scholarly journals Histopathology of intersymphyseal band and its correlation with continence in bladder exstrophy repair

2021 ◽  
Vol 17 (1) ◽  
Author(s):  
Bharati K. Kulkarni ◽  
Nandita Saxena ◽  
Shyam S. Borwankar ◽  
Hemant N. Lahoti ◽  
Pooja Multani ◽  
...  
Keyword(s):  
Smooth Muscle ◽  
Urinary Incontinence ◽  
Surgical Management ◽  
Bladder Neck ◽  
Fibrous Tissue ◽  
Bladder Exstrophy ◽  
Significant Percentage

Abstract Background Urinary incontinence is a major problem in operated exstrophy patients. Most of the repairs described in literature stress on the importance of dividing the intersymphyseal band (ISB) to place the bladder in the pelvis. But the origin of this band and its importance has hardly been discussed in literature. The purpose of this study is to establish the nature of tissue the ISB is composed of. This can be used to determine its role in the surgical management of exstrophy epispadias complex (EEC) patients. Results Thirty out of 33 operated patients demonstrated smooth muscle with/without fibrous tissue in the sections taken through the ISB. A significant percentage of patients (χ2= 38.319, p < 0.0001) in whom this band was reconstructed around the bladder neck gradually became continent/partly continent with an increase in the dry interval with time. Conclusion It can be a considerable factor to pay attention to the step of wrapping the ISB around the bladder neck during EEC repair. This serves to function as the smooth muscle of the bladder neck as proven histologically in our operated patients. It may have a role to support future continence in these patients.

scholarly journals Management of Urinary Incontinence in Complete Bladder Duplication by Injection of Bulking Agent at Bladder Neck Level into the Proximal Urethra

2016 ◽  
Vol 2016 ◽  
pp. 1-3 ◽  
Author(s):  
Reza Khorramirouz ◽  
Seyedeh Sanam Ladi Seyedian ◽  
Sorena Keihani ◽  
Abdol-Mohammad Kajbafzadeh
Keyword(s):  
Urinary Incontinence ◽  
Bladder Neck ◽  
Wide Spectrum ◽  
Bladder Exstrophy ◽  
Bulking Agent ◽  
Rare Entity ◽  
Bladder Duplication ◽  
Wide Variability ◽  
Pubic Diastasis ◽  
Proximal Urethra

Bladder duplication is a rare entity in children. The term encompasses a wide spectrum of anomalies from isolated bladder duplication in coronal or sagittal planes to duplicated bladder exstrophy and associated musculoskeletal and visceral anomalies. Given this wide variability, the treatment of these patients is not standardized. We hereby present a female patient with chief complaint of long-standing urinary incontinence who had complete bladder and urethral duplication and pubic diastasis. The patient was treated with bulking agent injection at the incompetent bladder neck and proximal urethra with resolution of incontinence, obviating the need for extensive surgeries.

scholarly journals Female Epispadias Presenting as Urinary Incontinence

2017 ◽  
Vol 8 (2) ◽  
pp. 10
Author(s):  
Asmir Jonuzi ◽  
Nusret Popović ◽  
Zlatan Zvizdić ◽  
Emir Milišić ◽  
Kenan Karavdić ◽  
...  
Keyword(s):  
Congenital Anomaly ◽  
Urinary Incontinence ◽  
Bladder Neck ◽  
Bladder Exstrophy ◽  
Voiding Cystourethrogram ◽  
Rare Congenital Anomaly ◽  
Anatomical Features ◽  
Labia Minora ◽  
One Stage Reconstruction ◽  
Proximal Urethra

Isolated female epispadias without bladder exstrophy is a rare congenital anomaly affecting 1 in 484,000 females. The presenting features of female epispadias are urinary incontinence and abnormal anatomical features. A 6-year-old girl presented with primary urinary incontinence who on physical examination had a bifid clitoris and labia minora. The vagina and hymen were normal. Voiding cystourethrogram showed no reflux and a funnel shaped proximal urethra. With the diagnosis of isolated female epispadias, one-stage reconstruction of the urethra, bladder neck, labia minora and clitoris was performed.

scholarly journals Petrous apex cholesterol granuloma: pictorial review of radiological considerations in diagnosis and surgical histopathology

2013 ◽  
Vol 127 (4) ◽  
pp. 339-348 ◽  
Author(s):  
M Hoa ◽  
J W House ◽  
F H Linthicum ◽  
J L Go
Keyword(s):  
Differential Diagnosis ◽  
Surgical Management ◽  
Fibrous Tissue ◽  
Tissue Reaction ◽  
Petrous Apex ◽  
Cholesterol Granuloma ◽  
Surgical Drainage ◽  
Radiological Features ◽  
Pictorial Review ◽  
Appropriate Treatment

AbstractBackground:Petrous apex cholesterol granulomas are expansile, cystic lesions containing cholesterol crystals surrounded by foreign body giant cells, fibrous tissue reaction and chronic inflammation. Appropriate treatment relies on an accurate radiological diagnosis and an understanding of the distinguishing radiological features of relevant entities in the differential diagnosis of this condition.Methods:Firstly, this paper presents a pictorial review of the relevant radiological features of petrous apex cholesterol granuloma, and highlights unique features relevant to the differential diagnosis. Secondly, it reviews the histopathological and radiological findings associated with surgical drainage of these lesions.Results:Radiological features relevant to the differential diagnosis of petrous apex cholesterol granuloma are reviewed, together with radiological and histopathological features relevant to surgical management. Following surgical management, histopathological and radiological evidence demonstrates that the patency of the surgical drainage pathway is maintained.Conclusion:Accurate diagnosis of petrous apex cholesterol granuloma is essential in order to instigate appropriate treatment. Placement of a stent in the drainage pathway may help to maintain patency and decrease the likelihood of symptomatic recurrence.

The surgical management of urinary incontinence in myelodysplastic children

1991 ◽  
Vol 26 (4) ◽  
pp. 466-471 ◽  
Author(s):  
John G. Pike ◽  
Gina Berardinucci ◽  
Brigette Hamburger ◽  
George Kiruluta
Keyword(s):  
Urinary Incontinence ◽  
Surgical Management

Endoscopic transvaginal bladder neck suspension for stress urinary incontinence

1994 ◽  
Vol 26 (5) ◽  
pp. 513-518 ◽  
Author(s):  
A. Erol ◽  
S. Y. Sargin ◽  
I. Dalva ◽  
Z. E. Günes ◽  
E. Akbay ◽  
...  
Keyword(s):  
Urinary Incontinence ◽  
Stress Urinary Incontinence ◽  
Bladder Neck ◽  
Bladder Neck Suspension
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