Cystoscopy Coagulation of Vesicovaginal Fistula. A Case Report and Mini Review of the Literature

2021 ◽  
Vol 2 (2) ◽  
pp. 01-04
Author(s):  
Chrisostomos Sofoudis
Keyword(s):  
Vesicovaginal Fistula ◽  
Vaginal Wall ◽  
Reproductive Capacity ◽  
Bladder Epithelium ◽  
Surgical Interventions ◽  
Urine Bladder ◽  
Proper Diagnosis ◽  
Female Genital

Myomas represent the most common benign type of female genital track. Therapeutic mapping is strongly associated with age of the patient, number and location of the myomas and patient’s reproductive capacity. Among the future operative and postoperative complications consist communication of vaginal wall with local organs, formation of a fistula. Adjunction and further anatomic penetration between vaginal wall and urine bladder epithelium, can depict a vesicovaginal fistula. After proper diagnosis, therapeutic mapping depends on the type of the fistula and surgical intervention in order to ensure patient’s quality of life. Aim of our study, consists proper diagnosis and conservative management of vesicovaginal fistula. Cystoscopy therapeutic strategy with proper follow up represents an alternative treatment of choice, avoiding compound surgical interventions.

Modified Two-corner Raz Suspension Procedure for Cystocele Repair: A Novel Technique

2016 ◽  
Vol 8 (2) ◽  
pp. 130-135
Author(s):  
Urmila Sharma ◽  
Ritu Agarwal ◽  
Nilesh L Goraniya ◽  
Sumesh D Choudhary ◽  
Pradeep J Bandwal ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Stage Iv ◽  
Anterior Wall ◽  
Vaginal Wall ◽  
Anterior Vaginal Wall ◽  
Stage Ii ◽  
Novel Technique

ABSTRACT Introduction Prolapse of anterior vaginal wall is a common problem in both perimenopausal and postmenopausal women. In past 200 years, surgical management of cystocele has undergone many changes from Kelly's plication to mesh reinforcement but none of these procedures proved to be 100% effective. Modified two-corner Raz suspension procedure (MTCRSP) can be used for the treatment of POP-Q (pelvic organ prolapse quantification) stage II to IV anterior vaginal wall prolapse (AVP). Objectives To assess the effectiveness of modified two-corner Raz suspension procedure (MTCRSP) in long-term success for cystocele repair and its effect on quality of life. Study design A hospital-based prospective study. Materials and methods Twelve patients underwent modified two-corner Raz procedure and were followed postoperatively for a period of 1 year at regular intervals. During follow-up, we assessed the degree of prolapse by POP-Q, quality of life, and sexual dysfunction. Results Preoperatively, 3 out of 12 (25%) patients had stage II, five had (41.66%) stage III, and four (33.33%) had stage IV prolapse. Postoperatively, at 1 month follow-up, one (8.33%) patient developed stage II anterior wall prolapse, which progressed to stage IV prolapse at 3 months. Two more patients developed stage II prolapse at 3-month follow-up. Failure rate at the end of 1 year was 25% (3/12). Prolapse quality of life (PQOL) improved in 10 out of 12 (83.33%) patients. While PGII (patient global impression of improvement) score improved in 11 out of 12 (91.66%) women. Conclusion Modified two-corner Raz suspension procedure is an effective technique with long-term success in stage II and III prolapse but a limited success in stage IV AVP. How to cite this article Mishra VV, Goraniya NL, Choudhary SD, Sharma U, Bandwal PJ, Tanvir T, Agarwal R. Modified Two-corner Raz Suspension Procedure for Cystocele Repair: A Novel Technique. J South Asian Feder Obst Gynae 2016;8(2):130-135.

scholarly journals Surgical Interventions Are Effective for Treating Unruptured Sinus of Valsalva Aneurysms

2021 ◽  
Vol 8 ◽  
Author(s):  
Juntao Qiu ◽  
Enzehua Xie ◽  
Yuetang Wang ◽  
Wei Wang ◽  
Cuntao Yu ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Coronary Sinus ◽  
Surgical Repair ◽  
Heart Function ◽  
Early Death ◽  
Sinus Of Valsalva ◽  
Surgical Interventions ◽  
The Right

