Abstract
One in every 122 parturients during the period had fistula. Eleven (29.7%) were teenagers. Many patients were married (54.1%), nulliparous (59.4%), come from low socioeconomic class (72.9%) and did not utilize modern obstetric facilities properly. Many cases resulted from prolonged obstructed labour...
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PMID: 20857795
PDF is available here.
Abstract
OBJECTIVE: To assess the improvement of seminal characteristics and pregnancy rates after microsurgical varicocelectomy in men with subclinical varicocele. DESIGN: Retrospective study. SETTING: University infertility clinic. PATIENT(S): One hundred forty-three patients with a subclinical left-sided...
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PMID: 19249033
PDF is available here.
Abstract
We have developed a new combined method of fistuloplasty (patent 21350999). The method was used in 12 of 32 operations made in 1997-2007 in the urological clinic of the Kazan Medical University for vesicovaginal fistula in patients aged 19 to 72 years. The technique was applied in women with vesicov...
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PMID: 20973131
PDF is available here.
Abstract
The mean age of the patients was 6.2 years in the "TIPU" group and 6.6 years in the Belt-Fuqua group. The mean follow-up duration was 9.2 and 7.9 months, respectively. The overall complication rate was 22.6% in the "TIPU" group and 11.8% in the Belt-Fuqua group. In both groups, the cosmetic appearan...
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PMID: 19280361
PDF is available here.
Abstract
An overview of DSD with recent publications germane to diagnosis, management, and sex of rearing decisions is presented. Most DSD etiologies are rare and outcome studies are scarce. A high degree of uncertainty and low level of scientific support have led to most of the controversies in this field....
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PMID: 19444113
PDF is available here.
Abstract
We present our experience of the laparoscopic management of these difficult cases, together with a review of the current literature.
A prospective database was established for all patients undergoing surgery for Deep Infiltrating Endometriosis (DIE) with rectovaginal and/or ureteric and bladder nodu...
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PMID: 19575737
PDF is available here.
Abstract
After classic ureterosigmoidostomy (USS) or Mainz II pouch, continence rates are very high even in the long-term follow-up with a mean of 50 years. In contrast, multiple procedures including bladder neck repair (BNR) were needed in the majority of patients after complete primary repair of bladder ex...
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PMID: 19461521
PDF is available here.
Abstract
Advanced laparoscopic surgery marked the beginning of minimally invasive pelvic surgery. This technique lead to the development of laparoscopic hysterectomy, colposuspension, paravaginal repair, uterosacral suspension, and sacrocolpopexy without an abdominal incision. With laparoscopy there is a sig...
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PMID: 19415062
PDF is available here.
Abstract
In all nine patients the free skin graft is revascularized. The male patients show a good cosmetic result. The penile skin is mobile, which is also reflected by an unproblematic erection in the adult patient. The only complication in the female patients was a scar between the free skin graft and the...
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PMID: 19300977
PDF is available here.
Abstract
The development of the Müllerian system and the female reproductive tract is a complex process involving an integrated series of events with significant potential for abnormal development and anomalies. Structural anomalies of the female reproductive tract may be isolated or occur i...
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PMID: 19344847
PDF is available here.
Abstract
This report presents a case of vaginal erosion and bilateral suprabupic abscesses five years after insertion of an intravaginal slingplasty (IVS) midurethral incontinence sling in a 53-year-old female patient. Partial removal was insufficient. After complete removal, the patient achieved full recove...
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PMID: 19176158
PDF is available here.
Abstract
In 36 of examined patients the result of the surgery was considered good, in 4 patients - satisfactory and in 3 - poor. The most common complication of feminizing genitoplasty in our patients was stenosed vagina (in 10 patients, 23.8%). Location of urinary coil in anterior wall of vagina was found i...
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PMID: 19675521
PDF is available here.
Abstract
The purpose of this study was to assess the current role of robot-assisted urological surgery in the female pelvis. The recently published English literature was reviewed to evaluate this role, with special emphasis on reconstructive procedures. These included colposuspension for genuine female stre...
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PMID: 19526187
PDF is available here.
Abstract
We suggest that the high vaginal erosion rate in the IVS group is associated with the tape material....
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PMID: 19824871
PDF is available here.
Abstract
Long-term outcome of MUS operations in Denmark in terms of cure, satisfaction and complication rates seems comparable to international results; however, the decentralized organization with many low-volume departments seems inappropriate....
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PMID: 19832549
PDF is available here.
Abstract
Sixty-eight patients (63%) had blunt, 25 (24%) had penetrating, and 12 (11%) had iatrogenic trauma, and 3 patients (3%) had spontaneous organ injury. When we considered the affected organ, renal trauma was determined in 34 patients (32%), ureteral trauma in 11 (10%), bladder injuries in 18 (17%), ur...
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PMID: 19130341
PDF is available here.
Abstract
Low preoperative values of MUCP and VLPP did not correlate with QOL. Preoperative VLPP and MUCP do not predict the QOL after anti-incontinent surgery....
