ABSTRACT
The microvascularisation of the male urethra was studied in neonates and infants by injection of agarised China ink into the circulation. The purpose of this study was to specify the angioarchitecture of each tunic of the urethral wall. The disposition of the microvascularisation networks varies depending on the urethral parts considered: only the mucous membrane networks are uniform throughout the entire urethra. The sub-mucous networks are significantly increased in the spongy part. The muscular networks disappear in the spongy part.
Subject(s)
Urethra/anatomy & histology , Urethra/blood supply , Cadaver , Humans , Infant , Infant, Newborn , Male , Microcirculation/anatomy & histology , Prostate/anatomy & histology , Prostate/blood supply , Regional Blood Flow , Sensitivity and SpecificityABSTRACT
OBJECTIVE: The authors reported the preliminary results of levator ani muscle flap in the treatment of vesicovaginal fistula. MATERIALS AND METHODS: Twenty-six patients whose age varied between 13 and 18 years (mean: 30 years) are selected. All the patients are treated by the vaginal approach using the part of superficial rectal fibers of the levator ani muscle. RESULTS: Among the 26 patients, 14 are free after the first cure of vesicovaginal fistula (54%), and 4 patients (15%), after the treatment of some complications. CONCLUSION: The musculofascial levator ani flap with its vascular pedicle and its mobilisation can successfully close the vesicovaginal fistula. The preliminary results obtained (88%) tie up with that previously described in the literature.
Subject(s)
Muscle, Skeletal/transplantation , Surgical Flaps , Urinary Bladder Fistula/surgery , Vaginal Fistula/surgery , Adolescent , Adult , Anal Canal/surgery , Female , Humans , Middle Aged , Treatment Outcome , Urinary Bladder Fistula/pathology , Vaginal Fistula/pathologyABSTRACT
The microvascularization of the female urethra was studied in fetuses, neonates and infants by injection of agarized China ink into the circulation. The purpose of this study was to specify the angioarchitecture of each tunic and their specific drainage. The disposition of the microvascularization of the urethra is superimposed on the orientation of the fibers of the muscular tunic. The orientation of the veins of the sub-mucous tunic is longitudinal and not plexiform.
Subject(s)
Urethra/blood supply , Child, Preschool , Female , Fetus/blood supply , Humans , Infant , Infant, Newborn , Microcirculation/anatomy & histology , Urethra/anatomy & histologyABSTRACT
Surgery was performed within 24 hours after penile fracture which occurred during coitus due to isolated damage to the corpus cavernosum. Post-operative follow-up was uneventful and the patient recovered normal erectile function which was only lost at the moment the of the accident.
