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A Perspective by Michael P. Chetner, M.D., MSc., FRCS(C) Acting Director, Division of Urology Department of Surgery, University of Alberta, Edmonton, Alberta Since the early 1900s, when Coffee first successfully [...]

Trauma Renal trauma Ten per cent of patients with blunt or penetrating injuries of the abdomen have associated renal trauma. Evaluation begins with a history of the mechanism of the [...]

Byline: RAFIQUE AHMED SAHITO, MUHAMMAD ALI SUHAIL MEMON AND FARHANA SHAIKH ABSTRACT: Objectives: To asses success of per abdominal repair of vesicovaginal Fistula. Design and Duration: Prospective descriptional study of [...]

According to the authors of recent research from Worcester, Massachusetts, 'Introduction and hypothesis This study was conducted to assess national rates in stress urinary incontinence (SUI) surgery in the USA [...]

Byline: Nazimuddin Jat, Abdul Qayyum Ghauri, Pir Bakhsh Khokhar, Muhammad Asif Qureshi and Muhammad Ahmad Azmi ABSTRACT Objective: The aim of the study was to investigate the TransurethralIncision of prostate [...]

Byline: Gaurav. Aggarwal, Bhakti. Sarang, Nobhojit. Roy, Satish. Mishra, Anita. Gadgil Sir, The prevalence of carcinoma of the gall bladder varies from 1 to 2% of biliary tract surgeries, in [...]

Using renal mass biopsy to guide treatment decisions for small tumors is cost-effective relative to direct surgery, and can spare many patients unnecessary surgical procedures, according to Massachusetts General Hospital [...]

To evaluate the role of Nesbit's and Byar's type of soft tissues reinforcement interposition flaps (STRIFs) in prevention of urethro-cutaneous fistulas (UCFs) in distal Snodgrass TIP urethroplasties. Between 2003-2005, 28 distal hypospadiacs, ranging from 8 to 14 years of age, without chordee, underwent Snodgrass TIP urethroplasties. The reconstructed neo-urethras were reinforced with preputial dartos fascial flaps, harvested by way of de-epithelialization. The de-epithelialized dorsal prepuce was either button holed (n=14, Nesbit' type of STRIFs) or divided in to two equals halves (n=14, Byar's type of STRIFs) to be ventralized and tucked under the glans wings distally to provide a complete cover to the neo-urethras. Total of four patients, two from each group, developed single, micro-sized coronal urethro-cutaneous fistula three of which healed spontaneously within a period of 6 weeks, and one required purse string closure after 3 months. At one year follow up, all the patients were asymptomatic with good functional and cosmetic out come. Keywords: Hypospadias. Urethro-cutaneous fistulas (UCFs). Soft tissue reinforcement interposition flaps (STRIFs)., Introduction Hypospadiac surgery has evolved with more than 150 procedures for surgical correction of single anomaly. The tubularised incised plate (TIP) urethroplasty or Snodgrass procedure has gained worldwide acceptance for [...]

Introduction: Patients who are unable to perform intermittent self-catheterization may undergo continent catheterizable stomas using the appendix (Mitrofanoff Appendico-vesicostomy). If the appendix is not available, the bowel is used to create a catherizable channel (Monti-Yang-Casale technique). Patients may develop shortening of the submucosal bladder tunnel with secondary leakage after being dry from the initial procedure. We have devised a novel technique for elongation of the submucosal intravesical tunnel in patients with secondary stomal leakage due to acquired shortening of the submucosal bladder tunnel. Methods: An in-situ bladder tube was created from the dome of the bladder with one end attached to bladder. A submucosal tunnel of adequate length (6: 1 ratio over 10F red rubber catheter) was created. The in situ bladder tube was rotated and brought through the tunnel to create flap valve mechanism. The intravesical end of the tube is anastomosed and the other end is attached to Monti-Yang-Casale tube, which is brought out as a catherizable stoma through the umbilicus. In the second patient, modification was used to create an in-situ tube from the posterolateral portion of the bladder, with urethral side attached to the bladder to prevent any rotation of the tube while placing it in the tunnel. Results:. We have used this technique in two patients. The first patient, who had Monti-Yang-Casale procedures, was fully continent after initial surgery and subsequently developed urinary leakage at the stoma. The second patient had a bladder tube combined with the Monti-Yang-Casale as the primary procedure. Both patients are totally continent following the new in-situ continent bladder tube procedure. Conclusions: Revision for incontinence may be surgically challenging and can lead to vascular compromise. The advantages of this technique are: (1) An in-situ continent bladder tube with can be added to the Monti-Yang-Casale procedure to correct recurrent urinary stomal leak. This technique preserves the stoma loop without handling of the bowel mesentery. (2) This method can also be used as a primary method when the Monti-Yang-Casale tunnel is not sufficiently long enough to cause continence, or compromised blood supply to the Monti-Yang-Casale catheterizable tube. Keywords: urinary diversion | continent stoma | bladder reconstruction, Introduction The Mitrofanoff procedure provides a method to create a stoma that is both easily accessible and continent. The Mitrofaonoff procedure has been commonly used to create a continent stoma [...]

