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Urethral diverticula

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https://www.readbyqxmd.com/read/28917023/a-new-modification-of-the-duckett-technique-for-one-stage-repairing-urethral-plate-transected-hypospadias-another-option-for-severe-hypospadias
#1
Li-Qu Huang, Yun-Fei Guo, Zheng Ge, Ru-Gang Lu, Yong-Ji Deng, Geng Ma, Fang Chen
OBJECTIVES: The study aimed to evaluate the new modification of the Duckett technique in decreasing the incidence of urethral strictures for urethral plate transected hypospadias and also explored its clinical application. METHODS: Thirty-three patients (aged 7 months to 12 years, mean age 2.8 years) who underwent repair of primary hypospadias using the new one-stage urethroplasty were enrolled. Clinical data, including cosmetic and its complications, and uroflowmetry data were documented...
September 15, 2017: International Urology and Nephrology
https://www.readbyqxmd.com/read/28807625/role-of-urodynamics-in-management-of-urethral-diverticulum-in-females
#2
Kuan-Jung Lin, Yu-Hua Fan, Alex Tong-Long Lin
BACKGROUND: Few studies have focused on the urodynamic findings of urethral diverticula (UD). We characterized the symptoms and urodynamic findings in women with UD. METHODS: A retrospective review of all women in a single center having surgical treatment for symptomatic UD between May 2004 and September 2014 was done. Lower urinary tract symptoms were evaluated with International Prostate Symptom Score and Overactive Bladder Symptom Score questionnaires. All patients underwent magnetic resonance imaging and videourodynamic study (VUDS) prior to surgery, and postoperative evaluation with VUDS...
August 11, 2017: Journal of the Chinese Medical Association: JCMA
https://www.readbyqxmd.com/read/28694573/two-stages-repair-of-proximal-hypospadias-review-of-700-cases
#3
Arvind Kumar Shukla, Aditya Pratap Singh, Pramila Sharma, Jyotsna Shukla
OBJECTIVE: Surgical repair of hypospadias is challenging and problematic even for the most experienced specialists, and this is especially true when severe and complicated case is confronted. Many operations had been described for the management of this deformity. MATERIALS AND METHODS: During the period from May 2004 to December 2015, we performed 700 cases with proximal hypospadias, at our institute in the Department of Pediatric Surgery by a single surgeon. Data were collected retrospectively and included patient's age at operation, degree of the hypospadias, degree of associated chordee, complications, and cosmetic outcome...
July 2017: Journal of Indian Association of Pediatric Surgeons
https://www.readbyqxmd.com/read/28660723/outcomes-of-treatment-of-stress-urinary-incontinence-associated-with-female-urethral-diverticula-a-selective-approach
#4
Alyssa Greiman, Lauren Rittenberg, Drew Freilich, Ross Rames, Ahmed El-Zawahry, Michelle Koski, Eric Rovner
AIMS: To assess surgical outcomes of concomitant treatment of SUI at time of transvaginal urethral diverticulectomy (TVUD) based on a selective approach. METHODS: Following Institutional Review Board (IRB) approval, we identified patients with a UD and SUI who underwent TVUD between July 2004 and January 2016. SUI was documented before and after surgery using subjective and objective parameters. Autologous pubovaginal slings (APVS) were used selectively based on surgeon and patient preference...
June 29, 2017: Neurourology and Urodynamics
https://www.readbyqxmd.com/read/28630018/the-modified-ulaanbaatar-procedure-reduced-complications-and-enhanced-cosmetic-outcome-for-the-most-severe-cases-of-hypospadias
#5
V R Jayanthi, C B Ching, D G DaJusta, D J McLeod, S A Alpert
INTRODUCTION/OBJECTIVE: Proximal hypospadias is one of the most challenging conditions that pediatric urologists have to deal with. Many procedures have been devised over the years, but nothing has been proven to be the best option. Although there have been some attempts at correcting severe hypospadias in one procedure, most have advocated a staged approach. The classic approach - laying penile skin or a graft within a split glans followed by glanuloplasty at the second stage - by definition requires two operations on the glans...
