Single perineal opening with ‘H-type’ cecovesical fistula and blind-ending foreshortened distal colon: a new variant of persistent cloaca

2021 ◽  
Vol 14 (3) ◽  
pp. e236364
Author(s):  
Rahul Saxena ◽  
Manish Pathak ◽  
Arvind Sinha ◽  
Jayakumar Kesavulu Thummalapati
Keyword(s):  
Urinary Tract ◽  
Genital Tract ◽  
Distal Colon ◽  
Common Channel ◽  
Stepwise Approach ◽  
Persistent Cloaca ◽  
Blind Ending ◽  
New Variant ◽  
Müllerian Agenesis ◽  
Novel Variation

Persistent cloaca is a rare and severe variety of anorectal malformation, which is more common in females and includes a spectrum of abnormalities. The urinary tract, genital tract and rectum open into a common channel, which exteriorises as a single perineal opening. We are reporting a patient with a novel variation in the classical anatomy of the cloaca. The child has a short blind-ending colon with a cecovesical fistula associated with mullerian agenesis and lipomyelomeningocoele. The child is being managed in a stepwise approach and she has completed the anal reconstruction. Here, we discuss this novel variation in anatomy and challenges in its management.

The relationship between detrusor state and tone of the large intestine and their sphincter apparatus in women with hyperactive urinary bladder

2017 ◽  
pp. 32-34
Author(s):  
S.A. Vozianov ◽  
◽  
M.P. Zakharash ◽  
Yu.M. Zakharash ◽  
N.A. Sevast'yanova ◽  
...  
Keyword(s):  
Urinary Tract ◽  
Urinary Bladder ◽  
Large Intestine ◽  
Lower Urinary Tract ◽  
High Efficiency ◽  
Clinical Manifestations ◽  
Distal Colon ◽  
Neurogenic Disorders ◽  
Neurogenic Dysfunction ◽  
Lower Urinary

The objective: increase the effectiveness of diagnosis and treatment of women with a hyperactive bladder, combined neurogenic pathology of the lower urinary tract and distal colon. Patients and methods. The study included 73 women. In assessing the symptoms of clinical manifestations and EMG and UFS data, two groups of patients were identified: the first group – women with increased tone of the neuro-muscular structures of the hyperkinetic type; the second group - women with an increased tone of the neuromuscular structures of the hypokinetic type. In the first group, 37 women were examined, whose mean age was 44.5±2.3 years, and the duration of the disease was 16.7±1.6 months. The second group included 36 women, whose average age was 43.4±2.1 years, and the average duration of the disease was 19.7±1.5 months. Results. The performed treatment showed clinically high efficiency of electrostimulation application depending on the state of the tone of the neuromuscular structures of the lower urinary tract and the distal part of the large intestine, which is confirmed by the data of UFS and EMG. Conclusion. The obtained data allowed to develop and optimize methods of treatment of women with hyperactive urinary bladder with a combined neurogenic pathology of the lower urinary tract and distal division of the large intestine. Key words: neurogenic disorders in urination, intestine neurogenic dysfunction, detrusor, uroflowmetry, electromyography.

Assessment of uroflowmetry indices in the diagnosis and treatment of patients with combined neurogenic pathology of the lower urinary tract and the distal part of the large intestine

2017 ◽  
pp. 48-50
Author(s):  
S.O. Vozianov ◽  
◽  
M.P. Zakharash ◽  
P.V. Chabanov ◽  
Yu.M. Zakharash ◽  
...  
Keyword(s):  
Urinary Tract ◽  
Large Intestine ◽  
Lower Urinary Tract ◽  
Distal Part ◽  
Distal Colon ◽  
Bowel Dysfunction ◽  
Diagnostic Methods ◽  
Results Of Treatment ◽  
Urodynamic Studies ◽  
Lower Urinary

