Publications by authors named "Herry Kibona"
Introduction And Importance: Cloacal exstrophy (CE) is defined as a complex anomaly that affects the urogenital and intestinal tracts. It is the most serious form of anomaly that is described within the so-called exstrophy-epispadias complex. These malformations usually present a challenge in the management of particular conditions, as most of these forms require multiple surgeries, resulting in the use of multidisciplinary approaches, including reconstructive urologists, pediatric surgeons, orthopedic surgeons, endocrinologists, pediatricians, psychologists and nutritionists.
View Article and Find Full Text PDFIntroduction And Importance: Ureteric stump syndrome [USS] is a series of febrile recurrent lower abdominal pain, urinary tract infections, and hematuria that sometimes present with empyema as a rare complication. The ureteric stump is left after ureteric re-implantation due to an impacted stone at the Vesical-ureteric junction [VUJ], or after nephrectomy of a non-functional kidney due to a distal stone; the ureteral stump forms a source of infection to the urinary bladder, in addition to long-term obstructive stones left at the ureteric stamp. This usually cause chronic irritation of the mucosa and potentially change to metaplasia, dysplasia and malignancy.
View Article and Find Full Text PDFArticle Synopsis
- Leiomyomas are rare, benign tumors of the bladder that account for 1 to 5% of all bladder tumors; while 20% are asymptomatic, many cause issues like urinary dysfunction and hematuria.
- * The case study discusses a 39-year-old woman with severe urinary symptoms and a tumor in her bladder, which was identified through imaging and cystoscopy.
- * Treatment involved a dual approach of Transurethral Resection of Bladder Tumor (TURBT) and open urethrotomy to fully excise the tumor, which was causing persistent symptoms.
Key Clinical Message: Conservative nonsurgical therapy ensures that the resolution is nearly 80% for vesicoureteral reflux grades I and II and 30%-50% for vesicoureteral reflux grades III and V within 4-5 years of follow-up. Open surgical reimplantation of ureters of grades IV and V is a highly successful procedure, with reported correction rates ranging from 95% to 99% regardless of the severity of vesicoureteral reflux.
Abstract: Patients with vesicoureteral reflux present with a wide range of severity.