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Urological Complications of Radical Hysterectomy for Uterine Cervical Cancer

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Urological Complications of Radical Hysterectomy for Uterine Cervical Cancer Incont Pelvic Floor Dysfunct 2007; 1(3):77-80 Review Urological Complications of Radical Hysterectomy for Uterine Cervical Cancer Fei-Chi Chuang, Hann-Chorng Kuo1 Department of Obstetrics and Gynecology, Yu Li Veterans Hospital, Hualien, Taiwan; Department of Urology1, Buddhist Tzu Chi General Hospital and Tzu Chi University, Hualien, Taiwan ^_pqo^`q ïÜáÅÜ=~êÉ=íÜÉå=ëìíìêÉÇ=ÇáêÉÅíäó=çê=êÉèìáêÉ=ìêÉíÉê~ä=êÉJáãéä~åí~íáçå xNzK fí=áë=ïÉää=âåçïå=íÜ~í=ê~ÇáÅ~ä=ÜóëíÉêÉÅíçãó=éêçÇìÅÉë=~=ÖççÇ=ëìêJ OK=mçëíçéÉê~íáîÉ=Ñáëíìä~=Ñçêã~íáçåW=o~ÇáÅ~ä=ÜóëíÉêÉÅíçãó=êÉèìáêÉë=íÜÉ îáî~ä=ê~íÉ=Ñçê=é~íáÉåíë=áå=íÜÉ=É~êäó=ëí~ÖÉë=çÑ=åçÇÉJåÉÖ~íáîÉ=ÅÉêîáÅ~ä ÇáëëÉÅíáçå=çÑ=íÜÉ=ÉåíáêÉ=éÉäîáÅ=ÅçìêëÉ=çÑ=íÜÉ=ìêÉíÉêI=ïÜáÅÜ=ã~ó=êÉëìäí Å~åÅÉêK=qÜÉ=?ê~ÇáÅ~ä?=å~íìêÉ=çÑ=íÜÉ=ëìêÖÉêó=ã~ó=Å~ìëÉ=åÉêîÉ=áåàìêó=~åÇ áå=íÜÉ=áåíÉêêìéíáçå=çÑ=ëÉîÉê~ä=~êíÉêá~ä=Äê~åÅÜÉë=íÜ~í=éêçîáÇÉ=áíë=ÄäççÇ îáëÅÉê~ä=Ç~ã~ÖÉ=ÇìÉ=íç=ÉñíÉåëáîÉ=ÇáëëÉÅíáçåK=táíÜ=áãéêçîÉÇ=íÉÅÜåáèìÉI 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fãé~áêÉÇ=ãáÅíìêáíáçå=~ÑíÉê=~=ê~ÇáÅ~ä=ÜóëíÉêÉÅíçãó=ã~ó=êÉëìäí=Ñêçã ~äíÉêÉÇ=ãçÇìä~íáçå=Äó=íÜÉ=éÉäîáÅ=éäÉñìë=~åÇ=íÜÉ=êÉëìäíáåÖ=ãçíçê=~åÇ Received: June 11, 2007 Accepted: July 9, 2007 ëÉåëçêó=áãé~áêãÉåí=çÑ=íÜÉ=ÇÉíêìëçê=xUzK=fãé~áêÉÇ=ÇÉíêìëçê=Åçåíê~Åíáçå Address correspondence to: Dr. Hann-Chorng Kuo, Department of Urology, Buddhist ã~ó=ÄÉ=ëÉÅçåÇ~êó=íç=áãéêçéÉê=ëÉåëçêó=áåéìí=íç=íÜÉ=ë~Åê~ä=~åÇ=ÅçêíáÅ~ä Tzu Chi General Hospital, 707, Section 3, Chuang Yang Road, Hualien, Taiwan ãáÅíìêáíáçå=ÅÉåíÉêë=xVzK=qÜÉ=ÅçãÄáå~íáçå=çÑ=íÜÉ=Ñ~áäìêÉ=íç=íêáÖÖÉê=íÜÉ E-mail: [email protected] ÇÉíêìëçê=êÉÑäÉñ=~åÇ=íÜÉ=ìêÉíÜê~ä=êÉä~ñ~íáçå=êÉÑäÉñ=êÉëìäíë=áå=ÇÉíêìëçê=ìåJ TT Review ÇÉê~Åíáîáíó=~åÇ=~=åçåêÉä~ñáåÖ=ìêÉíÜê~ä=ëéÜáåÅíÉêI=ïÜáÅÜ=ã~åáÑÉëíë=~ë=~ ÅóëíçãÉíêáÅ=ÅÜ~åÖÉ=ïÉêÉ=åçíÉÇK=qïÉåíóJÑáîÉ=é~íáÉåíë=ERPKOBF=Ü~Ç=ÜóJ îçáÇáåÖ=ÇóëÑìåÅíáçåK=kçêã~ä=ìêáå~êó=ëÉåë~íáçå=áë=äçëíI=~åÇ=ëìÅÜ=é~J éçíçåáÅ=~åÇ=~Åçåíê~ÅíáäÉ=Ää~ÇÇÉêë=ïáíÜ=Éåä~êÖÉÇ=Å~é~Åáíó=ïÜáäÉ=NR 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  • Jebmh.Com Original Research Article
    Jebmh.com Original Research Article URETERIC STRICTURES AN ANALYTICAL STUDY OF AETIOLOGY, PATHOLOGY AND MANAGEMENT Saju P. R1, Rema Priyadarsini2, Vaibhav Vikas3, Praveen Gopi4, Rustum Singh Kaurav5 1Additional Professor, Department of Urology, Trivandrum Medical College, Trivandrum. 2Additional Professor, Department of Pathology, Alappuzha Medical College, Kerala. 3Senior Resident, Department of Urology, Trivandrum Medical College, Trivandrum. 4Senior Resident, Department of Urology, Trivandrum Medical College, Trivandrum. 