The role of clitoral topography in sexual arousal and orgasm: transperineal ultrasound study

2021 ◽  
Author(s):  
Serdar Aydın ◽  
Neslihan Bademler ◽  
Elif Aslı Sarıoğlu Yardımcı ◽  
Çağrı Arıoğlu ◽  
Ayşe Filiz Gökmen Karasu
Keyword(s):  
Sexual Arousal ◽  
Transperineal Ultrasound ◽  
Ultrasound Study

scholarly journals Role of Transperineal Ultrasound (TPUS) in Children with Ambiguous Genitalia

2021 ◽  
Author(s):  
Krithika Rangarajan ◽  
Manisha Jana ◽  
Nagesh Wadgera ◽  
Arun Kumar Gupta ◽  
Minu Bajpai ◽  
...  
Keyword(s):  
Gold Standard ◽  
Sex Differentiation ◽  
Ambiguous Genitalia ◽  
Transperineal Ultrasound ◽  
Transabdominal Ultrasound ◽  
Resonance Imaging ◽  
Normal Children ◽  
Genital Ambiguity ◽  
Magnetic Resonance Imaging Mri

Abstract Objectives Accurate delineation of anatomy in children with ambiguous genitalia early in life is important. This commonly involves conventional fluoroscopic genitogram (traumatic to the child) and magnetic resonance imaging (MRI) examination (involves sedation). In this study, our objectives were twofold: (1) to describe the findings on transperineal ultrasound (TPUS) in normal children and (2) to describe the findings on TPUS in children with ambiguous genitalia and correlate them with conventional genitogram. Materials and Methods TPUS was prospectively performed in 10 children without genital ambiguity (5 girls and 5 boys). Subsequently, 15 consecutive children having disorders of sex differentiation (DSDs) with genital ambiguity underwent TPUS. The presence or absence of müllerian structures was documented. Of these patients, 14 also underwent conventional genitogram as a part of routine evaluation. The gold standard was established either by comparison with surgical findings (in patients who underwent surgery) or by comparison with a combination of findings on genitogram and transabdominal ultrasound in patients who did not undergo surgery. Results In all normal children, lower urogenital tracts could be clearly delineated on TPUS. Out of the 15 children with ambiguous genitalia, TPUS could establish the presence/absence of müllerian structures in 14. This was concordant with findings on conventional genitogram/surgery. In one patient, müllerian structure was missed on TPUS but demonstrated on genitogram. In two children, TPUS showed the müllerian structure, which was not seen on genitogram. When both the controls and the cases were combined, TPUS had an accuracy of 95% and specificity of 100% in the detection of müllerian structures. Conclusion TPUS is feasible and accurate in demonstration of lower urogenital tract anatomy in children with DSDs having ambiguous genitalia. It can be performed without sedation, and is suitable for use as a screening modality in children with ambiguous genitalia.

scholarly journals Significance and Impact of the Intersphincteric Plane Sepsis in the Management of the Perianal Sepsis: Ultrasound Study

2021 ◽  
Author(s):  
Ashraf Talaat Youssef
Keyword(s):  
Digital Rectal Examination ◽  
Perianal Fistula ◽  
Final Diagnosis ◽  
Abscess Formation ◽  
Study Group ◽  
Potential Space ◽  
Anal Glands ◽  
Ultrasound Study ◽  
Perianal Sepsis

Abstract Background The intersphincteric plane (ISP) is a potential space between the external and the internal anal sphincters. About 90% of the perianal sepsis is caused by an obstruction of the ducts of anal glands with subsequent secondary bacterial infection. The imaging modalities used to diagnose perianal sepsis are the ultrasound via endoanal and transperineal routes and magnetic resonance imaging. Objective  The study aimed to identify the various patterns of the ISP sepsis and their incidence among our study group and to clarify the significance of ISP in the pathogenesis of anorectal abscesses and various types of perianal fistula tracts, to optimize the surgical management. Methods Retrospective descriptive study in which 57 patients with an ISP sepsis were evaluated with full medical history, clinical exam, and ultrasound; the final diagnosis was based on combining the results of ultrasound, digital rectal examination under anesthesia, and the operative results. Results The current study showed many patterns of the ISP sepsis and estimated the incidence of each pattern among our study group; such patterns could be fistula tracts, sinus tracts, abscesses, intersphincteric abscess with supralevator extension, sinus with abscess formation, fistula with abscess formation, distension of the ISP with free pus, and other complex patterns like horse abscess, abscess with transsphincteric sinus, and ISP fistula/sinus with transsphincteric branches. Conclusion Understanding the role of the ISP in the pathogenesis of anorectal abscesses and perianal fistula tracts can help in reaching the optimum way of management.

PA.240 ROLE OF DYNAMIC TRANSPERINEAL ULTRASOUND IN OBSTRUCTED DEFECATION

2008 ◽  
Vol 40 ◽  
pp. S163
Author(s):  
E. Radice ◽  
G. Maconi ◽  
E. Bareggi ◽  
M. Bosani ◽  
A. Cassinotti ◽  
...  
Keyword(s):  
Obstructed Defecation ◽  
Transperineal Ultrasound

Is there an inhibitory role of cortisol in the mechanism of male sexual arousal and penile erection?

