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"Semen-oma": Sequestered Semen Collection From Urethral Stricture and Bladder Neck Closure in Exstrophy Reconstruction.
Cureus
September 2024
Urology, Orlando Regional Medical Center, Orlando, USA.
Ejaculatory dysfunction in adult males with bladder exstrophy-epispadias complex can occur from associated genitourinary anomalies, surgical iatrogenic scarring, infection, obstruction, and neurologic and functional causes. This case presents a 30-year-old male patient with a history of bladder exstrophy reconstruction (bladder neck closure and appendicovesicostomy) who presented with a nine-year history of intermittent perineal scrotal pain, swelling, and intermittent urethral discharge. He presented with a tender palpable perineal mass ("semen-oma").
View Article and Find Full Text PDFFalse-positive urine pregnancy screening tests are uncommon in the hospital setting among patients with bowel-containing urinary tract reconstruction.
J Pediatr Urol
June 2023
Boston Children's Hospital, Department of Urology, Boston, MA 02115, USA. Electronic address:
Purpose: False-positive urine pregnancy screening tests (UPST) have been reported among patients with bowel-containing urinary reconstruction (BCUR). However, the true frequency of such inaccurate results, which have been attributed to urinary mucous or other proteins interfering with or mimicking the binding of beta-HCG in the assay, is unknown in this population. We sought to determine the incidence of false-positive pregnancy screening tests among this patient population at our institution.
View Article and Find Full Text PDFFalse positive pregnancy tests in pediatric patients with augmentation enterocystoplasty.
J Pediatr Urol
October 2022
Division of Urology, Children's Hospital Los Angeles, Los Angeles, CA, USA; Keck School of Medicine, University of Southern California, Los Angeles, CA, USA. Electronic address:
Purpose: Our primary aim was to determine the prevalence of positive over-the-counter (OTC) pregnancy tests among pediatric female and male patients who had undergone augmentation enterocystoplasty. A secondary aim was to determine whether patient factors or urinalysis (UA) results were associated with false positive OTC pregnancy test results in patients with a history of augmentation enterocystoplasty.
Methods: Patients at a tertiary pediatric hospital who had previously undergone augmentation enterocystoplasty, Mitrofanoff appendicovesicostomy only, and age- and sex-matched controls were prospectively recruited.
History of appendicovesicostomy, clean intermittent catheterisation and appendicostomy, who were the inventors?
J Pediatr Urol
August 2021
Department of Pediatric Urology, University Children's Hospitals UMC Utrecht, Netherlands. Electronic address:
Appendicovesicostomy as an Alternative Procedure for Patients with Complex Urethral Distraction Defect.
Urol J
June 2020
Reconstructive Urology Department, Shohada e Tajrish hospital, Shahid Beheshti Medical Science University, Tehran, Iran.
Purpose: Surgical repair of post-traumatic complex urethral stricture poses a major challenge to urologists. Here, we report six patients with irreparable urethral strictures who were successfully treated by using the appendix as conduit for urinary diversion.
Materials And Methods: Six patients who had underwent urinary diversion using an appendix during 2015 to 2019 were included in our study.
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