5Senior Resident, Department of Urology, Trivandrum Medical College, Trivandrum. ABSTRACT BACKGROUND Ureteric strictures are common diseases of India due to tuberculosis, instrumentation, congenital and other reasons. In this study we found that tuberculosis (27%) and instrumentation (27%) were the leading causes of ureteric stricture. MATERIALS AND METHODS This is a prospective study conducted in the Department of Urology, Government Medical College, Thiruvananthapuram. Cases diagnosed as ureteric strictures by IVP and CT scan were taken up for this study. Their clinical features, investigations, treatment and surgical options were studied. RESULTS The total number of cases studied were 11 (5 males and 6 females). We found that three patients had tuberculous strictures and two patients had lower ureteric strictures with obstructive megaureter like presentation. Three cases had upper ureteric strictures with unknown aetiology. Three cases had iatrogenic ureteric strictures secondary to instrumentation. CONCLUSION We concluded from our study that Tuberculosis is a common cause of ureteric stricture. Prior history of instrumentation is the second most common cause of ureteric stricture. Lower ureteric stricture with obstructive megaureter like presentation was also not uncommon and an equally significant group of ureteric strictures had unknown aetiology. KEYWORDS Ureteric Stricture, Tuberculosis, Iatrogenic Stricture, Obstructive Megaureter, Instrumentation.
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  • Ureter an Innocent Bystander: Lower Ureteral Stricture Following
    Arch Nephrol Urol 2019; 2 (2): 029-032 DOI: 10.26502/anu.2644-2833007 Case Report Ureter an Innocent Bystander: Lower Ureteral Stricture Following Angioembolisation of Uterine Artery Tushar Aditya Narain1, Manjeet Kumar2*, Shrawan Singh1, Gopal Sharma1, Shantanu Tyagi1 1Department of Urology, Postgraduate Institute of Medical Education and Research, Chandigarh, India 2Indira Gandhi Medical College and Hospital (IGMC), Shimla, Himachal Pradesh, India *Corresponding Author: Dr. Manjeet Kumar, Department of Urology, Indira Gandhi Medical College and Hospital (IGMC), Shimla, Himachal Pradesh, India, E-mail: [email protected] Received: 24 May 2019; Accepted: 31 May 2019; Published: 10 June 2019 Abstract Lower ureteric strictures are a common cause for unilateral hydroureteronephrosis, commonly resulting from previous surgeries, weather endoscopic, laproscopic or open. Devascularisation of the ureter resulting in fibrosis forms the underlying pathophysiology of stricture formation. We report a case of ureteral stricture resulting from angioembolization done for a bleeding arteriovenous malformation (AVM) of the uterus. Keywords: Angioembolisation; Stricture; Ureter 1. Introduction The main cause for ureteral stricture are surgical trauma, impacted ureteral stones, extrinsic compression from a tumor and congenital narrowing. Ureteral stricture is the most frequent complication observed in pelvic surgery. Ureteral strictures are typically due to ischemia, resulting in fibrosis. Wolf and colleagues defined a stricture as ischemic, when it follows open surgery or radiation therapy, whereas a stricture is considered nonischemic if it is caused by spontaneous stone passage or a congenital abnormality [1]. We report a case of ureteral stricture which developed after angioembolisation of bilateral uterine artery done for a bleeding arterio-venous malformation of the uterine cavity.
