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Gastrointestinal stromal tumors (GIST) are rare in the rectum. These usually present with symptoms produced by compression of pelvic organs or bleeding. Surgery is the treatment of choice, however, at times the surgery can be mutilating and organ preservation may not be possible.

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Self-insertion of foreign objects into the lower urinary tract is an uncommon presentation with diverse underlying motivations, including psychiatric illness, sexual gratification, intoxication, and perceived contraception. A wide variety of objects may be inserted, leading to varied symptom presentations. We report the case of a 51-year-old male with a history of post-traumatic stress disorder, antisocial personality disorder, and prior self-mutilation, who presented to the ED following self-insertion of multiple foreign objects into the lower urinary tract.

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Article Synopsis
  • Epidermal cysts, which may form due to female genital mutilation or trauma, are benign tumors that can appear in the vulvar or clitoral areas, especially in different age groups, warranting distinct diagnostic considerations.
  • A 54-year-old woman experienced urinary retention due to a large vulvar epidermal cyst, which was successfully excised, alleviating her symptoms and restoring normal appearance.
  • Accurate diagnosis and management of vulvar epidermoid cysts require thorough clinical evaluation and imaging, as they can cause significant issues when large, and surgical excision is typically recommended for symptomatic cases.
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Objective: Female genital mutilation/cutting impacts over 200 million women globally and is linked to obstetric complications as well as long-term urogynecological and psychosexual issues that are frequently overlooked and inadequately addressed. This study aimed to assess the impact of female genital mutilation/cutting on urinary incontinence.

Methods: This cross-sectional study was conducted in the gynecology department of the Research Hospital located in the Nyala rural region of Sudan.

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Background: Obstetric fistula is a serious and debilitating problem resulting from tissue necrosis on the reproductive and urinary and/or lower gastrointestinal tract organs due to prolonged labor. Primary studies of the treatment of obstetric fistulae report significantly variable treatment outcomes following surgical repair. However, no systematic review and meta-analysis has yet estimated the pooled proportion and identified the determinants of successful obstetric fistula surgical repair.

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