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Genital tract trauma

Misgav Rottenstreich, Yuval Glick, Ofer Natan Gofrit
BACKGROUND: Acute scrotal pain (ASP) is a common symptom of young adults. Testicular torsion is the most important diagnosis in these cases. It is a medical emergency in which the diagnosis must be made rapidly to prevent testicular loss. This requires a high index of clinical suspicion and prompt surgical intervention. This study was conducted to examine the spectrum of diagnoses in young man with ASP in a prehospital setting, the frequency of significant diagnoses, and their outcomes...
October 2016: American Journal of Emergency Medicine
Shalini Singh, Tushita Thakur, Nomita Chandhiok, Balwan Singh Dhillon
BACKGROUND & OBJECTIVES: In developed countries, efforts have been made to restrict episiotomy practice. However, in developing countries the episiotomy rates continue to be high. This study was conducted to evaluate the pattern of episiotomy use and its immediate complications among women delivering at tertiary level public hospitals in India. METHODS: Prospective data of all women undergoing vaginal delivery including instrumental delivery were collected daily from the labour room registers of the 18 tertiary care hospitals on a structured proforma...
April 2016: Indian Journal of Medical Research
Hyun Jun Park, Tae Nam Kim, Seung Ryong Baek, Kyung Min Lee, Kyung-Un Choi, Nam Cheol Park
INTRODUCTION: Traumatic neuroma is a reactive process caused by the regeneration of an injured nerve that usually forms a nodular proliferation of small nerve bundles. Penile traumatic neuroma is rare; only a few cases related to circumcision have been reported. AIM: To report on a case of traumatic neuroma in the penis after selective dorsal neurotomy (SDN) to treat premature ejaculation. METHODS: The penile traumatic neuroma was successfully removed by excision and confirmed by histopathology...
September 2016: Sexual Medicine
P P Tang, H Y Hu, J S Gao, J Hu, Y F Zhong, T Wang, Y N Song, X Y Zhou, J Q Yang, J T Liu, J Pan, H F Shi
OBJECTIVE: To evaluate the efficacy and safety of pelvic arterial embolization (PAE) in women with intractable primary postpartum hemorrhage (PPH). METHODS: Clinical data of 36 cases were analyzed retrospectively in which women underwent PAE for intractable primary PPH in Peking Union Medical College Hospital between Jan 2006 and Jan 2015. The success rate of PAE were measured and possible predictive risk factors associated with treatment failure were analyzed. The complications secondary to PAE were also recorded...
February 2016: Zhonghua Fu Chan Ke za Zhi
Marit L Bovbjerg, Melissa Cheyney, Courtney Everson
INTRODUCTION: Data on the safety of waterbirth in the United States are lacking. METHODS: We used data from the Midwives Alliance of North America Statistics Project, birth years 2004 to 2009. We compared outcomes of neonates born underwater waterbirth (n = 6534), neonates not born underwater nonwaterbirth (n = 10,290), and neonates whose mothers intended a waterbirth but did not have one intended waterbirth (n = 1573). Neonatal outcomes included a 5-minute Apgar score of less than 7, neonatal hospital transfer, and hospitalization or neonatal intensive care unit (NICU) admission in the first 6 weeks...
January 2016: Journal of Midwifery & Women's Health
Ozer Birge, Ertugrul Gazi Ozbey, Deniz Arslan, Mustafa Melih Erkan, Feyza Demir, Utku Akgor
About 100 million women are estimated to be circumcised globally. Various rates of complications have been encountered, especially after circumcision, such as bleeding, infection, shock, menstrual irregularity, difficulty in urination or common urinary tract infections, inguinal pain, difficulty in sexual intercourse, and genital circumcision scar especially at the vulvar region, and cystic or solid character mass in short and long term. Furthermore, the maternal-fetal morbidity and mortality increase due to bleeding and fistula, which develop after prolonged labor, travail, and difficult labors...
2015: Case Reports in Obstetrics and Gynecology
Qingsong Zou, Qiang Fu
OBJECTIVE: To report our 10-year diagnosis and treatment experience of acute urogenital and genitalia tract traumas and outline the management of the traumatic injury. METHODS: We reviewed the diagnoses and treatments of 208 cases of acute kidney, ureter, bladder, urethra, or male genitalia injuries in our department between March 2002 and March 2012. The patient data including general information, injury position and mechanism, diagnosis and treatment, the follow-up information was analyzed and summarized...