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  • Onlay Repair Technique for the Management of Ureteral Strictures: a Comprehensive Review
    Hindawi BioMed Research International Volume 2020, Article ID 6178286, 11 pages https://doi.org/10.1155/2020/6178286 Review Article Onlay Repair Technique for the Management of Ureteral Strictures: A Comprehensive Review Shengwei Xiong ,1,2,3 Jie Wang,1,2,3 Weijie Zhu,1,2,3 Kunlin Yang,1,2,3 Guangpu Ding,1,2,3 Xuesong Li ,1,2,3 and Daniel D. Eun 4 1Department of Urology, Peking University First Hospital, No. 8 Xishiku St, Xicheng District, Beijing 100034, China 2Institute of Urology, Peking University, No. 8 Xishiku St, Xicheng District, Beijing 100034, China 3National Urological Cancer Center, No. 8 Xishiku St, Xicheng District, Beijing 100034, China 4Department of Urology, Temple University School of Medicine, 255S 17th Street, 7th Floor Medical Tower, Philadelphia, PA 19103, USA Correspondence should be addressed to Xuesong Li; [email protected] and Daniel D. Eun; [email protected] Received 5 March 2020; Revised 29 June 2020; Accepted 6 July 2020; Published 28 July 2020 Academic Editor: Achim Langenbucher Copyright © 2020 Shengwei Xiong et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Ureteroplasty using onlay grafts or flaps emerged as an innovative procedure for the management of proximal and midureteral strictures. Autologous grafts or flaps used commonly in ureteroplasty include the oral mucosae, bladder mucosae, ileal mucosae, and appendiceal mucosae. Oral mucosa grafts, especially buccal mucosa grafts (BMGs), have gained wide acceptance as a graft choice for ureteroplasty.
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  • Contemporary Issues in Obstetric Fistula
    CLINICAL OBSTETRICS AND GYNECOLOGY Volume 00, Number 00, 000–000 Copyright © 2021 Wolters Kluwer Health, Inc. All rights reserved. Contemporary Issues in Obstetric Fistula L. LEWIS WALL, MD, DPHIL,*† ITENGRE OUEDRAOGO, MD,‡ and FEKADE AYENACHEW, MD§ *Department of Anthropology, College of Arts and Sciences; †Department of Obstetrics and Gynecology, School of Medicine, Washington University in St. Louis, St. Louis, Missouri; ‡Association Renaissance Arena, Ouagadougou, Burkina Faso; Danja Fistula Center, Danja, Niger; and §International Fistula Alliance, Terrewode Women’s Community Hospital, Soroti, Uganda Abstract: We discuss a variety of contemporary issues connected: for example, a vesicovaginal relating to obstetric fistula. These include definitions of fistula is an abnormal opening between these injuries, the etiologic mechanisms by which fistulas occur, the role of specialist fistula centers in diagnosis the bladder and the vagina. and management, the classification of fistulas, and the Fistulas arise in different ways. A small assessment of surgical outcomes. We also review the number of fistulas are congenital, arising growing need for complex reconstructive surgical pro- from defects that occur during embryog- cedures, follow-up challenges, and the transition to a enesis.1 More commonly, however, fistu- fistula-free world in which other pathologies (such as 2,3 pelvic organ prolapse) will be of increasing importance. las are caused by trauma. Finally, we discuss the need to develop responsive The most common fistulas occurring in systems of maternal health care that treat women with females are genitourinary fistulas (vesico- competence, compassion, respect, and fairness. vaginal fistula, urethrovaginal fistula, Key words: obstetric fistula, vesicovaginal fistula, ’ ureterovaginal fistula, etc.) and genito- obstructed labor, women s rights enteric fistulas (especially rectovaginal fistula).
