692 results match your criteria urethral orifice


Rupture and hemorrhage of a seminoma mixed with yolk sac tumors in 46XY partial gonadal dysgenesis: a case report and literature review.

BMC Surg 2021 Jul 3;21(1):307. Epub 2021 Jul 3.

General Surgery Department, Tongji Hospital, Tongji University School of Medicine, Shanghai, 200065, China.

Background: 46XY partial gonadal dysgenesis (PGD) is a rare subtype of disorder of sex development (DSD). 46YY PGD is a congenital disease with atypical chromosomal, gonadal, or anatomical sex development. The patient in this case report had male and female genitalia simultaneously. Read More

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Prevalence and Clinical Manifestations of Penile Gonococcal Cutaneous and Accessory Gland Infections in Men with Gonorrhea.

Sex Transm Dis 2021 Mar 12. Epub 2021 Mar 12.

1Department of Dermatology, First People's Hospital of Changshu City, Changshu Hospital Affiliated to Soochow University, Changshu, Jiangsu Province215500, P. R. China 2Department of Dermatology, Traditional Chinese Medical Hospital of Changshu City, Changshu, Jiangsu Province215500, P. R. China 3Department of Urinary Surgery, First People's Hospital of Changsha City, Changshu Hospital Affiliated to Soochow University, Changshu, Jiangsu Province215500, P.R. China 4Department of Clinical Laboratory, First People's Hospital of Changshu City, Changshu Hospital Affiliated to Soochow University, Changshu, Jiangsu Province215500, P. R China.

Background: No studies have focused on the prevalence and clinical manifestations of penile gonococcal cutaneous and accessory gland infections in men with gonorrhea.

Methods: We enrolled patients with penile gonococcal cutaneous and accessory gland infections and patients with urethral gonorrhea from January 2014 to February 2020. Demographic data, occurrence sites, and manifestations of all patients were recorded. Read More

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Chromosome abnormalities in dogs with disorders of sex development (DSD).

Anim Reprod Sci 2021 Jul 19;230:106771. Epub 2021 May 19.

Department of Genetics and Animal Breeding, Poznan University of Life Sciences, Wolynska 33, 60-637, Poznan, Poland. Electronic address:

Disorders of sex development (DSD) caused by chromosome abnormalities are rarely diagnosed in dogs. In this report, there is a focus on five DSD cases in which the dogs had abnormal karyotypes. All animals were recognized by owners as females, however, these dogs had a large number of reproductive defects. Read More

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Persistent Labial Minora Fusion in Reproductive Age Women: A Retrospective Case Series of Nine Patients and Review of Literature.

Organogenesis 2021 Apr 20;17(1-2):20-25. Epub 2021 May 20.

Department of Obstetrics and Gynecology, Peking Union Medical College Hospital, Beijing, China.

Labial minora fusion persisting to the reproductive age is a rare type of labial fusion. Only 17 sporadic case-reports have been published to describe this disease. We report a retrospective cohort study of nine patients undergone surgical dissections in our hospital with labial minora fusion of reproductive age. Read More

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Analysis of the factors influencing retrograde removal of double J ureteral stents using a simple snare technique in female patients.

Ann Transl Med 2021 Apr;9(8):674

Department of Interventional Radiology, Seventh Affiliated Hospital, Sun Yat-sen University, Shenzhen, China.

Background: To identify the factors related to the effectiveness of retrograde removal of double J ureteral stents using a simple snare technique in female patients.

Methods: It was a retrospective observational study. From 2012 to 2017, 128 female patients underwent fluoroscopy-guided, retrograde double J stent removal with or without replacement using a simple snare technique. Read More

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Transvaginal primary layered repair of postsurgical urethrovaginal fistula.

Int Urogynecol J 2021 Jul 5;32(7):1941-1943. Epub 2021 May 5.

ASST Monza, Ospedale San Gerardo, via G.B. Pergolesi, 33 20900, Monza, Italy.

Introduction And Hypothesis: Urethrovaginal fistula (UVF) is a rare disorder, which implies the presence of an abnormal communication between the urethra and the vagina.

Methods: Surgical repair options include transurethral, transabdominal and transvaginal procedures, either with or without tissue interposition. The vaginal route is considered a safe and effective option to correct UVF. Read More

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Primary vaginal malignant melanoma: A rare case report of successful treatment with nivolumab.