August 2017: Journal of Pediatric Urology
https://www.readbyqxmd.com/read/28398951/challenges-in-pathologic-staging-of-bladder-cancer-proposals-for-fresh-approaches-of-assessing-pathologic-stage-in-light-of-recent-studies-and-observations-pertaining-to-bladder-histoanatomic-variances
#6
REVIEW
Gladell P Paner, Rodolfo Montironi, Mahul B Amin
The paradigm of pathologic stage (pT) categorization in bladder cancer remains the depth of invasion into the different histologic layers of the bladder wall. However, the approaches to assigning pT stage category toward an enhanced outcome stratification have been marked by challenges and innovations, due in part to our growing appreciation of the surprisingly perplexing bladder histoanatomy. Upstaging of pT1 tumors after radical cystectomy is substantial and underscores the potential value of pT1 substaging in transurethral resection (TUR) specimens...
May 2017: Advances in Anatomic Pathology
https://www.readbyqxmd.com/read/28283414/surgical-outcomes-of-primary-and-recurrent-female-urethral-diverticula
#7
Kwang Jin Ko, Yoon Seok Suh, Tae Heon Kim, Hyo Serk Lee, Won Jin Cho, Deok Hyun Han, Kyu-Sung Lee
OBJECTIVE: To evaluate the surgical outcomes of female urethral diverticulectomy. MATERIALS AND METHODS: We retrospectively analyzed the medical records of 68 patients with symptomatic urethral diverticula (UD) with at least 1 year of follow-up data following transvaginal urethral diverticulectomy conducted by a single surgeon. The presence of UD was confirmed by a preoperative magnetic resonance imaging (MRI). According to MRI findings, the UDs were classified as simple, U-shaped, or circumferential...
March 7, 2017: Urology
https://www.readbyqxmd.com/read/28217579/urinary-catheterization-from-benefits-to-hapless-situations-and-a-call-for-preventive-measures
#8
REVIEW
Gunjan Garg, Naveen Chawla, Atul Gogia, Atul Kakar
Catheter-associated complications are common, expensive, and often preventable by reducing unnecessary catheter usage. These complications range from most common nosocomial infection to uncommon conditions such as urethral diverticula and ischemic necrosis of the penis. Often, removal of a single known essential cause may be sufficient to prevent a disease. This review raises issues associated with urinary catheterization and emphasizes on the need of preventive measures a physician should take to reduce disappointing situations...
July 2016: Journal of Family Medicine and Primary Care
https://www.readbyqxmd.com/read/28106654/ultrasonographic-features-of-female-urethral-diverticula-a-retrospective-study-of-25-patients
#9
Xia Wang, Chaoran Dou, Yulin Yan, Yun Bai, Bing Hu, Tao Ying
OBJECTIVES: This article summarizes the ultrasonographic features of female urethral diverticula on biplane transrectal ultrasound (B-TRUS). METHODS: A retrospective study was performed with 25 consecutive women who were diagnosed and treated as having urethral diverticulum (UD) between January 2012 and March 2016. All the patients were preoperatively evaluated using B-TRUS. The number, location, configuration, size, and type of the UD on B-TRUS were assessed. RESULTS: Twenty-eight diverticula were found on B-TRUS...
January 18, 2017: Female Pelvic Medicine & Reconstructive Surgery
https://www.readbyqxmd.com/read/27980522/ultrasound-imaging-in-urogynecology-state-of-the-art-2016
#10
Michał Bogusiewicz
The role of ultrasound imaging in urogynecology is not clearly defined. Despite significant developments in visualization techniques and interpretation of images, pelvic ultrasound is still more a tool for research than for clinical practice. Structures of the lower genitourinary tract and pelvic floor can be visualized from different approaches: transperineal, introital, transvaginal, abdominal or endoanal. According to contemporary guidelines and recommendations, the role of ultrasound in urogynecology is limited to the measurement of post-void residue...
