“FEMALE EPISPADIAS WITHOUT EXSTROPHY: A RARE CLINICAL REPORT’’

2021 ◽  
pp. 8-9
Author(s):  
Deepak Kumar ◽  
Sarita Choudhary ◽  
Shyamendra Pratap Sharma ◽  
Preeti Sagar
Keyword(s):  
Urinary Incontinence ◽  
Physical Examination ◽  
External Genitalia ◽  
Bladder Capacity ◽  
Single Stage ◽  
Clinical Report ◽  
Reconstructive Procedure ◽  
Labia Minora ◽  
Intravenous Urogram ◽  
Aesthetic Appearance

Female epispadias case without exstrophy are quite rare. A 8-year old girl presented with complaint of primary total incontinence. Physical examination revealed skin excoriation in the external genitalia due to prolonged urine contact, non-fused labia minora, and very short urethra. Bladder capacity was found to be sufcient in intravenous urogram. Our approach was to use single stage reconstructive procedure that enables correction of the urinary incontinence and enhance good aesthetic appearance.

scholarly journals Female Epispadiasis: A Case report

2011 ◽  
Vol 31 (3) ◽  
pp. 244-246
Author(s):  
N Bhat ◽  
I Wani
Keyword(s):  
Urinary Incontinence ◽  
Case Report ◽  
Early Diagnosis ◽  
Physical Examination ◽  
Bladder Neck ◽  
Female Child ◽  
Voiding Cystourethrogram ◽  
Labia Minora ◽  
Neck Reconstruction ◽  
Bladder Neck Reconstruction

Isolated female epispadias without exstrophy is rare to see. It is often overlooked cause of incontinence in a female child. A case of isolated female epispadias without exstrophy in an 11-year-old girl who presented with primary urinary incontinence since birth is reported. She had never had a genitalia examination done by any treating clinician. On examination, she had a bifid clitoris and ill developed labia minora. Voiding cystourethrogram showed small sized bladder with no reflux. Bladder neck reconstruction was done transvesically, with tubularisation of urethra. The case report reflects the importance of physical examination in primary incontinence which can make an early diagnosis and treatment and prevent stigmata of incontinence. DOI: http://dx.doi.org/10.3126/jnps.v31i3.4415 J Nep Paedtr Soc 2011;31(3): 244-246

Multidisciplinary Approach for Reestablishing Function and Aesthetic of Unilateral Cleft Lip Defect: A Case Report

2020 ◽  
pp. 105566562094656
Author(s):  
Catarina Borges da Fonseca Cumerlato ◽  
Cinthia Studzinski dos Santos ◽  
Mateus Bertolini Fernandes dos Santos ◽  
César Dalmolin Bergoli ◽  
Noéli Boscato
Keyword(s):  
Cleft Lip ◽  
Clinical Report ◽  
Oral Rehabilitation ◽  
Partial Denture ◽  
Functional Activities ◽  
Fixed Partial Denture ◽  
Aesthetic Appearance ◽  
The Aesthetic ◽  
Lip Defect

Cleft lip and/or cleft palate defects often result in a functional deficiency in the patient’s chewing, speech ability, and aesthetic appearance, usually demanding multidisciplinary effort for addressing the aesthetic and functional patient’s requirements. This clinical report describes the planned oral rehabilitation of a 46-year-old woman with unilateral cleft lip defect based on the patient’s peculiarities and age. Due to limitations concerning bone grafts and implant procedures, as well as orthodontic treatment, the prosthodontic rehabilitation using the metal-ceramic fixed partial denture was chosen. The treatment adequately reestablished the aesthetic and functional activities, positively impacting the patient’s quality of life.

