Penile Reconstruction

2019 ◽  
Author(s):  
Afaaf Shakir ◽  
Shane D Morrison ◽  
Christopher S Crowe ◽  
Gordon K Lee
Keyword(s):  
Key Words ◽  
Sexual Intercourse ◽  
Patient Outcomes ◽  
Congenital Anomalies ◽  
Traumatic Amputation ◽  
Perineal Reconstruction ◽  
Transgender Surgery

Total penile reconstruction aims to either reestablish a functioning phallus in men who have suffered traumatic amputation or are born with congenital anomalies or to create a neophallus in female to male transgender patients as part of their gender-confirmation surgery. Reconstructive and functional goals include the ability to void while standing, having erogenous sensation of the tissue, and having the ability to engage in penetrative sexual intercourse. Several techniques for total phalloplasty exist, which include both microsurgical and non-microsurgical approaches. In this review chapter, we outline the most common techniques, provide recent data on patient outcomes, and review operative considerations. This review contains 14 figures, 1 table, and 84 references. Key Words: aphallia, bottom surgery, female-to-male, neophallus, penile reconstruction, perineal reconstruction, phallus, transgender surgery

scholarly journals PENGARUH SINDROMA DEPRESI TERHADAP DISFUNGSI EREKSI

2013 ◽  
Vol 1 (2) ◽  
Author(s):  
Andre Hutagalung ◽  
Christoffel Elim ◽  
Herdy Munayang
Keyword(s):  
Quality Of Life ◽  
Erectile Dysfunction ◽  
Sexual Function ◽  
Key Words ◽  
Sexual Intercourse ◽  
Social Process ◽  
Sexual Life ◽  
Sexual Stimulus ◽  
Physical Diseases

Abstract: Normal sexual function is a bio-psycho-social process which is significantly related to the quality of life (QOL). Any disturbance in one of the components can be a disaster in sexual life.  Erectile dysfunction is a disability to get an erection or to maintain the erection well enough for a sexual intercourse, which persists or recurs at least three months conse-cutively due to either psychogenic or organic disturbances, or both. Some psychogenic dis-turbances especially depression, anxiety, and relational distress, play some important roles in ED. Besides that, aging, low testoteron level, physical diseases, and some certain medicines have to be included. Key words: erection, erectile dysfunction, sexual stimulus, depression.     Abstract: Fungsi seksual yang normal merupakan suatu proses biopsikososial yang berkaitan langsung dengan kualitas hidup. Adanya gangguan pada salah satu komponen dapat menjadi malapetaka bagi kehidupan seksual. Disfungsi ereksi dapat dedefinisikan sebagai suatu keti-dakmampuan untuk ereksi atau mempertahankan ereksi yang cukup untuk melakukan hu-bungan seksual yang memuaskan, yang menetap atau berulang paling tidak selama tiga bulan berturut-turut. Gangguan psikogenik khususnya sindroma depresi, ankietas, dan distres relasional berperan penting dalam hal terjadinya disfungsi ereksi. Disamping itu usia lanjut, rendahnya kadar testoteron, penyakit fisik, dan beberapa jenis obat perlu diperhitungkan. Kata kunci: fisiologi ereksi, disfungsi ereksi, stimulus seksual, depresi.

scholarly journals Sirenomelia in Dicephalic parapagus twins discordant for anencephaly and spina bifida.

2020 ◽  
Vol 15 (1) ◽  
pp. 81-83
Author(s):  
Tripti Shrestha ◽  
Gehanath Baral ◽  
Nesuma Sedhain
Keyword(s):  
Spina Bifida ◽  
Key Words ◽  
Neural Tube ◽  
Neural Tube Defect ◽  
Congenital Anomalies ◽  
Rare Case ◽  
In Utero ◽  
Termination Of Pregnancy ◽  
High Incidence

An extremely rare case of sirenomelia in dicephalic parapagus twins discordant for anencephaly and spina bifida that was diagnosed after birth is presented. High incidence of congenital anomalies both with sirenomelia and parapagus twins independently make the prognosis much worse, with additional neural tube defect rendering it almost incompatible with life. Termination of pregnancy is advised when diagnosed in utero. Key words: anencephaly, dicephalic parapagus, spina bifida, sirenomelia

Reconstruction of the Thumb after Traumatic Tissue Loss

2018 ◽  
Author(s):  
James E Clune ◽  
Neil F Jones
Keyword(s):  
Key Words ◽  
Tissue Loss ◽  
Human Hand ◽  
Traumatic Amputation ◽  
Thumb Reconstruction ◽  
Fine Manipulation ◽  
Individual Needs ◽  
Toe Transfer

The distinctive prehensile functions of the human hand are orchestrated by the thumb. Without a thumb, the hand lacks critical movements allowing for pinch, grasp, and fine manipulation. Based on the patient’s individual needs, occupation, and desires, thumb reconstruction should be offered to every patient with a traumatic amputation. Position, stability, mobility, and sensation command attention when reconstructing the absent thumb. We present the spectrum of various techniques available for reconstructing a useful thumb. This review contains 9 figures, 3 tables and 51 references.  Key words: Thumb; reconstruction, amputation, pollicization, toe transfer, metacarpal lengthening, webspace deepening

Prophylaxis of not incubation of pregnancy at women with congenital anomalies of development of uterus

2017 ◽  
pp. 93-95
Author(s):  
V.I. Boyko ◽  
◽  
Yu.S. Volina-Stakhornaya ◽  
Keyword(s):  
Key Words ◽  
Congenital Anomalies ◽  
Premature Births ◽  
Premature Rupture ◽  
Perinatal Pathology ◽  
Scientific Justification ◽  
Advanced Algorithm