November 2016: Przeglad Menopauzalny, Menopause Review
https://www.readbyqxmd.com/read/27837336/perivaginal-benign-masses-diagnosis-and-therapy-in-a-series-of-66-women
#11
Anna-Lena Liaci, Hans Boesmueller, Markus Huebner, Sara Yvonne Brucker, Christl Reisenauer
PURPOSE: Benign perivaginal masses (PVM) are relatively rare. The aim of this study is, to create a higher awareness for these entities and to point out reliable diagnostics and an accurate treatment. METHODS: The medical records of the Department of Obstetrics and Gynecology Tuebingen were searched for number and type of urogynecological surgery in general, and a surgery, which took place particularly owing to benign PVM, over a period of 5 years. Diagnostics, treatment, histology and postoperative management were summarized and analyzed...
February 2017: Archives of Gynecology and Obstetrics
https://www.readbyqxmd.com/read/27833294/anterior-urethral-diverticulum-a-rare-presentation
#12
Annavarupu Gopalkrishna, Somendra Mohan Sharma, B Ananda
Congenital anomalies of the urogenital tract are the most common anomalies found in the foetus, neonates and infants, but anterior urethral valves and diverticula are rare. Here, we present a case with congenital anterior urethral diverticulum associated with patent ductus arteriosus and polydactyly.
May 2016: Indian Journal of Plastic Surgery: Official Publication of the Association of Plastic Surgeons of India
https://www.readbyqxmd.com/read/27822441/congenital-urethral-diverticulum-with-infertility-in-an-adult-man-and-review-of-the-literature
#13
Chen Shuzhu, Wu Min, Ye Weijing, Liu Yidong
INTRODUCTION: Congenital anterior urethral diverticula in adult males are infrequent urological diseases, which they were mainly found in women. The etiology of female diverticula is that (Mohan et al. in J Urol 123(4):592-594, 1980) women have anatomically poorly supported urethral. Clinical presentation frequently involves urinary urgency, polyuria, postmicturition dribble, and hematuria. CASE DESCRIPTION: A 37 year-old male was presented to us complaining of infertility about 6 years after marriage...
2016: SpringerPlus
https://www.readbyqxmd.com/read/27775289/-anterior-urethral-valves-and-anterior-urethral-diverticulum-are-they-same-entity
#14
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...
April 15, 2015: Cirugía Pediátrica: Organo Oficial de la Sociedad Española de Cirugía Pediátrica
https://www.readbyqxmd.com/read/27538801/short-and-long-term-complications-and-outcomes-of-radiation-and-surgically-induced-rectourethral-fistula-repair-with-buccal-mucosa-graft-and-muscle-interposition-flap
#15
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...
December 2016: Urology
https://www.readbyqxmd.com/read/27302798/re-autologous-pubovaginal-sling-for-the-treatment-of-concomitant-female-urethral-diverticula-and-stress-urinary-incontinence
#16
Alan J Wein
No abstract text is available yet for this article.
April 2016: Journal of Urology
https://www.readbyqxmd.com/read/27259652/the-effect-of-staged-transverse-preputial-island-flap-urethroplasty-for-proximal-hypospadias-with-severe-chordee
#17
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
https://www.readbyqxmd.com/read/27231492/anterior-urethral-valve-a-rare-but-an-important-cause-of-infravesical-urinary-tract-obstruction
#18
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
https://www.readbyqxmd.com/read/27181085/utility-of-ultrasonography-for-diagnosis-of-superficial-swellings-in-buffalo-bubalus-bubalis
#19
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
https://www.readbyqxmd.com/read/27117052/endoscopic-treatment-of-grades-iv-and-v-vesicoureteral-reflux-with-two-bulking-substances-dextranomer-hyaluronic-acid-copolymer-versus-polyacrylate-polyalcohol-copolymer-in-children
#20
COMPARATIVE STUDY
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
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