769 results match your criteria Trauma Upper Genitourinary

Efficacy of complete laparoscopic ileal augmentation cystoplasty for the treatment of low bladder capacity and compliance: a case series.

BMC Urol 2022 Apr 12;22(1):58. Epub 2022 Apr 12.

Department of Urology, The Second Affiliated Hospital of Anhui Medical University, Hefei, 230032, Anhui, China.

Objectives: To investigate the safety and efficacy of complete laparoscopic ileal augmentation cystoplasty for the treatment of low bladder capacity and compliance.

Methods: The clinical data of 13 patients with low bladder capacity and compliance were retrospectively analyzed. Therapeutic efficacy was evaluated at follow-up. Read More

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Leiomyosarcoma of the spermatic cord: a rare paratesticular neoplasm case report.

World J Surg Oncol 2022 Mar 25;20(1):94. Epub 2022 Mar 25.

Department of Urology, Galway University Hospital, Galway, Ireland.

Background: Primary soft tissue sarcomas contribute to only 2% of all malignancies arising from the male genitourinary tract. Leiomyosarcoma (LMS) is a malignant soft tissue neoplasm which originates from the mesenchyme and has a characteristic smooth muscle differentiation. Usually, it presents as a painless, firm, slow-growing unilateral scrotal mass. Read More

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The safety cutoff storage pressure for preventing upper urinary tract damage in neurogenic bladder from spinal cord pathology and risk factor analysis.

Neurourol Urodyn 2022 04 23;41(4):991-1001. Epub 2022 Mar 23.

Department of Surgery, Division of Urology, Thammasat University Hospital, Pathum Thani, Thailand.

Introduction: Low-compliance bladder or high bladder pressure undoubtedly leads to hydronephrosis and renal impairment. As four decades have elapsed since a previous study found a detrusor leak-point pressure (DLPP) >40 cm H O to result in hydronephrosis, we suspected the possibility of hydronephrosis or vesicoureteral reflux occurring at any point below the 40 cm H O DLPP reference. Therefore, this study aimed to determine the storage detrusor pressure value and risk factors related to upper urinary tract damage (UUTD). Read More

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Interventional management and surgery of neurogenic lower urinary tract dysfunction in patients with chronic spinal cord injury: A urologist's perspective.

Low Urin Tract Symptoms 2022 May 1;14(3):132-139. Epub 2022 Mar 1.

Department of Urology, Hualien Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation and Tzu Chi University, Hualien, Taiwan.

Neurogenic lower urinary tract dysfunction (NLUTD) caused by spinal cord injury (SCI) is challenging for urologists. NLUTD not only affects the quality of life but also endangers the upper urinary tract of patients with chronic SCI. Considering that the bladder and urethral function change with time, regular follow-up of NLUTD is necessary, and any complication should be adequately treated. Read More

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Gonad irradiation from fluoroscopy during upper limb orthopaedic procedures in a UK District General Hospital.

Br J Radiol 2022 May 11;95(1133):20211087. Epub 2022 Feb 11.

Trauma and Orthopaedics, St. George's University Hospitals NHS Foundation Trust, London, UK.

Objectives: To perform a dose assessment of radiation received to the surgeon's gonads when performing upper limb fluoroscopy-guided procedures when the C-arm may be positioned in between the surgeon's legs.

Methods: A calibrated MDH-Radcal 2025 electrometer was used to read the radiation dose for a single exposure and a 5-s screening radiograph with the C-arm firing up and down. These were performed with and without a lead gown positioned over the ionisation chamber where it would ordinarily lie over gonads during surgery. Read More

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Bilateral spontaneous massive renal hemorrhage in a peritoneal dialysis patient: A case report.

Medicine (Baltimore) 2021 Nov;100(44):e27549

Division of General Surgery, Changhua Christian Hospital, Changhua, Taiwan.

Rationale: Non-traumatic bilateral spontaneous massive renal hemorrhage confined to the subcapsular and perirenal space, also known as Wünderlich syndrome, can occur suddenly and insidiously and cause serious consequences if not properly identified and managed. We report a case of bilateral spontaneous massive renal hemorrhage in a series of devastating episodes.

Patient Concerns: A 38-year-old woman undergoing peritoneal dialysis for 7 years for end-stage renal disease presented with disturbances in consciousness and sudden hypotension. Read More

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November 2021

Squamous cell carcinoma of the renal pelvis in a patient with long-term spinal cord injury-a case report.

Spinal Cord Ser Cases 2021 11 29;7(1):102. Epub 2021 Nov 29.