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  • Clinical Study of Unilateral Or Bilateral Noncalculus Hydronephrosis and Or Hydroureter
    International Journal of Recent Trends in Science And Technology, ISSN 2277-2812 E-ISSN 2249-8109, Volume 10, Issue 3, 2014 pp 438-446 Clinical Study of Unilateral or Bilateral Noncalculus Hydronephrosis and or Hydroureter 1 2 3* Kasabe P. , R. D. Jaykar , Rahul Wagh {1Assistant Professor,2 Associate Professor, 3 Resident} Department of General Surgery, Dr. V. M. Govt. Medical College, Solapur, Maharashtra, INDIA. *Corresponding Address: [email protected] Research Article Abstract: Background: Hydronephrosis is the dilation of the renal to the interruption of flow of urine, it is often due to an pelvis or calyces. Although patients usually presents with some obstructive process. Hydronephrosis is a very common signs and symptoms it can be clinically silent and is diagnosed as condition and it causes significant pain due to obstruction. an incidental finding during evaluation of an unrelated cause. Although calculus is the commonest cause of hydronephosis and Hydronephrosis can result from anatomic or functional hydroureter there are multiple noncalculus aetiology for the same process obstructing the flow of urine which can occur depending on the age and sex of the patient. This study is aimed anywhere from kidneys to the urethral meatus. Symptoms towards meticulous implementation of the accurate diagnostic tools depend on cause, location and duration of the obstruction. for early evaluation of noncalculus hydronephrosis and or Although patients usually presents with some signs and hydroureter and to assess the effectiveness of the early treatment symptoms it can be clinically silent and is diagnosed as towards the renal function sparing. Methods: In this prospective clinical study of 50 patients of hydronephrosis and or hydroureter an incidental finding during evaluation of an unrelated of all age groups and both the genders admitted in the department cause.
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  • EAU Guidelines on Urinary Incontinence 2016
    EAU Guidelines on Urinary Incontinence in Adults F.C . Burkhard (Chair), M.G. Lucas, L.C. Berghmans, J.L.H.R. Bosch, F. Cruz, G.E. Lemack, A.K. Nambiar, C.G. Nilsson, R. Pickard, A. Tubaro Guidelines Associates: D. Bedretdinova, F. Farag, B.B. Rozenberg © European Association of Urology 2016 TABLE OF CONTENTS PAGE 1. INTRODUCTION 6 1.1 Aim and objectives 6 1.2 Panel composition 6 1.3 Available publications 6 1.4 Publication history 6 2. METHODS 7 2.1 Introduction 7 2.2 Review 7 2.3 Terminology 7 3. DIAGNOSTIC EVALUATION 8 3.1 History and physical examination 8 3.2 Patient questionnaires 8 3.2.1 Questions 8 3.2.2 Evidence 8 3.3 Voiding diaries 9 3.3.1 Questions 10 3.3.2 Evidence 10 3.4 Urinalysis and urinary tract infection 10 3.4.1 Questions 10 3.4.2 Evidence 10 3.5 Post-voiding residual volume 11 3.5.1 Question 11 3.5.2 Evidence 11 3.6 Urodynamics 11 3.6.1 Question 11 3.6.2 Evidence 11 3.6.2.1 Variability 11 3.6.2.2 Diagnostic accuracy 12 3.6.2.3 Does urodynamics influence the outcome of conservative therapy 12 3.6.2.4 Does urodynamics influence the outcome of surgery for urinary incontinence? 12 3.6.2.5 Does urodynamics help to predict complications of surgery for UI? 12 3.6.2.6 Does urodynamics influence the outcome of treatment for post- prostatectomy urinary incontinence in men? 13 3.6.3 Research priority 13 3.7 Pad testing 13 3.7.1 Question 13 3.7.2 Evidence 13 3.7.3 Research priority 14 3.8 Imaging 14 3.8.1 Questions 14 3.8.2 Evidence 14 3.8.3 Research priority 15 4.