Authors:
Na Guo Jiawen Zhang

Medicine (Baltimore) 2021 Apr;100(17):e25691

The Department of Obstetrics and Gynecology, West China Second University Hospital of Sichuan University, Chengdu, Sichuan.

Rationale: Primary vaginal malignant melanoma is a sporadic and very aggressive tumor that is treated through surgery or radiotherapy combined with chemotherapy. Since most cases are diagnosed at an advanced stage, the operation range is extensive, the quality of life is poor, and the prognosis is gloomy.

Patient Concerns: A 58-year-old woman presented irregular water-like leukorrhea for 1 month after 6 years of menopause. Read More

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[Cystoscopic-guided laser ablation for treatment of ectopic ureteroceles in 2 female dogs].

Tierarztl Prax Ausg K Kleintiere Heimtiere 2021 Apr 22. Epub 2021 Apr 22.

Medizinische Kleintierklinik, Zentrum für klinische Tiermedizin, Ludwig-Maximilians-Universität München.

Two female intact Labrador Retriever dogs (6 and 3 months of age, respectively) presented with a history of urinary incontinence. In both dogs, abdominal ultrasound revealed evidence of a unilateral ectopic ureterocele. Diagnosis of ureteral ectopia was established urethrocystoscopically by visualization of the ureteral orifice in the urethra, and an intramural course was confirmed via retrograde contrast fluoroscopy. Read More

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Secondary Vulvar Reconstruction Using Bilateral Gluteal Fold Flaps after Radical Vulvectomy with Direct Closure.

Plast Reconstr Surg Glob Open 2021 Apr 20;9(4):e3550. Epub 2021 Apr 20.

Department of Plastic and Reconstructive Surgery, The University of Tokyo, Tokyo, Japan.

Although primary vulvovaginal reconstruction after vulvectomy has high potential to improve patients' outcomes, flap reconstruction is not an established part of the current standard treatment for vulvar cancer. We report a patient with successful secondary vulvar reconstruction 3 years after radical vulvectomy with direct wound closure. A 69-year-old woman presented with chronic, burning vulvar pain 3 years after radical vulvectomy without reconstruction for stage IB vulvar cancer. Read More

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Clinical features of congenital complete vaginal atresia combined with cervical aplasia: A retrospective study of 19 patients and literature review.

Congenit Anom (Kyoto) 2021 Jul 4;61(4):127-132. Epub 2021 May 4.

Gynecologic Department, West China Second Hospital of Sichuan University, Chengdu, Sichuan, China.

Congenital vaginal atresia is a rare congenital reproductive tract abnormality. To assess the clinical manifestations and feasibility of preserving uterus for congenital complete vaginal atresia with cervical aplasia, nineteen cases who underwent surgical treatment in West China Second Hospital of Sichuan University were retrospectively studied. The cervical status, clinical manifestations, the rate of vaginal re-stenosis and pelvic inflammation after surgery were assessed. Read More

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Trans-perineal transection through "Neo-Anus" for recto-bulbar urethral fistula using a 5-mm stapler in laparoscopically assisted anorectoplasty - A novel and secure technique.

Asian J Endosc Surg 2021 Mar 21. Epub 2021 Mar 21.

Department of Pediatric Surgery, Research Field in Medical and Health Sciences, Medical and Dental Area, Research and Education Assembly, Kagoshima University, Kagoshima, Japan.

Laparoscopically assisted anorectoplasty (LAARP) for recto-bulbar urethral fistula (RBUF) is not now a standard operation due to urethra injury risk and incomplete removal of fistula. Our approach is a novel and secure technique of trans-perineal transection using a 5-mm stapler for RBUF. Before performing LAARP, the orifice of RBUF was confirmed under flexible cystoscope inspection. Read More

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Tubularized incised plate urethroplasty for megameatus intact prepuce hypospadias variant: First reported case in Indonesia.

Int J Surg Case Rep 2021 Mar 26;80:105698. Epub 2021 Feb 26.

Department of Urology, Faculty of Medicine, Universitas Airlangga-Dr. Soetomo General Academic Hospital, Surabaya, Indonesia. Electronic address:

Introduction And Importance: Megameatus intact Prepuce (MIP) is a rare variant of hypospadias characterized by a wide meatus with a normally conformed prepuce, no chordee, and usually no effects in micturition or sexual physiology. However, quality of life and psychosexuality may be affected.