Occupational Medicine, Leibniz Research Centre for Working Environment and Human Factors at TU Dortmund (IfADo), Dortmund, Germany.

Introduction: For individuals with spinal cord injury/disease (SCI/D) the risk of developing a stone in the upper urinary tract is up to six times higher than in the able-bodied population. Upper urinary tract carcinomas, in general, are rare and account for only 5-10% of all urinary tract carcinomas. It is believed that chronic upper urinary tract irritation caused by e. Read More

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November 2021

[Non-infectious emergencies of the lower urinary tract and genitals].

Prog Urol 2021 Nov;31(15):1022-1038

Service d'urologie, Hôpital d'Instruction des Armées Sainte Anne, BP 600, 83800 Toulon cedex 09, France.

Introduction: The objective of this narrative review was to report the most relevant data on the contemporary management of the main non-infectious emergencies of the lower urinary tract and genital organs.

Methods: A narrative synthesis of the articles (French, English) available on the Pubmed database was carried out in June 2021. A request to the health surveillance network for emergencies and deaths (SurSaUD®, Santé Publique France) revealed original data on the epidemiology of non-infectious lower urinary tract and genital organs emergencies. Read More

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November 2021

[Management of complications of upper urinary tract trauma (kidney and ureter)].

Prog Urol 2021 Nov;31(15):1014-1021

CHU de La Conception, AP-HM, 13005 Marseille, France.

Introduction: Complications of kidney and ureter trauma are directly in the field of the urologist. If they have a second place in the vital prognosis, a good knowledge of these pathologies is essential.

Methods: A systematic review of the literature was carried out using the Medline database in order to identify the most relevant articles in English and French. Read More

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November 2021

Pediatric cervical kyphosis in the MRI era (1984-2008) with long-term follow up: literature review.

Childs Nerv Syst 2022 02 22;38(2):361-377. Epub 2021 Nov 22.

Department of Neurosurgery, Rush University Medical Center, Chicago, IL, USA.

Objective: Cervical kyphosis is rare in the pediatric population. It may be syndromic or acquired secondary to laminectomy, neoplasia, or trauma. Regardless, this should be avoided to prevent progressive spinal deformity and neurological deficit. Read More

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February 2022

Adaptive Cycling: Injuries and Health Concerns.

Phys Med Rehabil Clin N Am 2022 02 19;33(1):45-60. Epub 2021 Oct 19.

Physical Medicine & Rehabilitation, Department of Neurology, The University of Texas at Austin, Dell Medical School, 1400 North IH-35, Suite 2.230, Austin, TX 78701, USA. Electronic address:

Para-cycling has high rates of acute injuries. The underlying medical conditions of para-athletes predispose these cyclists to injury patterns and sequelae different from those of their able-bodied counterparts. Such injuries include an increased incidence of upper-extremity and soft tissue injuries, along with predisposition for respiratory, skin, genitourinary, and heat-related illnesses. Read More

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February 2022

A Forgotten Ureteral Stent: Potential Risks for the Urinary Function.

Urol Int 2022 14;106(2):209-212. Epub 2021 Sep 14.

Department of Urology, Nuremberg General Hospital, Paracelsus Medical University, Nuremberg, Germany.

A 32-year-old man presented with painless macrohaematuria. An endoscopic stone removal of the upper moiety of a left double kidney with ureter duplex was performed 4 years ago. The inserted ureteral catheter (DJ) was not removed although it was communicated to the patient and written in the discharge report. Read More

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Using pneumovaginoscopy to perform the removal of a vaginal fibroid.

Fertil Steril 2021 12 15;116(6):1664-1666. Epub 2021 Sep 15.

Department of Obstetrics and Gynecology, Assistance Publique Hôpitaux de Marseille, La Conception Hospital, 13005 Marseille, Aix Marseille University, France; Institut Méditerranéen de Biodiversité et d'Écologie marine et continentale (IMBE), Aix Marseille University, CNRS, IRD, Avignon University, Marseille, France. Electronic address:

Objective: To describe and assess the feasibility of a novel surgical technique (pneumovaginoscopy) for performing vaginal surgery.

Design: Video of a single surgical procedure.

Setting: A university hospital. Read More

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December 2021

[Interventional control of traumatic injuries of parenchymatous upper abdominal organs and the kidneys].

Unfallchirurg 2021 Aug 10;124(8):621-626. Epub 2021 Aug 10.

Institut für Diagnostische und Interventionelle Radiologie, Universitätsklinikum, Johann Wolfgang Goethe-Universität, Theodor-Stern-Kai 7, 60590, Frankfurt am Main, Deutschland.