July 2015: Pakistan Journal of Medical Sciences Quarterly
Andrew Browning, Sigrid Whiteside
OBJECTIVE: To characterize the incidence, presentation, management, and outcomes of rectovaginal fistula (RVF) in Ethiopia. METHODS: In a retrospective study, demographic and clinical data were obtained for all women with genital tract fistulas admitted to the Barhirdar Hamlin Fistula Hospital, Ethiopia, for fistula repair surgery between January 2005 and October 2008. RESULTS: Of 1100 cases, 1057 were suitable for analysis. Vesicovaginal fistula (VVF) without RVF was present in 933 (88...
October 2015: International Journal of Gynaecology and Obstetrics
Rossella Filippetti, Rossella Pitocco
A 14-year-old girl stated that she has vulvar pruritus, pain, and bleeding and underwent a complete gynecological evaluation during which a suspicious 2-cm achromic lesion on her vulva was observed. Initially, it was suspected to be a pyogenic granuloma, in relation to the patient's age. A biopsy was taken, and a histopathological diagnosis of amelanotic mucosal melanoma was made. Pyogenic granuloma is a reactive hyperproliferation vascular response to trauma or other stimuli. It predominantly occurs in the second decade of life in young females, in relation to the vascular effects of female hormones...
June 2015: American Journal of Dermatopathology
S Bulchandani, E Watts, A Sucharitha, D Yates, K M Ismail
BACKGROUND: Genital tract trauma is common with vaginal births and is associated with significant morbidity, particularly with obstetric anal sphincter injuries (OASIS). Debate continues regarding the effectiveness of perineal support during childbirth in reducing the risk of trauma. OBJECTIVES: This review aimed to assess the effect of routine 'hands on'/manual perineal support (MPS) during childbirth, versus ad hoc/no perineal support ('hands off/poised'), on the risk and degree of perineal trauma...
August 2015: BJOG: An International Journal of Obstetrics and Gynaecology
Kim S Betts, Caroline L Salom, Gail M Williams, Jakob M Najman, Rosa Alati
OBJECTIVE: Consistent evidence has linked a range of prenatal maternal infections with psychotic disorders in later life. However, the potential for this exposure to impact more common disorders requires further investigation. METHODS: Participants came from the Mater University Study of pregnancy, a longitudinal, pre-birth cohort study which recruited pregnant mothers from a Brisbane hospital between 1981 and 1984. At age 21, 2439 offspring completed the CIDI-Auto...
April 1, 2015: Journal of Affective Disorders
Huey-Yi Chen, Wen-Chi Chen, Yu-Ning Lin, Yung-Hsiang Chen
The molecular mechanisms underlying stress urinary incontinence (SUI) are unclear. We aimed to evaluate the molecular alterations in mice urethras following vaginal trauma and ovariectomy (OVX). Twenty-four virgin female mice were equally distributed into four groups: noninstrumented control; vaginal distension (VD) group; OVX group; and VD + OVX group. Changes in leak point pressures (LPPs), genital tract morphology, body weight gain, plasma 17β-estradiol level and expressions of neuronal nitric oxide synthase (nNOS), induced nitric oxide synthase (iNOS), and estrogen receptors (ERs-ERα and ERβ) were analyzed...
2014: Mediators of Inflammation
Sadia Habib, Shazia Riaz, Nasreen Abbasi, Attiya Ayaz, Attiya Bibi, Zahida Parveen
BACKGROUND: Elective caesarean section has replaced vaginal delivery for term breech foetuses due to fear of complications of vaginal breech delivery. This increasing rate of caesarean section worldwide is alarming. It has not only led to increase in adverse consequences in subsequent pregnancies and future fertility but also loss of skills for vaginal breech delivery. This study was conducted to determine the safety of vaginal breech birth in terms of maternal and neonatal complications...
