Surgical management of ectopic ureters in dogs

Long-term incontinence after surgical correction of ectopic ureters (EU) is a debilitating postoperative complication that is more common in female dogs. Reported postoperative continence rate after surgical correction of EU without adjunct treatment ranges from 2% to 72%. In male dogs, a continence rate of 82% has been reported. Postoperative adjunct medical treatment, mostly phenylpropanolamine (PPA) or estrogens, generally improves continence rates. The persistence or recurrence of urinary incontinence after correction of EU have been attributed to several factors, such as lower urinary tract infection (UTI), recanalization of the ligated ureter, disturbed urethral closure due to residual intramural EU, congenital urethral sphincter mechanism incompetence (USMI), poorly developed trigone, hypoplastic bladder, vestibulovaginal stenosis, neurogenic abnormalities, hormonal imbalance, or inadequate surgery.
Source: Advances in Small Animal Medicine and Surgery - Category: Veterinary Research Tags: Surgery (Soft Tissue) Source Type: research

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Conclusion: We reported two cases of bladder agenesis, and for the first time, we have performed neobladder creation surgery using the cecum and ascending colon. One-year follow-up did not reveal any complications. PMID: 33029134 [PubMed]
Source: Advances in Urology - Category: Urology & Nephrology Tags: Adv Urol Source Type: research
Kathy Siggins and Lynda Everman are thrilled to share the welcome news that the US Postal Service has reinstated sales of the Alzheimer’s Disease Research Semipostal Stamp effective October 5, 2020. It is now available for purchase at most post offices and online at https://store.usps.com/store/product/buy-stamps/alzheimers-S_564204, and by phone at 1-800 STAMP-24. Before it was withdrawn in November 2019, over 8.2 million stamps were sold during its two-year run raising $1,061,777 for NIH-supported research to advance better treatments, prevention, and one day, a cure of Alzheimer’s and related dementias. The ...
Source: Minding Our Elders - Category: Geriatrics Authors: Source Type: blogs
AbstractPurposeTo present our experience of laparoscopic and robotic ureteroplasty using onlay flap or graft for the management of long proximal or middle ureteral strictures and summarize our treatment strategies for these challenging scenarios.MethodsFrom March 2018 to January 2020, 53 patients with long proximal/middle ureteral strictures (2 –6 cm) who underwent laparoscopic or robotic onlay flap/graft ureteroplasty were retrospectively enrolled. Different reconstruction techniques were chosen based on our management strategy: pelvic flap (PF) was the first choice for proximal stricture if pelvic tissue was s...
Source: International Urology and Nephrology - Category: Urology & Nephrology Source Type: research
In this study, we have evaluated the efficiency of fractional carbon dioxide laser in the treatment of vaginal laxity and urinary incontinence. Thirty patients with vaginal laxity, sexual dysfunction and urinary incontinence complaints were treated with fractional carbon dioxide laser. Results were evaluated with patient questionnaires relating to comfort during the procedure and general satisfaction following the procedure. In the survey regarding comfort during the procedure, 90% (n:27) of the patients reported that they were comfortable during the procedure. The survey on the level of general satisfaction six months fol...
Source: Journal of Plastic Surgery and Hand Surgery - Category: Surgery Tags: J Plast Surg Hand Surg Source Type: research
Abstract Follow-up care of patients with muscle-invasive bladder cancer is subdivided into oncological and functional surveillance. More than 80% of local relapses and distant metastases occur within the first 2 years. Recurrences in the remnant urothelium also occur several years after radical cystectomy. Urinary cytology and a computed tomography (CT) scan of the abdomen and thorax including a urography phase are the standard diagnostics for tumor follow-up. There is no clear evidence for a survival benefit for the detection of asymptomatic vs. symptomatic recurrences. After partial cystectomy or trimo...
Source: Der Urologe. Ausg. A - Category: Urology & Nephrology Authors: Tags: Urologe A Source Type: research
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Source: Minerva Urologica e Nefrologica - Category: Urology & Nephrology Tags: Minerva Urol Nefrol Source Type: research
CONCLUSIONS: There was a paucity of data about perioperative interventions in pelvic organ prolapse surgery. A structured programme of pelvic floor muscle training before and after prolapse surgery did not consistently demonstrate any benefit for the intervention; however, this finding is based on the results of two small studies. With regard to other interventions (preoperative bowel preparation and injection of vasoconstrictor agent, ureteral stent placement during uterosacral ligament suspension, postoperative vaginal pack insertion, use of vaginal dilators, prophylactic antibiotics for postoperative catheter care), we ...
Source: Cochrane Database of Systematic Reviews - Category: General Medicine Authors: Tags: Cochrane Database Syst Rev Source Type: research
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Source: The Case Files - Category: Emergency Medicine Tags: Blog Posts Source Type: research
Fifty percent Dextrose solution (D50) can be used to evaluate ureteral patency at time of laparoscopic hysterectomy. A previously published study found an increased risk of urinary tract infection (UTI) after cystoscopy with 10% dextrose solution following pelvic reconstruction or anti-incontinence surgery. The purpose of this study was to compare the rate of UTI and lower urinary tract (LUT) injury detection in different population –younger women who have undergone intraoperative cystoscopy with 50% dextrose solution or normal saline (NS) immediately following benign laparoscopic hysterectomy.
Source: American Journal of Obstetrics and Gynecology - Category: OBGYN Authors: Tags: Non-Oral Poster Source Type: research
Publication date: September 2016 Source:Urology Case Reports, Volume 8 Author(s): Diego Martin Barreiro, Johanna Belén Losada, Francisco Castro Montiel, Norberto Lafos Case report of a patient who, while being under study due to total urinary incontinence and multiple urinary tract infections, interoccurs with urosepsis due to a forgotten and encrusted double-J stent. An open surgery is performed with two surgical approaches, suprapubic and minimal lumbotomy, in which a nephrectomy of the atrophic kidney, a resection of the urether with a calcified double-J in its interior and a cystolithotomy were c...
Source: Urology Case Reports - Category: Urology & Nephrology Source Type: research
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