Hemorrhage after trauma in the area of the upper abdominal organs and the kidneys can represent a life-threatening situation. The primary treatment options are conservative or surgical treatment. Only in exceptional cases can endovascular treatment with an angiographic depiction of the active bleeding and, if necessary, intervention by means of embolization be used as an alternative. Read More

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Submucosal impaction of a forgotten DJ stent: addressing the unexpected.

BMJ Case Rep 2021 Jul 12;14(7). Epub 2021 Jul 12.

Urology, Post Graduate Institute of Medical Education and Research, Chandigarh, India.

A 16-year-old man with horseshoe kidney presented with a right-sided forgotten double J stent (DJS), 1 year after bilateral percutaneous nephrolithotomy. X-ray of the kidney, ureter and bladder showed bilateral residual stones with no encrustations or stone formation on the DJS. Initial attempt of DJS removal using 22 French (Fr) cystoscope and 6/7. Read More

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[Laparoscopic substitution of the proximal ureter using buccal mucosa].

Urologiia 2021 06(3):13-19

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

Introduction: In patients with long ureteral strictures, bowel substitution of the ureter or kidney autotransplantation can be performed, which are technically demanding. For recurrent uretero-pelvic junction obstruction (UPJO) and proximal ureteral strictures, substitution of the ureter using buccal graft may be an alternative.

Aim: to study the results of laparoscopic ureteral substitution in patients with long proximal ureteral strictures using buccal graft. Read More

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A novel nomogram for the delayed transperineal anastomotic urethroplasty based on relative position between the proximal urethra and the pubic ramus in pelvic fracture injury patients: a retrospective analysis.

World J Urol 2021 Nov 19;39(11):4227-4234. Epub 2021 Jun 19.

Department of Urology, Institute of Urology (Laboratory of Reconstructive Urology), West China Hospital, Sichuan University, No. 37 Guoxue Alley, Wuhou District, Chengdu, Sichuan, People's Republic of China.

Purpose: Many reconstructive urologists have observed that higher urethra injuries lead to potentially less successful repairs. This article introduces a novel prognostic factor for pelvic fracture caused urethral injury (PFUI) to predict stricture recurrence after delayed transperineal anastomotic urethroplasty (TAU) patients with PFUI based on urethra injury locations.

Materials And Methods: Patients who underwent suprapubic cystostomy tube placement and delayed TAU for PFUI by a single surgeon between 2009 and 2018 were screened. Read More

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November 2021

Significance of urinary liver-type fatty acid-binding protein in patients with normal renal function after undergoing intestinal urinary diversion: a preliminary study.

Clin Exp Nephrol 2021 Oct 7;25(10):1151-1157. Epub 2021 Jun 7.

Department of Urology, Sapporo Medical University School of Medicine, South 1, West 16, Chuo-ku, Sapporo, 060-8543, Japan.

Background: Liver-type fatty acid-binding protein (L-FABP) in urine is one of the early diagnostic biomarkers for acute and chronic kidney injuries. Although this protein is also identified in the intestine, there is no verified reference value for patients with intestinal urinary diversion (UD). The aim of the present study was to measure L-FABP values in such patients and compare them with the results for patients without UD. Read More

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October 2021

Epidermolysis bullosa: Pediatric perspectives.

Curr Pediatr Rev 2021 May 25. Epub 2021 May 25.

Department of Pediatrics, The University of Calgary, and The Alberta Children's Hospital, Calgary, Alberta, Canada.

Epidermolysis bullosa (EB) is a group of rare congenital genetic conditions that result in painful blistering of the skin and mucous membranes which occur with minor trauma or friction. There are many types and subtypes of EB that need to be distinguished, as the management and prognosis of each can vary significantly. We aim to perform an up-to-date literature review on congenital EB for healthcare providers in pediatrics. Read More

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Application of the "Yang-Monti principle" in children with iatrogenic ureteral injuries.

J Pediatr Urol 2021 08 8;17(4):543.e1-543.e7. Epub 2021 May 8.

Department of Urology, Ramaiah Medical College and Hospital, Bangalore, 560054, India. Electronic address:

Background: Iatrogenic ureteral injuries in children are rare, due to its retroperitoneal position. The Yang -Monti ileal substitution serves as a good surgical option in such injuries associated with long segment defects of the ureter.

Objectives: To review our experience using the Yang Monti principle of ileal ureter substitution in children with long segment ureteric defects and analyse its intermediate term outcomes. Read More

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A bizarre case of fatal main renal artery partial laceration without primary kidney injury due to a single stab wound in the chest.

