Objective: To determine patient outcomes across a range of pelvic fracture urethral injury (PFUI) severity. PFUI is a devastating consequence of a pelvic fracture. No study has stratified PFUI outcomes based on severity of the urethral distraction injury.
View Article and Find Full Text PDFBackground: Pelvic fracture urethral injury (PFUI) occurs in up to 10% of pelvic fractures. There is mixed evidence supporting early endoscopic urethral realignment (EUR) over suprapubic tube (SPT) placement and delayed urethroplasty. Some studies show decreased urethral obstruction with EUR, while others show few differences.
View Article and Find Full Text PDFA bladder to lumbar hardware fistula has never been reported. We report the case of a 67 year old male who presented with a bladder to lumbar spinal hardware fistula approximately four years following an L4-S1 anterior lumbar internal fixation. It was identified through the use of CT cystogram.
View Article and Find Full Text PDFIntroduction: Erectile dysfunction and urinary incontinence are well-known side effects of radical prostatectomy that, when refractory to medical therapy, can be addressed by major genitourinary prosthetic surgery (urethral slings, artificial urinary sphincters, penile prostheses). Although these procedures have been evaluated in single institution studies, population based analyses regarding their use have been sporadic. Thus, we characterized post-prostatectomy genitourinary prosthetic surgery in a contemporary, population based cohort of men with private insurance.
View Article and Find Full Text PDFEndometriosis is characterized by endometrial-like tissue outside the uterus, primarily on the pelvic peritoneum, ovaries, and rectovaginal septum, and, in rare cases, within the urinary tract (1-3%). Although endometriosis is a benign condition, malignant transformation of endometriosis is a well-described phenomenon. Malignancies arising in endometriosis are uncommon at extragonadal pelvic sites.
View Article and Find Full Text PDFIn-situ burning of spilled oil, which receives considerable attention in marine conditions, could be an effective way to cleanup wetland oil spills. An experimental in-situ burn was conducted to study the effects of oil type, marsh type, and water depth on oil chemistry and oil removal efficiency from the water surface and sediment. In-situ burning decreased the totaltargeted alkanes and total targeted polycyclic aromatic hydrocarbons (PAHs) in the burn residues as compared to the pre-burn diesel and crude oils.
View Article and Find Full Text PDFEffects of water depth, burn duration, and diesel fuel concentration on the relationship between recovery of marsh vegetation, soil temperature, and oil remediation during in-situ burning of oiled mesocosms were investigated. The water depth over the soil surface during in-situ burning was a major factor controlling recovery of the salt marsh grass, Spartina alterniflora. Ten centimeters of water overlying the soil surface was sufficient to protect the marsh soil from burn impacts with soil temperatures <37 degrees C and high plant survival rate.
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