732 results match your criteria Trauma Upper Genitourinary

It's a woman's thing: gender roles sustaining the practice of female genital mutilation among the Kassena-Nankana of northern Ghana.

Reprod Health 2021 Mar 1;18(1):52. Epub 2021 Mar 1.

Heilbrunn Department of Population and Family Health, Mailman School of Public Health, Columbia University, New York, NY, USA.

Introduction: The practice of female genital mutilation (FGM/C) in traditional African societies is grounded in traditions of patriarchy that subjugate women. It is widely assumed that approaches to eradicating the practice must therefore focus on women's empowerment and changing gender roles.

Methods: This paper presents findings from a qualitative study of the FGM/C beliefs and opinions of men and women in Kassena-Nankana District of northern Ghana. Read More

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Rupture of a massive hydronephrotic upper pole moiety: a sequalae of mild trauma.

BMJ Case Rep 2020 Nov 30;13(11). Epub 2020 Nov 30.

Radiology, North Middlesex University Hospital NHS Trust, London, UK.

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November 2020

The scourge of knife crime: trends in knife-related assault managed at a major centre in South Africa.

S Afr J Surg 2020 Sep;58(3):150-153

Department of Surgery, University of the Witwatersrand, Johannesburg, South Africa.

Background: Knife wounds are common and represent a major burden to the South African healthcare system. This study reviews trends in spectrum, management and outcome of these injuries at a single trauma centre in KwaZulu-Natal(KZN).

Method: The regional hybrid electronic registry (HEMR) was reviewed for the period January 2013 - December 2018, and all patients who suffered a knife-related assault were identified and reviewed. Read More

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September 2020

Risk of fracture according to glucocorticoid use after renal biopsy: a nationwide population-based study.

Sci Rep 2020 08 14;10(1):13846. Epub 2020 Aug 14.

Department of Nephrology, Ajou University School of Medicine, Suwon, Republic of Korea.

Few data are available regarding fracture risk in patients treated with glucocorticoids, including patients with kidney disease. A population-based retrospective cohort study was performed using Health Insurance Review and Assessment Service database, a South Korean nationwide cohort set. This study identified 44,702 patients with diagnosis code of kidney diseases who received a renal biopsy between January 1, 2012 and December 31, 2017. Read More

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Abiotrophia defectiva liver abscess in a teenage boy after a supposedly mild blunt abdominal trauma: a case report.

BMC Gastroenterol 2020 Aug 14;20(1):267. Epub 2020 Aug 14.

Department of Abdominal Surgery, Mother and Child Health Care Institute of Serbia "Dr. Vukan Cupic", Radoja Dakica 6-8, Belgrade, Serbia.

Background: A pyogenic liver abscess (PLA) represents a pus-filled cavity within the liver parenchyma caused by the invasion and multiplication of bacteria. The most common offender isolated from the PLA in children is Staphylococcus aureus. Abiotrophia defectiva is a Gram-positive pleomorphic bacterium, commonly found in the oral cavity, intestinal, and genitourinary mucosa as part of the normal microbiota. Read More

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Surgical management of stress urinary incontinence following traumatic pelvic injury.

Int Urogynecol J 2021 Jan 12;32(1):215-217. Epub 2020 Aug 12.

Department of Obstetrics and Gynecology, Mayo Clinic, Rochester, MN, USA.

Introduction And Hypothesis: The objective was to discuss the evaluation and management of stress urinary incontinence (SUI) following traumatic pelvic injury by use of a video case.

Methods: We present a patient with severe SUI following pelvic trauma and our surgical approach to her case. Her injuries included two sacral compression fractures and four un-united bilateral pubic rami fractures, with her right-upper pubic rami impinging on the bladder. Read More

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January 2021

Usefulness of a high-speed surgical air drill in pubectomy during delayed anastomotic urethroplasty for pelvic fracture urethral injury.

Int J Urol 2020 11 9;27(11):1002-1007. Epub 2020 Aug 9.

Department of Plastic Surgery, National Defense Medical College, Tokorozawa, Saitama, Japan.

Objectives: Pubectomy is an ancillary technique used to increase exposure of the disrupted urethra and reduce anastomotic tension, which can be difficult for inexperienced surgeons. The objective of the present study was to illustrate the use of an air drill enabling delicate and precise bone resection in pubectomy for delayed anastomotic urethroplasty for pelvic fracture urethral injury.

Methods: Between 2009 and 2019, 88 male patients underwent delayed anastomotic urethroplasty with pubectomy for pelvic fracture urethral injury. Read More

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November 2020

Embedded upper end of double J stent at the site of renal pelvis injury following percutaneous nephrolithotomy: a rare complication.

Fayez T Hammad

BMC Urol 2020 Jul 17;20(1):102. Epub 2020 Jul 17.

