PURPOSE This study evaluates the cost-effectiveness of dynamic graciloplasty for intractable fecal incontinence. PATIENTS AND METHODS The costs and effects of dynamic graciloplasty were measured in a prospective, longitudinal study and in a clinical trial. Forty-three patients with intractable fecal incontinence were evaluated before and after dynamic graciloplasty. Costs were obtained from t...

A condylomata acuminata infection is caused by human papillomaviridae (HPV). This sexually transmitted condition most often affects the perineal region. Importantly, infections with types 16 and 18 are associated with an increased risk for anal and cervix cancer. In most cases topical therapy is sufficient for successfully treating condylomata acuminata. Here, we report the case of a 51-year ol...

A self-rating measure of stigma and several supplementary questions were devised in order to assess perceived stigma in a community survey of the quality of life in 420 rectal cancer patients, of whom 265 had a permanent colostomy. Half the patients felt stigmatised, higher proportions being observed among younger patients and among those with a colostomy. Feelings of stigma were associated wit...

To the Editor:Minsky,1 in his recent Editorial, suggested that "A well-functioning colostomy may offer a better quality of life than a poorly functioning sphincter". After this statement, he referred to Grumann et al’s study2 that concluded "Patients undergoing low AR [anterior resection] have a lower QoL [quality of life] than those undergoing APE [abdominoperineal extirpation]." First, Minsky...

The bladder tumor is the most common tumor in the urinary system and is mostly malignant. Its morbidity and mortality were the first in urinary reproductive system tumor. Surgical treatment is the best choice for the current bladder tumor, including transurethral resection of the bladder tumor, partial cystectomy, and total cystectomy. Bladder total resection and urinary diversion is the gold s...