Single-institution Outcomes of Open Reconstruction Techniques for Management of Pediatric and Adolescent Post-traumatic Urethral Strictures

Urology ◽  
2011 ◽  
Vol 77 (3) ◽  
pp. 706-710 ◽  
Author(s):  
Melih Sunay ◽  
Ayhan Karabulut ◽  
Mümtaz Dadalı ◽  
Şahin Bağbancı ◽  
Levent Emir ◽  
...  
2012 ◽  
Vol 8 (3) ◽  
pp. 234-239 ◽  
Author(s):  
Priyadarshi Ranjan ◽  
Mohd. S. Ansari ◽  
Manmeet Singh ◽  
Saurabh S. Chipde ◽  
Ranjana Singh ◽  
...  

2021 ◽  
Vol 27 (2) ◽  
pp. 182-186
Author(s):  
I.O. Golubev ◽  
◽  
A.R. Sarukhanyan ◽  
M.M. Merkulov ◽  
O.M. Bushuev ◽  
...  

Introduction Humeral fractures comprise from 5 % to 8 % of all fractures. Nonunion rate of humeral fractures is 5.5–8.7% with open reduction and internal fixation (ORIF) technique and 3–5.6 % with the use of locked intramedullary nailing technique. Its frequent causes are infection, poor vascularity, severe comminution or technical errors. Purpose Analysis of effectiveness of vascularized bone grafting and non-vascularized bone grafting in humeral nonunion and defect treatment. Material and methods Surgical management of 69 patients with humeral nonunion was performed from 2010 to 2017 at a single institution in two groups. Vascularized bone grafts were used in 41 cases and non-vascularized ones in 28 cases. X-rays and CT-scans of all the patients were studied. Results In the vascularized bone grafting group, union was achieved in 36 cases (88 %) after four to 6 months; in non-vascularized bone group union was achieved in 20 cases (71 %) after eight to 12 months. Conclusion In post-traumatic humeral nonunion and bone defects, after two or more failed surgical procedures performed previously, vascularized bone grafting yields more satisfactory results and reduces the total healing time.


2021 ◽  
Vol 13 (6) ◽  
pp. 858-862
Author(s):  
Anita K. Blanchard ◽  
Jeremy Podczerwinski ◽  
Megham Freytag Twiss ◽  
Candice Norcott ◽  
Royce Lee ◽  
...  

ABSTRACT Background Preliminary studies reveal challenges posed by the COVID-19 pandemic to the well-being of health care workers. Little is known about the effects of the pandemic on the well-being of graduate medical education (GME) residents or about protective factors and post-traumatic growth. Through deeper examination of resident well-being during this unique crisis, we can identify trends and associated lessons to apply broadly to resident well-being. Objective To characterize resident burnout, resilience, and loneliness before and during the COVID-19 pandemic. Methods All residents in any specialty at a single institution were anonymously surveyed semiannually for 2 years (2019–2020), including the time period of the COVID-19 pandemic. Surveys included demographics, the 10-item Connor-Davidson Resilience Scale, the Maslach Burnout Inventory, and the UCLA Loneliness Scale. Results Overall response rates were 53% (508 of 964) in spring 2019, 55% (538 of 982) in fall 2019, 51% (498 of 984) in spring 2020, and 57% (563 of 985) in fall 2020. The overall rates of burnout were stable across all time periods and did not change during the COVID-19 pandemic. Among frontline residents, burnout rates were higher than other resident populations in both the pre- and post-COVID-19 pandemic time periods. Resilience and loneliness measures were similar for frontline and non-frontline residents and remained stable during the pandemic. Conclusions Initial data from this single institution survey of all GME residents in the first 8 months of the COVID-19 pandemic demonstrated burnout and loneliness did not increase and resilience was preserved.


2019 ◽  
Author(s):  
Nasir Oyelowo ◽  
Muhammed Ahmed ◽  
Ahmad Bello ◽  
Ahmad Tijani Lawal ◽  
Husseni Yusuf Maitama ◽  
...  

Abstract Introduction: Urethral stricture is a common cause of lower urinary tract symptoms in the middle aged and elderly men. Its presentation and management is closely linked with its etiology and this varies across geographical regions of the world as well as over time. We hereby review the etiology, characteristics and presentation of men with urethral strictures in a tertiary hospital in northern Nigeria over a year and compare it with previous studies in the region. Patients and Methods The study was a prospective study from January-December 2016, all patients with urethral strictures and who consented to the study were enrolled into the study. Data was collected using a structured study profoma and analyzed using SPSS version 23. Results The mean age was 44.1 years with a range of 13-71 years. The bulbar urethra was the site of most strictures with a frequency of 65%. The etiology was infection in majority of the patients with a frequency of 53.3%. Post traumatic strictures occurred in 33.3% while iatrogenic and catheter –Induced strictures were seen in 7.1% and 6% respectively. 88% had no previous intervention for the stricture prior to presentation.The complications from urethral strictures observed in the patients were acute urinary retention in 83.4% urethrocutaneous fistulae in 2.4% and urosepsis in 1.2% of the patients. 11% presented with no complication.68% of these patients were managed by excision and end to end anastomosis, 15 % had a penile pedicled flap 12% , a buccal mucosa graft urethroplasty and 5% with staged urethroplasty The trends in etiology of urethral stricture disease in the region reported is: Ahmed etal in zaria (1990) Infection accounted for 66.50% , post traumatic stricture 31.50%. Ntia et al Sokoto (2006)found infection as aetiology in 44.70% and post-traumatic strictures in 47.40%. Ofoha et al in Jos however found Infection in 53.30% and post traumatic 40.30% Conclusion Though there is a gradual rise in post-traumatic and iatrogenic strictures in our environment, Post inflammatory strictures still predominates. It is however infrequently accompanied by fistulae as seen decades ago. These strictures are mostly long segments single bulbar strictures


2005 ◽  
Vol 95 (3) ◽  
pp. 403-406 ◽  
Author(s):  
Ashraf T. Hafez ◽  
Ahmed El-Assmy ◽  
Osama Sarhan ◽  
Ahmed S. El-Hefnawy ◽  
Mohamed A. Ghoneim

Urology ◽  
2003 ◽  
Vol 61 (2) ◽  
pp. 287-290 ◽  
Author(s):  
M.M Koraitim ◽  
M.A Atta ◽  
G.A Fattah ◽  
H.R Ismail

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