The management of UPJ has evolved dramatically over the past 20 years in response to the development of new technology. Endoscopic and laparoscopic procedures have largely replaced open pyeloplasty for the majority of primary UPJ obstruction. Yet laparoscopic pyeloplasty is a technically demanding procedure requiring advanced intracorporeal suturing skills. With the robotic (Da Vinci system), the suturing and laparoscopic tools is handled with a great degree of freedom much more than the laparoscopic instruments which allows the surgeon to treat even anatomical demanding difficult UPJ. We report the technique of Robotic Pyeloplasty in a 9 year old child with horseshoe kidney and aberrant vessel. Keywords: Robotic pyeloplasty in horseshoe kidney | pyeloplasty in pediatrics | horseshoe pyeloplasty | robotic safty in pediatrics | robotic safty in horseshoes pyeloplsty | pyeloplasty | robotic pyeloplasty with aberrant vessel, Introduction Laparoscopic pyeloplasty has been shown to have equivalent surgical outcomes with less surgical morbidity when compared to the open approach. Yet, the laparoscopic approach has traditionally been performed in [...]

Background: A prospective study of all patients admitted to the University of Maiduguri Teaching Hospital (UMTH), with a provisional diagnosis of carcinoma of the urinary bladder in the six year period between January, 2001 and December, 2006. The object of this investigation was to determine the relationship between schistosomiasis and carcinoma of the urinary bladder in Maiduguri, North East of Nigeria. Method: All the patients were assessed clinically, and investigated by urine cytology, cystoscopy and biopsy for histology. Those confirmed at histology to have carcinoma were analyzed for age, gender, occupation, history of Schistosomiasis, tobacco use, pathological type, presence or absence of schistosoma ova in the specimen, stage of the disease, complications, treatment and outcome. Results: All but 13 of the 65 confirmed cases were males, giving a male to female ratio of 4 to 1. Squamous cell carcinoma (SCC) of the bladder (n=46) was significantly commoner than transitional cell carcinoma (TCC) cases (n=15), in those with past history of Schistosomiasis (p< 0.001), with a Relative Risk (RR) of 4.06. Also 65.2% of SCC showed Schistosomiasis in the histology specimen compared with 13.3% of TCC cases (P < 0.001) Four patients had undifferentiated carcinoma, 3 (75%) of which showed Schistosoma ova in their specimen. Patients with SCC were significantly younger (45.26 +/SD13.5years) than those with TCC (P< 0.001). Our patients were mostly farmers of low socio-economic class. Most presented with advanced disease, thus treatment was mostly palliative and the outcome quite poor. Conclusion: This result clearly shows that carcinoma of the bladder in Maiduguri, North East of Nigeria, is mainly SCC and strongly associated with Schistosomiasis. Therefore, a deliberate policy and effort to control Schistosomiasis in this region will lead to a reduction in the incidence of bladder cancer and the attendant morbidity and mortality. Keywords: Carcinoma, urinary bladder, Schistosomiasis, Maiduguri, Table of Contents Abstract Introduction Patients And Methods Results Discussion Conclusion References Introduction Bladder cancer is the second most common genito-urinary neoplasm after prostate cancer. It is more common in [...]

Table of Contents Abstract Introduction Case Report Discussion References Abstract In the last years percutaneous nephrolithotomy is very often used in the therapy of urinary calculi. Supracostal approach is favorable [...]

Table of Contents Abstract Case 1 Case 2 Discussion Conclusion References Abstract We describe two uncommon cases referred for further surgical management following colposuspension using the Burch technique. In reviewing [...]

Table of Contents Abstract Introduction Material and methods Results Discussion References Abstract Purpose: To study the outcome of hypospadias cases operated using modified tubularized incised plate urethroplasty with vascularized prepucial [...]

Byline: Rajeev. Sood, Vikas. Jain, D. Chauhan Sir, We report the uncomplicated removal of the largest ever prostate from India and the 13th case exceeding 500 grams in the world [...]

A study carried out on 2,300 men of which 191 were circumcised showed that those uncircumcised were six times more likely to acquire HIV than circumcised men. The findings revealed that circumcision was done in early men for hygiene, status, religion, and decoration.

