Cystoscopy and mucosectomy: Essentials in the management of persistent m üllerian duct syndrome with transverse testicular ectopia.

CONCLUSIONS: Removal of Müllerian duct remnantsis advised in order to reduce the jeopardy of malignancy, urinary tract infections, stones and hematuria. On the other hand, excision down to urethra which can compromise the integrity and vascularity of the vas deferens is diffucult, even in experienced surgical hands. Complete excision of these structures by mucosectomy of the distal part of remnant which lay closed to vas deferens is a safe and effective method. Cystoscopy assistance and placement of a catheter into MDRs were essential for the complete excision of this mucosa. To the best of our knowledge, cystoscopy assisted mucosectomy in Persistent Müllerian Duct Syndrome has not been reported previously. PMID: 32240113 [PubMed - in process]
Source: Archivos Espanoles de Urologia - Category: Urology & Nephrology Tags: Arch Esp Urol Source Type: research

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Publication date: Available online 29 May 2020Source: Journal of Minimally Invasive GynecologyAuthor(s): Meenal MISAL, A.Mitch DIZON, Michelle LOUIE, Erin T. CAREY, Kelly WRIGHT, Naomi H. Greene, Matthew T. SIEDHOFF
Source: Journal of Minimally Invasive Gynecology - Category: OBGYN Source Type: research
Bladder diverticula are herniations of the bladder urothelium resulting in a thin diverticular wall consisting of mucosa, lamina propria, adventitia, and, in some instances, non-functioning detrusor muscle fibers. They can be congenital, or more commonly acquired. Bladder diverticula are often asymptomatic and are usually first noted as incidental findings on cystoscopy or radiographic imaging. However, large diverticula can be responsible for symptoms such as recurrent urinary tract infections, bladder stones, hematuria, and ureteral obstruction.
Source: Urology - Category: Urology & Nephrology Authors: Tags: Grand Rounds Source Type: research
European J Pediatr Surg Rep 2020; 08: 035-038 DOI: 10.1055/s-0040-1705155Prostatic utricle (PU) is incomplete regression of Müllerian duct and may cause recurrent urinary tract infections (UTIs), stone formation, postvoid dribbling, and recurrent epididymitis. Although surgical excision is recommended to avoid complications, surgical access to PU has been challenging. Cystoscopy-guided laparoscopic management of PU in a 3-year-old boy is reported to discuss use of other endoscopic aids in the surgical treatment of PU. He was admitted with disordered sexual development with karyotype of 47,XYY/46,XY and has been experi...
Source: European Journal of Pediatric Surgery Reports - Category: Surgery Authors: Tags: Case Report Source Type: research
Conclusions: Robotic conservative treatment of PURF seems to be safe and feasible (2, 3). Robotic approach allows accurate surgical dissection, through easier access to the rectal-prostatic plane, reducing the need for resection. To our knowledge, this is the first robotic conservative treatment for PURF reproducing the same steps of laparotomic approach with the advantages of minimally invasive technique (4).
Source: International Braz J Urol - Category: Urology & Nephrology Source Type: research
When most people think about E coli, the first thing that comes to mind likely is eating tainted food or as a result of improper handwashing. What came as a surprise to me was that it can also show up as a UTI (Urinary Tract Infection) caused by kidney stones that back up in the urethra, which prohibits the flow of urine. It is more than an academic exercise that had me researching this all too common condition in men and women. As I am writing, I am less than 24 hours post-surgery to remove these pesky critters that have been backing up the works since 2014. It was my fourth go around that culminated in a cystoscopy,...
Source: World of Psychology - Category: Psychiatry & Psychology Authors: Tags: Health-related Personal caregiving Source Type: blogs
ConclusionThe featured video shows laparoscopic subtotal mesh excision, concomitant hysterectomy and bladder repair for pelvic pain, dyspareunia and bladder erosion after lateral suspension. This video may be useful in providing anatomical views and surgical steps necessary for achieving successful surgical management of this mesh-related complication.
Source: International Urogynecology Journal - Category: OBGYN Source Type: research
ConclusionCombined approaches for complete excision of transobturator slings, including bilateral inguinal dissection, are relatively morbid with prolonged recovery time and in most centres will require involvement of plastic surgeons. The laparoscopic approach not only allows for the mesh to be removed in total (including the intramural portion of the mesh), but also provides magnified views compared with open surgery and thus allows for better identification of planes and dissection. It also has the added benefit of avoiding vaginal incisions and therefore reducing the risk of fistula formation between the urethra/bladder and vagina.
Source: International Urogynecology Journal and Pelvic Floor Dysfunction - Category: OBGYN Source Type: research
Urinary tract infection (UTI) is the most common bacterial infectious disease with a high frequency of recurrence and the leading cause of septicemia. In vivo experimentation has contributed significantly to the present-day knowledge on UTI pathogenesis. This research has traditionally been based on murine models of UTI. Occasional conflicting results between UTI in mice and humans and increasing skepticism toward small rodent models in general warrant the need of novel large-animal infection models that better resemble the anatomy and physiology of humans, and thus better mimic the course of infection in humans. Here, we ...
Source: Frontiers in Microbiology - Category: Microbiology Source Type: research
PMID: 31732772 [PubMed - as supplied by publisher]
Source: Der Urologe. Ausg. A - Category: Urology & Nephrology Authors: Tags: Urologe A Source Type: research
We report a case of a 25-year-old female patient with congenital genitourinary malformation and urethrovaginal fistula. A urogenital tract malformation repair operation was performed before she was 21 years old. Frequency of urination occurred before and after menstruation for 9 years, and dyspareunia occurred for 1 year. Diagnoses: B ultrasound examination showed a 59 × 55 × 23 mm fusiform region of increased signal intensity in the vagina followed by a sound shadow. We performed a gynecologic examination and found that the long diameter of the vaginal opening was 20 mm. A brown substance observ...
Source: Medicine - Category: Internal Medicine Tags: Research Article: Clinical Case Report Source Type: research
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