Результаты поиска

Stevens Johnson Syndrome: Past, Present, and Future Directions Gynecologic Manifestations and Management in SJS/TEN.

UNLABELLED: Stevens Johnson Syndrome (SJS) and Toxic Epidermal Necrolysis (TEN) are severe mucocutaneous hypersensitivity disorders characterized by sudden onset epidermal necrosis. Acute manifestations of SJS/TEN often include vulvovaginal erosions, ulcerations, vaginal discharge, bleeding, vaginal pain, dysuria, and urinary retention. If not treated, this can lead to complications such as vulvovaginal adhesions, vaginal stenosis or dryness, pain, dyspareunia, bleeding, and adenosis. Even with adequate treatment, there are lasting impacts including difficulty with vaginal exams and psychologi…

Are There Differences Between Patients with Extreme Stenosis and Non-extreme Stenosis in Terms of Pain, Function or Complications After Spinal Decompression Using a Tubular Retractor System?

BACKGROUND: Micro-tubular decompression in extreme lumbar spinal stenosis is challenging because it is technically difficult to achieve adeq … n the group with extreme stenosis occurred in six patients (incidental dural tears in two patients, urinary retention in three patients, and Syndrome of Inappropriate Anti Diuretic Hormone secretion (SIADH) in one patient); complications in the non-extreme stenosis occurred in two patients (incidental dural tears in two patients). CONCLUSIONS: The results in terms …

Assessment and Treatment of Acute Low Back Pain (ALBP): A Systematic Review.

OBJECTIVES: To synthesize evidence on the evaluation and management of acute low back pain (ALBP) (<6 weeks duration) to support clinical gu … erious spine pathology (red flags). Stronger predictors included cancer history, saddle anesthesia, urinary retention, procedure-related infection, and age (KQ 1a). Maladaptive pain coping behaviors, low general health status, and presence of psychiatric comorbidities were associated with an increased likelihood of developing persistent disabling low back pain (KQ …

Combined Robotic Ventral Mesh Rectopexy and Sacrocolpopexy for Multicompartmental Pelvic Organ Prolapse.

BACKGROUND: Multispecialty management should be the preferred approach for the treatment of pelvic floor dysfunction because there is often … reoperation: epidural abscess, small-bowel obstruction, missed enterotomy requiring resection, and urinary retention requiring sling revision. There were no mortalities. LIMITATIONS: Retrospective single-center study. CONCLUSIONS: A combined robotic approach for multicompartmental pelvic organ prolapse is a safe and viable procedure with a relatively low rate of …

Hemorrhoidectomy and Excision of Skin Tags in IBD: Harbinger of Doom or Simply a Disease Running Its Course?

BACKGROUND: Controversy in performing hemorrhoidectomy and anal skin tag excision in patients with IBD stems from dated reports of nonhealin … ion/incision of thrombosed hemorrhoid). Thirty-day complications were observed in 5 patients (n = 4 urinary retention, 1 perianal abscess). Five patients with Crohn's disease eventually required proctectomy at a median of 7 years after skin tag excision (range, 6 months to 10 years), but none were secondary to impaired wound healing. Two patients with ulcerative co …

Tricyclic antidepressants for attention deficit hyperactivity disorder (ADHD) in children and adolescents.

BACKGROUND: Attention deficit hyperactivity disorder (ADHD) is a chronic neurodevelopmental disorder of childhood onset, which may persist i … edation, tiredness, blurred vision, diaphoresis, dry mouth, abdominal discomfort, constipation, and urinary retention. AUTHORS' CONCLUSIONS: Most evidence on TCAs relates to desipramine. Findings suggest that, in the short term, desipramine improves the core symptoms of ADHD, but its effect on the cardiovascular system remains an important clinical concern. Thus, …

Spinal Epidural Abscess.

AUDIENCE: The aim of this simulation case is to educate senior medical students, resident physicians, and advanced practice providers on the … occur in about one-third of cases.2 Neurological symptoms include motor weakness, sensory changes, urinary retention, overflow urinary incontinence, bowel dysfunction, hyperreflexia, radicular pain, spinal shock or cauda equina syndrome.1,4Laboratory findings may include systemic leukocytosis and elevated inflammatory markers. Whereas leukocytosis is estimated to …

[Spinal cord concussion: a retrospective study of twenty-four patients].

PURPOSE OF THE STUDY: Spinal cord concussion is characterised as fully reversible, temporary inhibition of conductive function due to trauma … und in 21 (87.5%) patients. One patient had perianal and genital sensory deficit and one (4.2%) had urinary retention. Neither radiograms nor CT scans showed traumatic changes in any of the patients; MRI findings free of any traumatic spinal changes were recorded in 21 patients (87.5%). One patient had oedema of the T5 and T8 vertebral bodies. No complications were …

Seropositive Neuromyelitis Optica in a Case of Undiagnosed Ankylosing Spondylitis: A Neuro-Rheumatological Conundrum.

