Subject(s)
Urethra/injuries , Urinary Catheterization , Humans , Time Factors , Wounds and Injuries/therapyABSTRACT
The presentation, diagnosis, and management of a patient with an ileovesical fistula is discussed, this being the second reported case in the literature.
Subject(s)
Ileal Diseases/surgery , Intestinal Fistula/surgery , Meckel Diverticulum/surgery , Urinary Bladder Fistula/surgery , Adult , Female , Humans , Ileal Diseases/etiology , Intestinal Fistula/etiology , Meckel Diverticulum/complications , Urinary Bladder Fistula/etiologySubject(s)
Kidney Calculi/surgery , Kidney/physiopathology , Animals , Female , Kidney/diagnostic imaging , Male , Papio , Radionuclide ImagingSubject(s)
Kidney/surgery , Animals , Female , Hypertrophy/etiology , Kidney/pathology , Male , PapioABSTRACT
Fifty-five patients with advanced carcinoma of the cervix and vesicovaginal fistula were managed by urinary diversion using the transverse colon as a conduit. The surgical technique is described and this form of urinary diversion is recommended for these patients.
Subject(s)
Urinary Diversion , Uterine Cervical Neoplasms/complications , Vesicovaginal Fistula/surgery , Adult , Aged , Colon/surgery , Female , Humans , Middle Aged , Uterine Cervical Neoplasms/mortality , Uterine Cervical Neoplasms/surgery , Vagina/surgery , Vesicovaginal Fistula/etiologyABSTRACT
A true XX hermaphrodite presenting in adulthood with male sex gender identity was found to have separate vaginal and urethral openings in the perineum. A total vaginectomy was performed at the same time as total abdominal hysterectomy and gonadectomy because the vaginal opening would interfere with a urethroplasty to repair the hypospadias and chordee phallus. During this procedure prostatic tissue was excised in the area of the anterior vaginal wall adjacent to the urethra. Recommendations regarding this rare XX true hermaphroditism are put toward and observations on some bizarre features of the entity are made. The authors plead for the formation of a national register to study this interesting condition.