Case Presentation: A 6-year-old-boy was referred by a general practitioner to the hospital due to an abnormality of the urethral meatus. Read More

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Extrusion of the Distal End of Ventriculoperitoneal Shunt through the Urethral Orifice in an Adult Male.

Neurol India 2021 Jan-Feb;69(1):230-231

Department of Neurosurgery, West China Hospital of Sichuan University, Sichuan, People's Republic of China.

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Transurethral endoscopic extensive incision of complex urethral diverticula in symptomatic women: case series in a single center experience with long-term follow-up.

Int Urol Nephrol 2021 Jul 17;53(7):1279-1287. Epub 2021 Feb 17.

Department of Urology, Shengjing Hospital of China Medical University, 36 Sanhao Street, Shenyang, Liaoning, 110004, People's Republic of China.

Background: Urethral diverticula (UD) affect 1-6% of adult women. Complex UD are rare, but can be challenging to manage. To evaluate the efficacy and safety of transurethral endoscopic extensive incision of complex UD in symptomatic women. Read More

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Ureteral polyps protruding from the urethra.

BMC Urol 2021 Feb 10;21(1):22. Epub 2021 Feb 10.

Department of Urology, Affiliated Hospital of Nantong University, No. 20 Xisi Road, Nantong, China.

Background: Ureteral fibro-epithelial polyp (UFP) is a rare benign ureteral tumor, and surgical removal of the polyps is still the preferred solution. Although many cases have reported polyps extending to the bladder, our case was the first to report a huge UFP that underwent endoscopic laser resection to highlight the urethra and cause severe end hematuria permanently.

Case Presentation: In 2019, a 37-year-old woman came to the hospital because of hematuria and a dark red extraurethral mass. Read More

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February 2021

Posterior cloaca: A urogenital rather than anorectal anomaly.

J Pediatr Urol 2021 06 20;17(3):410.e1-410.e7. Epub 2021 Jan 20.

Pediatric Surgery Department, Faculty of Medicine, Ain Shams University, Egypt.

Background: 'Persistent Cloaca' refers to one of the major groups of anorectal anomalies in the female when a single perineal orifice is located at the normal site of the urethra draining both urogenital and alimentary tracts. However, 'posterior cloaca' is a new term developed by Pena to describe a unique defect in females in which a common urogenital sinus is deviated posteriorly to open into normally located anorectum (type A) or in the perineum slightly anterior to the anus (type B).

Methods: The study included seven girls diagnosed as posterior cloaca. Read More

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Trans-urethral snare stent removal: a novel, self-constructed innovation for simultaneous ureteral stent removal and safety guidewire insertion.

ANZ J Surg 2021 Apr 2;91(4):571-577. Epub 2021 Feb 2.

Department of Urology, Royal Melbourne Hospital, Melbourne, Victoria, Australia.

Background: Ureteral stent insertion and subsequent removal remains one of the most common procedures performed in endourology. We aimed to evaluate a novel, one-step method, permitting simultaneous stent removal and guidewire passage using a self-constructed suture snare via standard cystoscopy. This method should be used prior to ureteroscopy, in cases of minimal stent encrustation and peri-ureteral mucosal oedema, where identification and subsequent cannulation of the ureteral orifice may be a challenge. Read More

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Novel CFD modeling approaches to assessing urine flow in prostatic urethra after transurethral surgery.

Sci Rep 2021 01 12;11(1):663. Epub 2021 Jan 12.

Department of Urology, Massachusetts General Hospital, Harvard Medical School, Boston, MA, 02114, USA.

Assessment of the pressure and velocity of urine flow for different diameter ratios of prostatic urethra (RPU) after transurethral surgery using computational fluid dynamics (CFD). A standardized and idealized two-dimensional CFD model after transurethral surgery (CATS-1st) was developed for post-surgery mid-voiding. Using CATS-1st, 210 examples were amplified according to an array of size [3][5][14], which contained three groups of longitudinal diameters of prostatic urethra (LD-PU). Read More

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January 2021

Results of a previously unreported extravesical ureteroneocystostomy technique without ureteral stenting in 500 consecutive kidney transplant recipients.

