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Postoperative urinary dysfunction following lateral lymph node dissection for rectal cancer via minimally invasive surgery.
BMC Surg
December 2024
Department of Coloproctological Surgery, Juntendo University Faculty of Medicine, Tokyo, Japan.
Background: Lateral lymph node dissection (LLND) for locally advanced rectal cancer (LARC) is performed widely since it reduces local recurrence. However, there are some disadvantages to LLND, including technical difficulties and association with postoperative urinary dysfunction. Procedures for LARC have also become more minimally invasive: laparoscopic surgery (LS) has become more common, and use of robot-assisted LS (RALS) is increasing.
View Article and Find Full Text PDFSacral nerve preservation on total sacrectomy of a large atypical sacral chordoma resection: A case report.
Int J Surg Case Rep
November 2024
Department of Orthopaedics and Traumatology, Faculty of medicine Universitas Padjadjaran, Hasan Sadikin General Hospital, Bandung, Indonesia.
Article Synopsis
- - Chordoma is a slow-growing, benign tumor that rarely occurs in the spine, but can cause significant neurological issues due to its mass effect on the spinal cord or nerves when symptomatic.
- - A case involving a 39-year-old male highlighted a chordoma in the sacral region, which caused pain and dysfunction, leading to surgical removal and stabilization, despite a complication during the procedure.
- - Post-surgery, the patient showed good outcomes with minimal pain and no issues with bowel or bladder function, emphasizing the potential for effective management and early mobilization following lumbopelvic stabilization.
Inflammatory myofibroblastic tumor (IMT) is a rare, benign lesion of uncertain etiology, predominantly affecting soft tissues such as the lungs, with spinal involvement being exceedingly rare. We present the case of a 10-year-old male with a year-long history of low back pain, constipation, and difficulty in urination. MRI revealed an intradural extramedullary lesion at L5-S1, initially suspected to be a schwannoma or neurofibroma.
View Article and Find Full Text PDFPatient Reported Outcomes Due to Bladder Neck Obstruction in Women Treated With Botulinum Toxin A Injection.
Neurourol Urodyn
November 2024
Department of Urology, Albany Medical Center, Albany, New York, USA.
Introduction: Primary bladder neck obstruction (BNO) occurs when the bladder neck fails to open during voiding, causing urinary symptoms despite no anatomic obstruction. The cause of BNO is unclear but may involve neurogenic dysregulation related to the sympathic nervous system such as upper motor neuron lesion or peripheral autonomic neuropathy (small fiber neuropathy (SFN)). Another etiology can incuded increased sympathetic tone secondary to anxiety or stress conditons.
View Article and Find Full Text PDFAn Anatomical Pathogenesis for Science and Surgery of the Working Group's Recommendations for Female Stress Urinary Incontinence.
Neurourol Urodyn
November 2024
Pelvic Floor Surgeon (retired).
Aims: To provide a brief anatomical pathogenesis of the Working Group SUI publication recommendations.
Methods And Results: The anatomical science and surgical practice presented here formed the original basis for the MUS and other bladder dysfunctions, updated to 2024 with videos: https://atm.amegroups.
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