The article presents the results of treatment of patients with combined neurogenic pathology of the lower urinary tract and the distal part of the large intestine. The objective: increase the effectiveness of treatment for women with combined neurogenic pathology of the lower urinary tract and distal colon. Materials and methods. All patients with combined neurogenic pathology of the lower parts of the urinary system and lower colon were examined comprehensively using both conventional and special diagnostic methods. The study group included 30 women, whose average age was 41.8±2.1 years, the average duration of the disease was 18.4 ± 1.6 months. Efficacy was assessed using clinical and urodynamic studies. Results. The obtained results were the basis for substantiating the principles of differentiated treatment of patients with combined neurogenic pathology of the lower urinary tract and distal colon, which allowed to increase the effectiveness of treatment. Conclusions. The above data of clinical and urodynamic studies allowed to develop and optimize the methods of treatment depending on the state of the tone of the neuromuscular structures of the lower urinary tract and the distal parts of the large intestine. Key words: neurogenic disorders of urination, neurogenic bowel dysfunction, detrusor, uroflowmetry, electrostimulation.

Genito-urinary fungal infections

2017 ◽  
Author(s):  
Jack D. Sobel
Keyword(s):  
Urinary Tract Infection ◽  
Urinary Tract ◽  
Tract Infection ◽  
Genital Tract ◽  
Fungal Infections ◽  
Fungal Species ◽  
Clinical Expression ◽  
Lower Genital Tract ◽  
Tract Infections ◽  
Made In

The predominant fungal causes of genitourinary disease are Candida spp.; other fungal genera are uncommon pathogens in both sexes. Vulvovaginal candidiasis affects millions of women worldwide—and includes acute sporadic, recurrent, and chronic syndromes—and considerable progress has been made in understanding its pathophysiology and hence the best therapy. Therapeutic options are still limited, however, and misdiagnosis is common. In contrast, urinary tract candidiasis reflects an entirely different pathogenesis and clinical expression affecting a predominantly hospital-based older population. Candida organisms are extremely difficult to eradicate from often complicated urinary tract infections. Non-Candida fungal species reach the kidney and prostate by the bloodstream rather than the ascending route taken by Candida spp. In women, not infrequently, there is simultaneous lower genital tract and urinary tract infection, requiring attention to both systems.

scholarly journals Immunohistochemical expression of keratan sulfate: a possible diagnostic marker for carcinomas of the female genital tract

2011 ◽  
Vol 64 (12) ◽  
pp. 1058-1063 ◽  
Author(s):  
Tsutomu Miyamoto ◽  
Keiko Ishii ◽  
Ryouichi Asaka ◽  
Akihisa Suzuki ◽  
Akiko Takatsu ◽  
...  
Keyword(s):  
Mammary Gland ◽  
Urinary Tract ◽  
Gastrointestinal Tract ◽  
Fallopian Tube ◽  
Genital Tract ◽  
Diagnostic Marker ◽  
Female Genital Tract ◽  
Keratan Sulfate ◽  
Digestive Organs ◽  
Female Genital

AimsThe authors previously reported the expression of keratan sulfate (KS), a glycosaminoglycan, in the epithelium of normal and neoplastic endometria. The aim of this study was to evaluate its potential use as a diagnostic marker, and the expression of KS was investigated in other human epithelial tissues.MethodsExpression was examined immunohistochemically using 102 samples of normal epithelia and 110 samples of carcinomas from the female genital tract (FGT; cervix, endometrium, ovary, fallopian tube), digestive organs (gastrointestinal tract, pancreas, liver), urinary tract, lung, mammary gland, thyroid and mesothelium.ResultsIn normal tissues, KS was consistently detected in the FGT and ectopic endometrium (25/26), but was not found in the digestive organs (1/42) and urinary tract (0/6), and was only partly detected in the lung (7/10), mammary gland (3/9) and thyroid (4/4). In malignant tissues, KS was consistently observed in carcinomas of the endometrium, ovary and fallopian tube (29/32), and was partly detected in carcinomas of the lung, mammary gland, thyroid, pancreas and mesothelium, but was absent in carcinomas of the gastrointestinal tract (0/17), liver (0/5) and urinary tract (0/11). Among carcinomas of the FGT, digestive organs and urinary tract, KS positivity suggested the possibility of FGT carcinomas, with 79.5% (31/39) sensitivity and 92.9% (39/42) specificity.ConclusionsKS is a potentially useful marker for the supportive diagnosis of the primary site of metastatic carcinomas or unknown primary carcinomas, especially in the abdominal cavity.

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