Background: This study investigates the optimal management for unruptured sinus of Valsalva aneurysms (USVAs) combined with other cardiovascular lesions.Methods: This retrospective study examined 33 USVA patients who underwent surgical repair from February 1, 2007 to January 31, 2012. We analyzed the surgical procedures and the patients' quality of life after surgery. Additionally, echocardiography follow-up was performed before and after the operation.Results: Most USVAs (87.8%) originated in the right coronary sinus. Aside from one patient who was preoperatively misdiagnosed as having a ruptured sinus of Valsalva aneurysm (SVA). USVAs of the right coronary sinus were addressed by reinforcing this sinus with a Dacron patch through the right ventricle. USVAs were corrected by aortotomy using an autogenous pericardium patch when they originated in the non-coronary or left coronary sinus. Thirty patients (90.9%) were followed up for 22–119 months. No early death, residual fistula or SVA recurrence were found during the follow-up period. They all had a good quality of life and good heart function (New York Heart Association class I–II).Conclusions: Active surgical repair of an USVA can be achieved with satisfactory results in patients combined with other cardiovascular lesions.

scholarly journals Choice of combined treatment of lung cancer and aortic valve pathologies

2015 ◽  
Vol 17 (2) ◽  
pp. 51
Author(s):  
A. M. Karaskov ◽  
O. Yu. Anikeeva ◽  
O. A. Pashkovskaya ◽  
A. B. Open
Keyword(s):  
Aortic Valve ◽  
Treatment Approach ◽  
Combined Treatment ◽  
Left Lung ◽  
Patient Specific ◽  
Surgical Interventions ◽  
Specific Complex ◽  
Hypofractionated Radiation

We present a clinical case of step-by-step treatment of a patient with a tumor of the left lung upper lobe and a pronounced aortic valvular disease. The combination of concurrent pathologies always requires a thorough selection of the treatment approach. The risks of simultaneous surgical interventions are associated with high intraoperative and early postoperative complications. The selected approach of the stepwise treatment of aortic valve replacement followed by stereotactic hypofractionated radiation therapy has demonstrated the outcomes comparable to those of radical surgery. The compensation of hemodynamic parameters and a full local response during 18-month follow-up has confirmed the appropriateness of a patient-specific complex treatment approach, with a high quality of life maintained.

scholarly journals Primar Urinary Bladder Endometriosis: Laparoscopic Approach towards Therapeutic Mapping

2021 ◽  
pp. 1-3
Author(s):  
Sofoudis Chrisostomos ◽  
◽  
Papadopoulos Zacharias ◽  
Keyword(s):  
Therapeutic Strategy ◽  
Laparoscopic Approach ◽  
Endometrial Cavity ◽  
Bladder Endometriosis ◽  
Urine Bladder ◽  
Proper Diagnosis ◽  
Primary Bladder ◽  
Physical Symptomatology ◽  
Pathophysiologic Mechanisms

Endometriosis of genital tract consists a controversial entity arising from current bibliography. Many conducted studies suggested a variety of pathophysiologic mechanisms in order to establish proper diagnosis and treatment. In many cases development of endometrial tissue outside endometrial cavity, can lead to depiction of physical symptomatology with unexpected clinical route. Besides, dysmenorrhea, dyspareunia and decrease of fertility capability, endometriosis can infiltrate many intraperitoneal organs such as urine bladder, rectum, or even mesenterium and lungs. Primary bladder endometriosis represents a very rare entity among female reproductive patients. Ultimate scope remains fertility preservation and increase of patient’s quality of life. Aim of our study reflects assiduous diagnosis and depiction of proper therapeutic strategy

scholarly journals Results of Prompt Surgical Intervention in Hemodialysis Radiocephalic Fistula Secondary Dysfunction

2019 ◽  
Vol 104 (5-6) ◽  
pp. 217-225
Author(s):  
Iyad Fansa ◽  
Mesut Kösem ◽  
Celalettin Karatepe ◽  
Adem Sezen ◽  
Hilal Kuşcu Karatepe ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Surgical Intervention ◽  
Catheter Placement ◽  
Proximal Anastomosis ◽  
Common Procedure ◽  
Surgical Interventions ◽  
Mean Time ◽  
Early Surgical Intervention

