Abstract:
INTRODUCTION:To describe the operative details and results of a modified posterior sagittal transanorectal approach for the reconstruction of urogenital sinus (UGS) anomalies. TECHNICAL CONSIDERATIONS:Six children with UGS anomalies underwent surgery using this technique. In a prone jack-knife position, a midline incision was continued to the puborectalis muscle. A plane of dissection was created circumferentially around the rectum separating it from the underlying UGS. Circumferential transanal mucosectomy and a transanal dissection was carried proximally for 5 to 10 cm. The mucosal tube with the serosal wall was resected, exposing the proximal part of the UGS. The posterior and anterior sphincters, anus, and perineal body were then divided in the midline, completely exposing the UGS. Reconstruction of the urethra and vagina was done. At completion of UGS reconstruction, an endoanal pull through of the rectal tube and a low coloanal anastomosis were performed. The muscle complex and perineal body were closed in layers. The modified technique of posterior sagittal transanorectal approach allowed excellent exposure in all 6 patients. None developed any complications related to suture line leak. Fecal and urinary continence was preserved in patients who were continent before the operation. CONCLUSIONS:The modified posterior sagittal transanorectal approach is a safe and effective technique in the treatment of UGS anomalies and can be performed without the need for a protective colostomy.
journal_name
Urologyjournal_title
Urologyauthors
Pratap A,Agrawal CS,Kumar A,Bhatta NK,Agrawal B,Tiwari A,Adhikary Sdoi
10.1016/j.urology.2007.04.017subject
Has Abstractpub_date
2007-09-01 00:00:00pages
583-7issue
3eissn
0090-4295issn
1527-9995pii
S0090-4295(07)00504-3journal_volume
70pub_type
临床试验,杂志文章相关文献
UROLOGY文献大全abstract:OBJECTIVE:To present a case of laparoendoscopic single-site surgery (LESS) nephroureterectomy (NUx), a type of embroyonic natural orifice translumenal endoscopic surgery, which is one of the recent innovations in the era of laparoscopy, in a child. METHODS:A 10-year-old girl underwent left nephroureterectomy by LESS d...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/j.urology.2009.05.096
更新日期:2009-11-01 00:00:00
abstract::A 20-year-old man with Stage II nonseminomatous germ cell tumor underwent chemotherapy and multiple surgical resections of recurrent abdominal and supradiaphragmatic mature teratomas. Evaluation of a new heart murmur led to the diagnosis of tricuspid valve teratoma, which required complete valve excision and replaceme...
journal_title:Urology
pub_type: 杂志文章,评审
doi:10.1016/s0090-4295(00)00578-1
更新日期:2000-08-01 00:00:00
abstract:OBJECTIVES:To evaluate the prognostic significance of subtyping papillary renal cell carcinoma (PRCC) into type 1 and type 2 tumors. METHODS:From 1995 to 2004, 1358 patients underwent surgery for renal cell carcinoma, of whom 130 had PRCC alone on the specimen. The tumor characteristics, including their subtype, were ...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/j.urology.2006.09.052
更新日期:2007-02-01 00:00:00
abstract:OBJECTIVE:To describe ultrasound (US) and pathologic findings in 11 patients with multiple, synchronous lesions of different histology within the same testis. MATERIALS AND METHODS:We reviewed US and pathologic findings in 11 patients with multiple, synchronous lesions of different histology within the same testis. Le...
journal_title:Urology
pub_type: 杂志文章,多中心研究
doi:10.1016/j.urology.2018.07.040
更新日期:2018-11-01 00:00:00
abstract::The anterior bladder wall and actin- and myosin-like immunoreactivities within the detrusor muscles in patients with chronic obstruction of the lower urinary tract were examined by means of a MOP Videoplan image-processing system, electronmicroscopy, and light microscopic immunohistochemistry. The image-processing sys...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/0090-4295(91)80333-3
更新日期:1991-06-01 00:00:00
abstract:OBJECTIVES:To assess sexual dysfunction in sexually active men after radical cystectomy (RC) and to determine whether sildenafil citrate can improve erectile dysfunction after surgery. METHODS:The baseline and follow-up data from 49 sexually active male patients (mean age 57.8 +/- 9.1 years) undergoing RC (1995 to 200...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/j.urology.2004.05.056
更新日期:2004-10-01 00:00:00
abstract:OBJECTIVE:This study reviews the incidence and management of cyclophosphamide-induced hemorrhagic cystitis in a group of patients who received high-dose chemotherapy and bone marrow transplantation. METHODS:The records of 217 consecutive patients undergoing bone marrow transplantation were reviewed. The incidence, deg...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/0090-4295(94)90079-5
更新日期:1994-03-01 00:00:00
abstract::A large series of patients were reviewed in two major teaching institutions, and patients with a carcinoma of the kidney with a solitary metastatic deposit in the contralateral adrenal were identified. Their survival was analyzed and compared with the survival of those patients having a solitary metastatic deposit in ...