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PMID: 19591377
PDF is available here.
Abstract
We anticipate that imiquimod will contribute to efficient control of the disease in the future....
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PMID: 19177765
PDF is available here.
Abstract
We report the successful repair of VVF in 2 patients using a combined anterior vaginal approach and porcine dermal collagen grafting as interposition tissue. Favorable results confirm technical simplicity, safety and efficacy of this procedure.
(c) 2009 S. Karger AG, Basel....
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PMID: 19172110
PDF is available here.
Abstract
We present our technique for achieving simultaneous anterograde and retrograde endourologic access to manage complex and demanding cases.
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PMID: 19025394
PDF is available here.
Abstract
We describe our use of a surgical helmet system when performing percutaneous renal surgery on high-risk patients to minimize risk of splash injury and transmission of blood-borne pathogens....
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PMID: 19025395
PDF is available here.
Abstract
The last decade has witnessed an alarming increase in the worldwide incidence of hypospadias. For non-hypospadiologists, the surgical correction of hypospadias will be increasingly demanding. This paper aims to evaluate the effectiveness of a treatment strategy devised by a single-surgeon practice i...
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PMID: 19803297
PDF is available here.
Abstract
We observed complete remission during the follow-up period in 215 women (93%). No major complication related to the procedure was reported, and results were found to be satisfactory and encouraging....
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PMID: 19035945
PDF is available here.
Abstract
Parents' stories reflected strong protective instincts towards their children along with feelings of shock and disbelief. Parents' social construction of gender influenced their attitudes and beliefs about their child's ambiguous genitalia and the need for surgery. Parents' desired to be 'good paren...
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PMID: 18047575
PDF is available here.
Abstract
Six-hundred fifty-five women were included in analyses of perioperative events and 520 for 2-year outcomes. Mean age (+/-standard deviation) was 69.7 (+/-3.7) years in the older group and 49.4 (+/-8.2) in the younger group. Older women had slightly longer time to normal activities (50 days compared...
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PMID: 18757661
PDF is available here.
Abstract
A single-dose ofantimicrobial prophylaxis (AMP) was administered parenterally for prevention of perioperative infection in a total of 206 urologic surgeries including 114 endoscopic-instrumental, 92 clean, and 20 clean-contaminated procedures between January and December, 2007, and surgical site inf...
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PMID: 18975571
PDF is available here.
Abstract
Burch colposuspension does not provide any additional benefit in pelvic organ prolapse repair in patients with urinary incontinence....
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PMID: 18639302
PDF is available here.
Abstract
We report the case of a 14-month-old child with imperforate anus who was found to have polyorchia during repair of his inguinal hernia. Although cryptorchidism is not an uncommon finding in patients with imperforate anus, polyorchidism has never been reported. This is an unusual presentation of a ra...
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PMID: 18675651
PDF is available here.
Abstract
The diagnosis of fistula-associated anal adenocarcinoma is often unsuspected. Most patients can be cured with aggressive surgical and adjuvant chemoradiotherapy....
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PMID: 18418652
PDF is available here.
Abstract
Bilateral giant hydrocele in an adult is a rare clinical entity. A 31-year-old man presented with painless bilateral scrotal swelling that had appeared at age 13 years and had increased very slowly since. Computed tomography and ultrasonography revealed collection of fluid on both sides of the scrot...
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PMID: 18697499
PDF is available here.
Abstract
Acquired adult buried penis is a correctable problem. The use of combined techniques, including surgical unburying, scrotoplasty, escutcheonectomy, and split-thickness skin grafts fixed with dilute fibrin glue, appears to be a useful approach to repair this unique condition....
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PMID: 18343486
PDF is available here.
Abstract
A case of giant congenital urethral polyp on a female newborn is reported. The lesion appeared as a large fleshy, exuberant tumor at the introitus between the labia minora. The mass was constituted by orderly arranged layers of transitional and squamous epithelium outside and loose connective tissue...
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PMID: 18558211
PDF is available here.
Abstract
We report a case of a newborn with vaginal fibroepithelial polyp. The authors suggest that vaginal polyp must be considered in the evaluation of interlabial masses in prepubertal girls....
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PMID: 17619202
PDF is available here.
Abstract
OBJECTIVE: To report a case of transurethral resection of the ejaculatory duct in a fertile man with normozoospermia. DESIGN: Case report. SETTING: Large federal hospital in Sao Paulo, Brazil. PATIENT(S): A 29-year-old man with normal semen analysis values who had recently fathered a healthy child,...
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PMID: 17603053
PDF is available here.
Yozo Mitsui,
Yasuo Ueda,
Toru Suzuki,
Mayumi Shincho,
Yoshihide Higuchi,
Jun Qiu,
Takuo Maruyama,
Nobuyuki Kondoh,
Michio Nojima,
Shingo Yamamoto,
Seiichi Hirota and
Hiroki Shima
Abstract
A 44-year-old man was referred to our hospital with a chief complaint of a painless left intrascrotal mass, palpable at the lower portion of the left testis. Serum levels of tumor markers, human choriogenic gonadotropin (hCG), hCG-beta, and alpha fetoprotein were within the normal limits. Ultrasonog...