Leg Med (Tokyo) 2021 Jul 20;51:101892. Epub 2021 Apr 20.

Dipartimento di Area Medica, Medicina Legale, Università degli Studi di Udine, p.le S. Maria della Misericordia 15, 33100 Udine, Italy. Electronic address:

Reno-vascular injuries are a rare type of renal injury, and their second most frequent cause is penetrating wounds. The majority of the reports and of the studies are present in the urological and radiological literature and they focus on the clinical approach to such injuries. In the case here presented, an 18-year-old male died after being stabbed in the left hemithorax. Read More

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Etiology and Ureteral Reconstruction Strategy for Iatrogenic Ureteral Injuries: A Retrospective Single-Center Experience.

Urol Int 2021 19;105(5-6):470-476. Epub 2021 Mar 19.

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

Objective: To analyze the etiology, characteristics, and ureteral reconstruction strategies of iatrogenic ureteric injuries in a high-volume center.

Methods: Between September 2010 and August 2019, we retrospectively collected patients who underwent ureteral reconstruction due to iatrogenic ureteric injuries. Patient profiles, laboratory data, imaging studies, perioperative data, and complications were recorded. Read More

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September 2021

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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Secondary vaginal atresia following caesarean section: an unreported entity.

BMJ Case Rep 2021 Feb 23;14(2). Epub 2021 Feb 23.

Obstetrics and Gynaecology, All India Institute of Medical Sciences Bhubaneswar, Bhubaneswar, Orissa, India.

Postpartum genital tract adhesions are infrequent and exact incidence is not reported. Severe dystocia, obstructed labour and frequent pelvic examinations have been proposed as possible causes of vaginal adhesion following vaginal delivery. Atresia/adhesions of vagina following caesarean section is very rare. Read More

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February 2021

Three different laparoscopic techniques for the management of iatrogenic ureteral injury: A multi-institutional study with medium-term outcomes.

Asian J Surg 2021 Jul 17;44(7):964-968. Epub 2021 Feb 17.

Department of Urology, Dong-a University Hospital, Busan, South Korea. Electronic address:

Background: Excellent success rates with short-term outcomes are noted for laparoscopic ureteral reconstruction (LUR) for iatrogenic ureteral injury. This multi-institutional study assessed the medium-term (>1 year) outcomes and compared three surgical techniques of LUR.

Methods: Patients who underwent LUR at five tertiary hospitals between January 2007 and June 2016 were retrospectively analyzed. Read More

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Psychosocial aspects of health-related quality of life and the association with patient-reported bladder symptoms and satisfaction after spinal cord injury.

Spinal Cord 2021 09 25;59(9):987-996. Epub 2021 Jan 25.

Department of Surgery (Urology), University of Utah, Salt Lake City, UT, USA.

Study Design: Prospective, multi-centered, observational.

Objectives: To characterize the relationship between psychosocial aspects of health-related quality of life (HRQoL) and patient-reported bladder outcomes.

Setting: Multi-institutional sites in the United States, cohort drawn from North America. Read More

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September 2021

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

Iatrogenic ureteral injuries: a case series analysis with an emphasis on the predictors of late ureteral strictures and unfavorable outcome in different surgical specialties.

Int Urogynecol J 2021 Nov 11;32(11):3031-3036. Epub 2020 Nov 11.

Urology Department, Sohar Hospital, Ministry of Health, Sultanate of Oman, Muscat, Oman.

Introduction And Hypothesis: We aimed to report the demographics and management of iatrogenic ureteral injuries (IUIs) with different surgical specialties. Moreover, our goal was to analyze the predictors of late ureteral strictures and secondary intervention after primary surgical management, and the final effect on the kidney.

Methods: A retrospective study, between 2006 and 2019, enrolled all patients undergoing urological, abdominal, and pelvic surgeries performed through open, laparoscopic, or endoscopic means. Read More

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November 2021

Ureteric complications and left retroperitoneal abdominal aortic surgery.

ANZ J Surg 2020 12 9;90(12):2502-2505. Epub 2020 Sep 9.

Department of Vascular Surgery, The University Hospital of Wales, Cardiff, UK.

Background: Open surgery for abdominal aortic aneurysms in the UK is usually performed via a midline transperitoneal incision. However, the left retroperitoneal (RP) approach may be beneficial for juxtarenal abdominal aortic aneurysms and certain physiological reasons. One potential disadvantage is that the left kidney usually requires mobilization anteromedially risking injury to the renal tract and possibly the ureter. Read More

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December 2020