scholarly journals Female Urethroplasty: A new hope for better quality of life

2020 ◽  
Vol 23 (2) ◽  
pp. 158-163
Author(s):  
Md Zahid H Bhuiyan ◽  
Syed Alfesani
Keyword(s):  
Urethral Stricture ◽  
Clean Intermittent Catheterization ◽  
Urinary Flow ◽  
Voiding Cystourethrogram ◽  
Long Run ◽  
History Of ◽  
The Times ◽  
A Prospective Study ◽  
Difficult Issue ◽  
Female Urethral Stricture

Introduction: Female urethral stricture is a difficult issue in Urology. Many of the times it may follow any sort of urethral instrumentation but in other cases no definite precipitating causes are unidentified. Methods: This was a prospective study. The sample size was n – 50. All cases were recurrent with the history of urethral dilatations, urethrotomies in multiple sessions. The diagnostic investigations in VCUG (voiding cystourethrogram), Ultrasound scan of kidney Ureter, bladder with post void residues, Uroflometry etc. Due to limitations, Urodynamic study was done in limited cases. Urethral augmentation was done using dorsal substitution of OMG (oral mucosal graft). Urethral catheter was left for 03 – 04 weeks. Results: After removal of catheter, urinary flow was observed; excellent in all the cases. It remain satisfactory in 06 months of follow-up. Overall result is excellent. Conclusions: Female urethral stricture is a difficult issue in Urology, Urethral dilatation, urethrotomies, clean intermittent catheterization are good options but need frequent procedures. Urethral augmentation with dorsal substitution of oral mucosal graft is a curative approach in long-run. Bangladesh Journal of Urology, Vol. 23, No. 2, July 2020 p.158-163

scholarly journals Female urethral stricture: techniques for reconstruction

2022 ◽  
Author(s):  
Ignacio Alvarez de Toledo ◽  
Jessica DeLong
Keyword(s):  
Urethral Stricture ◽  
Clinical Symptoms ◽  
Treatment Options ◽  
Rare Condition ◽  
Controlled Clinical Trial ◽  
Voiding Cystourethrogram ◽  
Level Of Evidence ◽  
European Guidelines ◽  
Reconstructive Urology ◽  
Female Urethral Stricture

Female urethral stricture (FUS) is a rare condition. It was not studied robustly for many years, but interest has grown recently in the reconstructive urology community, leading to an increase in publications. In this review, we gather the latest data regarding FUS and its different therapeutic options. Studies are summarized, split by technique. We also review the recently published European Guidelines. In addition, we share our preferred surgical technique and our views on future options. Diagnosing FUS can often be challenging and requires a high index of clinical suspicion. Its vague clinical symptoms and empiric initial treatments combine to make FUS an underdiagnosed condition. The lack of consensus on how to define FUS also compounds the problem. Appropriate diagnosis requires thorough investigation, and ancillary studies such as video urodynamics, cystoscopy, and voiding cystourethrogram may be useful. Treatment options range from conservative management to definitive procedures, although studies have shown that conservative measures such as urethral dilation have a low success rate overall. Within definitive management, augmented urethroplasty - using either flaps or grafts, has proven to be the gold standard. Both have shown excellent results over time; however, there is insufficient data available to recommend one over the other. Contemporary data has an overall poor level of evidence. Although challenging due to the rarity of the problem, a proper randomized controlled clinical trial comparing the principal surgical options and their outcomes would be beneficial and would allow for more informed decision making when considering options for women with urethral stricture.

scholarly journals Urethral lithiasis after phalloplasty

2019 ◽  
Vol 12 (7) ◽  
pp. e229825
Author(s):  
Mário José Pereira-Lourenço ◽  
Miguel Eliseu ◽  
Paulo Temido ◽  
Arnaldo Figueiredo
Keyword(s):  
Urinary Diversion ◽  
Urethral Stricture ◽  
Free Flap ◽  
Urinary Flow ◽  
Radial Forearm Free Flap ◽  
Fibrous Septum ◽  
Urethral Fistula ◽  
Radial Forearm ◽  
History Of

Female-to-male transsexual patient, 22 years old, with neophallus from radial forearm free flap (phalloplasty in March 2014), history of urethral fistula and urethral stricture 1 year later treated with surgical correction (fistulectomy) and suprapubic urinary diversion. Subsequently, he developed a new urethral stenosis located in the urethral anastomosis. Immediately proximal to the stenosis, there was a urethral dilatation (pseudodiverticulum) with a fibrous septum and several retracted stones. The stones were fragmented, the fibrous septum destroyed and the urethral stricture corrected, all with holmium laser. After 40 months of follow-up the patient shows satisfactory urinary flow with no signs of residual lithiasis or stricture.

