scholarly journals Risk factors AND Ecology of uRiNARY iNOoNTINENOE

2019 ◽  
Vol 19 (1-2) ◽  
pp. 140-148
Author(s):  
A. R Amirov ◽  
O. A Lobkarev ◽  
R. A Bodrova
Keyword(s):  
Risk Factors ◽  
Urinary Incontinence ◽  
Conservative Therapy ◽  
Unsolved Problem ◽  
Urinary Disorders ◽  
Timely Diagnosis ◽  
Surgical Methods ◽  
Methods Of Treatment

Urinary incontinence is an unsolved problem in urology. Awareness of the predisposing risk factors and the etiology of urinary incontinence contributes to its prevention, to facilitate timely diagnosis and the choice of the correct tactics for the correction of urinary disorders. The main causes of incontinence may be dysfunction of the detrusor, its hyperactivity, hyperreflexia, low elasticity, disruption of the sphincter apparatus, paradoxical ishuria, and extraurethral incontinence. In the treatment of incontinence, it was originally recommended to use conservative therapy; in the absence of effect, one can think of surgical methods of treatment depending on the degree of the disorder. This review considers literature data on the identification of risk factors and etiology in the development of urinary incontinence.

scholarly journals Comparative evaluation of the results of conservative and surgical methods of treatment of children with destructive forms of pyelonephritis

2021 ◽  
Vol 11 (3) ◽  
pp. 339-350
Author(s):  
Galina I. Kuzovleva ◽  
Elena V. Grushitskaya ◽  
Oleg V. Staroverov ◽  
Vera V. Rostovskaya ◽  
Oleg S. Shmyrov ◽  
...  
Keyword(s):  
Conservative Therapy ◽  
Professional Community ◽  
Medical Documentation ◽  
Beta Lactams ◽  
Regenerative Processes ◽  
Pediatric Practice ◽  
Surgical Methods ◽  
Ct Data ◽  
Surgical Tactics ◽  
Methods Of Treatment

BACKGROUND: The relevance of destructive pyelonephritis in pediatric practice is determined by frequency of various complications of the disease associated with a high risk of irreversible morphofunctional changes in parenchyma of affected kidney, the lack of tactical consensus in the professional community and regulatory documents regulating the procedure for diagnostic and therapeutic support of this contingent of patients. AIM: Substantiation of the tactics of effective treatment children with destructive pyelonephritis, based on the results of a multifactorial retrospective analysis of the course and outcomes of the disease. MATERIALS AND METHODS: The results of the analysis of medical documentation of 38 patients with destructive pyelonephritis aged 3204 months (median 93.5) who received inpatient treatment in 20152019 in three specialized clinics in Moscow are presented. RESULTS: More than half of the patients (28 children) in the acute period of the disease received conservative therapy, including infusion and antibacterial, the escalation of which was carried out with the preservation or increase of manifestations of the systemic inflammatory response syndrome, as well as negative dynamics according to ultrasound or CT data. In the group of patients (n = 10), indications for surgical treatment were formulated decapsulation of the kidney, opening of apostemas and abscessed foci, drainage of the paranephral space. During the examination in catamnesis, realized in 50%. It was found that in the majority (91%) of children treated conservatively, a statistically significant decrease in the volume of the kidney on the affected side was registered. These complications were not detected among the operated patients. CONCLUSION: The pharmacy of choice for starting antibacterial therapy should be inhibitor-protected beta-lactams, carbapenems, if the etiological significance of staphylococcus is suspected, it is advisable to connect linezolid. In case of laboratory signs of hypercoagulation, it is necessary to connect anticoagulants. Surgical tactics can minimize the risk of complications associated with the purulent-destructive process, contributing to regenerative processes in the kidney parenchyma. The objectification of the results of the catamnestic examination is due to the performance of nephroscintigraphy.

scholarly journals Surgical Treatment of Endo-periodontal Lesion – A Case Report

2021 ◽  
Vol 9 (C) ◽  
pp. 209-213
Author(s):  
Dobromira Shopova
Keyword(s):  
Risk Factors ◽  
Case Report ◽  
Soft Tissue ◽  
Periodontal Disease ◽  
Periodontal Diseases ◽  
Good Condition ◽  
Tissue Destruction ◽  
Endodontically Treated Teeth ◽  
Surgical Methods ◽  
Methods Of Treatment

BACKGROUND: Periapical lesions are a pаthological changes that occur in most of poorly endodontically treated teeth. Endodontic and periodontal diseases are caused by a mixed anaerobic infection. Periodontal disease produces lesions in the tooth-supporting tissues. Generalized periodontitis comprises hard and soft tissue at the whole dentition. Surgical methods of treatment include etiological and pathogenetic methods – removal of pathological tissue, destruction of the bacterial causative agent, and recovery of lost tissue. Recognition and management of risk factors (local and general) increase the chances of a successful treatment outcome. The combined surgical protocol presented in this article is the last step before extraction. Especially in the frontal area, dentist should try to keep the esthetics, maintaining the tooth and the surrounding bone. CASE REPORT: The presented patient is a 59-year-old lady with generalized periodontal disease and periodontitis apicalis chronica dentis 21. Bone graft covered by soft-tissue graft was used to fill the defects around the apex and surrounding the teeth. After 5 months, the apical lesion was in very good condition according to radiological and clinical examination. The periodontal lesion was almost at the same vertical condition as the initial situation, but this surgery method aims to make bone thicker for support of the mucosa. The risk factors were smoking, average level of oral hygiene, and osteoporosis. CONCLUSION: The combination of different clinical protocols is a necessity in surgical practice. Knowledge of the etiology and pathogenesis of the disease allows the application of adequate methods of treatment. The result was satisfactory.

