scholarly journals Clinical Study of 23 Male Patients with Congenital Ventral Penile Angulation without Hypospadias

2016 ◽  
Vol 59 (4) ◽  
pp. 113-116
Author(s):  
Ioannis Patoulias ◽  
Dimitrios Patoulias ◽  
Konstantinos Farmakis ◽  
Maria Kalogirou
Keyword(s):  
Clinical Study ◽  
Surgical Treatment ◽  
Rare Disease ◽  
Ventral Part ◽  
Surgical Team ◽  
Corpora Cavernosa ◽  
The Past ◽  
Satisfactory Treatment ◽  
Male Patients

Congenital ventral penile angulation without hypospadias is a rare disease and causes great anxiety to the parents. The aim of our study is the presentation of this disease, especially the indications of surgical treatment and the protocol applied in our clinic. We retrospectively studied 23 male patients aged 2.5 to 7 years old (av 5.2 y) with important penile angulation (over 45°) without hypospadias, treated during the past 15 years in our department. In 9 patients the cause was the skin chordee (fibrosis of the ventral part of the prepuce), in 4 the fibrotic fascia (incomplete development of dartos and Buck’s fascia) and in 10 the disproportion of the corpora cavernosa. No case of congenital short urethra was reported. In our opinion, the appliance of the algorithm suggested by Donnahoo KK et al. in uncomplicated cases, along with the experience of the surgical team, results in satisfactory treatment and avoidance of complications.

scholarly journals Outcome of urethral strictures treated by endoscopic urethrotomy and urethroplasty

2014 ◽  
Vol 8 (1-2) ◽  
pp. 16 ◽  
Author(s):  
Javier Tinaut-Ranera ◽  
Miguel Angel Arrabal-Polo ◽  
Sergio Merino-Salas ◽  
Mercedes Nogueras-Ocaña ◽  
Victor Lopez-Leon ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Urethral Stricture ◽  
Previous Treatment ◽  
Urinary Flow ◽  
The Past ◽  
Urethral Strictures ◽  
High Surgical Risk ◽  
Endoscopic Urethrotomy ◽  
Male Patients ◽  
Maximum Urinary Flow

Introduction: We analyze the outcomes of patients with urethral stricture who underwent surgical treatment within the past 5 years.Methods: This is a retrospective study of male patients who underwent surgery for urethral stricture at our service from January 2008 to June 2012. We analyzed the comorbidities, type, length and location of the stricture and the surgical treatment outcome after endoscopic urethrotomy, urethroplasty or both.Results: In total, 45 patients with a mean age of 53.7 ± 16.7 years underwent surgical treatment for urethral stricture. Six months after surgery, 46.7% of the patients had a maximum urinary flow greater than 15 mL/s, whereas 87.3% of the patients exhibited no stricture by urethrography after the treatment. The success rate in the patients undergoing urethrotomy was 47.8% versus 86.4% in those undergoing urethroplasty (p = 0.01). Twenty percent of the patients in whom the initial urethrotomy had failed subsequently underwent urethroplasty, thereby increasing the treatment success.Conclusion: In most cases, the treatment of choice for urethral stricture should be urethroplasty. Previous treatment with urethrotomy does not appear to produce adverse effects that affect the outcome of a urethroplasty if urethrotomy failed, so urethrotomy may be indicated in patients with short strictures or in patients at high surgical risk.

scholarly journals Primary Pleuropulmonary Synovial Sarcoma: A Case

2018 ◽  
Vol 2018 ◽  
pp. 1-4
Author(s):  
Fatima Zahra Mrabet ◽  
Hafsa El Ouazzani ◽  
Leila El Akkari ◽  
Sanaa Hammi ◽  
Jamal Eddine Bourkadi ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
High Risk ◽  
Rare Disease ◽  
Synovial Sarcoma ◽  
Diagnostic Procedure ◽  
Histological Study ◽  
Pet Scan ◽  
Primitive Character ◽  
Therapeutic Tool ◽  
The Past

Primary pleuropulmonary synovial sarcoma is extremely rare. The diagnosis can only be made after having eliminated an extrapleuropulmonary localization in the past and at the time of diagnosis. Our presentation is about a 40-year-old woman having a cough and dyspnea since three weeks ago; imaging had showed a left pleurisy with pleuropulmonary process. Histological study of the biopsy confirmed the diagnosis of pleuropulmonary synovial sarcoma. PET-SCAN had not identified any extrathoracic localization. This tumor is known for its aggressive nature and high risk of metastasis. Its primitive character is retained following a diagnostic procedure of exclusion. Surgical treatment remains the best therapeutic tool when it is technically feasible; otherwise the prognosis is often unfortunate. In this paper, we report a case of primary pleuropulmonary synovial sarcoma. Through this case, we present a rare disease that is often difficult to diagnose.

The Mental Capacity Act 2005: Relevance for the Surgeon

2009 ◽  
Vol 91 (5) ◽  
pp. 176-179
Author(s):  
SS Jameson ◽  
UK Amarasuriya ◽  
H Vint ◽  
MR Reed
Keyword(s):  
Surgical Treatment ◽  
Emergency Surgery ◽  
Common Law ◽  
Mental Capacity ◽  
Best Interests ◽  
Surgical Team ◽  
England And Wales ◽  
The Past ◽  
Mental Capacity Act 2005 ◽  
Mental Capacity Act

Patients who lack the capacity to make decisions regarding surgical treatment are complex to manage. In the past, under common law in England and Wales, these patients underwent emergency surgery if in the patient's 'best interests,' as decided by the surgical team. Surgeons in England and Wales now need to understand the changes introduced in October 2007 by the Mental Capacity Act 2005 (MCA).

