keyword
https://read.qxmd.com/read/37580317/spinal-cord-injury-as-a-result-of-staphylococcus-aureus-pyogenic-spinal-infection-complicating-infected-atopic-eczema-two-case-reports
#21
JOURNAL ARTICLE
K MacKay, E J McCaughey, N Fullerton, M Purcell
INTRODUCTION: Pyogenic spinal infections (PSI) are a rare cause of spinal cord injury (SCI). These most often affect the lumbar spine, followed by the thoracic spine and least commonly the cervical spine, with Staphylococcus aureus being the most common causative organism. Atopic eczema is a dermatological condition which can lead to a breakdown of the skin's natural barrier function, allowing bacterial colonisation and infection. Haematological seeding of bacteria from a distant source of infection, including the skin and soft tissues, is a recognised aetiology of PSI...
August 14, 2023: Spinal Cord Series and Cases
https://read.qxmd.com/read/37558593/outcome-analysis-of-staged-preputial-graft-technique-for-primary-proximal-hypospadias-with-and-without-post-operative-vacuum-physiotherapy
#22
JOURNAL ARTICLE
Muthana Al-Salihi, Tariq Abbas, Ahmed Albakr, Santiago Vallasciani, Abderrahman Elkadhi, J L Pippi Salle
PURPOSE: Management of proximal hypospadias remains challenging. We assessed the results of staged preputial graft repairs (SPG) for proximal hypospadias and hypothesize that post-operative vacuum physiotherapy (VP) improves graft suppleness and overall outcomes. MATERIALS AND METHODS: Retrospective analysis of n = 71 patients with proximal hypospadias and severe ventral penile curvature (PC) of ≥50° after degloving. PC was corrected using ventral transverse incisions of the tunica albuginea (VTITA) without applying a tourniquet, taking care to avoid injuring the underlying erectile tissue...
August 1, 2023: Journal of Pediatric Urology
https://read.qxmd.com/read/37528956/contemporary-male-slings-for-stress-urinary-incontinence-advances-in-device-technology-and-refinements-in-surgical-techniques
#23
REVIEW
Eric Chung
Synthetic male sling (MS) is considered an effective surgical treatment to restore male stress urinary incontinence. The modern MS can be categorised into adjustable or non-adjustable types, while the surgical techniques can be divided into retropubic or transobturator approaches. This narrative review paper evaluates the contemporary MS devices in the current commercial market regarding clinical outcomes and refinements in surgical techniques. Scientific advances in device design and technology, coupled with further surgical refinements will enhance the clinical outcomes and improve the safety profile of MS surgery...
2023: Therapeutic Advances in Urology
https://read.qxmd.com/read/37467808/urethroplasty-outcomes-for-pars-fixa-urethral-strictures-following-gender-affirming-phalloplasty-and-metoidioplasty-a-retrospective-study
#24
JOURNAL ARTICLE
Hoyoung Jung, Mang L Chen, Richard Wassersug, Smita Mukherjee, Sahil Kumar, Peter Mankowski, Krista Genoway, Alex Kavanagh
OBJECTIVE: To evaluate outcomes of three urethroplasty techniques for pars fixa (PF) urethral strictures and provide a treatment algorithm based on stricture characteristics. The PF is an essential anatomic region of the neourethra created in gender-affirming phalloplasty and metoidioplasty. Urethral strictures in this region present a reparative challenge given its unique anatomy and vascularization. METHODS: A total of 41 urethroplasties performed on 41 patients between March 2018 and June 2021 were reviewed at two surgical centers...
July 18, 2023: Urology
https://read.qxmd.com/read/37457523/redefining-venereology-practice-in-tamil-nadu-south-india-nakshatra-health-a-networking-model
#25
JOURNAL ARTICLE
Mahalingam Periasamy, V Mohankumar, Vasuki Shanmugam, M Selvakumar, Swarna Madurai Pandian, Lokabiraman Sridharan
BACKGROUND: Accessing care for sexual health has always been a challenge in our Indian context. The primary reason is a lack of awareness of modes of transmission of sexually transmitted diseases (STD), appropriate testing, and treatment options. The second is taboo associated with the morality of the individual. The third is the accessibility and availability of Quality STD care by allopathic specialists in comparison to the demand. This has paved way for lots of myths and misconceptions among the general public regarding STDs and HIV disease...