Clam augmentation enterocystoplasty as management of urge urinary incontinence and reduced bladder capacity

2019 ◽  
Vol 53 (6) ◽  
pp. 417-423
Author(s):  
Anne Sofie Virring Brandt ◽  
Jørgen Bjerggaard Jensen ◽  
Simone Buchardt Brandt ◽  
Hans Jørgen Kirkeby
Keyword(s):  
Urinary Incontinence ◽  
Urge Urinary Incontinence ◽  
Bladder Capacity ◽  
Augmentation Enterocystoplasty

Single-Stage Correction of Urinary Incontinence and Vaginoplasty in a Case of Urethral Coitus with Vaginal Agenesis

2008 ◽  
Vol 81 (3) ◽  
pp. 364-366 ◽  
Author(s):  
Nikhil Khattar ◽  
L.N. Dorairajan ◽  
Santosh Kumar ◽  
S. Soundararaghavan ◽  
Bipin Chandra Pal
Keyword(s):  
Urinary Incontinence ◽  
Single Stage ◽  
Vaginal Agenesis ◽  
Urethral Coitus

scholarly journals Duloxetine in the Treatment of Stress Urinary Incontinence

2005 ◽  
Vol 1 (3) ◽  
pp. 345-358 ◽  
Author(s):  
Martin C Michel ◽  
Matthias Oelke
Keyword(s):  
Urinary Incontinence ◽  
Stress Urinary Incontinence ◽  
Adverse Events ◽  
Striated Muscle ◽  
Bladder Capacity ◽  
Efficacy And Safety ◽  
Cytochrome P450 1A2 ◽  
Serious Adverse Events ◽  
Double Blind ◽  
Urethral Striated Muscle

This manuscript reviews the pharmacodynamics and pharmacokinetics of duloxetine and its efficacy and safety in women with stress urinary incontinence. Duloxetine is a selective inhibitor of neuronal serotonin and norepinephrine uptake which increases urethral striated muscle activity and bladder capacity. Duloxetine is readily absorbed and extensively metabolized; cytochrome P450 1A2 (CYP1A2) inhibiting drugs can markedly increase duloxetine exposure. The clinical efficacy of duloxetine has consistently been demonstrated in several randomized, double-blind studies in women with moderate-to-severe stress urinary incontinence, but the additional benefit relative to placebo was moderate. Duloxetine treatment is frequently associated with adverse events such as nausea, dry mouth, fatigue, insomnia and constipation, but serious adverse events are rare. Therefore, duloxetine appears suitable for the treatment of stress urinary incontinence.

scholarly journals Case series: long term experience with different types of hypospadias and its correction by single stage procedure

2018 ◽  
Vol 5 (4) ◽  
pp. 1428
Author(s):  
Amarendra Kumar ◽  
Chandramohan Narayan ◽  
Nameer Faiz
Keyword(s):  
Primary Repair ◽  
Age Groups ◽  
Case Series ◽  
External Genitalia ◽  
Cost Effective ◽  
Single Stage ◽  
Cosmetic Results ◽  
Flap Technique ◽  
Different Types ◽  
Male External Genitalia

Background: Hypospadias is a relatively common congenital defect of the male external genitalia. It is present in approximately 1 in 250 male newborns. Hypospadias, in boys, is defined as an association of three anomalies of the penis: an abnormal ventral opening of the urethral meatus that may be located anywhere from the ventral aspect of the glans penis to the perineum, an abnormal ventral curvature of the penis (chordee), and an abnormal distribution of foreskin with a “hood” present dorsally and deficient foreskin ventrally.Methods: In this study author operated 250 cases of Hypospadias of different types in different age groups during (1992-2017) using MAGPI for glandular, TIP and Flip-flap procedure for distal penile and Ducket Onlay Flap technique for Proximal penile, penoscrotal and perineal Hypospadias. Complicated / Failed Hypospadias was repaired by Trap door technique or Byer’s double tube technique.Results: After the primary repair of Hypospadias fistula was found in 4.5% of patients. Post-operative haemorrhage was seen in 3.2% of patients. Flap Necrosis was found in 8% of patients after Mathieu’s Flip- Flap technique. The success rate of Complicated Hypospadias was quite satisfactory and Meatal Stenosis was seen in 10% of the cases. Over All study has shown superior cosmetic results and one stage repair is cost effective, satisfactory and less psychologically affecting the parents and the patients.Conclusions: MAGPI and its different modifications in the repair for Glandular and Flip-flap or TIP for distal penile in cases of mild or no chordee. Proximal Penile has sufficient Chordee and can be corrected by dorsal plication and urethroplasty by Ducket’s Onlay flap technique. The cost-effectiveness due to single stage repair and its cosmetic results and there least complications prove the efficacy of this protocol. Single stage repair is also beneficial for developing countries like India where the follow-up compliance in the rural patients is extremely poor.

