
INTRODUCTION: To clinically and sonographically evaluate the influence of anterior vaginal mesh (AVM) surgery with concomitant mid-urethral sling surgery (MUS) for stress urinary incontinence (SUI). MATERIALS AND METHODS: Women with severe symptomatic pelvic organ prolapse (POP) stage III or IV with concomitant SUI were divided into two groups: Group I had transobturator tape (TOT) and AVM surgery and Group II underwent TOT without AVM surgery. Clinical outcome was assessed pre-operatively and 1 year post-operatively, while ultrasound evaluations were performed after one year...
December 2015: Australian & New Zealand Journal of Obstetrics & Gynaecology
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