Publications by authors named "Sankapal Prakash"
Article Synopsis
- The text discusses a rare case of a 24-year-old woman with continuous urinary incontinence due to vesicovaginal and ureterovaginal fistulas after a total abdominal hysterectomy.
- Diagnosis involved cystoscopy revealing abnormal tissue and a hidden ureteric opening, indicating complex surgical needs.
- The surgery successfully repaired the fistulas and resolved incontinence, highlighting the importance of thorough investigation and histological checks for malignancy in similar cases.
Article Synopsis
- - The study investigates the complications and risks associated with indwelling ureteral stents left in place for over six months, which can lead to issues like stent migration and renal function loss.
- - Out of 114 patients analyzed, common symptoms included abdominal pain and dysuria, with a notable 7.9% experiencing permanent renal damage, often due to poor patient compliance and misunderstandings about stent duration.
- - Implementing a "three steps" prevention check significantly reduced the incidence of retained stents from 1.1% to 0.5%, highlighting the importance of timely follow-up and patient education for stent management.
Congenital Cryptorchidism Masquerading as Traumatic Dislocation of Testis.
J Emerg Trauma Shock
December 2021
Article Synopsis
- - Traumatic dislocation of testis (TDT) is rare but can occur during trauma, where the cremasteric reflex pulls the testis out of the scrotum to prevent injury, though it may be associated with severe injuries.
- - A case involving a 33-year-old man with bilateral congenital cryptorchidism revealed TDT after blunt trauma from a road accident; initially, it seemed like he had TDT due to a seemingly empty scrotal sac.
- - Detailed clinical history and imaging were crucial in properly diagnosing TDT, emphasizing the need for thorough evaluations when assessing genital trauma, especially when the scrotum appears well-developed but empty.
Article Synopsis
- PMDS is a rare form of internal male pseudohermaphroditism characterized by individuals with XY karyotypes having internal female reproductive organs due to a genetic defect involving Mullerian inhibiting substance (MIS) or its receptor.
- A 29-year-old male patient with PMDS was diagnosed after presenting with primary infertility, using imaging and karyotyping, leading to surgery that included hysterectomy and orchidopexy.
- The study emphasizes the need for surgeons to be aware of PMDS and consider it in cases of primary infertility, especially when bilateral undescended testis is present.
Article Synopsis
- This study evaluated the effectiveness of three different surgical techniques (tunica vaginalis flap, dorsal preputial dartos flap, and spongioplasty) as additional layers after repairing the urethra in boys with various types of hypospadias.
- A total of 97 patients underwent Snodgrass repair, with outcomes analyzed based on factors like appearance, urinary function, and complications.
- The findings suggested that DPF is best for distal hypospadias, TVF for mid/proximal hypospadias, and that spongioplasty may suffice where tissue is strong to minimize complications.