Department of Surgery, College of Medicine and Health Sciences, United Arab Emirates University and Mediclinic Al Ain, Po Box 17666, Al Ain, UAE.

Background: Injury of the renal collecting system is a well-known complication of percutaneous nephrolithotomy (PNL). Large injuries may cause excessive bleeding and fluid extravasation and require adequate drainage using several modalities such placement of JJ stents. Herein, we report on two cases in which the upper coil of the JJ stent got buried in the fibrous tissues which formed due to an injury of the collecting system during PNL. Read More

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Georgian Med News 2020 May(302):147-154

1National Pirogov Memorial Medical University, Vinnytsya; Ukraine.

Public health is a multidimensional concept that includes the following medical indicators: number, age, and gender composition, symbols of fertility and mortality, disability, morbidity, and prevalence of diseases. But during the period of independence and the implementation of medical reform in the country, the medical and demographic situation has caused concern. It reflects the poor state of the health of the majority of the population of Ukraine. Read More

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Pregnancy and Delivery in Women with Lower Urinary Tract Reconstruction: A National Multicenter Retrospective Study from the French-Speaking Neuro-Urology Study Group (GENULF) and the Neuro-Urology Committee of the French Association of Urology.

J Urol 2020 Dec 2;204(6):1263-1269. Epub 2020 Jul 2.

Department of Urology, Hôtel-Dieu Hospital, University of Nantes, Nantes, France.

Purpose: Management of pregnancy and delivery in women with lower urinary tract reconstruction is challenging and the currently available literature is insufficient to guide clinical practice. We report pregnancy and delivery outcomes in this specific population.

Materials And Methods: We conducted a national multicenter retrospective study (16 centers) including 68 women with 96 deliveries between 1998 and 2019. Read More

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December 2020

Abdominal aortic rupture after extracorporeal shockwave lithotripsy: A rare case report and literature review.

J Int Med Res 2020 Jun;48(6):300060520931608

Department of Vascular Surgery, The Third Affiliated Hospital of Soochow University, Changzhou, China.

Extracorporeal shockwave lithotripsy (ESWL) is a common and effective treatment method for most renal and upper ureteral calculi. Aortic rupture after ESWL is an extremely rare complication. Seven cases of aortic rupture have been reported to date, and only one case involved the rupture of a calcified abdominal aorta. Read More

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Ureteral substitution with appendix.

Int J Urol 2020 Aug 31;27(8):663-669. Epub 2020 May 31.

Department of Urology, North-Western State Medical University named after I.I. Mechnikov, St. Petersburg, Russia.

Objective: To study the long-term results of ureteral reconstruction with the appendix in patients with long ureteral strictures.

Methods: From 1998 to 2019, 26 patients were operated with substitution of extended defects of the ureter with the appendix. There were 22 women and four men (mean age 44. Read More

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Upper urinary tract injury by blunt trauma, about a case.

Arch Esp Urol 2020 May;73(4):322-323

Servicio de Radiodiagnóstico. Hospital Clínico Universitario Lozano Blesa. Zaragoza. España.

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Appendiceal Onlay Flap Ureteroplasty for the Treatment of Complex Ureteral Strictures: Initial Experience of Nine Patients.

J Endourol 2020 Aug 25;34(8):874-881. Epub 2020 Jun 25.

Department of Urology, National Urological Cancer Center, Institute of Urology, Peking University First Hospital, Peking University, Beijing, China.

To evaluate the onlay technique using the appendix for ureteral reconstruction and describe the initial experience of nine operations performed by one surgeon. Nine patients with complex ureteral strictures who underwent appendiceal onlay flap ureteroplasty since May 2019 were recruited from our RECUTTER database. There were seven men and two women, with a mean age of 38. Read More

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[The results of treatment of newborns with postrenal anuria due to upper urinary tract obstruction, caused by fungal bezoar].

Urologiia 2020 Mar(1):81-85

Rostov Regional Pediatric Hospital, Rostov-on-Don, Russia.

Aim: To evaluate the results of different methods of urine derivation in patients with postrenal anuria due to upper urinary tract (UUT) obstruction, caused by fungal bezoar.

Materials And Methods: The results of treatment of postrenal anuria in 8 patients without congenital obstructive anomalies of UUT in 5 clinics from 2004 to 2018 were analyzed. All patients from the birth received continuously two or more antibiotics for diseases not related to kidneys and the urinary tract. Read More

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Defining the medical coverage of ballistic protection to the pelvis and thigh.

BMJ Mil Health 2020 Jun 27;166(3):129-134. Epub 2020 Feb 27.

Royal Centre for Defence Medicine (RCDM), Birmingham Research Park, Birmingham, UK.