Radiocephalic fistula (RCF) dysfunction is a common problem due to low maturation and patency rates of these fistulas. The most common procedure in such cases is to place a temporary catheter for the dialysis. Temporary catheter placement and undergoing dialysis with this catheter cause complications, reduce the chance for fistula, and deteriorate the quality of life. The aim of this study was to demonstrate that immediate intervention in RCF dysfunctions can increase fistula success for the patient and can reduce the need for a catheter. Furthermore, the hemodialysis treatment can continue without affecting the quality of life. A total of 295 patients who were admitted for RCF dysfunction and who underwent early surgical intervention without any catheter placement were evaluated for postoperative complications, patency rates, and rates and durations of temporary catheter use over a mean time of 47 months of follow-up (range: 4–79 months). Of the patients, 77.2% (n = 228) underwent new proximal anastomosis (NEO; the radial artery and cephalic vein were reached with an incision created proximal to the previous anastomosis), 14.2% (n = 42) underwent brachiocephalic arteriovenous fistula (AVF), 8.4% (n = 25) underwent side-to-side brachiobasilic AVF + superficialization of the basilic vein. In 88.8% (n = 262) of the patients, successful cannulations were performed within the first 24 to 48 hours without any catheter requirement or complications. Temporary catheter was used for 15.1 ± 10.7 days in 11.2% (n = 33) of the patients. In RCF dysfunctions, early surgical interventions performed in the forearm and elbow provide early cannulation and thus decrease the catheter requirement, also prevent the complications of temporary catheters (infection, decreasing the fistula success, vascular injuries, etc.), increase the autogenous fistula success, and allow for the continuation of dialysis without disturbing the quality of life.

Impact of Angioplasty and Arterial Reconstructive Surgery on the Quality of Life of Claudicants

1997 ◽  
Vol 42 (2) ◽  
pp. 47-48 ◽  
Author(s):  
J.P. Pell ◽  
A.J. Lee
Keyword(s):  
Quality Of Life ◽  
Percutaneous Transluminal Angioplasty ◽  
Transluminal Angioplasty ◽  
Case Mix ◽  
Arterial Reconstruction ◽  
Surgical Interventions ◽  
The Impact ◽  
Percutaneous Transluminal

Claudicants usually die from concomitant conditions. Therefore, surgical interventions are aimed at improving quality of life, rather than survival. This study compared the impact of percutaneous transluminal angioplasty (PTA), arterial reconstruction and conservative management on quality of life. SF36 questionnaires were completed by 201 newly referred claudicants prior to treatment andsix months later. Multiple regression was used to compare the quality of life scores following the three treatments after adjustment for baseline scores, age, sex, site of disease and disease severity. Follow-up data were available on 81% of the 195 patients alive. Nineteen (10%) of these had undergone PTA and 19 (10%) reconstruction. All aspects of quality of lif e deteriorated following conservative treatment. PTA and arterial reconstruction produced significant improvements in both pain and physical functioning after adjustment for case-mix. Although unlikely to improve survival, PTA and arterial reconstruction are associated with significant improvements in quality of life.

scholarly journals Clinical Assessment of Peripheral Arterial Disease in the Office: What Do the Guidelines Say?

2018 ◽  
Vol 35 (05) ◽  
pp. 365-377 ◽  
Author(s):  
Derek Scherbel ◽  
Srini Tummala
Keyword(s):  
Peripheral Arterial Disease ◽  
Clinical Assessment ◽  
Healthcare Costs ◽  
Arterial Disease ◽  
Rest Pain ◽  
Proper Diagnosis ◽  
Peripheral Arterial ◽  
Asymptomatic Disease

AbstractLower extremity peripheral arterial disease (PAD) is the manifestation of atherosclerotic disease within the lower extremities. The presentation of PAD is diverse ranging from asymptomatic disease to claudication or to debilitating rest pain, nonhealing ulcers, and gangrene. PAD is associated with significant morbidity, mortality, and healthcare costs. Proper diagnosis and management of PAD is important so as to maintain quality of life and reduce the risk of cardiovascular disease and adverse limb events such as amputation. This document provides a comprehensive outpatient approach to the clinical assessment of PAD that includes risk factors, diagnosis, treatment, and follow-up options.

scholarly journals Repair of Vesicovaginal Fistula: Experience of 30 Cases and Analysis of Outcome Predictors

