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6,592 results
  • Improvements in Sexual Function Following Arthroscopic Rotator Cuff Repair. [Journal Article]
    J Shoulder Elbow Surg. 2020 Jul 07 [Online ahead of print]Nugent RE, Cheesman QT, … Austin LS
  • CONCLUSIONS: Prior to arthroscopic rotator cuff repair, most patients experience limitations in the quality and/or frequency of their sexual activity secondary to their shoulder. Following surgery, the majority of patients will more easily engage in sexual activity by 6 weeks, with increasing frequency as time progresses from surgery. Many patients are non-compliant with sling wear during sexual activity and 7% will aggravate their shoulder.
  • StatPearls: Pelvic Floor Dysfunction [BOOK]
    . StatPearls Publishing: Treasure Island (FL) Grimes W R. WR LSU School of Medicine Shreveport Stratton Michael M LSU Shreveport Health Sciences Center BOOK
  • Pelvic floor dysfunction (PFD) refers to a broad constellation of symptoms and anatomic changes related to abnormal function of the pelvic floor musculature. The disordered function corresponds to either increase activity (hypertonicity) or diminished activity (hypotonicity) or inappropriate coordination of the pelvic floor muscles. Alterations regarding the support of pelvic organs are included …
  • StatPearls: Vascular Ring Double Aortic Arch [BOOK]
    . StatPearls Publishing: Treasure Island (FL) Sahni Deepank D Nassau University Medical Center Franklin Wayne H. WH Loyola University Stritch School of Medicine BOOK
  • The term "vascular ring" (VR) refers to the vascular structures that encircle and compress the esophagus and trachea, causing respiratory and gastrointestinal symptoms. VRs are further divided into two broad categories: complete or incomplete.  Complete VRs encircle the trachea and esophagus entirely. These include double aortic arch (DAA) and right aortic arch (RAA) with an aberrant (retro-esoph…
  • Treatment of Urinary Incontinence in Patients With Erectile Dysfunction. [Review]
    Sex Med Rev. 2020 Jul 01 [Online ahead of print]Ajay D, Mendez MH, … Westney OL
  • CONCLUSIONS: The concurrent treatment of ED and UI requires thoughtful workup, meticulous attention to detail, and an armamentarium of surgical skills. It is crucial for the surgeon to understand and manage patient expectations in treating these delicate and difficult pathologies. Ajay D, Mendez MH, Wang R, et al. Treatment of Urinary Incontinence in Patients With Erectile Dysfunction. J Sex Med 2020;XX:XXX-XXX.
  • Is antibiotic prophylaxis necessary in mid-urethral sling surgery? [Journal Article]
    Int Urogynecol J. 2020 Jul 02 [Online ahead of print]Svenningsen R, Kulseng-Hanssen S, … Schiøtz HA
  • CONCLUSIONS: Antibiotic prophylaxis resulted in fewer women developing postoperative infections or prolonged postoperative pain after MUS surgery, but did not offer protection against tape exposure. The differences in cure rates were small and probably without clinical relevance. If a small increase in surgical site infections is accepted, the routine use of antibiotic prophylaxis can probably be omitted.
  • Management of Urinary Incontinence With Underactive Bladder: A Review. [Journal Article]
    Int Neurourol J. 2020 Jun; 24(2):111-117.Cho KJ, Kim JC
  • Urinary incontinence is caused by storage function failure, while underactive bladder (UAB) is caused by a decline in detrusor contractility and voiding dysfunction. As the treatment mechanisms for incontinence and UAB are contrary to each other, it is difficult to treat both incontinence and UAB, and the patient's quality of life can be further degraded. Conventional midurethral sling (MUS), suc…
  • Use of Duloxetine for Postprostatectomy Stress Urinary Incontinence: A Systematic Review. [Review]
    Eur Urol Focus. 2020 Jun 27 [Online ahead of print]Kotecha P, Sahai A, Malde S
  • CONCLUSIONS: Duloxetine has demonstrated good short-term cure and/or improvement in treating men with persistent PPSUI, as well as in reducing the time to attain continence. However, a proportion of men discontinue treatment due to adverse events. The overall certainty evidence is moderate to low, with heterogeneity between studies and methodological limitations. However, we have highlighted the need for further randomised trials with longer follow-up, utilising consistent outcome reporting measures. Despite these limitations, the findings from this review will aid patient counselling regarding this less invasive treatment option, thereby allowing personalisation of care centred around the values and preferences of individual patients.
