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Cueva Silva, Melissa Lizzeth - One of the best experts on this subject based on the ideXlab platform.
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Eficacia post operatorio transvaginal obturatriz tape, tratamiento de incontinencia urinaria de esfuerzo 2014
Universidad Privada Antenor Orrego - UPAO, 2015Co-Authors: Cueva Silva, Melissa LizzethAbstract:Determinar la eficacia post operatoria de la cirugía transvaginal con la técnica obturatriz tape (TOT), en pacientes operadas en el Hospital Jorge Reátegui Delgado, de la Ciudad de Piura, durante el periodo Abril – Julio 2014. MATERIAL Y MÉTODO: Se hizo un estudio descriptivo, prospectivo, transversal en veintidós (22) pacientes con incontinencia urinaria de esfuerzo, sometidas a la técnica transvaginal obturatriz tape (TOT), pidiéndole su opinión acerca el procedimiento. RESULTADOS: En relación a la opinión: cómo se sintieron luego de la cirugía?, El 90.9% de los pacientes entrevistados respondió que Bien., siendo que el 100% manifestó que había sentido una ligera Disuria. Sobre el grado de satisfacción de la intervención quirúrgica y su consecuente evolución el 86.4% dijo sentirse muy satisfecha, el 9.1% manifestó estar moderadamente satisfecha y un 4.5% dijo no estar satisfecha. El 95.5% dijo que es muy eficaz y el 4.5%, moderadamente eficaz. CONCLUSIONES: El TOT constituye una técnica muy eficaz para el tratamiento de la incontinencia urinaria de esfuerzo, asociada a un trastorno del piso pélvico. El 90.9% de los pacientes experimento remisión de la incontinencia urinaria de esfuerzo con la técnica transvaginal obturatriz tape (TOT). La sintomatología post operatoria con la técnica TOT, más frecuente fue la disuria. Las pacientes post operadas con la técnica TOT, el 86.4% se encuentran muy satisfechas. La TOT es eficaz en el tratamiento de la incontinencia urinaria de esfuerzo. La complicación más frecuente fue el sangrado intraoperatorio, en un 13.6%.To determine the efficacy of postoperative transvaginal surgical technique obturator tape (TOT) in patients operated on Reátegui Jorge Delgado Hospital, City of Piura, during the period April - July 2014. MATERIAL AND METHODS: ABSTRACT OBJECTIVE: To determine the efficacy of postoperative transvaginal surgical technique obturator tape (TOT) in patients operated on Reátegui Jorge Delgado Hospital, City of Piura, during the period April - July 2014. MATERIAL AND METHODS: An observational, descriptive, prospective, cross-sectional study in 22 patients with urinary incontinence undergoing transvaginal technique obturator tape (TOT), asking their opinion about the procedure was done. RESULTS: In relation to the review, how they felt after surgery, 90.9% responded that positive, and 100% said they had felt a slight Dysuria. The degree of satisfaction with the surgery and the evolution that has taken place, 86.4% said they had felt very satisfied, 9.1% word moderately satisfied, 4.5% were not satisfied, 95.5% said it is very effective, and 4.5%, moderately effective. CONCLUSIONS: The TOT is very effective for the treatment of urinary incontinence associated with a pelvic floor disorder technique. The experiment 90.9% of patient’s remission of urinary incontinence with transvaginal technique obturator tape (TOT). Postoperative symptoms with more frequent TOT technique was Dysuria. The post operated patients with TOT technique, 86.4% are very satisfied. Is the TOT effective in the treatment of urinary incontinence. The most frequent complication was intraoperative bleeding in 13.6%.Tesi
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Eficacia post operatorio Transvaginal Obturatriz tape, tratamiento de incontinencia urinaria de esfuerzo 2014
Universidad Privada Antenor Orrego - UPAO, 2015Co-Authors: Cueva Silva, Melissa LizzethAbstract:OBJECTIVE: To determine the efficacy of postoperative transvaginal surgical technique obturator tape (TOT) in patients operated on Reátegui Jorge Delgado Hospital, City of Piura, during the period April - July 2014. MATERIAL AND METHODS: ABSTRACT OBJECTIVE: To determine the efficacy of postoperative transvaginal surgical technique obturator tape (TOT) in patients operated on Reátegui Jorge Delgado Hospital, City of Piura, during the period April - July 2014. MATERIAL AND METHODS: An observational, descriptive, prospective, cross-sectional study in 22 patients with urinary incontinence undergoing transvaginal technique obturator tape (TOT), asking their opinion about the procedure was done. RESULTS: In relation to the review, how they felt after surgery, 90.9% responded that positive, and 100% said they had felt a slight Dysuria. The degree of satisfaction with the surgery and the evolution that has taken place, 86.4% said they had felt very satisfied, 9.1% word moderately satisfied, 4.5% were not satisfied, 95.5% said it is very effective, and 4.5%, moderately effective. CONCLUSIONS: The TOT is very effective for the treatment of urinary incontinence associated with a pelvic floor disorder technique. The experiment 90.9% of patient’s remission of urinary incontinence with transvaginal technique obturator tape (TOT). Postoperative symptoms with more frequent TOT technique was Dysuria. The post operated patients with TOT technique, 86.4% are very satisfied. Is the TOT effective in the treatment of urinary incontinence. The most frequent complication was intraoperative bleeding in 13.6%.TesisOBJETIVO: Determinar la eficacia post operatoria de la cirugía transvaginal con la técnica obturatriz tape (TOT), en pacientes operadas en el Hospital Jorge Reátegui Delgado, de la Ciudad de Piura, durante el periodo Abril – Julio 2014. MATERIAL Y MÉTODO: Se hizo un estudio descriptivo, prospectivo, transversal en veintidós (22) pacientes con incontinencia urinaria de esfuerzo, sometidas a la técnica transvaginal obturatriz tape (TOT), pidiéndole su opinión acerca el procedimiento. RESULTADOS: En relación a la opinión: cómo se sintieron luego de la cirugía?, El 90.9% de los pacientes entrevistados respondió que Bien., siendo que el 100% manifestó que había sentido una ligera Disuria. Sobre el grado de satisfacción de la intervención quirúrgica y su consecuente evolución el 86.4% dijo sentirse muy satisfecha, el 9.1% manifestó estar moderadamente satisfecha y un 4.5% dijo no estar satisfecha. El 95.5% dijo que es muy eficaz y el 4.5%, moderadamente eficaz. CONCLUSIONES: El TOT constituye una técnica muy eficaz para el tratamiento de la incontinencia urinaria de esfuerzo, asociada a un trastorno del piso pélvico. El 90.9% de los pacientes experimento remisión de la incontinencia urinaria de esfuerzo con la técnica transvaginal obturatriz tape (TOT). La sintomatología post operatoria con la técnica TOT, más frecuente fue la disuria. Las pacientes post operadas con la técnica TOT, el 86.4% se encuentran muy satisfechas. La TOT es eficaz en el tratamiento de la incontinencia urinaria de esfuerzo. La complicación más frecuente fue el sangrado intraoperatorio, en un 13.6%
M E Mitchell - One of the best experts on this subject based on the ideXlab platform.
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Long-term followup of the hematuria-Dysuria syndrome.
The Journal of urology, 2000Co-Authors: J Chadwick Plaire, Richard W. Grady, Warren T. Snodgrass, M E MitchellAbstract:The hematuria-Dysuria syndrome is the most common reported complication of gastrocystoplasty. We reviewed our cases of gastrocystoplasty to determine the long-term incidence and significance of the syndrome. We performed a retrospective study of 78 patients who underwent gastrocystoplasty at our institution between July 1989 and October 1994. A total of 72 of the 78 cases were evaluated within the last year to elicit symptoms of the hematuria-Dysuria syndrome. Spina bifida and bladder exstrophy were the most common diagnoses of patients undergoing gastrocystoplasty. There were 3 (4%) patients who required medications on a continuous basis to control symptoms of the hematuria-Dysuria syndrome. However, using broad criteria 17 (24%) patients would be categorized as having the syndrome. Of these patients 9 did not require any medications and 4 occasionally took medications to control symptoms. A significant increase in the incidence of the hematuria-Dysuria syndrome was detected in those cases with a sensate compared to those with an insensate urethra. The hematuria-Dysuria syndrome is a clinically significant problem at long-term followup in a small percentage of patients treated with gastrocystoplasty. The lowest incidence is in those children with an insensate urethra who are continent. When symptoms occur they are easily treated in the majority of cases. We believe that gastrocystoplasty remains a viable option in the armamentarium of bladder augmentation.
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The syndrome of Dysuria and hematuria in pediatric urinary reconstruction with stomach.