2023: Indian Journal of Sexually Transmitted Diseases and AIDS
https://read.qxmd.com/read/37409824/mucomucosal-anastomotic-non-transecting-augmentation-manta-urethroplasty-a-ventral-modification-for-obliterative-strictures
#26
JOURNAL ARTICLE
Phillip Marks, Roland Dahlem, Florian Janisch, Jakob Klemm, Lennart Kühnke, Frederik König, Liucheng Ding, Silke Riechardt, Margit Fisch, Malte W Vetterlein
OBJECTIVES: To present a surgical modification for the repair of bulbar urethral strictures containing short, highly obliterative segments and report on long-term objective and patient-reported outcomes. PATIENTS AND METHODS: We considered patients undergoing bulbar buccal mucosal graft urethroplasty (BMGU) between July 2016 and December 2019. Eligibility criteria for mucomucosal anastomotic non-transecting augmentation (MANTA) urethroplasty were strictures of ≥2 cm with an obliterative segment of ≤1...
October 2023: BJU International
https://read.qxmd.com/read/37321278/genital-sparing-robot-assisted-radical-cystectomy-with-intracorporeal-neobladder-paravaginal-repair
#27
Sami E Majdalany, Grace Yaguchi, Sohrab Arora, Connor Ray, Humphrey O Atiemo, Johar Raza
OBJECTIVE: Vaginal prolapse is a known complication after radical cystectomy, requiring additional procedures in 10% of the patients.1 This results from loss of level I and II vaginal support due to the removal of pelvic structures. In addition, a neobladder urinary diversion, with Valsalva voiding, predisposes to vaginal prolapse. A genital-sparing approach with paravaginal repair can help prevent such complications. METHODS: The genital sparing technique preserves the uterus, fallopian tubes, ovaries, and vagina, while paravaginal repair involves suturing of the lateral vaginal wall to the arcuate fascia located on the medial aspect of the obturator internus muscle...
June 13, 2023: Urology
https://read.qxmd.com/read/37300392/hygiene-management-of-intermittent-self-catheterization-using-reusable-silicon-catheters-in-people-with-spinal-cord-lesions-a-cross-sectional-internet-survey-in-japan
#28
JOURNAL ARTICLE
Ryosuke Takahashi, Noritoshi Sekido, Mihoko Matsuoka, Atsushi Sengoku, Masashi Nomi, Fujio Matsuyama, Tatsunori Murata, Takeya Kitta, Takahiko Mitsui
OBJECTIVES: To investigate hygiene management and catheter maintenance of reusable silicon catheters for intermittent self-catheterization (ISC) in Japan and examine their relationship with symptomatic urinary tract infection (sUTI). METHODS: We conducted a cross-sectional Internet survey of people performing ISC using reusable silicon catheters owing to spinal cord lesions in Japan. Hygiene management and catheter maintenance of reusable silicon catheters and the incidence and frequency of sUTI were evaluated...
June 10, 2023: Lower Urinary Tract Symptoms
https://read.qxmd.com/read/37271679/partial-urogenital-mobilization-in-cloacal-malformation-is-it-a-viable-option
#29
JOURNAL ARTICLE
Naser Al-Soudan Al-Anazi, Joe Curry, Simon Blackburn, Divyesh Desai, Abraham Cherian
INTRODUCTION: Total Urogenital Mobilization (TUM) has been the standard surgical approach for the urogenital complex in Cloacal Malformations (CM) since its inception in 1997. Partial Urogenital Mobilization (PUM) in CM remains an under-utilized or under-reported option. The main anatomical difference between TUM and PUM is the division of the pubo-urethral ligaments. OBJECTIVE: We explored the feasibility of PUM in a select subset of our patients with CM and report early outcomes...
May 23, 2023: Journal of Pediatric Urology
https://read.qxmd.com/read/37213168/the-gonococcal-genetic-island-defines-distinct-sub-populations-of-neisseria-gonorrhoeae
#30
JOURNAL ARTICLE
Madison A Youngblom, Abigail C Shockey, Melanie M Callaghan, Joseph P Dillard, Caitlin S Pepperell
The incidence of gonorrhoea is increasing at an alarming pace, and therapeutic options continue to narrow as a result of worsening drug resistance. Neisseria gonorrhoeae is naturally competent, allowing the organism to adapt rapidly to selection pressures including antibiotics. A sub-population of N. gonorrhoeae carries the Gonococcal Genetic Island (GGI), which encodes a type IV secretion system (T4SS) that secretes chromosomal DNA. Previous research has shown that the GGI increases transformation efficiency in vitro , but the extent to which it contributes to horizontal gene transfer (HGT) during infection is unknown...