  • Long-term Outcomes of 100 Transobturator Tape Procedures. [Journal Article]
    Ir Med J. 2020 May 07; 113(5):72.Croghan SM, Costigan G, … Lennon G
  • Aim Satisfactory short-term outcomes of transobturator tapes (TOTs) are recognized, yet a lack of long-term data exists. We investigated long-term patient-reported outcomes of TOTs. Methods A retrospective review was performed of 100 female patients post TOT insertion by a single surgeon (2005-2010). Results and postoperative complications were identified. At long-term follow-up, patients complet…
  • Complex circumferential obstetric fistula-a urologist's worst nightmare. [Journal Article]
    Int Urogynecol J. 2020 Jun 23 [Online ahead of print]Ashwin Shekar P, Dumra A, … Gopalakrishnan G
  • CONCLUSIONS: The anterior bladder onlay flap technique, which has been used extensively for female urethral reconstruction in developed countries, along with an autologous rectus sheath sling is an effective technique for management of circumferential fistulas allowing good continence. Incorporation of this technique into the armamentarium of surgeons managing fistulas in developing countries will go a long way toward helping this unfortunate group of women with this morbid complication of obstructed labor.
  • Impact of obesity on male urethral sling outcomes. [Journal Article]
    Ther Adv Urol. 2020 Jan-Dec; 12:1756287220927997.Monn MF, Jarvis HV, … Mellon MJ
  • CONCLUSIONS: Obese men undergoing AdVance male urethral sling placement required increased operative time, potentially related to operative complexity, and a higher proportion of obese compared with non-obese patients required postoperative pads for continued urinary incontinence. Further research is required to better delineate the full impact of obesity on male urethral sling outcomes.
  • A Review of Online Rehabilitation Protocols Designated for Rotator Cuff Repairs. [Review]
    Arthrosc Sports Med Rehabil. 2020 Jun; 2(3):e277-e288.Coda RG, Cheema SG, … Vopat BG
  • CONCLUSIONS: Although certain rehabilitation components were common, such as duration of PROM and sling or immobilizer use, a large degree of variation remains among published rehabilitation protocols after RTC repair, and this variability is still seen even when subdividing by the size or severity of the RTC tear.
  • The use of shoulder orthoses post-stroke: effects on balance and gait. A systematic review. [Journal Article]
    Eur J Phys Rehabil Med. 2020 Jun 16 [Online ahead of print]Van Bladel A, Cambier D, … Oostra K
  • CONCLUSIONS: So far no strong evidence is available regarding a potential benefit of wearing an arm sling on balance and gait for stroke patients. However, further research with longer intervention periods, can be useful to determine if stroke patients in the early phases after stroke or with persistent UL paresis might possibly benefit from wearing an arm sling.
  • Bridging bronchus (pseudocarina) and left pulmonary artery sling: A case report and literature review. [Case Reports]
    Int J Pediatr Otorhinolaryngol. 2020 Jun 03; 136:110158.Yang CJ, Yang C, … Shifteh K
  • Congenital airway malformations can present with respiratory distress, cyanosis, and difficulty feeding in the neonate or infant. Clinical presentation may vary from asymptomatic to fatal airway obstruction. They may exist in isolation or in association with vascular rings and slings, bronchopulmonary malformations, and/or syndromes. We present an unusual case of bridging bronchus, complete bronc…
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