Analysis of diagnostic angiography and angioembolization in the acute management of renal trauma using a national data set.

Hypospadias Repair at a Tertiary Care Center: Long-Term Followup is Mandatory to Determine the Real Complication Rate

Clinical Urology: Letters to the EditorRE: TUBULARIZED INCISED PLATE HYPOSPADIAS REPAIR FOR PROXIMAL HYPOSPADIAS

Timing and nature of reconstructive surgery for disorders of sex development - introduction.

The GMS hypospadias score: assessment of inter-observer reliability and correlation with post-operative complications.

Management of major blunt pediatric renal trauma: single-center experience.

Outcomes of Hypospadias Repair in Older Children: A Prospective Study

Abstract Profound dysfunctional reorganization of spinal networks and extensive loss of functional continuity after spinal cord injury (SCI) has not precluded individuals from achieving coordinated voluntary activity and gaining multi-systemic autonomic control. Bladder function is enhanced by approaches, such as spinal cord epidural stimulation (scES) that modulates and strengthens spared circuitry, even in cases of clinically complete SCI. It is unknown whether scES parameters specifically configured for modulating the activity of the lower urinary tract (LUT) could improve both bladder storage and emptying. Functional bladder mapping studies, conducted during filling cystometry, identified specific scES parameters that improved bladder compliance, while maintaining stable blood pressure, and enabled the initiation of voiding in seven individuals with motor complete SCI. Using high-resolution magnetic resonance imaging and finite element modeling, specific neuroanatomical structures responsible for modulating bladder function were identified and plotted as heat maps. Data from this pilot clinical trial indicate that scES neuromodulation that targets bladder compliance reduces incidences of urinary incontinence and provides a means for mitigating autonomic dysreflexia associated with bladder distention. The ability to initiate voiding with targeted scES is a key step towards regaining volitional control of LUT function, advancing the application and adaptability of scES for autonomic function. 

https://www.nature.com/articles/s41598-022-15315-2.pdf

Targeting bladder function with network-specific epidural stimulation after chronic spinal cord injury

Background: Fecal incontinence is a very distressing problem that affects quality of life and has social aspects. we aimed at reaching standardized and systematic lines of treatment to get the best results after perineal trauma and minimize the incidence of fecal incontinence. Methods: all patients we encountered that have acute perineal injury regardless of severity of the injury, mode of trauma , associated injuries, presence of anorectal injury. This study has been conducted in El-Minia university hospital, emergency unit including 32 patients in the period between March 2021 and December 2021. The main operative treatment applied in the study was immediate 1ry repair in the emergency setting using overlapping technique, with or without bowel diversion according to the evaluation of each individual case. The post-operative continence in the studied patients was assessed by a clinical score “modified Wexner score”, on a scale from 0 to 24 , with 0 means complete continence and 24 means complete incontinence. Results: the mean age of the study was 23.9±11.2. The continence score after 6 months was ranging between 0 and 9 , with majority of the cases were between 2 and 6. Conclusion: there are many factors that influence the treatment outcomes regarding anal continence including the mode of trauma, type and site of injury and the operative procedure. Primary repair of traumatic anal sphincter injury can be done in the emergency settings, unless there is severe and extensive destruction of the perineal soft tissue. Long term follow up of the patients with anal sphincter injury and the use of recent diagnostic modalities such as anal manometry and endoanal ultrasound can lead to more dependable and precise results about fecal incontinence.

Ahmad Mohamed

Papers

Management of major blunt pediatric renal trauma: single-center experience.

Outcomes of Hypospadias Repair in Older Children: A Prospective Study

Targeting bladder function with network-specific epidural stimulation after chronic spinal cord injury

Perineal trauma & Anal Sphincter Injuries: Treatment Outcomes in Minia University Emergency Unit