PURPOSE Hypospadias repair is rarely performed in adults. It is believed that the success rate is lower in adulthood. We aimed to compare the success rate of primary hypospadias repair with tubularized-incised plate (TIP) urethroplasty in adults and children. PATIENTS AND METHODS The databases of consecutive boys and adults who were treated with TIP urethroplasty for primary hypospadias betwe...

Objectives: To evaluate the results of one-stage and multistage urethroplasty in adults with complications following multiple failed hypospadias repairs. Methods: Sixty adults underwent reconstructive surgery of the following complications after hypospadias repair: stricture (34), residual hypospadias (26), fistula (18), meatal stenosis (11), penile curvature (9), hair (4), diverticula (2), and...

Background: It is usual to face complexities in perianal abscesses, fistulas and sinus diseases. Perianal indicates a blind tract the area with discharging opening externally. We selected patients tracts intra-luminal openings (Reverse sinus) without any visible external opening. Treatment policy was altered accordingly.Methods: excluded sinuses openings, fistulas, hemorrhoids, simple fissures ...

Anal fistula is part of the spectrum of perianal sepsis. It is a chronic condition that may present de novo or after an acute anorectal abscess. Anal fistula causes a variety of prolonged or intermittent symptoms including pain, discharge, and social embarrassment. The goals of management are to eradicate the fistula and prevent recurrence while maintaining continence. Simple anal fistula may b...

The immediate and longterm outcome of treating patients with acute Crohn's disease with an elemental diet was studied retrospectively. Successful diet induced remission was achieved in 96 of 113 patients (85%) regardless of age, sex, site or severity of disease, or associated complications of strictures, fistula, or perianal disease. Treatment was unsuccessful in 17 patients (15%), but there we...

BACKGROUND Native arteriovenous fistula is one of the important routes for hemodialysis patients because of increased long-term survival and preservation of quality of life. We reported on a single-center experience with using pharmacomechanical thrombolysis for the treatment of thrombosed native arteriovenous fistula. MATERIAL/METHODS This was a retrospective study of 12 hemodialysis patient...

OBJECTIVES The aim of the study was to estimate acute and late complications of radiation therapy in primary invasive vaginal carcinoma (PIVC) patients. MATERIAL AND METHODS The analysis was performed for the group of 152 PIVC patients given radical radiotherapy in the Krakow Branch of Centre of Oncology during the 1967-2005 period. Twenty five (16.5%) patients in I stage with primary tumour ...

PURPOSE There is widespread belief that hypospadias surgery in adults has a greater urethroplasty complication rate than similar repair in children. We compared outcomes of primary and reoperative hypospadias repair in adults vs children. MATERIALS AND METHODS We evaluated prospectively maintained databases of consecutive boys and adults, defined as Tanner 4 or greater, treated with primary o...

A 62-year-old patient, operated in the last 30 years in three occasions for perianal fistula. In June of 2004 is seen in our Service by presenting perianal fistula with abscess formation, inflammation and fever. He was explored surgically, being obtained scarce quantity of purulent material and, given the ligneous characteristic of the abscess, samples for pathology examination were obtained th...

Extramammary Paget disease (EMPD) is a rare perineal neoplasia associated with a high rate of local recurrence. Surgical excision is the standard treatment; however, this has high rates of post-operative morbidity in combination with potentially mutilating results. Previous literature has demonstrated good response with imiquimod 5% cream in patients with vulval EMPD, yet its effectiveness in p...