ResearchPad - trauma-and-reconstruction https://www.researchpad.co Default RSS Feed en-us © 2020 Newgen KnowledgeWorks <![CDATA[Case reported for iatrogenic cystectomy during cesarean delivery]]> https://www.researchpad.co/article/N8b86b41c-8e54-4d66-a8b0-a2fb51199562 Although bladder injury is a rare complication during cesarean delivery (CD), its incidence is increasing due to the growing trend in elective CD. Herein, we report a case of a 28-year-old woman, who presented during labor. An emergency CD and hysterectomy were done to control bleeding. The case was complicated by and inadvertent cystectomy. Urine was diverted immediately by ureterostomy. After five months, augmentation ileocytoplasty, bilateral ureteral re-implantation, and abdominal catheterizable stoma formation were carried out. This case highlights the surgical management of inadvertent cystectomy during CD.

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<![CDATA[Two-staged anterior urethroplasty using skin flap outside the scrotum: A case report]]> https://www.researchpad.co/article/Na1b73f55-6f74-4788-8392-72176f0d1a5d

A thirty-eight-year-old man presented with acute urinary retention due to a long complicated strictures between the meatus and the bulbar urethra. During the first surgery, in addition to the penile skin flap, the flap of the incised skin at 10mm outside the scrotum strip-like tissue was moved medially and sutured onto the incised urethra. After 12 months of the first surgery, we performed the urethroplasty from the bulbar urethra to the meatus. Postoperatively, the patient voided without complications. Thus, this technique using a skin flap outside the scrotum is effective in long complicated urethral strictures.

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<![CDATA[The value of pre-operative MRI in management of penile fractures]]> https://www.researchpad.co/article/N2b070843-0158-47c6-b9c1-e3e6a6a88f19

Penile fracture is a urological emergency which requires urgent assessment and surgical intervention to avoid long term complications. In this report, we describe a case in which penile MRI was used for initial assessment and surgical planning. This allowed exact localisation of the tunical tear and allowed direct incision over the tear for repair. In this case, the man avoided circumcision, which would be often required with the conventional degloving approach.

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<![CDATA[An unusual variant of Zinner syndrome with ureteral ectopia from an atrophied supernumerary kidney]]> https://www.researchpad.co/article/N6c8e31a8-5332-4228-9f27-421e9a8e3db9

This case presents an unusual variation of Zinner syndrome with a patient found to have an ectopic ureteral insertion of the seminal vesicle from a supernumerary pelvic kidney and complete duplication of the ipsilateral, otherwise normal renal unit. The case offers an interesting variant of a previously established syndrome with successful treatment involving robotic resection of an ectopic ureter and seminal vesiculectomy, resulting in resolution of the patient's symptoms.

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<![CDATA[Successful cadaveric kidney transplantation in an extended-hours hemodialysis patient with long-term hemodialysis vintage for 297 months]]> https://www.researchpad.co/article/N5f46ad9a-1f1a-4e03-a6a3-319e8b6c6068

The patient was a 41-year-old male who had been maintained on extended-hours hemodialysis for 297 months. Despite of long-term hemodialysis vintage, he had no vascular calcification and ectopic calcification. His kidney graft did not experience rejection or other complications 18 months after the cadaveric kidney transplant. Previous reports indicated that graft survival of extended-hours hemodialysis patients did not differ from conventional hemodialysis. However, the dialysis periods in these reports were much shorter than our case. Therefore, extended-hours hemodialysis in long-term dialysis patients may improve renal transplant outcomes in the countries where the waiting time for kidney transplant is long.

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<![CDATA[Robot-assisted laparoscopic pyeloplasty for ureteropelvic junction obstruction with duplex system]]> https://www.researchpad.co/article/Nc1ad97cf-6d1a-4d4d-a76f-fbe71f2da749

Management of ureteropelvic junction obstruction with a duplex system is technically challenging even when laparoscopic procedure is the standard approach for ureteropelvic junction obstruction. The patient was an otherwise healthy 21-year-old woman who presented with symptomatic ureteropelvic junction obstruction with the duplex system, which was completely excised using a robot-assisted approach. Robotic assistance allows for proper tissue dissection, minimal manipulation of the normal ureter, and meticulous fine suturing and would overcome the potential challenges involved in the minimally invasive management of such complex anomalies as shown in this patient.

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<![CDATA[Low-intensity extracorporeal shockwave therapy in the treatment of erectile dysfunction after penile trauma]]> https://www.researchpad.co/article/N21edc18e-31b1-42d0-96ae-446063affc73

In urology low-intensity extracorporeal shockwave therapy (LI-ESWT) finds major application in the treatment of erectile dysfunction (ED) after nerve-sparing radical retropubic prostatectomy and Peyronie's disease. We presented a rare case of application of LI-ESWT in a 39-years old man with erectile dysfunction after penile trauma obtained during sexual intercourse.

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<![CDATA[Urologic trauma from vaginal dilation for congenital vaginal stenosis: A newly-described and challenging complication]]> https://www.researchpad.co/article/Ne912e8fd-f83b-4d2f-b625-d3ea07e3f0ff

Vaginal dilation is first line therapy for vaginal agenesis. No major urologic complications have even been described. We present the management and successful outcome of immediate repair for urethral trauma in a patient with history of congenital anomalies managed with vaginal dilation. Proper exposure is difficult, but urologic repair can be achieved with or without concomitant vaginal repair.

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<![CDATA[Successful penile replantation after macroscopic repair using vein blood-letting therapy]]> https://www.researchpad.co/article/N59a47c4d-1b4c-4573-b279-477e5ce2dad3

Although penile amputation is a rare injury, it may occur caused by self-mutilation with psychiatric disturbances and sexual need, or due to accidents, iatrogenic injuries or revenge and marriage breakdown. A case of successful penile glans replantation by macroscopic repair using vein blood-letting therapy is presented. This case report shows the surgical procedure and postoperative care which may be critical for successful replantation.

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<![CDATA[Successful Boari Flap ureteroneocystostomy for distal ureteral necrosis after renal transplantation]]> https://www.researchpad.co/article/5c26b6b6d5eed0c48476939a ]]>