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Urethral diverticula

E Calleja Aguayo, A E Hernández Calvarro, J Bregante Ucedo, C Marhuenda Irastorza
OBJECTIVE: We present our experience in the diagnosis and management of anterior urethral valves (AUV) and anterior urethral diverticula (AUD) as well as review of the bibliography. MATERIALS AND METHODS: We retrospectively evaluated all the cases of the AUV and AUD treated in our hospital during the last 10 years. The clinical exploration, renal function study and renal and bladder ultrasound were evaluated in all the children. The diagnosis was completed with voiding cystography (VCUG) and cystoscopy as well as nuclear study in the relevant patients...
January 15, 2016: Cirugía Pediátrica: Organo Oficial de la Sociedad Española de Cirugía Pediátrica
Daniel A Kaufman, Leonard N Zinman, Jill C Buckley, Peter Marcello, Brendan M Browne, Alex J Vanni
OBJECTIVE: To analyze and report 30-day, 90-day, and long-term complications and surgical outcomes over a 17-year period for anterior transperineal repair of rectourethral fistulas (RUFs) resulting from pelvic radiation and surgery. MATERIALS AND METHODS: We performed a retrospective review of patients undergoing RUF repair between January 1, 1998 and February 28, 2015, at a single institution. All RUF were repaired using an anterior transperineal approach with an interposition muscle flap and selective use of a buccal mucosa graft onlay...
August 15, 2016: Urology
Alan J Wein
No abstract text is available yet for this article.
April 2016: Journal of Urology
Chao Chen, Ti-Quan Yang, Jia-Bo Chen, Ning Sun, Wei-Ping Zhang
PURPOSE: To compare the effects of staged tranverse preputial island flap(TPIF) urethroplasty and Byars two-stage procedure for proximal hypospadias with severe chordee. MATERIALS AND METHODS: A total of 87 consecutive children of proximal hypospadias with severe chordee were included in the study from March 2011 to March 2014. While 42 children were repaired with stged TPIF (group 1), 45 children were treated with two-stage Byars urethroplasty (group 2). Mean age at first stage surgery were 26...
May 31, 2016: Journal of Urology
Jitendra P Parmar, Chander Mohan, Maulik P Vora
BACKGROUND: Urethral valves are infravesical congenital anomalies, with the posterior urethral valve (PUV) being the most prevalent one. Anterior urethral valve (AUV) is a rare but a well-known congenital anomaly. AUV and diverticula can cause severe obstruction, whose repercussions on the proximal urinary system can be important. Few cases have been described; both separately and in association with urethral diverticulum. The presentation of such a rare but important case led us to a report with highlighting its classic imaging features...
2016: Polish Journal of Radiology
Khaled Abouelnasr, El-Sayed El-Shafaey, Esam Mosbah, Sabry El-Khodery
We studied 72 buffalo with superficial swellings in the head (n=4), neck (n=5), chest wall (n=4), abdominal wall (n=28), limbs (n=16), gluteal region (n=8), perineal region (n=6) and udder (n=1). Ultrasonographically, the swellings varied according to type, duration, content and location. The clinical use of ultrasound to assess these superficial swellings allowed diagnosis of abscesses (n=21), hematomas (n=11), hernias (n=17), bursitis (n=13), urethral diverticula (n=6) and tumors (n=4). Ultrasonography could precisely discriminate each lesion type (sensitivity, 71-100%; specificity, 75-100%; odds ratio, 1...
September 1, 2016: Journal of Veterinary Medical Science
Canan Kocaoglu
PURPOSE: We aimed at evaluating the efficacy and complications of two bulking substances: dextranomer/hyaluronic acid copolymer(Dx/Ha;Dexell®) versus polyacrylate polyalcohol copolymer(PPC;Vantris®) in subureteric injection treatment of children with high grades (grades IV-V) vesicoureteral reflux(VUR). METHODS: Data of patients undergoing endoscopic treatment of high grade VUR (January 2009-August 2015) were retrospectively investigated. Patients with high grade VUR caused by posterior urethral valve, duplex system, paraureteral diverticula and neurogenic bladder were excluded...