May 2023: Microbial Genomics
https://read.qxmd.com/read/37037763/a-prospective-cohort-study-of-assisted-bladder-emptying-following-primary-cloacal-repair-the-children-s-national-experience
#31
JOURNAL ARTICLE
Meghan Davis, Shruthi Mohan, Teresa Russell, Christina Feng, Andrea Badillo, Marc Levitt, Christina P Ho, Hans G Pohl, Briony K Varda
INTRODUCTION/BACKGROUND: Although the combination of bladder dysfunction and upper tract anomalies puts patient with cloaca at risk for renal disease, the rarity of this condition makes it difficult to study empirically. As a high-volume center, we uniquely capture bladder function outcomes following our growing number of cloacal repairs. OBJECTIVE: 1) Describe the rates of incomplete bladder emptying following primary cloacal repair (at 2-3 months after repair and last follow up), and 2) identify clinical factors associated with assisted bladder emptying...
March 21, 2023: Journal of Pediatric Urology
https://read.qxmd.com/read/36973802/perineal-ultrasound-to-assess-the-urethral-spatial-movement-in-stress-urinary-incontinence-in-women
#32
JOURNAL ARTICLE
Binbin Dong, Yingqiu Shi, Yin Chen, Ming Liu, Xiaoming Lu, Yadong Liu
BACKGROUND: Perineal ultrasound as a non-invasive method for the diagnosis of female stress urinary incontinence has attracted more and more attention. However, the criteria for stress urinary incontinence in women using perineal ultrasound have not been fully established. Our study aimed to evaluate characteristics of the urethral spatial movement with perineal ultrasonography. METHODS: A total of 136 female patients with stress urinary incontinence and 44 controls were enrolled...
March 27, 2023: BMC Urology
https://read.qxmd.com/read/36946905/effect-of-squeeze-cough-and-strain-on-dynamic-urethral-function-in-nulligravid-asymptomatic-women-a-cross-sectional-cohort-study
#33
JOURNAL ARTICLE
Liam C Martin, Megan R Routzong, Steven D Abramowitch, Ghazaleh Rostaminia
IMPORTANCE: In the past, urethral shape, mobility, and urodynamics have been used to retrospectively demonstrate correlations with stress urinary incontinence. Our previous work has shown a relationship between urethral function and shape in symptomatic women. OBJECTIVE: This study aimed to characterize the effect of pelvic floor squeeze and strain maneuvers on urethral shapes and pressure in a cohort of patients without pelvic floor disorders. STUDY DESIGN: In this cross-sectional study, volunteers underwent dynamic pelvic floor ultrasound examination, and a modified urodynamic study...
March 13, 2023: Urogynecology (Phila)
https://read.qxmd.com/read/36929876/prevalence-of-mycoplasma-genitalium-infection-with-antimicrobial-resistance-mutations-among-gay-sex-workers-in-china
#34
JOURNAL ARTICLE
Lixin Wang, Zhi Li, Chuan Wan, Xuanxuan Tian, Hongye Liu, Yang Li
BACKGROUND: Gay sex workers (GSWs) within the population of men who have sex with men in China are known as money boys (MBs). Limited research has been conducted to investigate the infection rate and antimicrobial resistance of Mycoplasma genitalium ( M. genitalium ) among GSWs in China. This study aimed to evaluate the status of M. genitalium infection among in GSWs. METHODS: This study was performed among 349 GSWs who were followed up for four years by internet-based sampling collection...
March 17, 2023: International Journal of STD & AIDS
https://read.qxmd.com/read/36923726/corpus-spongiosum-flap-a-unique-technique-in-the-management-of-urosymphyseal-fistula
#35
Jill S Patel, Sarah C Krzastek, John T Roseman, Adam P Klausner, Uzoma A Anele
Urosymphseal fistulas are a debilitating but treatable consequence of the combination of radiotherapy and endoscopic interventions in prostate cancer patients. Treatment includes fistula excision with a tissue flap to prevent communication of involved structures and provide structural and vascular support. We introduce a unique surgical approach of mobilizing and utilizing a corpus spongiosum flap in urosymphyseal fistula repair. A retrospective study identified two patients who underwent repair with a pedicled corpus spongiosum flap at our institution...
