OBJECTIVES To review our experience in causes, diagnosis and basic principles of surgical treatment of urogenital fistulae. METHODS A retrospective study of 213 patients with different types of urogenital fistulae were reviewed between October 1995 to October 2008. They were analyzed with regard to age, parity, causal factor, mode of treatment and outcome. Patients were also evaluated at two ...

INTRODUCTION Arteriovenous (AV) fistula failure is a major clinical problem for the 350,000 patients currently on hemodialysis in the United States. The reasons for this failure are mainly attributed to venous stenosis due to neointimal hyperplasia together with a possible failure of vascular dilatation [1]. Despite the magnitude of the clinical problem, there are currently no effective therapi...

Venous stenosis is a significant problem in arteriovenous fistulae, likely due to anatomical configuration and wall shear stress profiles. To identify linkages between wall shear stress and the magnitude and pattern of vascular stenosis, we produced curved and straight fistulae in a pig model. A complete wall stress profile was calculated for the curved configuration and correlated with luminal...

Venous neointimal hyperplasia (VNH) is responsible for hemodialysis vascular access malfunction. Here we tested whether VNH formation occurs, in part, due to vascular endothelial growth factor-A (VEGF-A) and matrix metalloproteinase (MMP)-9 gene expression causing adventitial fibroblast transdifferentiation to myofibroblasts (α-SMA-positive cells). These cells have increased proliferative and m...

BACKGROUND In hemodialysis, extracorporeal blood flow (Qb) recommendation is 300-500 mL/min. To achieve the best Qb, we based our prescription on dynamic arterial line pressure (DALP). METHODS This prospective study included 72 patients with catheter Group 1 (G1), 1877 treatments and 35 arterio-venous (AV) fistulae Group 2 (G2), 1868 treatments. The dialysis staff was trained to prescribe Qb ...

The clinical features of carotico-cavernous fistulae are too well known for detailed description to be necessary. The proptosis, chemosis, venous engorgement in and around the orbit, oculomotor palsy, pulsation of the globe, and the subjective and objective bruit over the orbit and forehead are familiar to all. It is perhaps not always appreciated that the bruit may, on occasions, precede the a...

sialography is the retrograde injection of an iodinated contrast agent into the ductal system of salivary glands and this technique is the only method capable of adequately demonstrating the status of the ductal system. one of the indications of sialography is classification of the salivary ductal system fistulae. this classification has important prognostic and therapeutic values. in the prese...

BACKGROUND Uro-genital fistulas, majority of which are vesico-vaginal fistulas (VVF), are a great challenge for women in developing countries. It is commonly caused by prolong obstructed labour and is one of the worst complications of child birth and poor obstetric care. The objective of this descriptive study was to review the cases of genitourinary fistulae so as to understand the magnitude o...