scholarly journals Pattern of Ureteric Pathology Presenting to a Fistula Centre in Western Kenya

2018 ◽  
Vol 2018 ◽  
pp. 1-4
Author(s):  
Anthony Wanjala ◽  
Henry Mwangi ◽  
Hillary Mabeya
Keyword(s):  
Urinary Incontinence ◽  
Retrospective Study ◽  
Early Detection ◽  
Surgical Repair ◽  
Flank Pain ◽  
Gynecological Surgery ◽  
Statistical Software ◽  
Western Kenya ◽  
Iatrogenic Injuries ◽  
Annual Proportion

Background. Ureteric pathology arises from surgical misadventures, trauma, and congenital anomalies. Early detection and treatment is of the essence. Objectives. To determine the types/etiology and outcome of ureteric pathology presenting to Gynocare Fistula Centre, Eldoret, Kenya. Methods. Descriptive retrospective study that evaluated patients presenting with ureteric pathology at Gynocare between 1st January 2012 and 31st December 2016. We pulled out patient charts and extracted and analyzed relevant data using STATA 13E statistical software. Results. We analyzed 33 charts, and their age ranged from 10 to 58 years. Annual proportion for 2012, 2013, 2014, 2015, and 2016 was 2.5%, 2.8%, 1.2%, 1.4%, and 3.0% respectively among all the fistula patients treated in the hospital. All the patients presented with urinary incontinence, and 7 (21.2%) had flank pain. Iatrogenic injuries contributed 84.8% (28), and 3 (9.1%) were congenital while trauma and infection had 1 each. Of those resulting from surgical misadventures, 17 (60.7%) were from obstetric while 11 (39.2%) were from gynecological surgery. All the injuries were in the distal third of the ureter; 5 were bilateral; and 11 were left sided while 17 were right-sided. Repair and/or reimplantation was successful in 31 (93.93%) of the patients. Conclusion. Highest proportion of ureteric pathologies was accounted for by iatrogenic causes and surgical repair and/or reimplantation has a high success rate.

Surgical Repair of Acute Gracilis Muscle Rupture in the Racing Greyhound

1992 ◽  
Vol 05 (01) ◽  
pp. 18-21 ◽  
Author(s):  
R. Eaton-Wells
Keyword(s):  
Retrospective Study ◽  
Surgical Technique ◽  
Surgical Repair ◽  
Gracilis Muscle ◽  
Back Muscle ◽  
Suture Materials ◽  
Muscle Rupture

A retrospective study of the surgical repair of 27 cases of acute gracilis muscle rupture ("dropped back muscle") in 23 racing greyhounds was conducted.All of the dogs suffered the injury while racing or training. Suture materials and surgical technique are described. The dogs ability to resume racing was assessed.

scholarly journals Treatment of the lateral patellar luxation in toy poodles

2005 ◽  
Vol 35 (4) ◽  
pp. 843-847 ◽  
Author(s):  
João Guilherme Padilha Filho ◽  
Francisco de Assis Dórea Neto ◽  
Hélia Cristina Dórea ◽  
Rodrigo César Sanches ◽  
Júlio Carlos Canola
Keyword(s):  
Retrospective Study ◽  
Clinical Examination ◽  
Surgical Repair ◽  
Pathological Condition ◽  
Normal Activity ◽  
Sao Paulo ◽  
Tibial Tuberosity ◽  
São Paulo ◽  
Congenital Origin ◽  
Veterinary Hospital

The purpose of this retrospective study was to report the occurrence of lateral patellar luxation in poodles. The animals were referred to the Orthopedics Service of the Veterinary Hospital, Faculdade de Ciências Agrárias e Veterinárias, - Jaboticabal Campus, São Paulo, Brazil, twelve client-owned poodles, seven females and five males poodles ranging in age from three to nine months. Clinical examination showed lameness, pain and deformities of the affected limbs. Surgical trochleoplasties were performed with medial retinacular overlap and medial tibial tuberosity transposition. The animals recovered their normal activity within a period of one to two weeks after surgery. Although this was a rarely occurring pathological condition in poodles, surgical repair was easy to execute because of its similarity to correction of medial patellar luxation. Lateral patellar luxation in small dogs is rare and, when present, is of congenital origin, at times progressing to marked functional impotence of the affected limbs.

scholarly journals Epidemiological study of female urinary incontinence in the province of Siena, Italy

2010 ◽  
Vol 14 (2) ◽  
pp. 51
Author(s):  
A. BERNABEI ◽  
Va. TROTTA ◽  
Vi. TROTTA
Keyword(s):  
Risk Factors ◽  
Urinary Incontinence ◽  
Retrospective Study ◽  
Epidemiological Study ◽  
Stress Incontinence ◽  
Urge Incontinence ◽  
Medical Advice ◽  
Female Urinary Incontinence ◽  
Parallel Study ◽  
Self Evaluation

A retrospective study of patients of the Urogynaecological Unit in Siena is reported. Out of 228 women examined, 141 had urinary incontinence (stress incontinence 110, urge incontinence 18, mixed 13). Predisposing factors and risk factors were investigated. A parallel study in a non-selected population of women was performed by means of a questionnaire of self-evaluation for urinary incontinence. About 20% of this population had urinary incontinence to some degree, but only a small percentage of these women had already sought medical advice.