“Sou Inglesa! Sou Inglesa!”: Memórias de uma Menina Anglo-Portuguesa (1907-1930)

2017 ◽  
pp. 141-155
Author(s):  
Miguel Alarcão
Keyword(s):  
Everyday Life ◽  
Social History ◽  
Travel Literature ◽  
Growing Up ◽  
Recent Past ◽  
Self And Other ◽  
Cultural Encounter ◽  
The Social ◽  
History Of ◽  
The Times

Textualizing the memory(ies) of physical and cultural encounter(s) between Self and Other, travel literature/writing often combines subjectivity with documental information which may prove relevant to better assess mentalities, everyday life and the social history of any given ‘timeplace’. That is the case with Growing up English. Memories of Portugal 1907-1930, by D. J. Baylis (née Bucknall), prefaced by Peter Mollet as “(…) a remarkably vivid and well written observation of the times expressed with humour and not little ‘carinho’. In all they make excellent reading especially for those of us interested in the recent past.” (Baylis: 2)

scholarly journals Ectopic pregnancy in a tertiary care centre of Jharkhand, India

2019 ◽  
Vol 8 (8) ◽  
pp. 2969
Author(s):  
Meetali Parashar ◽  
Meena Mehta
Keyword(s):  
Ectopic Pregnancy ◽  
Clinical Presentation ◽  
Previous History ◽  
First Trimester ◽  
Near Miss ◽  
Obstetrics And Gynaecology ◽  
Maternal Morbidity And Mortality ◽  
History Of ◽  
Β Hcg ◽  
A Prospective Study

Background: Ectopic pregnancy is one in which the fertilized ovum is implanted and develops outside the endometrial cavity. It is an important cause of maternal morbidity and mortality in first trimester. The present study was conducted to study the risk factors, clinical presentation and management of ectopic pregnancy in RIMS, Ranchi, Jharkhand, India.Methods: This was a prospective study conducted in the department of obstetrics and gynaecology, RIMS, Ranchi, Jharkhand during May 2017 to September 2018. A total of 90 cases were included in the study.Results: 80% of the patients presented with amenorrhoea, 98% had abdominal pain and 69% had vaginal bleeding. Ultrasonography revealed hemoperitoneum in about 93% patients. 16 (18%) patients had history of infertility whereas 10 patients (11%) had taken treatment of infertility.6 (7%) patients had history of STD or PID.14 (16%) had undergone bilateral tubectomy.2 (2%) had history of IUCD insertion and 12 (13%) patients had undergone previously lscs. 54 patients (60%) had undergone D and C and 6 patients (7%) had a previous history of ectopic pregnancy. 68 (76%) underwent only salpingectomy.12 (13%) had salpingo-oophorectomy and 10 (11%) had salpingectomy with contralateral tubectomy.Conclusions:Diagnosis of ectopic pregnancy requires clinical suspicion and supportive investigations like UPT, ultrasonography, β HCG and laparoscopy. It is an important cause of admission to RIMS as maternal near miss cases.Background: Ectopic pregnancy is one in which the fertilized ovum is implanted and develops outside the endometrial cavity. It is an important cause of maternal morbidity and mortality in first trimester. The present study was conducted to study the risk factors, clinical presentation and management of ectopic pregnancy in RIMS, Ranchi, Jharkhand, India.Methods: This was a prospective study conducted in the department of obstetrics and gynaecology, RIMS, Ranchi, Jharkhand during May 2017 to September 2018. A total of 90 cases were included in the study.Results: 80% of the patients presented with amenorrhoea, 98% had abdominal pain and 69% had vaginal bleeding. Ultrasonography revealed hemoperitoneum in about 93% patients. 16 (18%) patients had history of infertility whereas 10 patients (11%) had taken treatment of infertility.6 (7%) patients had history of STD or PID.14 (16%) had undergone bilateral tubectomy.2 (2%) had history of IUCD insertion and 12 (13%) patients had undergone previously lscs. 54 patients (60%) had undergone D and C and 6 patients (7%) had a previous history of ectopic pregnancy. 68 (76%) underwent only salpingectomy.12 (13%) had salpingo-oophorectomy and 10 (11%) had salpingectomy with contralateral tubectomy.Conclusions: Diagnosis of ectopic pregnancy requires clinical suspicion and supportive investigations like UPT, ultrasonography, β HCG and laparoscopy. It is an important cause of admission to RIMS as maternal near miss cases.