journal_title:Urology
pub_type: 杂志文章,评审
doi:10.1016/0090-4295(91)80291-e
更新日期:1991-03-01 00:00:00
abstract::The cell-mediated immune (CMI) response to tumor-associated antigens present in 3 M KCL extracts of renal cell carcinoma tissue was measured in patients with renal cell carcinoma (RCC) by the leukocyte migration inhibition (LMI) test. Of 30 patients with histologically proved RCC, 19 (63%) gave a positive LMI test; wh...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/0090-4295(78)90465-x
更新日期:1978-11-01 00:00:00
abstract::Vasomotor symptoms such as hot flushes and profuse sweating have been described after bilateral orchiectomy. We evaluated 26 patients who had undergone bilateral orchiectomy for prostatic carcinoma to determine the incidence of vasomotor symptoms and the efficacy of low-dose diethylstilbestrol (DES) in the treatment o...
journal_title:Urology
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1016/0090-4295(92)90264-w
更新日期:1992-02-01 00:00:00
abstract:OBJECTIVE:To evaluate the efficacy and safety of wideband Doppler ultrasound-guided mini-endoscopic combined intrarenal surgery (mini-ECIRS) for large renal stones. MATERIALS AND METHODS:This study included 41 patients with large renal stones (>30 mm) treated by mini-ECIRS using a retrograde flexible ureteroscope and ...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/j.urology.2016.05.038
更新日期:2016-09-01 00:00:00
abstract:OBJECTIVES:To report a case and the surgical techniques of transperitoneal laparoscopic partial nephrectomy (LPN) in a patient with a small left renal mass and an aberrant left-sided inferior vena cava (IVC). METHODS:An otherwise healthy 49-year-old man with a body mass index of 23.1 kg/m(2) was diagnosed with a 5 × 6...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/j.urology.2011.03.013
更新日期:2011-08-01 00:00:00
abstract:OBJECTIVE:To examine the relative costs of prone percutaneous nephrostolithotomy (PCNL) versus PCNL performed with the patient in the Galdakao-modified supine Valdivia (GMSV) position to determine whether a cost differential exists. METHODS:We compared prone PCNL with PCNL using GMSV positioning. Cost data were obtain...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/j.urology.2012.06.038
更新日期:2012-10-01 00:00:00
abstract:OBJECTIVES:To investigate the expression of endothelin-1 (ET-1) and adrenomedullin (ADM) in the renal pelvis, stenotic ureteropelvic junction, and ureter of 20 male Wistar rats with congenital unilateral ureteropelvic junction obstruction; the normal contralateral kidneys served as controls. The molecular pathophysiolo...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/j.urology.2003.07.019
更新日期:2004-01-01 00:00:00
abstract::Chromaffin cell tumors are derived from neural crest cells and can produce and secrete catecholamines. Classic symptoms include headache, palpitations, diaphoresis, and hypertension. Diagnosis is typically in adulthood, and metastatic disease is rarely found. Genetic testing is suggested with young age, extra-adrenal ...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/j.urology.2016.05.028
更新日期:2016-12-01 00:00:00
abstract:OBJECTIVES:To evaluate retrospectively the outcome of laparoscopic donor nephrectomy in patients aged 65 years or older, because data regarding tolerance profile and renal allograft outcome of laparoscopic donor nephrectomy in the elderly patient are lacking. METHODS:Since February 1995, 6 patients aged 65 years or ol...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/s0090-4295(02)01769-7
更新日期:2002-09-01 00:00:00
abstract:OBJECTIVES:Bladder cancer pathologic features are a continuous spectrum from benign to invasive lesions, causing diagnostic difficulties. Review pathology might be an answer, but appears to be of limited value. We studied the effect of patients' risk profile on the value of review pathology. METHODS:We used three Phas...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/j.urology.2005.10.028
更新日期:2006-04-01 00:00:00
abstract:OBJECTIVES:To prospectively investigate whether vardenafil can effectively treat patients for whom sildenafil (100 mg) has failed. The introduction of two new oral phosphodiesterase type 5 inhibitors (tadalafil and vardenafil) raises the question of whether the new agents will permit us to treat sildenafil nonresponder...