Introduction: Pelvis, lower limb and associated genital injury caused by explosive devices was responsible for mortality and considerable long-term morbidity for the UK Armed Forces during combat operations in Afghanistan, resulting in the issue of a pelvic protection system in 2010. The aim of this current research was to determine the medical coverage of the pelvis and thigh and to define the vertical dimensions of ballistic protective material for future pelvic protection (PP).

Method: CT scans from 120 male UK Armed Forces personnel were analysed to identify the anthropometric landmarks and vertical boundaries of coverage for the pelvis and thigh. Read More

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Spinal cord injury leads to atrophy in pelvic ganglia neurons.

Exp Neurol 2020 06 25;328:113260. Epub 2020 Feb 25.

International Collaboration on Repair Discoveries (ICORD), University of British Columbia (UBC), Vancouver, British Columbia, Canada; Department of Medicine, Division of Physical Medicine and Rehabilitation, UBC, Vancouver, British Columbia, Canada. Electronic address:

Among the most devastating sequelae of spinal cord injury (SCI) are genitourinary and gastrointestinal dysfunctions. Post-ganglionic neurons in pelvic ganglia (PG) directly innervate and regulate the function of the lower urinary tract (LUT), bowel, and sexual organs. A better understanding of how SCI affects PG neurons is essential to develop therapeutic strategies for devastating gastrointestinal and genitourinary complications ensuing after injury. Read More

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Decreasing the prospect of upper extremity neuropraxia during robotic assisted laparoscopic prostatectomy: a novel technique.

J Robot Surg 2020 Oct 29;14(5):733-738. Epub 2020 Jan 29.

Department of Urology, University of Tennessee Erlanger, 979 East Third Street, Suite C-925, Chattanooga, TN, 37403, USA.

Risk of intraoperative neuropathic injury in minimally invasive surgery has been established as a leading complication. Continuous intraoperative neuromonitoring (IONM), such as upper extremity somatosensory evoked potentials (ueSSEPs), to decrease peripheral nerve injury due to positional stress has been described. Robotic-assisted laparoscopic prostatectomy (RALP) requires steep Trendelenberg, which may predispose patients to upper extremity neuropraxia. Read More

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October 2020

Safety of dry needling to the upper lumbar spine: a pilot cadaver study.

J Man Manip Ther 2020 05 25;28(2):111-118. Epub 2019 Dec 25.

School of Health and Rehabilitation Sciences, College of Medicine, The Ohio State University, Columbus, OH, USA.

: When inserting a dry needle laterally into the upper lumbar spine (L1-L3) there is an increased risk of piercing the kidney; therefore, the objective of this study was to determine a zone of safety for practitioners to needle in the upper lumbar spine.: Ten cadavers were screened for inclusion. L1 spinous process was identified and confirmed with ultrasound imaging. Read More

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[Laparoscopic ureteropyeloanastomosis in iatrogenic trauma of the upper pole ureter in a duplex kidney].

Urologiia 2019 Dec(5):109-111

Department of urology of FGBOU VO North-Western State Medical University named after I.I. Mechnikov, Saint Petersburg, Russia.

In case of stricture of the lower third of ureter in patients with duplex kidney, ureteroneocystostomy or transureteroureterostomy can be used. Anastomosis of the injured ureter of the upper pole with the pelvis of the lower pole is considered nontypical. In this clinical observation, a 46-year-old patient with iatrogenic trauma of the pelvic part of the upper pole of a duplex kidney successfully undergone laparoscopic ureteropyelostomy. Read More

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December 2019

Urethral Catheterization Is Not Necessary During Nononcological Laparoscopic Pelvic Surgery.

J Patient Saf 2019 12;15(4):e21-e23

From the Department of Upper GI Surgery, North Cumbria Hospital.

Objectives: Expert opinion remains divided regarding whether routine urethral catheterization is required before nononcological laparoscopic pelvic surgery. Catheterization is thought to reduce the incidence of bladder injury when inserting a suprapubic laparoscopic port and prevent obstruction of the view of the pelvis because of bladder filling. However, catheterization comes with a risk of nosocomial infection and harbors financial cost. Read More

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December 2019

Early prenatal detection of anterior uterine sacculation resulting from previous cesarean sections.

J Clin Ultrasound 2020 Feb 13;48(2):111-114. Epub 2019 Nov 13.

Department of Obstetrics and Gynecology, Faculty of Medicine, Chiang Mai University, Chiang Mai, Thailand.

Anterior uterine sacculation was diagnosed at 15 weeks of gestation in a woman with two previous cesarean sections, based on hourglass appearance of two distinct uterine segments, namely the empty upper segment and the large thinned wall lower segment containing a fetus with posteriorly attached placenta. The pregnancy developed through the bulging weakened anterior wall instead of growing toward the upper segment. Urgent hysterectomy was performed. Read More

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February 2020

Ureteral obstruction and hydronephrosis caused by foreign body: A case report and literature review.