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  • EAU Guidelines on Urinary Incontinence in Adults
    EAU Guidelines on Urinary Incontinence in Adults F.C . Burkhard (Chair), J.L.H.R. Bosch, F. Cruz, G.E. Lemack, A.K. Nambiar, N. Thiruchelvam, A. Tubaro Guidelines Associates: D. Ambühl, D.A. Bedretdinova, F. Farag, R. Lombardo, M.P. Schneider © European Association of Urology 2018 TABLE OF CONTENTS PAGE 1. INTRODUCTION 8 1.1 Aim and objectives 8 1.1.1 The elderly 8 1.2 Panel composition 8 1.3 Available publications 8 1.4 Publication history 9 1.4.1 Summary of changes. 9 2. METHODS 11 2.1 Introduction 11 2.2 Review 11 2.3 Future goals 11 3. DIAGNOSTIC EVALUATION 11 3.1 History and physical examination 11 3.2 Patient questionnaires 12 3.2.1 Questions 12 3.2.2 Evidence 12 3.2.3 Summary of evidence and recommendations for patient questionnaires 13 3.3 Voiding diaries 14 3.3.1 Question 14 3.3.2 Evidence 14 3.3.3 Summary of evidence and recommendations for voiding diaries 14 3.4 Urinalysis and urinary tract infection 14 3.4.1 Question 14 3.4.2 Evidence 14 3.4.3 Summary of evidence and recommendations for urinalysis 15 3.5 Post-void residual volume 15 3.5.1 Question 15 3.5.2 Evidence 15 3.5.3 Summary of evidence and recommendations for post-void residual 15 3.6 Urodynamics 15 3.6.1 Question 16 3.6.2 Evidence 16 3.6.2.1 Variability 16 3.6.2.2 Diagnostic accuracy 16 3.6.2.3 Question 16 3.6.2.4 Evidence 16 3.6.2.5 Question 16 3.6.2.6 Evidence 16 3.6.2.7 Question 17 3.6.2.8 Evidence 17 3.6.2.9 Question 17 3.6.2.10 Evidence 17 3.6.3 Summary of evidence and recommendations for urodynamics 17 3.6.4 Research priority 18 3.7 Pad testing 18 3.7.1 Questions 18 3.7.2 Evidence 18 3.7.3 Summary of evidence and recommendations for pad testing 18 3.7.4 Research priority 18 3.8 Imaging 18 3.8.1 Questions 19 3.8.2 Evidence 19 3.8.3 Summary of evidence and recommendations for imaging 19 3.8.4 Research priority 19 2 URINARY INCONTINENCE IN ADULTS - LIMITED UPDATE MARCH 2018 4.
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  • Laparoscopic and Robotic Management of Ureteral Stricture In
    in vivo 34 : 965-972 (2020) doi:10.21873/invivo.11864 Review Laparoscopic and Robotic Management of Ureteral Stricture in Adults FILIPPOS KAPOGIANNIS 1,2 , ELEFTHERIOS SPARTALIS 2,3 , KONSTANTINOS FASOULAKIS 1, GERASIMOS TSOUROUFLIS 2,3 , DIMITRIOS DIMITROULIS 2,3 and NIKOLAOS I. NIKITEAS 2,3 1Department of Urology, Hippokrateion Hospital, Athens, Greece; 2Hellenic Minimally Invasive and Robotic Surgery (MIRS) Study Group, Athens Medical School, National and Kapodistrian University of Athens, Athens, Greece; 3Second Department of Propaedeutic Surgery, Laiko Hospital, Athens Medical School, National and Kapodistrian University of Athens, Athens, Greece Abstract. Background/Aim: The aim of this review was to flow of urine. When this occurs, urine backs up into the provide an update on the status of minimal invasive treatment kidney and may cause pain, urinary tract infections, or of ureteral stricture either with a laparoscopic or robotic kidney failure. Management of strictures not amenable to surgery. Materials and Methods: Eligible studies, published endoscopic treatment involves ureteral reconstruction, which until November 2019 were retrieved through Medline, still remains a challenging therapy option. During the past Cochrane and Pubmed databases. Predetermined inclusion three decades, the field of minimally invasive surgery, and exclusion criteria were used as selection method for data especially in urology, has brought major changes in synthesis and acquisition. The study was performed in treatment strategies, firstly with laparoscopy, and more accordance with the PRISMA statement. Results: A total of 19 recently with robotic surgery. The aim of our study was to retrospective studies met the inclusion criteria. All of them provide an outline of the increased adoption of these demonstrated the safety, feasibility and success of both advancements which although not mature seem to provide laparoscopic and robotic ureteral reconstruction.
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