Although double J (DJ) ureteral stents are widely used in extrinsic ureteral obstruction, there are few studies using ipsilateral two DJ stents in the same ureter. We report using ipsilateral two ureteral DJ stents in the same ureter in a patient with extrinsic ureteral obstruction due to colon carcinoma. 相似文献
Gonococcal infection of a penile prosthesis is a rare presentation of a common disease. Here we report two cases of penile prosthesis extrusion due to gonococcal infection. 相似文献
PURPOSE: To evaluate whether repeated courses of high-dose methylprednisolone (HDMP) affect the lumbar spine bone mineral density (BMD) in children with chronic idiopathic thrombocytopenic purpura (ITP). MATERIALS AND METHODS: This study included 24 patients with chronic ITP and 149 healthy controls. The patients were allocated into three groups according to the number of HDMP courses (30 mg/kg per day as a single dose for 7 days); group 1 (10 patients), group 2 (9 patients), and group 3 (5 patients) had received less than 5, 6-10, and more than 10 courses, respectively. Lumbar spine BMD and body composition were measured using dual energy X-ray absorptiometry of lumbar spine (L2-L4), and volumetric bone mineral density (vBMD) values were calculated and compared with the controls. The z score of the vBMD was also calculated and compared in the patients of each other groups. Serum markers of the bone turnover were measured to exclude other factors that could effect BMD. RESULTS: The vBMD values of the patients, corrected BMDs for age, were significantly lower than the values of controls (P = 0.018). It was significantly lower in group 3 than groups 1 and 2 (P = 0.005 and P = 0.006, respectively), but there was no statistically significant difference between groups 1 and 2 (P = 0.87). The vBMD z scores were significantly lower in group 3 than in groups 1 and 2 (P = 0.003 and P = 0.004, respectively), and also in group 2 than in group 1 (P = 0.034). There were a weak negative correlation between the cumulative dose of HDMP and vBMD (r = -0.39, P = 0.054), and strong negative correlation between the cumulative dose of HDMP and vBMD z score (r = -0.63, P = 0.001). CONCLUSION: Children with chronic ITP are at risk for decreased BMD because of the repeated courses of HDMP; especially more than 2100 mg of cumulative dose. We therefore recommend that BMD should be monitored in patients with chronic ITP who received repeated courses of HDMP. 相似文献
The purpose of this study was to investigate the association of the varicella zoster virus (VZV) IgG, and IgM antibodies with Behçet's and other skin diseases (group 1: recurrent aphthos stomatitis, fungal infections, psoriasis; group 2: vitiligo, lichen planus). Twenty eight patients with Behçet's disease (BD), and 117 patients with dermatological disorders other than BD were evaluated for specific VZV IgG and IgM antibodies by using a third generation enzyme-linked immunosorbent assay (ELISA). The Mantel Heizshel 2 method was used to adjust the confounding of age and sex of the patients. The serological positivity for VZV IgG and IgM antibodies in BD was not statistically different from other skin diseases. When we considered the age of the patients, 2 = 2.64, CI (0.27–1.65), odds ratio (1, 1.25, 2.21) (p = 0.10) and when we considered the sex of the patients, 2 = 0.31, CI (0.81–1.28), odds ratio (1, 1.45, 1.41), (p = 0.57). 相似文献
A 45-year-old male admitted to our clinic of symptoms with moderate left flank pain and intermittant macroscopic hematuria.
During the last 6 months these complaints had worsened. He had history of open retroperitoneal ureterolithotomy 2 years previously
for ureteral stone. He was investigated for calculi, infection and other urinary abnormalities. Although direct urinary system
graphy was normal, excretory urography revealed left ureteric obstruction. On ureteroscopy membranous band like an ureteral
valve causing ureteral obstruction was observed and removed with biopsy pens without resection. 相似文献
Objective: The aim of this study was to compare maternal and fetal serum copeptin concentrations in pregnancies complicated by isolated fetal growth restriction (FGR), and uncomplicated pregnancies, and to investigate relationships between copeptin levels and clinical parameters.
Methods: Maternal and fetal serum copeptin levels were measured in 21 women with pregnancies complicated by isolated FGR and 20 women with normal pregnancies (control group). Doppler assessment of the uterine and umbilical arteries was performed in each patient.
Results: Maternal serum copeptin levels were significantly higher in women with isolated FGR compared to controls (p?=?0.042). In addition, maternal copeptin levels were inversely correlated with the uterine artery pulsatility and resistance indices and positively correlated with neonatal birth weight. Umbilical vein copeptin levels were significantly increased in neonates with adverse outcomes (p?=?0.001).
Conclusions: Increased maternal copeptin concentration may reflect a response to stress, thus serving as a compensatory mechanism in pregnancies complicated by FGR. 相似文献
Prominent ear deformity is a common congenital ear deformity. Prominent ear deformity includes components such as valgus of
concha, failure of scaphal folding, conchal hypertrophy, and prominent lobule. The deformity and the elastic properties of
the ear cartilage determine the method of surgical correction in each case. Concha-mastoid suture, conchal excision, and posterior
auricular muscle excision are different treatment options for mild to severe cases of conchal hypertrophy and valgus deformity.
In this article we present a method of conchal excision, combined with a posterior auricular muscle flap, to repair severe
conchal hypertrophy or valgus deformity. Six patients (11 ears) were operated on using this method. The results obtained were
satisfactory. Postoperative results at 6 months were satisfactory in all patients. The smoothness and the natural appearance
of the conchal bowls were notable in all patients. In contrast to the early methods of utilizing the posterior auricular muscle
by transposing to the scapha or excising, its usage as a muscle flap for conchal hypertrophy and valgus deformity may be a
promising option for the future. 相似文献
Lymphedema typically occurs on the extremities and affects millions of people throughout the world. Although currently there
is no single treatment proven effective for lymphedema in every patient, suction-assisted lipectomy has been shown to be effective
in some patients. Suction-assisted lipectomy offers patients with lower-extremity lymphedema a less invasive, less morbid
surgical option compared with traditional excisional techniques. In this article we present a case of lymphedema reduction
with suction-assisted lipectomy in a patient with bilateral lower-extremity lymphedema. 相似文献