The objective: depression of frequency of not incubation at women with congenital anomalies of development of uterus on the basis of scientific justification and introduction of advanced algorithm of diagnostic and treatment-and-prophylactic actions. Patients and methods. Retrospective inspection of 100 women with congenital anomalies of development of uterus, prospective inspection of 30 women with congenital anomalies of development of uterus who received the algorithm improved by us. Results. Not incubation frequency in 1 trimester of pregnancy at women with anomalies of development of uterus made 8.0%, and the main reasons were: the stood pregnancy (3.0%); premature amotio of chorion (3.0%) and intraamniale becoming infected (2.0%). At women with congenital anomalies of development of uterus level of premature births reaches 24.0%, and the main are two reasons – premature rupture of fetal covers (10.0%) and noneffective treatment of threat of an abortion (10.0%), and at 4.0% the antenatale death of fetus takes place. Conclusion. Use of the algorithm improved by us allows to reduce not incubation frequency from 8.0% to 3.3%; premature births – from 24.0% to 13.3%, and also the cooperative frequency of perinatal pathology – for 10.0%. Key words: not incubation, congenital anomalies of development of a uterus, prophylaxis.

Tactics of the use of auxiliary genesial technologies at women with congenital anomalies of development of uterus

2017 ◽  
pp. 96-98
Author(s):  
S.V. Shiyanova ◽  
Keyword(s):  
Key Words ◽  
Congenital Anomalies ◽  
Chronic Endometritis ◽  
Scientific Justification ◽  
Advanced Algorithm

The objective: rising of efficiency of treatment of sterility at women with congenital anomalies of development of uterus on the basis of scientific justification and introduction of advanced algorithm of diagnostic and treatment-and-prophylactic actions. Patients and methods. 100 women with sterility and 30 women of genesial age are surveyed (control). All patients were divided into 3 groups: The I group – 46 women with hyperplasia the endometrium, the II group – 35 women with congenital anomalies of development of uterus, the III group – 19 women with a chronic endometritis. Groups І і ІІІ were used for comparison of the received results. Results. Use of advanced algorithm of auxiliary genesial technologies allows to increase their efficiency for 33.3%, and also to reduce the frequency of not incubation of pregnancy by 23.3%. Conclusion. The received results testify to need of use of the differentiated approach when planning and carrying out auxiliary genesial technologies not only taking into account existence of congenital anomalies of development of a uterus, but also separation of women taking into account type of anomalies of development. Key words: congenital anomalies of development of uterus, auxiliary genesial technologies.

THE APPLICATION OF ULTRASOUND TO THE NEONATAL SCREENING  AND DIAGNOSIS OF SOME CONGENITAL ANOMALIES

2015 ◽  
pp. 3-10
Author(s):  
Cong Quynh Nguyen ◽  
Viet Nhan Nguyen ◽  
Thanh Nhan Vo
Keyword(s):  
Key Words ◽  
Congenital Anomalies ◽  
Neonatal Screening ◽  
Screening And Diagnosis

Key words: neonatal screening and diagnosis, ultrasound, congenital anomalies

scholarly journals A Study on Pattern of Alleged Rape Cases at SBMC, Barisal

1970 ◽  
Vol 1 (1) ◽  
pp. 15-18
Author(s):  
Abdul Barek
Keyword(s):  
Key Words ◽  
Sexual Intercourse ◽  
Social Problem ◽  
Age Groups ◽  
Time Of Arrival ◽  
Medical College ◽  
Gang Rape

Rape is a common social problem having great implication on the Victim, family, Judiciary and state. However it is very difficult to prove the actual rape because it is difficult to establish whether it is a consented sex or actual rape. 176 cases of alleged rape were studied during the period of 2003-2006 at the SBMC, Barisal. Of these, 130 cases had consented sexual intercourse. 46 victims were subjected to rape. Cases include different age groups, their occupations, living areas, time of arrival for medicolegal examination have been studied. Most of the cases were students. An alarming number of victims were subjected to gang rape. Examination and reporting of the cases with have been discussed. Key Words: Alleged Rape; Pattern; Consented Sex; Gang rape DOI: 10.3329/akmmcj.v1i1.7454 Anwer Khan Modern Medical College Journal 2010; 1(1): 15-18

Laryngeal Manifestations of Autoimmune Diseases

2020 ◽  
Vol 5 (2) ◽  
pp. 439-456
Author(s):  
Jenny L. Pierce
Keyword(s):  
Autoimmune Disease ◽  
Autoimmune Diseases ◽  
Patient Outcomes ◽  
Correct Diagnosis ◽  
Upper Airway ◽  
Clinical Implications ◽  
Laryngeal Function ◽  
The Past ◽  
Referral Practices ◽  
Timely Referral

Purpose This review article provides an overview of autoimmune diseases and their effects on voice and laryngeal function. Method A literature review was conducted in PubMed. Combinations of the following keywords were used: “autoimmune disease and upper airway,” “larynx,” “cough,” “voice,” “dysphonia,” and “dyspnea.” Precedence was given to articles published in the past 10 years due to recent advances in this area and to review articles. Ultimately, 115 articles were included for review. Results Approximately 81 autoimmune diseases exist, with 18 of those highlighted in the literature as having laryngeal involvement. The general and laryngeal manifestations of these 18 are discussed in detail, in addition to the clinical implications for a laryngeal expert. Conclusions Voice, breathing, and cough symptoms may be an indication of underlying autoimmune disease. However, these symptoms are often similar to those in the general population. Appropriate differential diagnosis and timely referral practices maximize patient outcomes. Guidelines are provided to facilitate correct diagnosis when an autoimmune disease is suspected.

Measuring patient outcomes

2001 ◽  
Vol 33 (1) ◽  
pp. 138-138
Author(s):  
Jane H. Barnsteiner
Keyword(s):  
Patient Outcomes
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