journal_title:Urology
pub_type: 临床试验,杂志文章
doi:10.1016/j.urology.2006.03.005
更新日期:2006-08-01 00:00:00
abstract:OBJECTIVES:To determine the incidence of upper tract abnormalities on renal ultrasonography in patients with multiple sclerosis (MS) referred for urologic evaluation, as well as to identify any risk factors present on the basis of the historical information and urodynamic findings. METHODS:Data were derived from all p...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/j.urology.2004.11.038
更新日期:2005-05-01 00:00:00
abstract:OBJECTIVES:To investigate clinical features of Chinese patients with severe primary erectile dysfunction (S-PED) and to identify the ideal treatment options for this population. METHODS:Patients with PED were screened for enrollment in our study. Sexual history, marital status, and erectile function were evaluated by ...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/j.urology.2009.12.008
更新日期:2010-08-01 00:00:00
abstract:OBJECTIVE:To investigate the feasibility of erectile function rehabilitation using end-to-side autonomic-to-somatic neurorrhaphy in rats. MATERIALS AND METHODS:Thirty-six adult male Sprague-Dawley rats were divided into 3 groups (n = 12 per group): in the end-to-side coaptation group, the left L6 and S1 spinal nerves ...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/j.urology.2016.05.017
更新日期:2016-09-01 00:00:00
abstract:OBJECTIVE:To prospectively review our experience with extravesical robotic-assisted laparoscopic ureteral reimplantation to determine whether postoperative voiding dysfunction can be avoided with pelvic plexus visualization and to assess the efficacy of this approach for the treatment of vesicoureteral reflux (VUR). M...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/j.urology.2011.10.052
更新日期:2012-03-01 00:00:00
abstract::The presentation, diagnosis, and management of a patient with an ileovesical fistula is discussed, this being the second reported case in the literature. ...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/0090-4295(89)90135-0
更新日期:1989-06-01 00:00:00
abstract::The surgical techniques for correction of stress urinary incontinence continues to evolve particularly those utilizing the endoscopic approach. Various forms of endoscopic urethropexy have been performed in 142 women with a minimum of one-year follow-up. The cure rate for the entire series was 94 percent. In the last ...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/0090-4295(91)80103-e
更新日期:1991-05-01 00:00:00
abstract:OBJECTIVES:To evaluate the effectiveness and morbidity of salvage brachytherapy for locally recurrent or persistent prostate cancer after radiotherapy failure. METHODS:In this retrospective study, 49 patients of median age 73.3 years (range 52.9 to 86.9) with biopsy-proven localized prostate cancer underwent interacti...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/s0090-4295(98)00492-0
更新日期:1999-01-01 00:00:00
abstract:INTRODUCTION:Remote robotic telemanipulators have been recently used in performing laparoscopic urologic procedures, both in the laboratory and in clinical practice. We present, to our knowledge, the initial 2 cases of robotic-assisted laparoscopic adrenalectomy in humans. TECHNICAL CONSIDERATIONS:Robotic-assisted lap...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/s0090-4295(02)02011-3
更新日期:2002-12-01 00:00:00
abstract::A case is described of the onset of acute renal failure due to renal artery occlusion in a solitary kidney of a sixty-six-year-old woman. She had been treated for severe hypertension due to renal artery stenosis. An aortorenal bypass to revascularized the kidney was combined with repair of an abdominal aortic aneurysm...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/0090-4295(88)90577-8
更新日期:1988-01-01 00:00:00
abstract:OBJECTIVE:To compare clinicopathologic features and survival outcomes for men 50 years of age in relation to other age groups stratified by race to further define prostate cancer (CaP) in young men. Controversy exists regarding the appropriate age to undergo CaP screening, outcomes for early intervention, and whether t...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/j.urology.2010.12.046
更新日期:2011-07-01 00:00:00
abstract::We present a case of ecthyma gangrenosum involving the penis in an IV drug abuser probably resulting from direct arterial septic embolization from a femoral injection site. An increased awareness of this condition is essential because misdiagnosis has been reported in up to 100 percent of cases. Prompt diagnosis is es...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/0090-4295(89)90176-3
更新日期:1989-08-01 00:00:00
abstract:OBJECTIVES:To determine whether platelet-derived growth factor receptor (PDGFR) plays a role in the tumorigenicity of prostate cancer cells. METHODS:PC3 prostate cancer cells were transfected with small interfering (si)PDGFR-α and siPDGFR-β, constructed according to the conventional small interfering RNA design standa...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/j.urology.2011.01.050
更新日期:2011-06-01 00:00:00