Dismembered extravesical reimplantation of ectopic ureter in duplex kidney with incontinence

Ectopic ureter is a rare but pertinent cause of incontinence in young women. We report a 12-year-old girl who presented with reports of incontinence since birth. She was evaluated and found to have complete duplication of the left ureter, with the upper moiety ureter opening into the vestibule of the vagina just below the external urethra meatus. She was managed surgically by dismembered extravesical reimplantation of the upper moiety ureter instead of the conventional method of common sheath reimplantation, sparing the patient a wide cystostomy and intravesical dissection. One year postsurgery, the patient is asymptomatic and dry. Dismembered reimplantation of the ectopic ureter is a simple and reproducible technique which avoids manipulation of the normal lower moiety ureter and its associated potential complications. At the same time, it ensures that the patient is dry without any adverse effect on the lower moiety or its ureter.

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A role for traditional doctors in health promotion: experience from a trial of HIV prevention in Botswana

Global Health Promotion ◽

10.1177/1757975918785563 ◽

2018 ◽

Vol 27 (2) ◽

pp. 114-116 ◽

Cited By ~ 1

Author(s):

Anne Cockcroft ◽

Leagajang Kgakole ◽

Nobantu Marokoane ◽

Neil Andersson

Keyword(s):

Primary Prevention ◽

Hiv Prevention ◽

Young Women ◽

Hiv Risk ◽

Discussion Groups ◽

Gender Violence ◽

Evidence Based ◽

Intervention Programme ◽

Structural Intervention ◽

One Year

Traditional doctors have been largely ignored in HIV prevention, particularly primary prevention. As part of a structural intervention programme to reduce HIV risk among young women in Botswana, we trained 147 traditional doctors in four districts as well as government health education assistants (HEAs) and teachers to run discussion groups in the community and schools, using an evidence-based eight-episode audio-drama, covering gender roles, gender violence, and how these are related to HIV risk. One year later, we contacted 43 of the 87 trained traditional doctors in two districts. Most (32) were running discussion groups with men and women, with links to the local HEAs and teachers. They were adept at recruiting men to their groups, often a challenge with community interventions, and reported positive changes in attitudes and behaviour of group participants. Traditional doctors can play an important role in primary prevention of gender violence and HIV.

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Adverse effect of donor vasopressor support on immediate and one-year kidney allograft function

Surgery ◽

10.1016/s0039-6060(96)80014-6 ◽

1996 ◽

Vol 120 (4) ◽

pp. 663-666 ◽

Cited By ~ 40

Author(s):

Renee marshall ◽

Nasimul Ahsan ◽

Saleena Dhillon ◽

Michael Holman ◽

Harold C. Yang

Keyword(s):

Adverse Effect ◽

Kidney Allograft ◽

Vasopressor Support ◽

Allograft Function ◽

One Year

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Diagnosis of the Occult Ectopic Ureter in a Duplex Kidney

The Journal of Urology ◽

10.1016/s0022-5347(17)67121-0 ◽

1975 ◽

Vol 114 (5) ◽

pp. 697-699 ◽

Cited By ~ 6

Author(s):

M.H. Simms ◽

P.M. Higgins

Keyword(s):

Ectopic Ureter ◽

Duplex Kidney

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Rare cause of adult female incontinence: complete duplication of the collecting system and ectopic ureter of the kidney draining into the vagina treated by laparoscopic upper pole heminephrectomy and ureterectomy

International Urology and Nephrology ◽

10.1007/s11255-014-0702-5 ◽

2014 ◽

Vol 46 (8) ◽

pp. 1477-1480

Author(s):

İlter Alkan ◽

Hakan Özveri ◽

Selim Taş ◽

Tümay İpekçi ◽

Serdar Yılmaz

Keyword(s):

Adult Female ◽

Ectopic Ureter ◽

Female Incontinence ◽

Complete Duplication ◽

Collecting System

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Fistula between the common iliac artery and the left ureter

Urologia Journal ◽

10.1177/039156039205901s79 ◽

1992 ◽

Vol 59 (1_suppl) ◽

pp. 243-245

Author(s):

F. Acanfora ◽

P.G. Conti ◽

D. Genesi ◽

G. Morteo ◽

F. Sereno ◽

...

Keyword(s):

Iliac Artery ◽

Urothelial Cancer ◽

Common Iliac Artery ◽

Conservative Surgery ◽

Left Ureter ◽

Percutaneous Dilatation ◽

History Of ◽

The Common ◽

One Year

We report the history of a patient with ureteroileocutaneous-stomy who developed stenosis of both ureteroileal anastomoses after one year from cystectomy for urothelial cancer. The strictures were managed by percutaneous dilatation with an angioplasty baioon catheter. The double J catheters were left in place across the stenosis for three months, then the left stent was removed. Afterwards the patient presented a fistula between the common iliac artery and the left ureter, and he underwent conservative surgery. We discuss the possible etiopathogenesis and the management of this rare pathology.