Congenital Urethrovaginal Fistula with Blind-Ending Vagina in a Female Pseudohermaphrodite Dog with Urinary Incontinence

2021 ◽  
Vol 57 (5) ◽  
Author(s):  
Jamie-Leigh Thompson ◽  
Tiziana Liuti ◽  
Carolina Albuquerque ◽  
Daniela Murgia
Keyword(s):  
Urinary Incontinence ◽  
Reproductive Tract ◽  
Clinical Signs ◽  
External Genitalia ◽  
Female Reproductive Tract ◽  
Urethral Reconstruction ◽  
En Bloc ◽  
Urethrovaginal Fistula ◽  
Term Outcome ◽  
Blind Ending

ABSTRACT An 8 mo old male Doberman pinscher was referred for investigation of persistent urinary incontinence. Physical examination revealed urine leakage and abnormal external genitalia. A computed tomography scan identified a large fluid-filled cavity extending from the caudoventral abdomen displacing the colon and urinary bladder. No retained testicles were identified. A retrograde urethrogram study found a linear communication, cranial to the pubic brim between the urethra to the fluid-filled cavity (fistula). Exploratory celiotomy was performed, and an entire female reproductive tract with a blind-ending vagina and a urethrovaginal fistula was found. En bloc gonad hysterectomy was performed, the fistula was transected, and a careful urethral reconstruction was performed. The urinary incontinence resolved immediately after surgery, and no complications were reported. Mild urinary incontinence recurred 4 days following patient discharge, and a urine bacterial culture was positive for Klebsiella spp. An antibiotic course was prescribed, and the incontinence fully resolved. Congenital urogenital abnormalities should always be considered in young animals presenting with urinary incontinence. Here, a young female pseudohermaphrodite dog with a naturally occurring congenital urethrovaginal fistula is described. Exploratory surgery was required for definitive diagnosis and surgical intervention yielded a good medium-term outcome with resolution of clinical signs.

scholarly journals Imperforate hymen: the importance of early diagnosis

2017 ◽  
Vol 6 (6) ◽  
pp. 2628
Author(s):  
Pedro Vieira Enes ◽  
Pedro Brandão ◽  
Paula Ramôa ◽  
Ana Torgal
Keyword(s):  
Abdominal Pain ◽  
Physical Examination ◽  
Clinical Presentation ◽  
External Genitalia ◽  
Imperforate Hymen ◽  
Gynecological Examination ◽  
Female Genital System ◽  
Common Clinical Presentation ◽  
Vaginal Distension ◽  
Female Genital

The imperforate hymen is one of the most common obstructive lesions of the female genital system, with a prevalence from 1: 1000 to 1: 10000. Anomalies of the hymen are due to incomplete degeneration of the hymen central portion. It can be diagnosed at physical examination from birth and treated surgically. The most common clinical presentation is cyclic pelvic abdominal pain, urinary retention and hematocolpos. 12-year-old girl, premenarche who appealed to the Emergency department with abdominal pain and bilateral lumbar irradiation, over 2 weeks of evolution. Physical examination showed abdominal tumefaction in the hypogastric region, painful to palpation and under tension. Gynecological examination revealed an imperforate hymen, protruding from the introitus. Rectal ultrasonography performed at the emergency room showed vaginal distension with a hypoechoic content of 16 cm, larger diameter. Surgical hymenectomy was performed as treatment. On the 58th postoperative day, the patient was asymptomatic.The authors present a clinical case of imperforate hymen diagnosed at menarche, an anomaly diagnosed increasingly early due to the earlier physical examination that involves observation of the external genitalia of the new-born and the pre-pubertal child.

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