October 2016: Journal of Pediatric Surgery
Liang Zhou, De-Yi Luo, Shi-Jian Feng, Xin Wei, Qi Liu, Yi-Fei Lin, Tao Jin, Hong Li, Kun-Jie Wang, Hong Shen
PURPOSE: We aimed to report surgical outcomes in female urethral diverticula and to investigate the risk factors for diverticula recurrence. METHODS: A total of 66 patients underwent urethral diverticulectomies from January 2009 to October 2015 at out institution. Patient and diverticula characteristics were collected. Mean follow-up was 28.8 months (range 4-85 months). Recurrence was defined as requiring a repeat diverticulectomy. RESULTS: Mean age was 44...
April 19, 2016: World Journal of Urology
Rahsan Ozcan, Senol Emre, Pinar Kendigelen, Mehmet Elicevik, Haluk Emir, Yunus Soylet, S N Cenk Buyukunal
PURPOSE: To present the results of a two-stage technique used for the treatment of proximal hypospadias with severe curvature. MATERIALS AND METHODS: The medical records of children with proximal hypospadias and severe curvature were retrospectively analyzed. A 2-stage procedure was performed in 30 children. In the first stage, the release of chordee was performed, and a well-vascularized preputial island flap was created. The vascularized island flap was brought anteriorly and sutured over the ventral surface of the glans and degloved penile shaft...
March 2016: Urology Journal
Nima Baradaran, Leah R Chiles, Drew A Freilich, Ross A Rames, Lindsey Cox, Eric S Rovner
OBJECTIVE: To evaluate the correlation between signs and symptoms of urethral diverticulum (UD), especially the classic triad of 3Ds including dysuria, dyspareunia, and postvoid dribbling, before and after transvaginal urethral diverticulectomy, in relation to anatomic configuration on imaging. MATERIALS AND METHODS: After IRB approval, records of 54 females who underwent transvaginal urethral diverticulectomy were retrospectively reviewed. Urinary symptoms before and after the procedure were correlated with the anatomical configuration of the UD on magnetic resonance imaging...
August 2016: Urology
Fan Zhiqiang, Liu Zhonghua, Huangpu Xuejun, Zhu Xiaobo, Chen Guoxiao
OBJECTIVE: To discuss the applicatioen of flap for the urethroplasty in the distal penile segment in the staged correction of severe hypospadias. METHODS: From Oct. 2004 to Aug. 2014, 25 cases with severe hypospadias were treated by staged urethroplasty for urethra reconstruction. The urethral meatus were located at peroscrotum in 4 patinets, at scrotum in 8 patients and at perineum in 13 cases. At the first stage, the urethral plate was divided and chordee was corrected...
November 2015: Zhonghua Zheng Xing Wai Ke za Zhi, Zhonghua Zhengxing Waike Zazhi, Chinese Journal of Plastic Surgery
Lei Kang, Guizhen Huang, Li Zeng, Yidong Huang, Xue Ma, Yue Zhang, Miao Yuan, Jie Zhang, Lugang Huang
OBJECTIVE: To describe a new modification of the Koyanagi technique for the one-stage repair of severe hypospadias and its short-term outcomes. PATIENTS AND METHODS: Our modified Koyanagi technique was performed in 24 patients with severe hypospadias between February 2012 and January 2015. The age of the patients ranged from 1.9 to 11.9 years (mean = 3.5 years). The flap design was similar to the Koyanagi technique, but our modified technique highlighted the following points: after the chordee was completely corrected, the urethral plate was recreated using foreskin, and then a U-shaped incision was made on the original and recreated urethral plate (as in the Duplay technique); a pedicled flap of the tunica vaginalis or scrotal dartos was used for additional coverage of the neourethra...
July 2016: Urology
Ryuta Watanabe, Takeshi Sugahara, Hitoshi Hamada
A 61-year-old woman presented to the gynecology department with complaints of atypical genital bleeding. Magnetic resonance imaging revealed a localized urethral tumor extended to vagina. Histological test of the biopsy tissue of the mass suggested the adenocarcinoma. The patient was performed the fenestration of the anterior vaginal wall 15 years ago. Under the diagnosis of urethral diverticular adenocarcinoma, we performed standard open total cystectomy with lymph node excision and ileal conduit. We could not establish a diagnosis of urethral diverticulum from the histological test; however, we clinically diagnosed as urethral diverticular adenocarcinoma...