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Azithromycin-induced Aphthous Stomatitis: A Case Series

Current Clinical Pharmacology ◽

10.2174/1574884714666190301153040 ◽

2019 ◽

Vol 14 (3) ◽

pp. 242-246 ◽

Cited By ~ 1

Author(s):

Ehsan T. Moghadam ◽

Ali Tafazoli

Keyword(s):

Adverse Effect ◽

Medical Literature ◽

Relevant Literature ◽

Case Series ◽

Database Search ◽

Aphthous Stomatitis ◽

Search Process ◽

Pubmed Database ◽

One Year

Background: Azithromycin is one of the most popular antibiotics in current clinical practice. This medication generally considered to be safe and well-tolerated in different demographic populations. Like any other drug, azithromycin use is not without risk and adverse effects. In recent years, cardiovascular accidents have been announced as its major and most important side effect. But azithromycin use can be accompanied with less recognized complications which are significantly discomforting. In this article, we presented a neglected adverse effect of azithromycin in medical literature which is aphthous stomatitis. Methods: We detected three cases with this complication in our center during a one-year period. All the accessible clinical data were recorded and PubMed database was explored to assess the relevant literature. Results: The patients had aphthous stomatitis within 24 hours of the first dose which was healed in about 2 to 3 weeks. Naranjo scoring system showed a probable stage for this adverse drug reaction. There was no such a report in our database search process. Conclusion:: It could be stated that aphthous stomatitis is an important adverse effect of azithromycin that can affect the patient’s quality of life during therapy and in the majority of cases, it can be neglected by healthcare practitioners.

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Efficacy and Safety of Miltefosine in Treatment of Post-Kala-Azar Dermal Leishmaniasis

The Scientific World JOURNAL ◽

10.1155/2015/414378 ◽

2015 ◽

Vol 2015 ◽

pp. 1-6 ◽

Cited By ~ 20

Author(s):

Shyam Sundar ◽

Anup Singh ◽

Jaya Chakravarty ◽

Madhukar Rai

Keyword(s):

Adverse Effect ◽

Visceral Leishmaniasis ◽

Exploratory Study ◽

Protocol Analysis ◽

Complete Disappearance ◽

Efficacy And Safety ◽

Kala Azar ◽

One Year

Background. Long regimens for the treatment of post-kala-azar dermal leishmaniasis (PKDL) result in noncompliance. A safe, effective, and acceptable regimen for the treatment of PKDL is still to be developed. Miltefosine has been found to be effective in the treatment of Visceral Leishmaniasis (VL). Hence, its efficacy was tested in patients of PKDL.Methods. In this exploratory study, 33 patients with PKDL aged 10 years and above were administered miltefosine (50 mg for those weighing <25 kg or 100 mg in divided doses for those ≥25 kg and 2.5 mg per kg for children) for 12 weeks and followed up for one year to find out the efficacy.Results. Out of 33 patients, 3 patients withdrew consent. Treatment was stopped due to adverse effect in 1 patient. 28 (96.6%) got cured with complete disappearance of lesion while 1 patient (3.4%) failed treatment by protocol analysis.Conclusion. Miltefosine was found to be effective and safe in the treatment of PKDL.

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Pregnancy-associated breast cancer (PABC): Czech Young Breast Cancer Study Group Project 35.

Journal of Clinical Oncology ◽

10.1200/jco.2011.29.27_suppl.265 ◽

2011 ◽

Vol 29 (27_suppl) ◽

pp. 265-265

Author(s):

M. Zimovjanova ◽

P. Tesarova ◽

B. Konopasek ◽

J. Barkmanova ◽

P. Brabec ◽

...

Keyword(s):

Breast Cancer ◽

Complete Remission ◽

Metastatic Disease ◽

Young Women ◽

Psychosocial Support ◽

Post Partum ◽

Healthy Children ◽

Group Project ◽

Clinical Registry ◽

One Year

265 Background: Breast cancer (BC) is the most common cancer in women. 12% of BC occur in women age 20–34. BC is classified as “pregnancy associated” if it is diagnosed during pregnancy or within one year after the delivery (PABC). We propose two distinct subtypes of PABC: BC diagnosed during pregnancy and BC diagnosed post-partum. This distinction is important because epidemiologic data highlights worsened outcomes specific to post-partum cases. The safety of pregnancy after treatment of BC is an important issue for many young women. Current research does not indicate that pregnancy negatively affects survival. Methods: There are about 95 young women being diagnosed each year with BC in the Czech Republic. A project of clinical registry named “Project 35” was launched in 2005 with the aim to collect data on epidemiology of the disease in young women. The standardization of the multidisciplinary medical treatment, genetic counselling and psychosocial support should result in better clinical outcomes and improve the quality of life. Results: In our project (n=225) were referred 25 women with PABC, 9 patients with the diagnosis of breast cancer during the pregnancy, 16 patients within one year after the delivery. 2 patients underwent termination of the pregnancy (first trimester) before oncological treatment, in 2 patients anthracycline-based chemotherapy was administered (second trimester), and in 5 patients were induced preterm delivery (third trimester). After delivery we followed standard therapeutic guidelines. All patients are alive but three of them have metastatic disease. From 16 women treated for post-partum BC, 11 patients have complete remission, 2 are alive with metastatic disease, 1 is recovering after the surgery for local recurrence and 2 patients died due to progressive disease. 8 women are BRCA1/2 carriers. 8 women after the successful treatment of breast cancer have delivered of healthy children and are in a complete remission, despite 1 of them with local reccurence of breast cancer. Conclusions: PABC is rare situation, which needs to be managed individually. These patients should be treated under the supervision of the Oncological Centres. Project 35 is useful framework for the counselling in PABC.

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