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PMID: 18546867
PDF is available here.
Abstract
We describe two symptomatic anterior vaginal wall cysts in a virgin patient and the usefulness of imaging modalities. A 36-year-old virgin woman presented with a complaint of vaginal bulging and pelvic pressure. Pelvic examination revealed a cystic mass protruding from the vagina surrounded by the i...
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PMID: 18008018
PDF is available here.
Abstract
We report the technique of laparoscopic repair of vesicouterine fistula. A 30 year old lady presented with incapacitating cyclical pain for one and a half years. She had undergone cesarean section 18 months ago. She was evaluated by a CT scan of abdomen and pelvis followed by a cystoscopy and diagno...
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PMID: 17965816
PDF is available here.
Abstract
The aim of this study is to describe results of reduction testing in stress-continent women undergoing sacrocolpopexy and to estimate whether stress leakage during urodynamic testing with prolapse reduction predicts postoperative stress incontinence. Three hundred twenty-two stress-continent women w...
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PMID: 18185903
PDF is available here.
Abstract
Obstetric fistulae vary significantly in size, location and condition of surrounding tissues. Traditional description of a genito-urinary fistula repair involves a fistula located in the midline of the vaginal wall, with minimal scarring or adhesions of the bladder/urethra to the surrounding vagina...
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PMID: 18074070
PDF is available here.
Abstract
We assessed which women undergoing prolapse surgery were more likely to undergo UDS and in what way UDS altered management. SPSS version 13 was used to analyse the data. A total of 60% (43/72) of the patients underwent preoperative UDS and 53% (23/43) of the women undergoing UDS had an abnormal resu...
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PMID: 18569478
PDF is available here.
Abstract
Evaluation and management of gunshot wounds to the penis may potentially be complex. Retrograde urethrogram should be performed in all cases except the most insignificant and superficial wounds. We describe our technique of penile exploration and artificial erection, noting excellent results in pati...
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PMID: 18404072
PDF is available here.
Abstract
We estimated the lifetime risk of undergoing an operation by age 80 to be 11.8%. Our findings agree with a previous estimate that approximately 11% of women will undergo surgery for POP or UI by age 80. POP and UI appear to be common problems, undoubtedly affecting an even larger proportion of the w...
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PMID: 17896064
PDF is available here.
Abstract
For prostate cancer, the most interesting findings concern ablative therapies for primary and recurrent prostate cancer with substantial functional and oncologic results. Unfortunately, no recent study assessed the long-term oncologic outcomes after laparoscopic radical prostatectomy. It appears tha...
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PMID: 18303542
PDF is available here.
Abstract
The objective of this study was to describe the distribution of pelvic organ prolapse (POP) surgery across age groups in the USA in 2003. Patients were grouped into four age categories: Reproductive age, perimenopausal, postmenopausal, and elderly. Data from the 2003 National Hospital Discharge Surv...
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PMID: 17882343
PDF is available here.
Abstract
We did not find any significant difference between inoculated or non-inoculated meshes in terms of collagen deposition. The scarring process seemed stable at day 90. Tissue integration was best with the polypropylene meshes, which allowed the development of a well-organised, mature connective tissue...
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PMID: 17964059
PDF is available here.
Abstract
This prospective study identifies PSCA mRNA in BPH as a significant predictor of cancer development after TURP, suggesting that PSCA may be used to identify patients who are at high risk for subsequent cancer onset following TURP for BPH and the PSCA test may be useful when applied for repeat biopsi...
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PMID: 18076024
PDF is available here.
Abstract
OBJECTIVE: To report our experience with TURED in infertile men with EDO associated with abnormal development of the mesonephric or Wolffian duct, causing a contemporary malformation of the ipsilateral upper urinary tract. DESIGN: Retrospective clinical study. SETTING: Infertile men in an hospital e...
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PMID: 17675001
PDF is available here.
Abstract
The average operative time for microscopic inguinal varicocelectomy was 73.9+/-12.2 min, whereas the robot-assisted technique took 71.1+/-21.1 min. There were no difficulties in identifying and isolating vessels and the vas deferens with robot-assisted subinguinal varicocelectomy. Hand tremor was el...
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PMID: 18087653
PDF is available here.
Abstract
Forty-two women and thirty-three men, aged 65-83 years (mean 71.4) were enrolled in the study. Fourteen women and eleven men, aged 67-84 years (mean 74.2) and hospitalized for nonsurgical disease, served as controls. We found a positive correlation between the MMSE test and impaired SaO2 on the firs...
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PMID: 19469092
PDF is available here.
Abstract
Varicocelectomy resulted in the induction or enhancement of spermatogenesis for several men with UOA or SO; it seems to be a reasonable option in selected patients with UOA or SO....
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PMID: 17941933
PDF is available here.