China
Africa
Explore chapters and articles related to this topic
A patient with an anorectal malformation who has been previously repaired and who is “not doing well”
Published in Alejandra Vilanova-Sánchez, Marc A. Levitt, Pediatric Colorectal and Pelvic Reconstructive Surgery, 2020
Victoria Lane, Jeffrey Avansino
A 4-year-old boy is referred to your clinic for ongoing care of his anorectal malformation. He has undergone surgery for what you suspect may have been a rectobulbar fistula, but the operative notes are missing. The parents inform you that he underwent full VACTERL screening as a newborn infant and no other anomalies were identified. The parents have expressed concerns about fecal incontinence, lower urinary tract infections, and suffering with post-void dribbling.
Disorders of sexual differentiation
Published in Brice Antao, S Irish Michael, Anthony Lander, S Rothenberg MD Steven, Succeeding in Paediatric Surgery Examinations, 2017
Sarah M Lambert, Howard M Snyder III
From the list of options above, choose which one is the most likely finding in each of the clinical scenarios. Each option may be used once, more than once, or not at all. An 8-year-old boy with post-void dribbling who is found to have a rudimentary uterus on pelvic ultrasound, does not produce this hormone.The gene responsible for the sex-determining region (SRY) is located here.A boy with ambiguous genitalia and mesangial sclerosis may also have a chromosomal mutation at this location and should be followed with serial abdominal ultrasounds.
Test Paper 7
Published in Teck Yew Chin, Susan Cheng Shelmerdine, Akash Ganguly, Chinedum Anosike, Get Through, 2017
Teck Yew Chin, Susan Cheng Shelmerdine, Akash Ganguly, Chinedum Anosike
A 25-year-old woman with recurrent urinary tract infections and post-void dribbling attends the urology clinic. The urologist suspects a urethral diverticulum. What is the most appropriate first-line test? Micturating cystourethrogramUrodynamicsTransvaginal ultrasoundDouble-balloon catheter positive pressure urethrographyPre- and post-void magnetic resonance imaging of urethra
Syringocele: a retrospective study and review of the literature
Published in Scandinavian Journal of Urology, 2019
Frederikke Eichner Sørensen, Martin Skott, Yazan F. Rawashdeh, Hans Jørgen Kirkeby
The adult patients presented with more various symptoms than the children. Five of the 11 adult patients presented with obstructive voiding symptoms, five presented with perineal pain or dysuria, three presented with urethral discharge or post-void dribbling and two presented with UTI. Diagnostic testing in the adult patients was seen to be more inconsistent. Uroflowmetry was performed in 45% of the adult patients, 45% underwent a MRI, and only 27% underwent a retrograde urethrography and interestingly none of the adults had a VCUG done. Two of the 11 adult patients were managed conservatively due to the proximity of the syringocele to the external urinary sphincter. They received instructions on post-void compression of the urethra to minimize post-void dribbling. Nine of the adult patients underwent endoscopic marsupialization. In the children the procedure was performed with a cold knife and in the adults the marsupialization was performed with a monopolar knife (Collin’s knife) (Figure 2). None of the patients developed post-operative urethral stricture. Three of the adult patients were lost to follow-up. One adult patient had persisting symptoms with pain and urinary incontinence. He was re-operated on with closure of the bladder neck and diverted by vesico-appendico-cutaneostomy [9]. Eighty-six per cent of the adult patients had minimal to no symptoms after the treatment.
Urethral diverticulum: A systematic review
Published in Arab Journal of Urology, 2019
Alyssa K. Greiman, Jennifer Rolef, Eric S. Rovner
Once the diagnosis is confirmed in symptomatic patients, the treatment of UD usually consists of surgical excision and reconstruction. Indications for surgical excision and reconstruction of UD include refractory symptoms such as irritative voiding symptoms, pelvic pain, dyspareunia, and recurrent UTIs. Minimally symptomatic patients and those who desire non-operative management may be placed on antibiotic prophylaxis. In such individuals, post-void stripping of the anterior vaginal wall would be expected to empty the UD cavity and potentially reduce post-void dribbling and recurrent UTIs.