The Gastropod Genus Bembicium Philippi

1958 ◽  
Vol 9 (4) ◽  
pp. 546 ◽  
Author(s):  
H Anderson
Keyword(s):  
Early Summer ◽  
Egg Masses ◽  
Estuarine Species ◽  
History Of ◽  
Living Species ◽  
The Times

A history of the nomenclature of the littorinid genus, Bembicium Phllippi, 1846, and its characters are given, and the anatomy of species of the genus is discussed. Three species are recognized and redescribed: a reef-living species, B. nanum (Lamarck); an estuarine species, B. auratum (Quoy & Gaimard); and the species B. melanostoma (Gmelin) which normally inhabits sheltered bays and inlets. Although all are intertidal animals, and show some measure of adaptability, each appears to be best suited to a particular habitat. B. melanostoma and B. nanum are usually found where the chlorinity of the water is close to that of the sea. B. auratum can withstand considerable variation in the chlorinity of its environment for periods of time which are not likely to be exceeded in its normal habitat. B. melanostoma mostly lives at higher tidal levels than B. nanum. In the aquarium B. nanum proved the most susceptible to desiccation. The egg masses of B. melanostoma contain fewer and larger eggs than those of B. auratum. In the laboratory spawning of B. auratum occurred during the spring and early summer. Under the same conditions specimens of B. melanostoma deposited eggs in October. The differences between the eggs and their development, and between the times of spawning of the two species collected from different littoral regions are also discussed.

scholarly journals Prevalence and echo features of mediastinal lymph nodes in EUS for non-malignant indications: a prospective study in a Southern European Population

2018 ◽  
Vol 06 (04) ◽  
pp. E432-E436
Author(s):  
Joana Carmo ◽  
Miguel Bispo ◽  
Susana Marques ◽  
Cristina Chagas
Keyword(s):  
Lymph Nodes ◽  
European Population ◽  
Significant Heterogeneity ◽  
Mediastinal Lymph Nodes ◽  
Single Center Study ◽  
History Of ◽  
Echo Features ◽  
Portuguese Study ◽  
A Prospective Study ◽  
Ct Studies

Abstract Background and study aims Significant heterogeneity in geographic distribution regarding the prevalence of mediastinal lymph nodes (MLN) has been documented in autopsy and computed tomography (CT) studies. Awareness of the local prevalence and characteristics of lymph nodes will be relevant when performing endoscopic ultrasonography (EUS) for staging of malignant neoplasias. The aims of this study were to document the prevalence and echo features of MLN in patients undergoing EUS for non-malignant extrathoracic disease and to identify predictive factors for the presence of MLN. Patients and methods A prospective single-center study was performed over 6 months. Mediastinal stations 9, 8, 7, 6, 5, 4 L and 2 were systematically evaluated using a linear echoendoscope in all patients undergoing EUS due to benign extrathoracic pathology and without history of oncologic disease. Demographic, clinical and EUS features of the lymph nodes were analysed. Results Seventy-five patients were included: male/female 32/43; mean age, 63 years. The majority of patients (72 %) had lymph nodes in at least one mediastinal station and 88 % of these were found in stations 7 or 4 L. Overall, 133 MLN were identified: 19 % were hypoechogenic, 6 % had a short-axis diameter > 10 mm, and 6 % were round. The prevalence of lymph nodes was higher in smokers (83 % vs 64 %, P = 0.024), with a higher average number of lymph nodes per patient in this group (2.1 vs 1.6; P = 0.017). By logistic regression analysis, none of the variables analyzed were independently associated with the presence of MLN. Conclusion This prospective Portuguese study documented a higher prevalence of MLN than previously reported in Northern Europe, in patients with no evidence of oncologic disease. This higher prevalence may negatively influence the specificity and positive predictive value for malignancy of MLN (N) staging by EUS.

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