Webcast details kidney surgery with Intuitive robotic system By CYNTHIA DRAKE, RN Medical Device Daily Contributing Writer Children's Hospital Boston broadcast a robot-assisted laparoscopic renal pyeloplasty live last month. The [...]

The reconsideration of the barbaric practice of the circumcision is detailed. There is reasonable evidence to support circumcision on the basis of infection reduction, but removing the foreskin on the basis that it prevents AIDS or HPV is totally rubbish.

Washington--Preoperative hypoalbuminemia is a risk factor for complications following radical cystectomy, say researchers from the University of North Carolina, Chapel Hill. Study authors, led by Angela Smith, MD, assistant professor [...]

2001 SEP 20 - (NewsRx.com & NewsRx.net) -- The first long-term study of GYNECARE TVT Tension-free Support for Incontinence, a minimally invasive surgical option for stress urinary incontinence (SUI), shows [...]

2001 JUN 28 - (NewsRx Network) -- University of Pittsburgh researchers have successfully used stem cell tissue engineering to restore deficient urethral sphincter muscles in animal models, according to a [...]

Rowlands, A. (2012). AORN Journal, 96, 272-284. doi.org/10.1016/j.aorn.2012.06.012 Incorrect surgical counts remain a common occurrence, with incidence estimates reported to be as high as 25%. Patient-related consequences of these events [...]

Seattle--Findings from a retrospective review of patients undergoing single-stage bulbar urethroplasty with buccal mucosa suggest that neither dorsal nor ventral onlay of the graft is inherently superior. Researchers from the [...]

Ann Arbor, MI--Medical expulsive therapy for the initial management of uncomplicated acute renal colic, with eventual uretereoscopy if 111 needed, is associated with less resource utilization and lower 6-week costs [...]

Perugia, Italy--There may be just one predictor of urinary incontinence after pelvic organ prolapse (POP) repair--urinary incontinence. The conclusion of a statistically sophisticated retrospective analysis of 221 POP surgical cases [...]

Richter H, Albo M, Zyczynski H, et al; Urinary Incontinence Treatment Network. Retropubic versus transobturator midurethral slings for stress incontinence. N Engl J Med. 2010;362(22):2066-2076. This large, randomized, prospective multi-center [...]

MOST PEDIATRIC pyeloplasty patients are followed up after the procedure, but there is variation in the modality used, say researchers from Seattle Children's Hospital. The most common method of follow-up [...]

New Orleans -- The prostatic urethral lift (PUL [UroLift, NeoTract, Inc.]) yields successful 3-year durability and also has a superior rate of improvement of BPH symptoms compared to transurethral resection [...]

New Orleans -- An investigational handheld transurethral therapy that delivers targeted sterile water vapor reduces lower urinary tract symptom severity in patients with BPH with no impact on sexual function. [...]

Yes This randomized trial found similar long-term efficacy for TVT and laparoscopic Burch colposuspension for the treatment of urodynamically confirmed SUI. Four to 8 years after surgery, a substantial percentage […]

Sometimes Although prophylactic Burch colposuspension at the time of sacrocolpopexy significantly reduces symptoms of SUI at 2 years, +based on follow-up data from the randomized CARE trial, (1) the Burch […]

Lord HE, Taylor JD, Finn JC, et al. A randomized controlled equivalence trial of short-term complications and efficacy of tension-free vaginal tape and suprapubic urethral support sling for treating stress […]

Over the past 10 years, the midurethral sling has replaced the Burch urethropexy as the most common surgical procedure for correcting stress urinary incontinence (SUI). In this 'Update' on midurethral […]

QUESTION: Recently, the nurses at our facility have been discussing the risks of injury associated with the lithotomy position. What are the general considerations and primary risks associated with the [...]

FLORIDA LAWMAKERS are hoping to add to the state's current high level of tourism by bringing international medical tourism patients to its hospitals, including one facility that already sees patients [...]

Tampa, FL--Labial and lingual mucosa are useful alternatives to buccal mucosa for graft urethroplasty, according to a recent study. Reconstruction In the retrospective study, Paul Bradley, MD, and senior author [...]

The following hints were compiled by Vickie Weaver RN, MSN, CWON (ET Nurse), from the 'Basic Urostomy Information' session at the 40th National UOA Conference held last August in Philadelphia. [...]

Published with permission from Family Urology, Volume VII, Issue 1. A publication of the American Foundation for Urologic Disease, 410-468-1800. More than 50,000 cases of bladder cancer occur annually in [...]