scholarly journals Colonoscopic Review and Surgical Approach in the Management of Colorectal Carcinoma–A Retrospective Study of 50 cases

2019 ◽  
Vol 11 (2) ◽  
pp. 36-40
Author(s):  
Md Ershad Ul Quadir ◽  
Munshi Md Mojibur Rahman ◽  
Md Mahbubur Rahman
Keyword(s):  
Colon Cancer ◽  
Weight Loss ◽  
Retrospective Study ◽  
Early Detection ◽  
Colorectal Carcinoma ◽  
Rectal Carcinoma ◽  
Palliative Therapy ◽  
Treatment Modalities ◽  
Definitive Treatment ◽  
Female Ratio

Introduction: There is no exact statistics about the incidence of colorectal cancer in Bangladesh. According to National Cancer Institute, London, it is the 2nd most common cancer affecting more than 30,000 people in each year. As many patients with colon cancer do not develop symptoms until it is advanced and detection in early stage can only be achieved by screening of asymptomatic person. Maximum patients present lately with distance metastases when there is nothing to treat except palliative therapy. Objectives: To identify the risk factors, early symptoms, signs, treatment modalities, operative outcome, morbidity and mortality rate. Materials and Methods: This retrospective study was carried out at CMH Dhaka during August 2002 to August 2004. A total of 50 patients were taken as study sample. All the patients were admitted in different surgical units of CMH Dhaka for surgical treatment. Detailed history were taken on admission by a questionnaire and examined thoroughly and findings regarding Anaemia, Jaundice, Dehydration, Oedema, Lymphadenopathy, Nutritional status and abnormal signs like ascites, distension, rigidity, organomegaly recorded. Digital rectal examination were done in all cases and finally examined by Proctoscope, Sigmoidoscope and with Colonoscope. FOBT (Fecal Occult Blood Test), serum tumour marker was also assessed. Results: Out of 50 cases 22 were rectal carcinoma and next common site was caecum and number was 10. There was a variation in the sex ratio. Out of 50 cases 33 were male and 17 were female. The highest incidence was among people of 6th decade (28%) and next highest was in 4th decade (24%). Majority of patient with right colon cancer presented with abdominal pain 12 out of 22 cases (56%) and weight loss 15 cases (68%). For left colon cancer commonest symptom was weight loss and weakness and altered bowel habit. Almost all cases with rectal carcinoma presented with bleeding per rectum. Conclusion: About 50% of lesions were found in recto-sigmoid junction and male: female ratio was 1.9:1. All efforts and modern technology should be applied for early detection and treatment. The survival rate is usually very poor in rectal carcinoma. In this study most of the cases were subjected to post operative Chemo and Radiotherapy, but more were treated with neoadjuvant chemoradiation for down staging. The need for early detection of Colorectal Carcinoma (CRC) should be stressed in the form of screening patient awareness and understanding about symptomatology. Early diagnosis and definitive treatment are thereby increasing expectation of higher survival and better prognosis in patient of colorectal carcinoma. Journal of Armed Forces Medical College Bangladesh Vol.11(2) 2015: 36-40

Secondary Sling Implantation after Failure of Primary Surgical Treatment for Male Stress Urinary Incontinence: A Retrospective Study

2020 ◽  
Vol 104 (7-8) ◽  
pp. 625-630
Author(s):  
Markus Grabbert ◽  
Tanja Hüsch ◽  
Alexander Kretschmer ◽  
Ruth Kirschner-Hermanns ◽  
Ralf Anding ◽  
...  
Keyword(s):  
Urinary Incontinence ◽  
Retrospective Study ◽  
Surgical Treatment ◽  
Stress Urinary Incontinence ◽  
Male Stress Urinary Incontinence

scholarly journals Tips for operation of inguinal hernia after implantation of artificial urinary sphincter following radical prostatectomy: report of two cases

2020 ◽  
Vol 2020 (8) ◽  
Author(s):  
Ryusuke Saito ◽  
Naoki Tanaka ◽  
Takashi Aizawa ◽  
Hirofumi Imoto ◽  
Akihiro Yamamura ◽  
...  
Keyword(s):  
Urinary Incontinence ◽  
Inguinal Hernia ◽  
Radical Prostatectomy ◽  
Surgical Repair ◽  
Ventral Side ◽  
Artificial Urinary Sphincter ◽  
Urethral Sphincter ◽  
Urinary Sphincter ◽  
Preoperative Image ◽  
The Common

Abstract Urinary incontinence is one of the common complications after radical prostatectomy along with inguinal hernia. Artificial urethral sphincter implantation is widely accepted as a treatment option. We report two surgical cases of inguinal hernia after artificial urethral sphincter implantation for urinary incontinence following radical prostatectomy. In Case 1, since the device went through the inguinal canal, adhesion around the pubis was extremely hard. In Case 2, the device was placed on the ventral side of the rectus abdominis muscle, so it was operable almost as normal. In each case, the surgical procedure was considered carefully after confirming the location of the device by preoperative computed tomography and ultrasonography. Hernia repair was successfully performed using the Lichtenstein method. There are few reports regarding surgical repair of inguinal hernia following artificial urinary sphincter implantation. Preoperative image and appropriate choice of approach could facilitate safe and secure surgery.

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