ANASTOMOTIC URETHROPLASTY FOR POST-TRAUMATIC URETHRAL STRICTURES: PREVIOUS URETHRAL MANIPULATIONS HAVE A NEGATIVE IMPACT ON THE FINAL OUTCOME

2006 ◽  
Vol 5 (2) ◽  
pp. 246
Author(s):  
T. Culty ◽  
L. Boccon-Gibod
2006 ◽  
Vol 175 (4S) ◽  
pp. 39-39
Author(s):  
Thibaut Culty ◽  
Sebastien Dominique ◽  
Jean-François Hermieu ◽  
Vincent Delmas ◽  
Vincent Ravery ◽  
...  

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

2017 ◽  
Vol 4 (2) ◽  
pp. 491
Author(s):  
Abhishek Jaysukh Savalia ◽  
Prakash W. Pawar ◽  
Ajit S. Sawant ◽  
Ashwin Tamhankar ◽  
Sunil R. Patil ◽  
...  

Background: Confined perineum and elevated prostate and bladder in children make management of post-traumatic stricture in children technically difficult.Methods: A retrospective study of patients from 2007 till September 2016 was conducted. 15 pediatric patients with a mean age of 7.3 years presented with post traumatic urethral stricture or distraction defect. 11 patients had pelvic fracture urethral distraction defect (PFUDD) and underwent PPU. Four had bulbar stricture caused by straddle injury and underwent EEU. Post operatively patients were evaluated using uroflowmetry at 3, 6 and 12 months. Maximum velocity of less than 10 ml/s and symptoms of straining was considered as recurrence and such cases were evaluated further with MCU, RGU and cystoscopy.Results: Mean stricture length was of 2.3 cm and was at bulbo-membranous junction in 11 and in proximal bulbar urethra in 4. Of the 11 PPUs, crural separation was done in nine and inferior pubectomy in six patients. Transpubic approach was required in one patient. Gracilis flap was placed in one patient as an onlay over anastomotic urethroplasty. Of the 11 PPUs, 2 patients and 1 of 4 EEU patients had recurrence.  All recurrent strictures were <1.5 cm long and at the site of the anastomosis. Two patients were managed with anastomotic urethroplasty. The remaining one patient could be managed with laser visual internal urethrotomy.Conclusions: PPU and EEU are treatment of choice in paediatric patients with PFUDD and proximal bulbar strictures respectively. Both are technically feasible, have good outcome and have an acceptable morbidity.


2006 ◽  
Vol 175 (1) ◽  
pp. 312-312
Author(s):  
A.T. Hafez ◽  
A. El-Assmy ◽  
O. Sarhan ◽  
A.S. El-Hefnawy ◽  
M.A. Ghoneim

Urology ◽  
2011 ◽  
Vol 77 (3) ◽  
pp. 706-710 ◽  
Author(s):  
Melih Sunay ◽  
Ayhan Karabulut ◽  
Mümtaz Dadalı ◽  
Şahin Bağbancı ◽  
Levent Emir ◽  
...  

Author(s):  
Susan Ayers ◽  
Elizabeth Ford

Research on post-traumatic stress disorder (PTSD) in pregnancy and postpartum is relatively new but clearly demonstrates the importance of recognizing and treating women with PTSD at this time. Women with PTSD in pregnancy are at greater risk of pregnancy complications and health behaviors that have a negative impact on the woman and fetus. Approximately –3% of women develop PTSD after giving birth, and rates increase for women who have preterm or stillborn infants or life-threatening complications during pregnancy or labor. Models of the etiology of postpartum PTSD focus on the interaction among individual vulnerability, risk, and protective factors during and after birth. Research shows evidence for the role of previous psychiatric problems, depression in pregnancy, severe complications during birth, support, and women’s subjective experience of birth in postpartum PTSD. Very little research has examined screening or intervention. The chapter highlights key research topics that need addressing.


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