Medicine (Baltimore) 2019 Nov;98(44):e17780

Department of Urology, Peking Union Medical College Hospital, Chinese Academy of Medical Science and Peking Union Medical College, Beijing, China.

Rationale: Foreign bodies related ureteral obstruction and hydronephrosis is rare and usually cause numerous problems for clinical physicians.

Patient Concerns: We report a 36-year-old female who was referred to our hospital due to a 4-year history of dull pain on the left back.

Diagnosis: X-ray and abdominal CT revealed a foreign body around the upper part of the left ureter with ureteral obstruction and hydronephrosis. Read More

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November 2019

[Review of upper urinary modified minimal invasive surgical technology].

Beijing Da Xue Xue Bao Yi Xue Ban 2019 Aug;51(4):610-614

Department of Urology, Peking University First Hospital, Beijing 100034, China.

Upper urinary surgery is an important area of urology surgery. Open surgery used to be the gold standard of upper urinary surgery. With the development of medical techniques, minimal invasive surgeries including laparoscopic and robot assisted-laparoscopic surgery have gradually replaced the open surgery. Read More

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Abaloparatide in patients with mild or moderate renal impairment: results from the ACTIVE phase 3 trial.

Curr Med Res Opin 2019 12 11;35(12):2097-2102. Epub 2019 Sep 11.

Center for Bone Quality, Leiden University Medical Center, Leiden, The Netherlands.

To evaluate, post hoc, the efficacy and safety of abaloparatide by degree of renal impairment. ACTIVE was a phase 3, 18-month, randomized, double-blind, active-comparator, placebo-controlled study of postmenopausal women with osteoporosis who received subcutaneous abaloparatide 80 µg, placebo, or open-label teriparatide 20 µg daily. Patients with serum creatinine >2. Read More

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December 2019

The spectrum of animal related injuries managed at a major trauma centre in South Africa.

S Afr J Surg 2019 Sep;57(3):54

Department of Surgery, University of the Witwatersrand, Johannesburg, South Africa and Department of Surgery, University of KwaZulu-Natal, Durban, South Africa.

Background: Humans come into contact and interact with an array of animals in a number of areas and environments. We set out to review our experience with animal-related injuries in Pietermaritzburg, KwaZulu-Natal, South Africa.

Method: All patients who sustained an injury secondary to an interaction with an animal in the period December 2012-December 2017 were identified from the Hybrid Electronic Medical Registry (HEMR). Read More

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September 2019

A nonsurgical and nonpharmacological care bundle for preventing upper urinary tract damage in patients with spinal cord injury and neurogenic bladder.

Int J Nurs Pract 2020 Apr 21;26(2):e12761. Epub 2019 Jul 21.

Shenzhen Hospital, Southern Medical University, Shenzhen, China.

Aim: To establish a care bundle in spinal cord injury patients with neurogenic bladder to avoid upper urinary tract damage and to provide guidance for health care staff in use of nonsurgical and nonpharmacological adjunctive strategies to improve patients' clinical outcomes.

Background: Prevention of upper urinary tract damage is critical in the management of spinal cord injury patients with a neurogenic bladder, but there are no authoritative guidelines or high-quality randomized controlled trials.

Design: The study was conducted on the basis of Fulbrook and Mooney's seven-step method for care bundle development. Read More

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Evaluation of the Risks and Benefits of Computed Tomography Urography for Assessment of Gross Hematuria.

Urology 2019 Nov 27;133:40-45. Epub 2019 Jun 27.

University of Pittsburgh Medical Center, Department of Urology, Pittsburgh, PA.

Objective: To model the risk of radiation-induced malignancy from computed tomography urography (CTU) in evaluation of gross hematuria and contrast this with the benefits of urinary tract cancer detection when compared to renal ultrasound.

Methods: A PUBMED-based literature search was performed to identify model inputs. Estimates of radiation-induced malignancy rates were obtained from the Biological Effects of Ionizing Radiation VII report with dose extrapolation using the linear no-threshold model. Read More

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November 2019

Laser Endoscopic X-Ray-Guided Intrarenal Tract: Comparison Among Renal Access Modalities in the Porcine Kidney.

J Endourol 2019 09 16;33(9):719-724. Epub 2019 Jul 16.

Department of Urology, University of California, Irvine, California.

Laser endoscopic X-ray-guided intrarenal tract (LEXIT) is a recently described holmium laser retrograde access technique for creating percutaneous access during a percutaneous nephrolithotomy. We compared bleeding, ease of access, and the time to achieve access for each of the following three modalities: LEXIT, retrograde Lawson puncture wire, and antegrade 18-gauge nephrostomy needle access in the porcine kidney. Eight pigs underwent an average of five nephrostomy accesses per kidney under simultaneous laparoscopic vision at 5 mm Hg insufflation pressure. Read More

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September 2019