2003 ◽  
Vol 31 (6) ◽  
pp. 402-406 ◽  
Author(s):  
Stefan �ckert ◽  
Mark H. Fuhlenriede ◽  
Armin J. Becker ◽  
Christian G. Stief ◽  
Friedemann Scheller ◽  
...  
Keyword(s):  
Sexual Arousal ◽  
Penile Erection ◽  
Inhibitory Role ◽  
Male Sexual Arousal

Levator hiatus dimensions in late pregnancy and the process of labor: a 3- and 4-dimensional transperineal ultrasound study

2014 ◽  
Vol 210 (5) ◽  
pp. 484.e1-484.e7 ◽  
Author(s):  
Franziska Siafarikas ◽  
Jette Stær-Jensen ◽  
Gunvor Hilde ◽  
Kari Bø ◽  
Marie Ellström Engh
Keyword(s):  
Late Pregnancy ◽  
Transperineal Ultrasound ◽  
Levator Hiatus ◽  
Ultrasound Study

scholarly journals Echogenic intracardiac focus – existence in the first trimester and the role of microRNAs

Folia Medica ◽  
2021 ◽  
Vol 63 (1) ◽  
pp. 142-147
Author(s):  
Antonios Koutras ◽  
Zacharias Fasoulakis ◽  
Arzou Halil ◽  
Emmanuel N. Kontomanolis
Keyword(s):  
Trisomy 21 ◽  
Fetal Heart ◽  
First Trimester ◽  
Papillary Muscles ◽  
Ultrasound Scan ◽  
Second Trimester ◽  
Ultrasound Study ◽  
First Trimester Of Pregnancy ◽  
Low Sensitivity

Echogenic intracardiac focus (EIF) constitutes a finding in the ultrasound study that indicates an area which is echogenically bright in the fetal heart and is as bright as the bone that moves synchronically to the atrioventricular valves. Microcalcifications of the papillary muscles or chordae tendinae are being represented by this echogenicity and are mostly present in the left ventricle (90% of cases). EIF appears usually at the ultrasound that is realized in the mid-trimester in a percentage that reaches 3.5% in euploid fetuses and 15% to 30% in fetuses with trisomy 21. In the current paper, the rare and curious case of a 21-year-old primigravida woman is described, who presented for ultrasound scan at the 12th week of gestation. The scan revealed the presence of EIF, which is very rare, as it is well-known that it usually appears in the second trimester of pregnancy. Counseling and debriefing for dismissing parents’ anxiety is necessary as well as further examinations, because EIF has low sensitivity. This specific case report could constitute a beginning in the research of whether investigating EIF in the first trimester of pregnancy is possible and which are the benefits of its detection for the mother, the fetus and the whole family, in clinical practice.

scholarly journals The Case of Acute Steroid-Induced Myopathy in the Patient with Autoimmune Thrombocytopenia

2020 ◽  
Vol 10 (4) ◽  
pp. 314-321
Author(s):  
N. T. Vatutin ◽  
G. A. Ignatenko ◽  
G. G. Taradin ◽  
I. V. Kanisheva ◽  
M. R. Shajmurzin
Keyword(s):  
Muscle Weakness ◽  
Enzyme Level ◽  
Clinical Manifestations ◽  
Magnetic Resonance Tomography ◽  
Diagnostic Methods ◽  
Autoimmune Thrombocytopenia ◽  
Calcium Supplements ◽  
Ultrasound Study ◽  
The Common

The article concerns one of the common adverse effects during treatment — steroid myopathy. The information about pathogenic specifics of myopathy development in administration of glucocorticoids, the most typical clinical manifestations are described, and results diagnostic methods with estimation of a role of enzyme level evaluation, electromyography, ultrasound study of the muscle tissue, computer and magnetic resonance tomography. There is description of muscle weakness development in 49-year old woman who has been receiving methylprednisolone 88 mg/day due to revealed thrombocytopenia. One week after the treatment was started the patient experienced onset and progression of muscle weakness limiting her motion and self-maintenance. After performing of investigation including electromyography steroid genesis of myopathy was suggested. The patient’s condition began to improve after disc ontinuation of glucocorticoids and administration of calcium supplements, vitamin D, and anabolics, and the patient was discharged.

scholarly journals Pancreatico-biliary pathologies: correlation of USG and MRCP

2019 ◽  
Vol 6 (7) ◽  
pp. 2373
Author(s):  
Priyanka Ashok Khopde ◽  
Abhimanyu Kelkar ◽  
Priscilla Joshi ◽  
Amol Bandgar ◽  
Mangal Mahajan
Keyword(s):  
Obstructive Jaundice ◽  
Imaging Modality ◽  
Correct Diagnosis ◽  
Age Groups ◽  
Biliary Disease ◽  
Age Group ◽  
Frequent Form ◽  
Ultrasound Study ◽  
Benign Pathology

Background: Obstructive jaundice is the most frequent form of hepato-biliary pathologies. The main aim is to confirm the presence of obstruction and to identify its cause, location and extent of the lesion. This study evaluated the role of USG and MRCP in hepato-biliary pathology.Methods: Twenty-five patients of all age groups with suspicion of obstructive jaundice referred for Ultrasound were included in our study. The patients with findings suggestive of biliary obstruction underwent MRCP.Results: Out of 25 patients, maximum patients were in the age group of 61-80 yrs. 52% were male and 48% were female. The jaundice was due to a benign etiology in 64% patients and malignant etiology in 36%. The most common benign pathology was choledocholithiasis (25%) and malignant pathology was periampullary carcinoma (44%). Overall 11 cases were inconclusive on ultrasound study while 2 cases were false positive for malignancy on MRCP. In 92% cases the correct diagnosis was detected on MRCP.Conclusions: USG is the initial and sometimes the only imaging modality in obstructive biliary disease. However the distal CBD which is poorly seen on USG can be well evaluated on MRCP thus improving the diagnosis in pancreatico-biliary pathologies.

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