Clinical Study of 81 Cases of “Mamushi” Viper Bite during the Past 11 Years

2015 ◽  
Vol 77 (6) ◽  
pp. 584-588
Author(s):  
Nanae KIMURA ◽  
Noriko OKABE ◽  
Rieko FUTAMURA-NAKAGAWA ◽  
Futoshi KODA ◽  
Akihiko IZUMO ◽  
...  
Keyword(s):  
Clinical Study ◽  
The Past

scholarly journals Clinical Study of Surgical Treatment of Carpal Tunnel Syndrome: Open versus Endoscopic Technique

2000 ◽  
Vol 8 (2) ◽  
pp. 19-25 ◽  
Author(s):  
Masato Okada ◽  
Osamu Tsubata ◽  
Sadayuki Yasumoto ◽  
Norihiko Toda ◽  
Tadami Matsumoto
Keyword(s):  
Clinical Study ◽  
Surgical Treatment ◽  
Carpal Tunnel Syndrome ◽  
Carpal Tunnel ◽  
Endoscopic Technique ◽  
Tunnel Syndrome ◽  
Open Versus

Corynebacterium Diphtheriae Endocarditis - Surgery for Some but Not All!

2005 ◽  
Vol 13 (2) ◽  
pp. 119-126 ◽  
Author(s):  
Bashisth Mishra ◽  
Rebecca J Dignan ◽  
Clifford F Hughes ◽  
Nick Hendel
Keyword(s):  
Surgical Treatment ◽  
Infective Endocarditis ◽  
Medical Treatment ◽  
Rare Disease ◽  
Corynebacterium Diphtheriae ◽  
Aggressive Disease ◽  
Prosthetic Valves ◽  
Immediate Surgery

Corynebacterium diphtheriae endocarditis was thought to be a rare disease. We reviewed our experience in four cases of this disease treated over a period of 10 years. Seventy cases reported in literature were reviewed. The outcome is good if cases are carefully selected for medical or surgical treatment. We conclude that infective endocarditis due to C. diphtheriae, is perhaps more common than expected. It may be recognized more frequently and on occasion may be an aggressive disease. Those patients with an abnormal valve (including prosthetic valves) should be subjected to surgery at the earliest available opportunity, whereas patients with normal valves may be carefully watched during the course of medical treatment as long as immediate surgery can occur if needed.

Translabyrinthine Approach for Acoustic Neuroma

Neurosurgery ◽  
2004 ◽  
Vol 54 (2) ◽  
pp. 391-396 ◽  
Author(s):  
John Diaz Day ◽  
Douglas A. Chen ◽  
Moises Arriaga
Keyword(s):  
Surgical Treatment ◽  
Acoustic Neuroma ◽  
Cerebellopontine Angle ◽  
Hearing Preservation ◽  
Retrosigmoid Approach ◽  
The Past ◽  
Translabyrinthine Approach ◽  
Acoustic Neuromas

Abstract THE TRANSLABYRINTHINE APPROACH has been popularized during the past 30 years for the surgical treatment of acoustic neuromas. It serves as an alternative to the retrosigmoid approach in patients when hearing preservation is not a primary consideration. Patients with a tumor of any size may be treated by the translabyrinthine approach. The corridor of access to the cerebellopontine angle is shifted anteriorly in contrast to the retrosigmoid approach, resulting in minimized retraction of the cerebellum. Successful use of the approach relies on a number of technical nuances that are outlined in this article.

Bronchial-associated lymphoid tissue lymphoma: a clinical study of a rare disease

2004 ◽  
Vol 40 (9) ◽  
pp. 1320-1326 ◽  
Author(s):  
Shahid Ahmed ◽  
Steven J. Kussick ◽  
Anita K. Siddiqui ◽  
Tawfiqul A. Bhuiya ◽  
Arfa Khan ◽  
...  
Keyword(s):  
Clinical Study ◽  
Rare Disease ◽  
Lymphoid Tissue

Changing Profile of Congenital Heart Disease

PEDIATRICS ◽  
1989 ◽  
Vol 83 (5) ◽  
pp. 790-791
Author(s):  
D. WOODROW BENSON ◽  
James Moller ◽  
Donald C. Fyler ◽  
David E. Fixler
Keyword(s):  
Congenital Heart Disease ◽  
Heart Disease ◽  
Surgical Treatment ◽  
Congenital Heart ◽  
Considerable Change ◽  
Diagnostic Methods ◽  
Younger Patients ◽  
The Past ◽  
Steady Improvement ◽  
Complex Lesions

In the past 20 years, considerable change has occurred in the profile of congenital heart disease regarding both diagnosis and treatment. The profile has changed from older to younger patients; the essence of this change has been from pediatric to infant to neonatal cardiology. There has been a shift from palliative to more definitive surgical procedures and a change from invasive (cardiac catheterization) to noninvasive (echocardiography) diagnostic methods. The profile has changed from definitive surgical treatment limited to simple lesions to surgical treatment of the most complex lesions. There has been steady improvement in the recognition of cases of congenital heart disease. Of all children admitted to hospitals for treatment of congenital heart disease, the portion less than three days of age has increased from 24% in 1969 to 1972 to 33% in 1982 to 1986.

Surgical treatment for acute testicular diseases in boys

1985 ◽  
Vol 66 (5) ◽  
pp. 375-375
Author(s):  
A. I. Papikyan
Keyword(s):  
Surgical Treatment ◽  
Regional Hospital ◽  
The Past

In the children's regional hospital in Kirov, over the past 5 years, 88 children aged from 2 months to 14 years have been treated for acute testicular diseases.

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