2016: Journal of Surgical Case Reports
Ahmed Magdy, Martin Drerup, Sophina Bauer, Daniela Colleselli, Stephan Hruby, Michael Mitterberger, Günter Janetschek
OBJECTIVES: To demonstrate the feasibility of our novel natural orifice transluminal endoscopic surgery (NOTES)-assisted approach with medium-term follow-up. PATIENTS AND METHODS: From March 2012, we included all patients who presented to our clinic with symptomatic or complicated retentive bladder diverticula secondary to long-standing infravesical obstruction. After managing the primary cause, we proceeded in all cases to our novel NOTES-assisted approach. We followed up the patients with abdominal ultrasonography at 6 weeks and 12 months postoperatively...
May 2016: Journal of Endourology
Yu-Lung Chang, Alex T L Lin, Kuang-Kuo Chen, Luke S Chang
OBJECTIVES: Pubovaginal fascial sling along with urethral diverticulectomy has been advised as the most appropriate anti-incontinence procedure for female stress urinary incontinence (SUI) with concomitant urethral diverticula (UD). We believe that suburethral synthetic mesh tape sling can also be safely used in some patients with concomitant SUI and UD. Herein, we present our experience for simultaneous treatment of UD and SUI with urethral diverticulectomy and suburethral synthetic mesh tape sling...
April 2010: Lower Urinary Tract Symptoms
Barbara Bodner-Adler, Ksenia Halpern, Engelbert Hanzal
Urethral diverticula (UD) are pouch-like outgrowths of the urethral lumen and surgery is by far the most common approach in symptomatic patients. The aim of this systematic review was to evaluate surgical techniques and outcomes in adult women with urethral diverticula. Our secondary objective was to determine the types of study designs. A systematic review of the literature was conducted. Medline, Cinahl and Embase were used as data sources. One hundred and eight studies, including 1,947 patients, remained for final analysis...
July 2016: International Urogynecology Journal
Anne P Cameron
INTRODUCTION: Urethral diverticula are a complex problem for the female pelvic surgeon. Given the rarity of the condition most published series are small and single institutional. This is a review article and a meta-analysis including all case series of female urethral diverticulum from the year 2000 to 2015 including only those case series with a minimum of ten subjects. EVIDENCE ACQUISITION: Twenty-five articles were included and data was sufficient to perform a meta-analysis on patient age, symptoms at presentation, physical exam findings, location of diverticulum, diverticular size, radiological findings, pathology, complications, and recurrence rates...
April 2016: Minerva Ginecologica
Tamsin J Greenwell, Marco Spilotros
Female urethral diverticula are rare, benign epithelium-lined outpouchings of the female urethra. Patients can present with a multitude of symptoms, most commonly urinary incontinence, recurrent UTIs and dyspareunia. These presenting symptoms are often confused with other diagnoses leading to delayed diagnosis or misdiagnosis. Diagnosis and preoperative assessment of bladder function is most accurate using a combination of clinical examination, T2-weighted postvoid MRI and videocystometrography. Best treatment is by vaginal excision, a procedure with a very low recurrence rate and high patient acceptability...
December 2015: Nature Reviews. Urology
Muhammet Fatih Kilinc, Tolga Karakan, Yildiray Yildiz, Omer Gokhan Doluoglu
Primary giant urethral stones are extremely rare in females, and they usually appear in the case of congenital diverticula, not as complications of surgery. Herein, we report a 54-year-old woman with a giant female urethral stone developed after tension-free obturator tape procedure. To our knowledge, this is the first late complication reported in the literature after midurethral sling procedure.
September 23, 2015: Urologia Internationalis
M Vírseda-Chamorro, J Salinas-Casado, E Rubio-Hidalgo, P Gutiérrez-Martín, M Esteban-Fuertes
STUDY DESIGN: A case-control study in a series of 55 males with urethral diverticula (UD) and their correspondent control, matched by age and time of radiological assessments. OBJECTIVES: To evaluate the risk factors to develop UD in males with spinal cord injury (SCI) and the place in the urethra where they are, most commonly, allocated. SETTING: Toledo, Spain. METHODS: Clinical histories and urodynamic studies, of all patients, were reviewed...
November 2015: Spinal Cord
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