PLoS One 2021 11;16(1):e0244248. Epub 2021 Jan 11.

Department of Surgery, University of Miami Miller School of Medicine, Jackson Memorial Hospital, Miami, Florida, United States of America.

Urologic complications can still occur following kidney transplantation, sometimes requiring multiple radiological and/or surgical procedures to fully correct the problem. Previously proposed extravesical ureteral reimplantation techniques still carry non-negligible risks of the patient developing urologic complications. About 10 years ago, a new set of modifications to the Lich-Gregoir technique was developed at our center, with the goal of further minimizing the occurrence of urologic complications, and without the need for initial ureteral stent placement. Read More

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Minimally invasive transurethral laser incision for management of ectopic ureter orifice stenosis in adult patient.

Urol Case Rep 2021 Mar 22;35:101540. Epub 2020 Dec 22.

Department of Urology, Faculty of Medicine, Indonesia University, Cipto Mangunkusumo Hospital, Jalan Diponegoro No. 71, Jakarta, 10430, Indonesia.

The aim of this report is to present our experience of performing transurethral laser incision for management of ectopic ureter orifice stenosis in adult patient. A 61-year-old male was presented with right flank pain. Computed tomography urography showed right complete double collecting system, upper moiety hydroureteronephrosis, and parenchymal thinning of the upper moiety. Read More

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Primary Diffuse Large B-Cell Lymphoma of the Female Urethra: A Case Report and Review of the Literature.

Onco Targets Ther 2020 21;13:13015-13022. Epub 2020 Dec 21.

Department of Surgery, Guangdong Provincial Hospital of Chinese Medicine, Guangzhou 510120, People's Republic of China.

Primary urethral non-Hodgkin's lymphoma (NHL) is uncommon. This case study reports the case of a 52-year-old woman with a light red mass at the urethral orifice. Her clinical manifestations included frequent urination, urgency, dysuria, and occasionally blood in urine. Read More

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December 2020

[Two different routes for transferring the pedicled preputial island flap for hypospadias in children: A comparative analysis].

Zhonghua Nan Ke Xue 2020 May;26(5):431-435

Department of Urology, Anhui Provincial Children's Hospital, Hefei, Anhui 230051, China.

Objective: To summarize the experience in the surgical treatment of hypospadias by analyzing the operation features and clinical effects of two different routes for transferring the pedicled preputial island flap.

Methods: This retrospective study included 122 cases of hypospadias treated by transferring the pedicled preputial island flap, 80 from one side of the penis (the control group) and the other 42 through the middle orifice of the vascular pedicle (the observation group). We recorded the intra- and postoperative data and compared them between the two groups. Read More

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Well-differentiated neuroendocrine tumors of the lower urinary tract: biologic behavior of a rare entity.

Hum Pathol 2021 Mar 8;109:53-58. Epub 2020 Dec 8.

Department of Pathology, Johns Hopkins Hospital, Baltimore, MD, 21287, USA; Department of Pathology, University of Alabama at Birmingham, Birmingham, AL, 35233, USA. Electronic address:

The spectrum of neuroendocrine (NE) tumors in the genitourinary tract ranges from the aggressive large and small cell carcinomas to the often benign paraganglioma and well-differentiated neuroendocrine tumor (WD-NET). At least 15 pure lower urinary tract (LUT) WD-NETs have been described. Owing to the rarity of WD-NET in the LUT and the limited number of reported cases, a better definition of their biologic long-term behavior is warranted. Read More

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An Unusual Cause of Female Urinary Incontinence Following Obstetric Trauma.

Urology 2021 Feb 7;148:e3-e5. Epub 2020 Dec 7.

Department of Urology, Sri Sathya Sai Institute of Higher Medical Sciences, Puttaparthi, Andhra Pradesh 515134, India.

Urethral coitus is a rarely reported cause of female urinary incontinence and has been most commonly described in women with vaginal and hymenal anomalies. Herein, we report a 41-year-old woman with a complex obstetric history, who presented with continuous urinary incontinence. On evaluation, she was found to have an abnormally dilated urethral orifice and vaginal stenosis suggestive of chronic urethral coitus. Read More

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February 2021

Effects of various catheter fix sites on catheter-associated lower urinary tract symptoms.

