PURPOSE We evaluated the preoperative clinical factors that affect the surgical outcome of posterior urethral anastomosis (PUA) with a gracilis muscle flap (GMF) to determine which factors predict benefit from the use of the GMF. MATERIALS AND METHODS This was a retrospective analysis of 49 patients who underwent a delayed PUA with a GMF. A successful clinical outcome was defined as achieving...

To cite: Prakash J, Kumar M, Sankhwar S, et al. BMJ Case Rep Published online: [please include Day Month Year] doi:10.1136/ bcr-2013-010493 DESCRIPTION A 55-year man with a history of thin stream of urine and dysuria for the last 7 years presented with mild haematuria followed by acute urinary retention for 2 days. Clinical examination showed indurated mass with urethrocutaneous fistula in peri...

A 43 year old white male with no significant past medical history presented to our emergency department (ED) with worsening penile pain and difficulty urinating. Several hours prior to admission, the patient was involved in a motor vehicle accident in which he was an unrestrained driver. His pelvis struck the steering wheel, while he was sexually aroused. Over the next 16 hours, his penis becam...

introduction: the glutamatergic system plays an important role in learning and memory. administration of crocus sativus (saffron) or its constituent, crocin, facilitates the formation of memory. this research investigated the effect of crocin on antagonizing retrograde amnesia induced by ketamine, a glutamatergic receptor antagonist, in rats by shuttle box. methods:  male wistar rats were teste...

background: pancreatitis is a serious complication of endoscopic retrograde cholangiopancreatography (ercp) and may cause significant morbidity and even death. there is no effective prophylactic intervention for patients with average risk yet. this study aims to investigate preventive effect of aggressive hydration for post-ercp pancreatitis. materials and methods: in a double-blind controlled ...

background: the most common complication of diagnostic and therapeutic endoscopic retrograde cholangiopancreatography (ercp) is acute pancreatitis. a number of therapeutic trials have been studied due to reduce the occurrence of postendoscopic retrograde cholangiopancreatography pancreatitis (pep) but many of them were unsuccessful. periampullary corticosteroid injection was proposed to use as ...

PURPOSE The clinical usefulness of hyaluronic acid (HA) instillation during visual internal urethrotomy (VIU) for decreasing the incidence of recurrent urethral stricture was assessed. MATERIALS AND METHODS Twenty-eight patients were treated by VIU with HA instillation between May 2007 and June 2009. After insertion of a Foley catheter following urethrotomy, HA was instilled via an 18-gauge t...

conclusion in cases with critical atherosclerotic disease of anterior tibial artery, pta-based biphasic or triphasic retrograde collateral flow prevents ischemia, whereas monophasic support or no retrograde flow remains incapable. results in the patient group, 31 lower limb arteries, of total of 17 cases, were included. after compression maneuver, dpa in 11 cases (six right, five left) showed r...