July 2013: Journal of Ayub Medical College, Abbottabad: JAMC
Piotr Pierzyński, Monika Zbucka-Kretowska
Uterine contractile activity plays an important role in the reproduction of mammals, influencing sperm transport in the genital tract and positioning of the implanting embryo within the uterine cavity In humans, apart from the time of menses, the activity of a non-pregnant uterus is usually not perceived, and it is also not a subject of any routine clinical testing. Major contractile factors in non-gravid uteri are oxytocin and prostaglandins, locally produced within the endometrium. Oxytocin synthesis and expression of its receptors is gradually increasing in the follicular phase, following an increase in estrogen levels, and reaches its peak in the periovulatory period...
August 2014: Ginekologia Polska
Susan DeJoy, Penelope Pekow, Elizabeth Bertone-Johnson, Lisa Chasan-Taber
INTRODUCTION: Certified nurse-midwives (CNMs) and certified midwives (CMs) attend 11% of US vaginal births, and CNM/CM databases include a rich source of information on the birth outcomes of women not generally available through obstetric electronic health records (oEHRs). Although CNM databases are in wide use, studies on their validity are sparse. We examined the validity of a practice-specific CNM birth database compared with an oEHR in a large tertiary-care facility. METHODS: The study population consisted of all 3133 births in a large CNM practice that were entered into a practice-specific electronic birth database from 2001 to 2008...
July 2014: Journal of Midwifery & Women's Health
Kelly Gallagher, Laura Migliaccio, Rebecca G Rogers, Lawrence Leeman, Elizabeth Hervey, Clifford Qualls
INTRODUCTION: The purpose of this study was to explore the impact of body mass index (BMI) or pregnancy weight gain on the presence, site, and severity of genital tract trauma at childbirth in nulliparous women. METHODS: The present study is a subanalysis of a prospective cohort of healthy nulliparous women recruited during pregnancy and followed through birth. Weight gain during pregnancy and prepregnancy BMI were recorded. At birth, women underwent detailed mapping of genital tract trauma...
January 2014: Journal of Midwifery & Women's Health
J C Francis, T N Banaszek, J E Dietrich
STUDY OBJECTIVES: To review the literature regarding repair of pediatric female genital trauma. To review our experience with the use of a lighted retractor at the time of repair of genital trauma in an operating room setting. STUDY DESIGN: Retrospective case series. SETTING: Texas Children's Hospital. PARTICIPANTS: Patients with genital trauma requiring repair in an operating room setting where the Lumitex MD Lightmat Surgical Illuminator (LM) was utilized...
October 2014: Journal of Pediatric and Adolescent Gynecology
Gemma C Sharp, Philippa T K Saunders, Stephen A Greene, Andrew D Morris, Jane E Norman
OBJECTIVE: The purpose of this study was to determine risk factors for postpartum hemorrhage (PPH) that includes intergenerational transmission of risk of postpartum hemorrhage. STUDY DESIGN: We linked birth records of women and their daughters and granddaughters in 2 Scottish birth cohorts: the Walker cohort (collected from 1952-1966) and the Scottish Morbidity Records cohort (collected from 1975-present). We determined clinical risk factors for PPH. We then quantified the risk of PPH in women whose mothers/grandmothers had postpartum hemorrhage before and after adjustment for these risk factors...
July 2014: American Journal of Obstetrics and Gynecology
Tomas Lazaro Rodriguez Collar, Mirel Perez Perez, Evelio Bueno Sanchez, Barbara Mercedes Paula Piñera
Sixty year-old patient without past medical history referring a 6-month history of right testicle pain and simultaneous volume increase. Neither history of sexually transmitted disease nor genital trauma nor obstructive lower urinary tract symptoms were referred during the medical interview.
November 2013: Archivos Españoles de Urología
Mitchell M Selco, Roderick H Doss, Daniel D Gruber, Stuart H Shippey
BACKGROUND: Labial fusion may occur as a result of lichen sclerosus, lichen planus, genital mutilation, obstetric laceration, and atrophic vaginitis. Koebner phenomenon, or reformation of scar tissue over the clitoris after trauma to the involved tissue, may confound attempts at surgical management. CASE: A 22-year-old nulligravid patient presented with labia minora fusion that had been present since childhood. Her most bothersome symptoms were the recurrence of periclitoral pseudocysts with pain and discharge after spontaneous or needle drainage...
September 2013: Female Pelvic Medicine & Reconstructive Surgery
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