Exp Ther Med 2021 Jan 18;21(1):47. Epub 2020 Nov 18.

Department of Urology Surgery, The Affiliated Hospital of Southwest Medical University, Luzhou, Sichuan 646000, P.R. China.

The present study aimed to compare the effects of various catheter fix sites on catheter-associated lower urinary tract symptoms (CALUTS) in 450 patients who underwent surgical removal of upper urinary calculi 24 h earlier. All patients had 16 French Foley catheters inserted and the balloons were filled. In group A, the catheters were fixed on the top one-third of the thigh. Read More

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January 2021

Transurethral Anastomosis after Transurethral Radical Prostatectomy: A Phantom Study on Intraluminal Suturing With Concentric Tube Robots.

IEEE Trans Med Robot Bionics 2020 Nov 29;2(4):578-581. Epub 2020 Oct 29.

Department of Mechanical Engineering, Vanderbilt University.

Current surgical approaches to radical prostatectomy are associated with high rates of erectile dysfunction and incontinence. These complications occur secondary to the disruption of surrounding healthy tissue, which is required to expose the prostate. The urethra offers the least invasive access to the prostate, and feasibility has been demonstrated of enucleating the prostate with an endoscope using Holmium laser, which can itself be aimed by concentric tube robots. Read More

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November 2020

Are anterior urethral valve and anterior urethral diverticulum two separate entities: A radiological and endoscopic review.

J Pediatr Urol 2021 Feb 4;17(1):101.e1-101.e9. Epub 2020 Nov 4.

Department of Radiodiagnosis, DODA Imaging, PUSA Road, New Delhi, India.

Background: Anterior urethral valve (AUV) and anterior urethral diverticulum (AUD) are two rare causes of anterior urethral obstruction with variable presentation and anatomy. Their existence as the same or different entity is still debatable, and management has not yet been standardized.

Objective: This study is a retrospective review of cases diagnosed with anterior urethral obstruction and correlation of radiological and endoscopic anatomy of AUV and AUD. Read More

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February 2021

Urethral bulking agent found in a urethral caruncle which did not respond to topical oestrogens: A case report.

Case Rep Womens Health 2020 Oct 27;28:e00268. Epub 2020 Oct 27.

Department of Urogynaecology, Suite 8, Golden Jubilee Wing, King's College Hospital, SE5 9RS, UK.

Background: Urethral caruncles are lesions occurring at the urethral orifice, around the posterior lip of the urethra. They are the most common benign growth of the female urethra. They are often asymptomatic and found incidentally on clinical examination. Read More

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October 2020

Mayer-Rokitansky-Küster-Hauser syndrome with rare findings of inferior crossed-fused renal ectopia and Gartner's duct cyst: a video case report.

Fertil Steril 2021 Feb 14;115(2):525-527. Epub 2020 Oct 14.

Department of Urology, Huashan Hospital, Fudan University, Shanghai, People's Republic of China.

Objective: To describe the treatments of a patient using the laparoscopic Davydov's method for Mayer-Rokitansky-Küster-Hauser (MRKH) syndrome and ureteral reimplantation for hydronephrosis and hydroureter.

Design: Surgical video article. A consent form from the patient was obtained as appropriate; the nature of the study did not necessitate ethics committee approval. Read More

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February 2021

Scrotal Reconstruction in Transgender Men Undergoing Genital Gender Affirming Surgery Without Urethral Lenghtening: A Stepwise Approach.

Urology 2020 Dec 24;146:303. Epub 2020 Sep 24.

Centre of Expertise on Gender Dysphoria, VU University Medical Centre, Amsterdam, The Netherlands; Amsterdam Public Health research institute, Amsterdam UMC, VU University, Amsterdam, The Netherlands; Department of Plastic, Reconstructive and Hand Surgery, VU University Medical Centre, Amsterdam, The Netherlands.

Background: Scrotal (re)construction, scrotoplasty, is performed as part of gender affirming surgery in transgender men.

Objective: To describe, step-by-step, our scrotal reconstruction technique in transgender men undergoing genital gender affirming surgery without urethral lengthening.

Material And Methods: A 29-year-old transgender men underwent scrotal reconstruction and phalloplasty without urethral lengthening. Read More

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December 2020