The Journal of urology, 1993Co-Authors: D H Nguyen, M A Bain, K L Salmonson, G S Ganesan, M W Burns, M E MitchellAbstract:Between July 1989 and March 1992 at a single institution 27 male and 30 female patients underwent lower urinary reconstruction with stomach. Mean patient age was 9.9 years (range 1.5 to 28 years). The diagnoses were epispadias/exstrophy complex (19 patients), myelodysplasia (11), cloacal exstrophy (6), posterior urethral valves (6), Hinman syndrome (4), sacral agenesis (3) and other (8). Indications for surgery were urinary incontinence, upper tract deterioration or undiversion. A total of 54 patients underwent augmentation gastrocystoplasty and 3 had total bladder replacement. Mean followup time was 23.2 months (range 12 to 39 months). The syndrome of Dysuria and hematuria is defined as 1 or a combination of the following symptoms: bladder spasm or suprapubic, penile or periurethral pain, coffee brown or bright red hematuria without infections, skin irritation or excoriation and Dysuria without infections. Telephone and clinic interviews identified 21 patients (36%) with symptoms of the Dysuria and hematuria syndrome. The most common symptoms were hematuria (71%) and bladder or suprapubic pain (76%). Of the patients 18 (86%) ranked the severity of symptoms as mild to moderate and 3 (14%) ranked them as severe. No medications were required to control the symptoms in 13 patients (62%) and 3 other patients only required medications on an as needed basis. Overall patients who required no medications had lower symptom scores than those who required medications. Patients with decreased renal function may be more at risk for the Dysuria and hematuria syndrome than those with normal renal function. Patients who were wet were more prone to have the Dysuria and hematuria syndrome than those who were totally dry. The pathophysiology of the Dysuria and hematuria syndrome is currently unknown. Patients who require urinary reconstruction with stomach tissue need to be made aware of the potential of the Dysuria and hematuria syndrome.
Michael E. Mitchell - One of the best experts on this subject based on the ideXlab platform.
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LONG-TERM FOLLOWUP OF THE HEMATURIA-Dysuria SYNDROME
The Journal of Urology, 2000Co-Authors: J. Chadwick Plaire, Warren T. Snodgrass, Richard W. Grady, Michael E. MitchellAbstract:Purpose: The hematuria-Dysuria syndrome is the most common reported complication of gastrocystoplasty. We reviewed our cases of gastrocystoplasty to determine the long-term incidence and significance of the syndrome.Materials and Methods: We performed a retrospective study of 78 patients who underwent gastrocystoplasty at our institution between July 1989 and October 1994. A total of 72 of the 78 cases were evaluated within the last year to elicit symptoms of the hematuria-Dysuria syndrome.Results: Spina bifida and bladder exstrophy were the most common diagnoses of patients undergoing gastrocystoplasty. There were 3 (4%) patients who required medications on a continuous basis to control symptoms of the hematuria-Dysuria syndrome. However, using broad criteria 17 (24%) patients would be categorized as having the syndrome. Of these patients 9 did not require any medications and 4 occasionally took medications to control symptoms. A significant increase in the incidence of the hematuria-Dysuria syndrome was...
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The Syndrome of Dysuria and Hematuria in Pediatric Urinary Reconstruction with Stomach
The Journal of Urology, 1993Co-Authors: D H Nguyen, M A Bain, K L Salmonson, G S Ganesan, M W Burns, Michael E. MitchellAbstract:AbstractBetween July 1989 and March 1992 at a single institution 27 male and 30 female patients underwent lower urinary reconstruction with stomach. Mean patient age was 9.9 years (range 1.5 to 28 years). The diagnoses were epispadias/exstrophy complex (19 patients), myelodysplasia (11), cloacal exstrophy (6), posterior urethral valves (6), Hinman syndrome (4), sacral agenesis (3) and other (8). Indications for surgery were urinary incontinence, upper tract deterioration or undiversion. A total of 54 patients underwent augmentation gastrocystoplasty and 3 had total bladder replacement. Mean followup time was 23.2 months (range 12 to 39 months).The syndrome of Dysuria and hematuria is defined as 1 or a combination of the following symptoms: bladder spasm or suprapubic, penile or periurethral pain, coffee brown or bright red hematuria without infections, skin irritation or excoriation and Dysuria without infections. Telephone and clinic interviews identified 21 patients (36%) with symptoms of the Dysuria an...
Zhou Qi-jun - One of the best experts on this subject based on the ideXlab platform.
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Analysis of Cause of Dysuria after Suprapubic Prostatectomy
Heilongjiang Medical Journal, 2003Co-Authors: Zhou Qi-junAbstract:Objective To provide evidence for prevention based on the cause o Dysuria after suprapubic prostatectomy was analyzed. Methods 16 cases of Dysuria after suprapubic prostatectomy were analyzed retrospectively. Results 9 cases were posterior urethral stricture, 3 were anterior urethral stricture, 2 were adenomatous remnant, 1 was recurrence of prostatic hyperplasia and 1 was unstable bladder. Conclusion Urethral stricture was a major cause of the Dysuria after suprapubic prostatectomy. It could be prevented effectively by improving operative skill, urethral infection and examing urodynamic to select patient.