2019 ◽  
Vol 13 (2) ◽  
pp. 85-88
Author(s):  
Mrinmoy Biswas ◽  
Sharif Mohammad Wasim Uddin ◽  
Jasmine Sharifa ◽  
Sharmishtha Ghosal ◽  
Dilruba Zeba
Keyword(s):  
Vesicovaginal Fistula ◽  
Medical Condition ◽  
Primary Repair ◽  
Abdominal Hysterectomy ◽  
Success Rates ◽  
Abdominal Approach ◽  
Successful Technique ◽  
Genital Fistula ◽  
Female Genital

Female genital fistula is a serious medical condition in which a perforation develops most commonly between bladder and vagina (VVF). Although the majority of genitourinary fistulas can be closed surgically, the successful closure depends on many factors. In this retrospective study, the records of 30 women with a mean age of 23.8 years were assessed; 13% of the VVF occurred after abdominal hysterectomy, 67% after Caesarean section, and 20% after difficult vaginal delivery. Six (20%) women had previous repair. The median duration of the VVF was 5.9 months. Of the 30 patients of VVF, 24 were high and 6 were low. Twenty seven had single fistula opening and 3 had two fistulous openings. An abdominal approach was used in 24 patients and vaginal approach in 6 patients. At a mean follow up of 24 months, the VVF was cured in 90% patients. In conclusion, surgical correction of the VVF is more successful when done earlier, probably in the first 6 months. Abdominal approach seems to be more successful technique and recurrent VVF being associated with lower success rates than primary repair. High variety also has good result. Faridpur Med. Coll. J. Jul 2018;13(2): 85-88

scholarly journals THREE-COLUMN OSTEOTOMY OF THE SPINE DURING REVISION SURGERY IN A PATIENT WITH CONGENITAL ANGULAR THORACOLUMBAR KYPHOSCOLIOSIS

2018 ◽  
Vol 15 (3) ◽  
pp. 30-38
Author(s):  
A. A. Panteleyev ◽  
M. L. Sazhnev ◽  
D. S. Gorbatyuk ◽  
A. I. Kazmin ◽  
V. S. Pereverzev ◽  
...  
Keyword(s):  
Infectious Complications ◽  
Female Adolescent ◽  
Review Of The Literature ◽  
Surgical Interventions ◽  
Patient Reports ◽  
Pelvic Organs ◽  
Significant Correction ◽  
Last Stage

A clinical case of surgical treatment of a female adolescent patient with multiple malformations, congenital thoracolumbar kyphoscoliosis, severe lower paraparesis and impaired functions of pelvic organs is presented with a review of the literature on the problem under consideration. During the course of treatment over several years, the patient underwent repeated revision surgical interventions because of implant instability and infectious complications. The last stage of treatment included a three-column osteotomy of the spine at the deformity apex with posterior instrumented fixation. A significant correction of the deformity was achieved. Based on the results of 18-month follow-up, the correction is maintained, the implant is stable. The patient reports a significant improvement in the quality of life.

scholarly journals SPIES optical biopsies in laryngeal papillomatosis. The 4 waves sign

2021 ◽  
Vol 26 (1) ◽  
pp. 2318-2322
Author(s):  
VIOREL ZAINEA ◽  
IRINA GABRIELA IONITA ◽  
SILVIU PITURU ◽  
CATALINA PIETROSANU ◽  
ANDREEA RUSESCU ◽  
...  
Keyword(s):  
Accurate Diagnosis ◽  
Viral Etiology ◽  
Laryngeal Papillomatosis ◽  
Surgical Interventions ◽  
Endoscopic Method ◽  
Systemic Side Effects ◽  
Epithelial Lesions ◽  
Made In

Laryngeal papillomatosis represents a challenging disease for the ENT surgeon. It has a recurrent pattern, with lesions that tend to be more and more extensive and affect the quality of life of the patient. Due to it’s viral etiology, multiple medical therapies have been attempted for these patients. Their results are still somewhat controversial, taking into account the local and systemic side effects. Diabetes mellitus (DM) patients are considered to be relatively immunocompromised and the laryngeal papillomatosis is more severe. The lesions occur at an epithelial level. The earlier the diagnosis, the better the outcome of the patient. The advancements made in the field of medical technologies made possible ample surgical interventions that maintain the natural airway. Out of these, the most used today is the CO2 LASER, with good results when correctly managed. The purpose of this paper is to present the use of an endoscopic method of examination, that uses SPIES filters, for a more accurate diagnosis of the epithelial lesions, which allows a better evaluation and more thorough follow-up of our patients. We believe attention should be paid to this topic due to the surgical, epidemiological and biological reasons.

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