New techniques have been developed for the electrophysiological assessment of patients with suspected cauda equina lesions using transcutaneous spinal stimulation (500-1500 V: time constant 50 microseconds) to measure motor latencies to the external and sphincter and puborectalis muscles from L1 and L4 vertebral levels. These latencies represent motor conduction in the S3 and S4 motor roots of ...

High flow arterial priapism is a rare urological emergency. Presentation, diagnosis and institution of definitive management are often delayed. We describe our experience with this diagnostic entity and reviewed the literature to define possible reasons for the delayed diagnosis and management. We report two patients (10 years and 35 years old) that presented following blunt perineal trauma. Th...

The use, timing, and priority of angioembolization in the management of bleeding pelvic fractures remain ambiguous. The most common vessels for angioembolization are, in decreasing order, the internal iliac artery and its branches, the superior gluteal artery, the obturator artery, and the internal pudendal artery. Technical success rates for this treatment option range from 74% to 100%. The fr...

Dear Editors, Traction table is used during orthopaedic surgeries for treating fractures such as femoral shaft and proximal femoral fractures. In this case, we report a scrotum wound caused by the use of traction table during the treatment of femoral neck fracture. The patient was a 49-year-old male, admitted to the emergency department after a fall. The patient’s vital signs at admission were ...

BACKGROUND Recurrence and complication rates of pressure sores are highest in the ischial region, and other donor sites are needed for recurrent pressure sores. The potential of a new freestyle pedicle flap for ischial lesions, an internal pudendal artery perforator (iPap) thigh flap, was examined through anatomical and theoretical analyses and a case series using computed tomography angiograph...

instruction: measurement of brachial artery diameter variation by ultrasound methods has commonly been used to test the endothelial function. it is known that the artery diameter is increased by flow stimulation. therefore in the present study, the effect of external obstruction, as flow stimulation, on the radial strain of the brachial artery was assessed. also the biomechanical behavior of th...

Pudendal nerve entrapment (Alcock canal syndrome) is an uncommon source of chronic pelvic pain, in which the pudendal nerve is entrapped or compressed. Pain is located in the perineal, genital and perianal areas and is worsened by sitting. By simple entrapment of the PN without neurogenic damages, pain is usually isolated. In neurogenic damages to the PN, genito-anal numbness, fecal and/or urin...

Dear Editor, We have read the interesting article by Babaev and Jhaveri about endovascular revascularization of pudendal artery atherosclerotic disease in patients with medically refractory erectile dysfunction. During percutaneous interventions to common iliac (CIA) or external iliac artery lesions (EIA), the internal iliac artery (IIA) usually gets less attention, especially in female patient...

Introduction: Detailed knowledge of the branching pattern internal iliac artery will be a guidance for ligating and its branches during various pelvic surgeries. Hence, main objective this study was to know artery, based on Adachis Classification along with length diameter arteries. Methods: The descriptive observational cross-sectional conducted at Department Human Anatomy Nepal medical colleg...