Minimally invasive surgery for benign prostatic hyperplasia: causes, forms, and prevention of urinary disorders (literature review)

2021 ◽  
pp. 47-65
Author(s):  
Mark Albertovich Volodin ◽  
Anastasiya Sergeevna Malykhina ◽  
Dmitriy Vladimirovich Semenychev ◽  
Evgeniy Nikolaevich Bolgov ◽  
Vladimir Aleksandrovich Perchatkin
Keyword(s):  
Urinary Incontinence ◽  
Benign Prostatic Hyperplasia ◽  
Stress Urinary Incontinence ◽  
Minimally Invasive ◽  
Behavioral Therapy ◽  
Prostatic Hyperplasia ◽  
Early Recovery ◽  
Urinary Disorders ◽  
Bladder Obstruction ◽  
Surgical Methods

Benign prostatic hyperplasia (BPH) ranks 4th among all diagnoses in the group of men 50 years of age and older. With an increase in prostate volume of more than 20 cm³, patients develop lower urinary tract symptoms (LUTS), which negatively affect the quality of life of men. Currently, minimally invasive endovideosurgical methods of treating BPH have proven themselves successfully: transurethral resection (TUR) of monopolar or bipolar type, transurethral bipolar enucleation of the prostate (TUEP), holmium laser enucleation of the prostate (HoLEP). However, despite the clinical efficiency of endoscopic operations, the incidence of postoperative complications remains quite significant. After surgical intervention, the main causes of urinary disorders are detrusor overactivity or a decrease in its functional activity, as well as bladder obstruction. Prolonged bladder catheterization in the postoperative period prevents early recovery of independent urination, which is a risk factor for the development of urinary disorders. Stress urinary incontinence has a significant impact on patients, both physically and mentally. For the treatment of postoperative stress urinary incontinence, behavioral therapy, drug treatment of disorders, minimally invasive methods of treatment are used: injections of hyaluronic acid into the submucous layer of the urethra, botulinum toxin into the detrusor, as well as the technique of sacral neuromodulation. Surgical methods include the implantation of a synthetic sphincter or the installation of male sling.

363: Prevalence and Risk Factors for Female and Male Urinary Incontinence: Results from NHANES 2001-2002

2006 ◽  
Vol 175 (4S) ◽  
pp. 119-119
Author(s):  
Aruna V. Sarma ◽  
Leslee L. Subak ◽  
Feng Lin ◽  
John W. Kusek ◽  
Leroy M. Nyberg ◽  
...  
Keyword(s):  
Risk Factors ◽  
Urinary Incontinence ◽  
Male Urinary Incontinence

Modern molecular and biological aspects of endometriosis-associated infertility

GYNECOLOGY ◽  
2019 ◽  
Vol 21 (5) ◽  
pp. 12-15
Author(s):  
Anastasiia S Safronova ◽  
Mikhail Yu Vysokikh ◽  
Vladimir D Chuprynin ◽  
Natalia A Buralkina
Keyword(s):  
Signaling Pathways ◽  
Recurrence Rate ◽  
High Recurrence Rate ◽  
Modern Drug ◽  
Surgical Methods ◽  
Prevention And Treatment ◽  
Biological Aspects ◽  
Methods Of Treatment ◽  
New Strategies

There is currently no consensus on the etiopathogenetic nature of endometriosis. The causes of aggressive, progressive, infiltrative growth of endometrioid tissue also remain unclear. An important problem remains the high recurrence rate of endometriosis, despite the availability of modern drug and surgical methods of treatment. The study of the central signaling pathways and the search for new key molecules is of paramount importance for a better understanding of the pathogenesis of the disease, and is also an important step in the development of new strategies for the diagnosis, prevention and treatment of endometriosis.

METASTATIC LESION OF THE SPINE: DIAGNOSIS AND TACTICS OF SURGICAL TREATMENT

2019 ◽  
Vol 65 (6) ◽  
pp. 868-876
Author(s):  
Anton Yarikov ◽  
Anton Yermolaev ◽  
Igor Smirnov ◽  
Anton Denisov ◽  
Olga Perlmutter ◽  
...  
Keyword(s):  
Malignant Tumors ◽  
Epidemiological Studies ◽  
Metastatic Lesion ◽  
Spinal Cord Damage ◽  
Metastatic Lesions ◽  
Spinal Lesions ◽  
Cancer Pathology ◽  
Surgical Methods ◽  
The Stability ◽  
Methods Of Treatment

Epidemiological studies show an increase in the number of people with cancer. Bone metastases are a frequent manifestation of generalized cancer, because it is in malignant tumors of the spine more often than other bones of the skeleton becomes a target for metastasis. The article describes in detail the methods of diagnosis of spinal lesions in cancer pathology. Particular attention is paid to the scales reflecting the severity of the patient’s condition, the degree of spinal cord damage, the severity of pain in metastasis to the spine, the prognosis of survival in oncovertebrology and evaluation of the stability of the spine in metastatic lesions. Further, the paper presents non-radical (decompression, vertebroplasty) and radical (spondylectomy, corporectomy) surgical methods of treatment

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