A systematic review and meta-analysis of the safety and efficacy of fistula laser closure

ConclusionsFiLaC may be considered an effective and safe sphincter-saving technique for the treatment of fistula-in-ano with an acceptable, low, complication rate. However, well-designed randomized control trials comparing FiLaC with other techniques are required to substantiate the promising outcomes reported in this review.
Source: Techniques in Coloproctology - Category: Surgery Source Type: research

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Photo credit Uriel Soberanes Some adult children work seamlessly together to find the best care solutions for their aging parents. However, some siblings don’t contribute at all, leaving the heavy lifting, sacrifices and difficult choices up to one adult child, often a daughter. Still others are involved sporadically, only deigning to give their opinions when pricey care decisions are on the line. In the latter scenario, these siblings disprove of respite, are suspicious of outside caregivers and demand to keep their parents’ bills low.  Continue reading on Agingcare for more on siblings who may be more in...
Source: Minding Our Elders - Category: Geriatrics Authors: Source Type: blogs
Viveve Medical has hit a snag after it failed to meet the endpoints in a clinical trial for technology to improve the sexual function in women following vaginal childbirth. The Englewood, CO-based company said as a result of the results and impact from the COVID-19 pandemic that it was evaluating strategic alternatives, as well as actively assessing its current organization and cost structure. Viveve is developing a Cryogen-cooled Monopolar Radiofrequency (CMRF) technology that can treat vaginal laxity. The technology delivers RF energy deeply into soft tissues – which results in neocollagenesis, or a str...
Source: MDDI - Category: Medical Devices Tags: Business Source Type: news
Condition:   Stress Urinary Incontinence Intervention:   Other: Pelvic Floor Muscle Training (PFMT) Sponsor:   Pavol Jozef Safarik University Recruiting
Source: ClinicalTrials.gov - Category: Research Source Type: clinical trials
Abstract Objective: This research is aimed at studying the effect of the WeChat app combined with pelvic floor muscle exercise (PFME) on urinary incontinence (UI) for patients treated with radical prostatectomy (RP). Patients and Methods. We retrospectively reviewed 112 patients who not only had done open RP or laparoscopic RP in our institution but also had sufficient data: preoperative information and more than one year of follow-up records. All the patients received instructions in correct pelvic floor muscle contraction and were encouraged to train the pelvic floor muscle. 58 patients, who were offered additio...
Source: Biomed Res - Category: Research Authors: Tags: Biomed Res Int Source Type: research
Conclusion: FIPS avoids the development of keyhole deformity in the majority of patients with simple anal fistula, but is less successful in posterior fistulas. Since FIPS is a very effective, fast and simple procedure, it should be considered a valid alternative for the treatment of every simple anal fistula. PMID: 32253992 [PubMed - as supplied by publisher]
Source: Acta Chirurgica Belgica - Category: Surgery Tags: Acta Chir Belg Source Type: research
Conclusion: Lichen planus-like lesions in pemphigus should not be labeled as inactive disease or postinflammatory hyperpigmentation. Apoptosis followed by pigment incontinence seems to explain such lesions with 'lichen planus-like appearance' in oral pemphigus vulgaris. Active pemphigus smoulders in a majority of these lesions.
Source: Indian Journal of Dermatology, Venereology and Leprology - Category: Dermatology Authors: Source Type: research
Photo credit Joe Hepburn “My mom is 81 and lives alone in her condo,” Judy Hanson writes. “Her arthritis is painful, but she gets around with a walker. Her mind is okay for now, though she is sometimes forgetful. I also feel that she is lonely. “I’m worried about her safety and have been telling her for several years that she needs help,” she continues. “I’m not proud to say that I’ve stooped to yelling at her, but I have done it. I hate the thought of her falling and not having help, and I also think she’d be happier with more company. There’s a nice a...
Source: Minding Our Elders - Category: Geriatrics Authors: Source Type: blogs
Conditions:   Urinary Incontinence;   Quality of Life;   Pelvic Floor Disorders Interventions:   Other: Hypopressive exercise;   Other: Pelvic floor muscle contraction Sponsor:   University of the State of Santa Catarina Completed
Source: ClinicalTrials.gov - Category: Research Source Type: clinical trials
CONCLUSION: TENS had a remarkable effect on the improvement of urodynamic indexes and objective OAB symptoms without a significant increase in VAS scores for children with OAB. PMID: 32252190 [PubMed]
Source: International Neurourology Journal - Category: Urology & Nephrology Tags: Int Neurourol J Source Type: research
Authors: Wu CJ, Ting WH, Lin HH, Hsiao SM Abstract PURPOSE: The Q-tip test is used to measure urethral hypermobility and can predict surgical outcomes. However, certain factors may affect the reliability of this test. Our aim was to identify independent clinical and urodynamic predictors of the results of the Q-tip test. METHODS: Between January 2014 and June 2019, 176 consecutive women with lower urinary tract symptoms who underwent the Q-tip test and urodynamic studies were included in this retrospective study. RESULTS: Multivariable regression analysis revealed that age (regression coefficient, -0.55), p...
Source: International Neurourology Journal - Category: Urology & Nephrology Tags: Int Neurourol J Source Type: research
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