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Analysis of the cause of Dysuria after suprapubic prostatectomy
Journal of Modern Urology, 2003Co-Authors: Zhou Qi-junAbstract:AIM The cause of Dysuria after suprapubic prostatectomy was analysed so as to provide evidence for prevention. METHODS 16 cases of Dysuria after suprapubic prostatectomy were analysed retrospectively. RESULTS It was found that,9 cases were posterior urethral sticture,3 cases were anterior urethral stricture,2 cases were adenomatous remnant, 1 case was recurrence of prostatic hyperplasia,1 case was unstable bladder. CONCLUSION Urethral stricture was a major cause of the Dysuria after suprapublic prostatectomy, it can be prevented effectively by improving operating skills, preventing urithral infections,examing urodynamics to select patients.
G Liomba - One of the best experts on this subject based on the ideXlab platform.
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specificity of Dysuria and discharge complaints and presence of urethritis in male patients attending an std clinic in malawi
Sexually Transmitted Infections, 1998Co-Authors: G Dallabetta, F Behets, G Lule, A M Wangel, S Moeng, Irving F Hoffman, H A Hamilton, Myron S Cohen, G LiombaAbstract:The World Health Organization (WHO) has recommended a syndromic approach to the case management of sexually transmitted diseases (STDs) in areas with inadequate laboratories and trained personnel. This study evaluated the specificity of discharge and Dysuria for laboratory confirmed urethritis among 517 consecutive symptomatic men presenting to an urban STD clinic in Malawi in 1992-93. Patients were randomized to receive one of five antibiotic regimens with an efficacy range of 33-95% and instructed to return for a follow-up visit in 8-10 days. The present analysis was limited to the 330 men with follow-up data. Overall 257 men (70%) had gonococcal urethritis and 13 (4%) had chlamydia urethritis. Laboratory evidence of urethritis was identified in over 90% of symptomatic patients with discharge or Dysuria. Men with complaints of Dysuria alone were significantly more likely to have sought treatment elsewhere before presenting to the clinic than men with both discharge and Dysuria (72% vs. 48%) and were less likely to have had gonorrhea (64% vs. 83%). 92% of those who returned for the follow-up visit had no symptoms of either discharge or Dysuria but 22 of these men (9.2%) had gonorrhea and 52 (21.8%) had nongonococcal urethritis. Among men with symptoms at the time of the follow-up visit 26 (28%) had gonorrhea and 12 (13%) had nongonococcal urethritis. These findings suggest that the symptom of Dysuria should be added to discharge as an entry criterion for evaluation for urethritis in WHOs treatment recommendations. Moreover given the high prevalence of asymptomatic infection at follow-up in men who received suboptimal antimicrobial therapy it is recommended that the most effective treatment available should be provided at the first clinic visit.
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Specificity of Dysuria and discharge complaints and presence of urethritis in male patients attending an STD clinic in Malawi.
Sexually transmitted infections, 1998Co-Authors: G Dallabetta, F Behets, G Lule, I Hoffman, H Hamilton, A M Wangel, S Moeng, M Cohen, G LiombaAbstract:This study evaluated the specificity of discharge and Dysuria for laboratory confirmed urethritis in symptomatic men presenting to an urban STD clinic in Malawi for treatment and returning for follow up evaluation. Clinical treatment trial where consecutive consenting men with urethritis were enrolled and administered a questionnaire, examined, tested, and given one of five urethritis treatments with an efficacy range of 33-95%. Men returning for follow up were questioned, examined, and tested. The presence of both discharge and Dysuria were highly specific for laboratory confirmed urethritis (over 90%). Compared with men who had complaints of both discharge and Dysuria, men with complaints of Dysuria alone were more likely to have reported prior treatment, 72% v 48% (p = 0.003), and less likely to have had gonorrhoea, 64% v 83% (p = 0.04). Men with complaints of discharge or Dysuria without evidence of discharge were rare but half of them had documented urethritis. Among men who returned for follow up, 72% had no symptoms of either discharge or Dysuria. However, among the 238 men with no symptoms at follow up, laboratory documented gonorrhoea occurred in 9% and non-gonococcal urethritis in 21%. In this population of men discharge or Dysuria were specific symptoms for urethritis. The symptom of Dysuria should be added as an entry criterion for evaluation for urethritis in the World Health Organisation's treatment recommendations. The high prevalence of asymptomatic infection at follow up in a population of men who received suboptimal antimicrobial therapy suggests that the most effective therapy available should be given at the first visit.