Neuromyelitis optica spectrum disorder (NMOSD) is an autoimmune astrocytopathy against foot processes of aquaporin-4 (AQP4) water channels. … ess of both lower limbs (right more than left) for 10 days. The clinical picture showed acute-onset urinary retention, which was relieved by urinary catheterization. An indigenous medical practitioner had prescribed drugs to treat a urinary tract infection. His weakness gradually progressed over the following week, causing him to become bedridden. During the remova …

[Analysis on the technical characteristics and clinical efficacy of robotic-assisted intersphincteric resection for patients with low rectal cancer].

Objective: To explore the technical characteristics and short-term clinical efficacy of robotic-assisted intersphincteric resection (ISR) fo … ge, one case of anastomotic stenosis, one case of inflammatory external hemorrhoids and one case of urinary retention occurred after surgery,and all of them were cured by conservative treatment. The mean diameter of tumors was (2.9±1.2) cm, and the number of harvested lymph node was 12.8 ± 3.3. In the whole group, the circumcision margin was negative, the proximal …

Multimedia article. Laparoscopic ultralow anterior resection with colonic J-pouch-anal anastomosis.

PURPOSE: Optimal treatment of mid to distal rectal cancers includes total mesorectal excision for oncologic clearance and, where reanastomos … was associated with adjuvant chemoradiotherapy (P = 0.042). One patient (2 percent) had persistent urinary retention that required catheterization at latest follow-up. The ileostomy had been closed in 50 patients, and at last follow-up, the median stool frequency was two (1-8) bowel movements per day. CONCLUSIONS: Laparoscopic ultralow anterior resection could be …

Царская нейромодия для нейрогенного Нижнего Уринарного тракта, Боул и Сексуальная дисфункция у пациентов с множественным склерозом: экспериментальное испытание.

АИСЮ: Мы представляем результаты two- Экспериментальное исследование с применением огнестрельного оружия для оценки целесообразности проведения двухзвукового выборочного контролируемого испытания (РКТ) с целью оценки эффективности нейромодуляции (СНМ) у пациентов с множественным склерозом (МС), страдающих нейрогеническим расстройством нижних мочевых путей (НЛУТД). МЕТОДЫ: Учитываемые темы с рефрактным NLUTD и EDS < 5 Прошла стадию испытания SNM. Те, кто показывают больше, чем 50% - усовершенствование переменных мочевого пузыря, получение имплантируемых импульсных генераторов (ИПГ) и произвольн

Совпадение в полном тексте источника
… The patients were categorized into three subgroups of NLUTD, according to their predominant symptoms (urgency/urgency incontinence, chronic urinary retention, combination of both). … retention. …

Долгосрочная последующая деятельность в связи с использованием токсинов инторговцев ботулинума: сравнение пациентов с множественным склерозом и идиопатическим сверхактивным мочевым пузырем.

ЦЕЛИ: ОЦЕНКА ДАЛЬНЕЙШИХ 10 Циклы) неоднократного использования токсина ботулинума (BONT) в множестве склероза (MS) и идиопатического избыточного мочевого пузыря (OAB). МАТЕРИАЛЫ И МЕТОДЫ: Это ретроспективное, международное, многоцентральное, когортное исследование пациентов, диагностированных с помощью MS и нейрогенного OAB и прошедших курс лечения с помощью информулятора BONT в период с января 2005 и январь 2020 (незадолго до COVID-19 прерывание работы). Были зарегистрированы дозы, эффективность, продолжительность действия, международные консультации по вопросу о чрезмерно активном пузыре воп

Совпадение в полном тексте источника
… De novo urinary retention occurred in MS patients who underwent BoNT in 44.1%, 44.0% and 25.0% of patients in cycles 1, 2 and 3, respectively; however, this ceased after cycle 3. … This is in comparison to idiopathic OAB patients who had a more consistent rate of de novo urinary retention throughout all cycles (Table  5 ). …

A rare case of multi-segmental lumbar intradural ependymoma: clinical presentation and surgical management: a case report.

BACKGROUND: Intradural extramedullary(IDEM)-type Ependymoma is a rare clinicalentity belonging to the broader category of uncommon glial neo … pain, bilateral lower-extremity weakness, sensory disturbances, or sphincter dysfunction, including urinary retention.(3) Lipoma.Spinal lipomas typically demonstrate homogeneous high signal intensity on T1-weighted images, with complete signal suppression on fat-saturated sequences and little or no contrast enhancement. They are more frequently associated with cong …

Mesh, graft, or standard repair for women having primary transvaginal anterior or posterior compartment prolapse surgery: two parallel-group, multicentre, randomised, controlled trials (PROSPECT).

