1/224. magnetic resonance imaging detection of symptomatic noncommunicating intraurethral wall diverticula in women.PURPOSE: We documented the merit of endorectal coil magnetic resonance imaging (MRI) for detecting intraurethral wall diverticula in women. MATERIALS AND methods: We report on 3 women with a long-standing history of urinary frequency, urgency and voiding dysfunction who had been treated unsuccessfully for other etiologies. RESULTS: MRI of the urethra revealed noncommunicating intraurethral wall diverticula, which were excised. CONCLUSIONS: Urethral MRI should be considered in women with lower urinary tract symptoms secondary to a suspected urethral pathology.- - - - - - - - - - ranking = 1keywords = urinary (Clic here for more details about this article) |
2/224. High-pouch imperforate anus treated by electromagnetic bougienage and subsequent perineal repair.Four male infants with imperforate anus were treated by electromagnetic bougienage and subsequent perineal anoplasty with division of rectourethral fistula. Each had high-pouch imperforate anus of the supralevator type, with rectourethral fishtula at or above the level of the membranous urethra. Perineal anoplasty was accomplished in all four, with division of the rectourethral fistula, avoiding the need to do a sacral-abdominal-perineal procedure, as had been customary previously in similar cases.- - - - - - - - - - ranking = 5.0161470034679keywords = fistula (Clic here for more details about this article) |
3/224. Pyloric atresia associated with epidermolysis bullosa, malrotation, and high anorectal malformation with recto-urethral fistula: a report of successful management.Pyloric atresia (PA) is an uncommon anomaly that may be associated with many other congenital anomalies, the commonest of which is junctional epidermolysis bullosa (JEB). Most of the cases of PA associated with JEB (Herlitz syndrome) reported have been fatal. A case of PA associated with JEB, malrotation, and a high anorectal malformation with a rectourethral fistula, which was hitherto undescribed, was successfully managed at our institution.- - - - - - - - - - ranking = 12.54036750867keywords = fistula (Clic here for more details about this article) |
4/224. Our surgical approach towards the treatment of urethrocele and urethral fistula.A new technique, described in the text, has been elaborated inspired by that of Monseur (1968) for urethral techniques. It has been performed with success in three paraplegics and in one incomplete tetraparesis. The plastic reconstruction of the diseased part of the urethra after excision of the stenosis and a fistula or diverticula by rotation and fixation to the subcavernal groove creates, in fact, an enlarged neo-urethra rendering the recurrence of the primary lesion practically impossible. This technique, first applied to spinal cord injuries, has been extended with permanent success to other lesions, such as tuberculosis stenosis and malformations.- - - - - - - - - - ranking = 12.54036750867keywords = fistula (Clic here for more details about this article) |
5/224. Urethral diverticulum presenting with chronic pelvic pain: a case report.Urethral diverticula are rarely encountered in the gynecologic out-patient setting. However, this condition probably occurs more frequently than it is diagnosed. The patient frequently notes signs of lower urinary tract irritation. Urinary dribbling accompanied with dyspareunia and dysuria constitutes a classic triad for urethral diverticula. Symptoms of chronic pelvic pain only occur in a minority of patients. We report a case of urethral diverticulum presenting chiefly with chronic pelvic pain. The patient underwent multiple investigative operations before a correct diagnosis was made. When confronted with a patient presenting with chronic pelvic pain, a gynecologist should retain a high index of suspicion for a urethral diverticulum in addition to other gynecologic conditions.- - - - - - - - - - ranking = 0.5keywords = urinary (Clic here for more details about this article) |
6/224. Infected congenital urethral diverticulum in an adult male.Congenital anterior urethral diverticulum is a rare anomaly. The majority present in infancy with urinary obstruction. Those who present beyond infancy do so on account of recurrent urinary tract infection or dribbling. We present a case of congenital anterior urethral diverticulum manifesting in adulthood with suppuration in the diverticulum.- - - - - - - - - - ranking = 1keywords = urinary (Clic here for more details about this article) |
7/224. Recurrent posttraumatic urethro-vaginal fistula: a new application for ASTRA.The authors describe the results of an application of the surgical technique called ASTRA (anterior sagittal transrectal approach) in a 16-year-old girl with recurrent urethro-vaginal fistula. The young girl had a posttraumatic urethro-vaginal fistula. It recurred after 4 operations by a direct vaginal approach before definitive correction with the ASTRA. Three years after the operation the patient has remained well with complete healing and no fistula recurrence confirmed by a voiding cystourethrogram and urodynamic and rectal manometric tests. This report suggests that ASTRA is a useful method of treating acquired or developmental anomalies of the perineal region.- - - - - - - - - - ranking = 17.556514512138keywords = fistula (Clic here for more details about this article) |
8/224. Congenital urethral fistula.A 3-year-old male child was presented with the history of passage of urine coming from the undersurface of penis and its tip since birth. An opening was present on the ventral aspect of midshaft of penis through which a catheter could be passed. It was diagnosed as urethral fistula which was managed surgically.- - - - - - - - - - ranking = 12.54036750867keywords = fistula (Clic here for more details about this article) |
9/224. carcinoma in diverticulum of female urethra.A case of female urethral diverticulum is reported by the authors. It is a rare disease and about 31 cases have previously been described. An analysis is made in relation to the diverticulum of the urethra and to female urethral carcinoma. Emphasis is given on the semiology and the recently acquired diagnostic procedures, as these have led to an increased number of recognized cases. In the case presented, an extended resection and a definitive urinary derivation was performed, together with chemo- and radiotherapy. A follow-up of 2.5 years showed no signs of recurrence or metastases.- - - - - - - - - - ranking = 0.5keywords = urinary (Clic here for more details about this article) |
10/224. Congenital urethral fistula.A case of congenital urethral fistula with an intact glanular urethra without chordee is reported with a discussion of the possible etiology and one-stage repair.- - - - - - - - - - ranking = 12.54036750867keywords = fistula (Clic here for more details about this article) |
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