orthopaedic procedures. In the unlikely event of contamination of the system, deep wound infection could occur, jeopardising the operation. We have prospectively studied 50 patients who underwent elective and orthopaedic trauma procedures during which a suction system was used. At the end of each procedure the suction catheter tip was sent for culture and microbiology. The suction tips showed b...

A 51-year-old woman is seen because of burning at the site of entry of a urethral (Foley) catheter. The catheter had been placed perioperatively for a cholecystectomy. No history of genitourinary difficulty or trauma to the area. A urine culture that revealed Escherichia coli led to a diagnosis of urinary tract infection (UTI), but the relationship between this infection and the physical findin...

An 11-year-old healthy female presented to the emergency department with three days of worsening suprapubic pain, urinary retention, and constipation. She was afebrile with normal vital signs. Her physical examination was notable for suprapubic distention and bulging pink vaginal tissue at the introitus. Bedside ultrasound suggested a distended bladder. Placement of a Foley catheter returned 55...

A 71-year-old woman was evaluated for abnormal urination, which occurred 2 weeks after left hip arthroplasty. Abdominal examination revealed suprapubic distention despite urethral catheterization with an 18F Foley catheter. Initially, a computed tomographic scan of the pelvis without intravenous contrast material indicated a grossly distended urinary bladder (image A, arrow). Hand irrigation of...

External auditory canal (EAC) stenosis is commonly seen in patients with fibrous dysplasia of the temporal bone. Postoperative canal restenosis is more likely to be encountered after initial surgical management. We present a case of monostotic fibrous dysplasia of the temporal bone with EAC invasion in a 37-year-old man who presented with recurrent canal stenosis and resultant conductive hearin...

Urinary catheters often become encrusted and blocked by crystalline Proteus mirabilis biofilms. Results of experiments in a laboratory model of a Foley catheterised bladder infected with P mirabilis showed that when retention balloons were inflated with a solution of triclosan (10 g/L), the catheters drained freely for at least 7 days. Triclosan became impregnated throughout the silicone cathet...

Recently, Drs. Ken Resnicow and Roger Vaughan published a thought-provoking paper in the International Journal of Behavioral Nutrition and Physical Activity (IJBNPA). They argue that the most often used social-cognition theories in behavioral nutrition and physical activity are of limited use. These models describe behavior change as a linear event, while Resnicow and Vaughan posit that behavio...

OBJECTIVES To describe our experience with extracorporeal shockwave lithotripsy (ESWL) for the treatment of bladder stones of <20 mm. PATIENTS AND METHODS This study was prospectively performed in two hospitals (Althawrah Modern General Hospital, and Ibn Sina Specialized Hospital) between November 2012 and November 2015. In all, 44 patients presented with urethral or bladder stones. The locat...

OBJECTIVE To describe a novel method for the removal of the salivary bypass tube (SBT) that precludes the need for extraction under general anesthesia. STUDY DESIGN Retrospective case series. METHODS/TECHNIQUE Patients who had undergone laryngectomy/laryngopharyngectomy with subsequent development of pharyngocutaneous fistula and intraoperative placement of a salivary bypass tube were inclu...