BACKGROUND: The use of transvaginal mesh and biological graft material in prolapse surgery is controversial and has led to a number of enqui … t 2·2 (2·8); mean difference 0·10, -0·33 to 0·52; p=0·66. Serious adverse events such as infection, urinary retention, or dyspareunia or other pain, excluding mesh complications, occurred with similar frequency in the groups over 1 year (mesh trial: 31/430 [7%] with standard repair vs 34/435 [8%] with mesh, risk ratio [RR] 1·08, 95% CI 0·68 to 1·72; p=0·73; graft t …

Paravertebral block versus thoracic epidural for patients undergoing thoracotomy.

BACKGROUND: Operations on structures in the chest (usually the lungs) involve cutting between the ribs (thoracotomy). Severe post-thoracotom … 0.001), pruritis (5 studies, 249 participants. RR 0.29, 95% CI 0.14 to 0.59, P value = 0.0005) and urinary retention (5 studies, 258 participants. RR 0.22, 95% CI 0.11 to 0.46, P value < 0.0001). There was insufficient data in chronic pain (six or 12 months). There was no difference found in and length of hospital stay (3 studies, 124 participants). We found no st …

Spinal Cord Compression As the Initial Manifestation of Relapsed Acute Myeloid Leukemia: A Case Report and Literature Review of a Rare Presentation.

Myeloid sarcoma (MS) is a solid mass of myeloid blasts outside the bone marrow (BM). Most cases occur in the setting of intramedullary acute myeloid leukemia (AML), but it can also present in the absence of overt BM disease, as a presentation of newly diagnosed or relapsed AML, or as a progression of myeloproliferative neoplasms or myelodysplastic syndromes. There are a few reports of spinal cord compression due to MS, and there is no consensus regarding its management. Here, we present a case of relapsed AML in the form of MS resulting in spinal cord compression and provide a comprehensive li

Совпадение в полном тексте источника
… retention and constipation. … In remission Kalayci, 2005 [ 24 ] | M, 24 | No | Low back pain, paraparesis, T5 sensory level, and urinary retention | T3-5 epidural space | Not mentioned | No | MPO+, LCA+, lysozyme+ | Systemic CS, surgery, systemic CTX, spine RT | 8 months | Alive. …

Antifibrotic therapy for Lower Urinary Tract Symptoms secondary to Benign Prostatic Hyperplasia.

BACKGROUND: Lower Urinary Tract Symptoms secondary to Benign Prostatic Hyperplasia (LUTS/BPH) are a ubiquitous condition estimated to affect over 50% of men over the age of 50 years. Various treatment options exist for men presenting with LUTS/BPH, including lifestyle and behavioral modification and medical or surgical treatment. Although multiple medical treatments exist, innovation for the medical treatment of BPH has not significantly progressed. METHODS: A comprehensive narrative review was performed to evaluate prostate fibrosis as a contributor to LUTS/BPH and to identify potential anti

Совпадение в полном тексте источника
… Similarly, an analysis of routine protocol biopsies taken during the REDUCE trial demonstrated that chronic inflammation was associated with worse IPSS, larger prostate volume, and an increased risk of acute urinary retention [ 27 ]. … Chronic prostate inflammation is associated with severity and progression of benign prostatic hyperplasia, lower urinary tract symptoms and risk of acute urinary retention . J Urol . 2016 ; 196 : 1493 – 8 . 27378134 10.1016/j.juro.2016.06.090 28. …

Non-surgical interventions for late rectal problems (proctopathy) of radiotherapy in people who have received radiotherapy to the pelvis.

BACKGROUND: This is an update of a Cochrane review first published in 2002, and previously updated in 2007. Late radiation rectal problems (proctopathy) include bleeding, pain, faecal urgency, and incontinence and may develop after pelvic radiotherapy treatment for cancer. OBJECTIVES: To assess the effectiveness and safety of non-surgical interventions for managing late radiation proctopathy. SEARCH METHODS: We searched the Cochrane Central Register of Controlled Trials (CENTRAL) (Issue 11, 2015); MEDLINE (Ovid); EMBASE (Ovid); CANCERCD; Science Citation Index; and CINAHL from inception to N

Epidural versus non-epidural or no analgesia for pain management in labour.

BACKGROUND: Epidural analgesia is a central nerve block technique achieved by injection of a local anaesthetic close to the nerves that tran … ral and opioid groups. Women with epidural experienced more hypotension, motor blockade, fever, and urinary retention. They also had longer first and second stages of labour, and were more likely to have oxytocin augmentation than the women in the opioid group. Women receiving epidurals had less risk of respiratory depression requiring oxygen, and were less likely …