A 77 year old previously active and independent woman presented in June 1988 with a profound right hemiparesis and dense dysphasia due to a left cerebral hemisphere infarction. Serum C-reactive protein (CRP) at this time was less than 10 mg/l. She had had non-insulin-dependent diabetes mellitus for 14 years controlled with diet and tolbutamide, and psoriasis since childhood in virtual remission...

OBJECTIVE The purpose of this study was to describe the application, technique, and results of symphyseal cleft injection in athletes with osteitis pubis. CONCLUSION Symphyseal cleft injection is a useful technique for the diagnosis and treatment of osteitis pubis in athletes. The procedure is well tolerated and may facilitate early resumption of competitive duties.

An increase in inter-recti distance (IRD) is common in the peripartum period, but is not well documented. This study evaluated the IRD from 36 weeks of gestation to 12 weeks postpartum using two single case studies. Measurements were taken with the rectus abdominis at rest and during contraction at three levels along the linea alba, using a pair of dial calipers. The maximum divarication in the...

We describe our experience in using a new endoscopic technique for suspending the bladder neck and urethra in 16 patients with stress incontinence. The procedure was started by dissecting the retropubic space, first with a sound and then with a Foley catheter before passing an absorbable suture from the abdominal fascia to the bladder neck using an elbowed needle introduced into the bladder thr...

A rare case of urethral construction using flipped anterior bladder wall tube in an 8-year-old girl with complete disruption of the urethra and vagina accompanying pelvic fracture was reported. Following a split of the pubic symphysis, the vagina was reconstructed with end-to-end anastomosis. The neourethra was constructed tubularizing and flipping anterior bladder wall flap caudally to proxima...

Radiation to the pelvis, mainly directed against either prostatic or gynecologic cancers, is burdened by a lot of complications. The genitourinary tract is most frequently involved, presenting with bladder irritation, incontinence, and fertility disorders. However, side effects of radiation can also affect the bone, usually causing an osteolytic process which deteriorates the bone structure and...

Hip and groin pain are commonly encountered complaints in orthopedic practice. The diagnosis can be difficult to establish based on the complex interconnected anatomy at the pubic symphysis and around the hip. In addition patients can present with varied pathology, such as labral and cartilaginous injuries, surrounding soft tissue derangement involving muscles or tendons and osseous abnormaliti...

to ensure that the sample of urine is obtained free from any accidental contamination. This may be attempted in one of three ways ; namely, by supra-pubic puncture and aspiration ; by sterilising the meatus urinarius, directing the patient to pass a small quantity of urine, and then receiving the residue in a sterile bottle; or, after first cleansing the meatus, by drawing off the water by mean...

Transmission of the crab louse Phthirus pubis generally occurs by close body contact. Diagnosis is usually clinical and screening for other sexually transmitted infections (STIs) is indicated. While most evidence is extrapolated from studies of head lice treatments, topical pediculicides are recommended and treatment of sexual contacts is indicated.