2023: American Journal of Clinical and Experimental Urology
https://read.qxmd.com/read/36822246/robotic-simultaneous-repair-of-rectovesical-fistula-with-vesicourethral-anastomotic-stricture-after-radical-prostatectomy-step-by-step-technique-and-outcomes
#36
JOURNAL ARTICLE
Aref S Sayegh, Anibal La Riva, Laura C Perez, Luis G Medina, Jaime Poncel, David G Ortega, Maria A Lizana, Edward Forsyth, Rene Sotelo
OBJECTIVE: To report our experience and outcomes using a novel robotic technique for the simultaneous repair of rectovesical fistula (RVF) with vesicourethral anastomotic stricture (VUAS) after radical prostatectomy (RP). METHODS: Between 2019 and 2021, four consecutive patients who underwent robotic-assisted simultaneous repair of RVF with concurrent VUAS after RP were retrospectively reviewed. Baseline characteristics and perioperative outcomes were examined and reported...
February 21, 2023: Urology
https://read.qxmd.com/read/36795144/relationship-between-urethral-motion-profile-and-parity-assessed-by-translabial-ultrasound-imaging
#37
JOURNAL ARTICLE
Nelli Maes, Thirza Lakerveld, Dyo Dekelver, Yves Jacquemyn, Hedwig Neels
PURPOSE: This study aims to describe the differences in the urethral motion profile (UMP) of primiparous and multiparous women immediately postpartum. METHODS: This prospective study recruited 65 women (29 primiparous, 36 multiparous) one-seven days postpartum. The patients underwent a standardised interview and two-dimensional translabial ultrasound (TLUS). To evaluate the UMP, the urethra was manually traced and divided into five segments with six equidistant points...
February 16, 2023: Archives of Gynecology and Obstetrics
https://read.qxmd.com/read/36709705/the-role-of-maximal-urethral-closure-pressure-in-predicting-the-outcomes-of-trans-obturator-tape-operation
#38
JOURNAL ARTICLE
Can Tercan, Mahmut Kuntay Kokanali, Fatih Aktoz, Orhan Seyfi Aksakal
OBJECTIVE: To investigate the role of preoperative maximal urethral closure pressure (MUCP) in predicting postoperative outcomes of trans-obturator tape (TOT) operation. STUDY DESIGN: 82 patients who underwent TOT surgery due to urodynamically proven stress urinary incontinence were retrospectively analyzed. Preoperative and 6th month postoperative results of cough stress tests (CST), Turkish validated Incontinence Impact Questionnaire-7 (IIQ-7) and Urogenital Distress Inventory-6 (UDI-6) quality of life (QOL) questionnaires were recorded...
March 2023: European Journal of Obstetrics, Gynecology, and Reproductive Biology
https://read.qxmd.com/read/36649250/ureteral-calculi-in-octogenarians-and-nonagenarians-contemporary-in-hospital-management-a-joint-study-by-the-endourological-section-of-the-austrian-association-of-urology
#39
JOURNAL ARTICLE
Martin Drerup, Mehmet Özsoy, Clemens Wehrberger, Matthias Lenz, Christian Ramesmayer, Philipp Stolzlechner, Johannes Zanier, C E Falkensammer, Ivan Handjev, Andreas Wasserscheid, Stephan Seklehner
AIM: To assess contemporary in-hospital management of octogenarians and nonagenarians with ureteral calculi. MATERIALS AND METHODS: Review of patients aged ≥80 years hospitalized due to ureteral calculi. Data was extracted from eight Austrian centers of urology. Stone and patient related data were recorded. Treatment patterns in acute and elective settings were assessed. RESULTS: A total of 759 patients hospitalized with ureteral calculi were analyzed...
2023: PloS One
https://read.qxmd.com/read/36599342/the-effect-of-video-assisted-clean-intermittent-catheterization-training-on-patients-practical-skills-and-self-confidence
#40
JOURNAL ARTICLE
Yeliz Culha, Rengin Acaroglu
PURPOSE: This research was carried out in order to examine the effect of clean intermittent catheterization (CIC) training with a video developed by the researchers on patients' ability to practice CIC and self-confidence. METHODS: The population of the study consisted of patients who had just started performing CIC in the urology polyclinic of a city hospital in Istanbul. The sample consisted of a total of 80 patients, 40 of whom were in the experimental group and 40 in the control group...
December 2022: International Neurourology Journal
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