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A study is undertaken to determine the effect of surgical intervention along the anterior or apical vaginal wall on the correlation between the Q-tip angle and point Aa of the pelvic organ prolapse quantification (POP-Q) system in a referral population of women with pelvic floor dysfunction. It is concluded that point Aa does not reflect urethral mobility accurately as measured by the Q-tip angle before and after surgical intervention for correction and restoration of the pelvic floor.

The effectiveness of transobturator tape (MONARC) is compared to that of tension-free vaginal tape (TVT) in patients with borderline low maximum urethral closure pressure. It is concluded that MONARC has a higher failure rate than TVT in individuals who have a preoperative maximum urethral closure pressure of 42 cm or less [H.sub.2]O.

Objectives: (1) To assess risk factors for urethral infections with Chlamydia trachomatis, Neisseria gonorrhoeae, and Trichomonas vaginalis among male clients of female sex workers (FSWs) in Benin; (2) to study [...]

A comprehensive evaluation may be appropriate to identify women with a physical disorder related to urinary incontinence called intrinsic sphincteric deficiency. The value of three measurement techniques to identify intrinsic sphincteric deficiency was analyzed in 159 women with confirmed stress incontinence. A majority of participants had both low leak point pressure and low closure pressure measurements. These two measurements correlated well with worsening incontinence. Very few participants measured low on all three techniques. Half of the participants had at least one low measurement.

The cause of the female urethral syndrome has previously been obscure, as it has been associated by definition with a lack of objective findings but a plethora of subjective complaints of retropubic pressure, dyspareunia, urinary frequency, and dysuria. There is now strong evidence that the microscopic paraurethral glands connected to the distal third of the urethra in the prevaginal space are homologous to the prostate. They stain histologically for prostate-specific antigen and, like the prostate, are subject to both infection and cancer. The most important aspect of recognizing this microscopic 'female prostate' as an anatomic feature is that its infections may completely explain many cases of the urethral syndrome. Further, the diagnosis is not elusive if trained clinicians palpate for localized and objective paraurethral tenderness through the anterior vagina wall to one or both sides of the urethra. Treatment parallel to that for male prostatitis is usually rewarded by the elimination of symptoms and the objective finding of the loss of tenderness of the paraurethral glands. As with prostatitis, the localized problem often recurs. It is time to alert primary care physicians to this disorder and to eliminate the widespread practice of treating affected women with either invasive urethral dilation or tranquilizers., (Gittes RF, Nakamura RM: Female urethal syndrome--A female prostatitis? West J Med 1996; 164:435-438) For 30 years, the urethral syndrome has been a catchall diagnosis for the frequently seen women [...]

Permanent urethral catheterization is a predisposing factor for urinary tract infection. They need to be followed up and cared carefully. Patients with permanent urethral catheter should be followed up carefully regarding to urinary tract infections and urethral damage secondary to catheters. We are presenting a 83-year-old male patient with an enormous urethral destruction due to long-term catheterization. Keywords: Urethral catheters | Destruction | Penile skin, Introduction The two most frequent indications for chronic indwelling urinary catheters are urinary incontinence and bladder outlet obstruction (1). Although they relief the patient's urinary symptoms, these catheters can be [...]

Urethral tumours are rare and can arise from its lining epithelium, glandular epithelium or the smooth and striated muscle fibers. Periurethral leiomyoma, a benign tumour arising from the smooth muscle fibers is extremely rare that can present with varying clinical features. Excision biopsy should be carried out to differentiate it from malignant lesions. Peri-urethral leiomyomas have been shown to express estrogen and progesterone receptors, therefore can increase rapidly in size during pregnancy. Less than 5 cases with such receptor expression mainly in pregnant females have been reported in literature. We present a rare case of peri-urethral leiomyoma with positive estrogen and progesterone receptor expression in non- pregnant lady that was rapidly increasing in size. Keywords: Leiomyoma, estrogen, progesterone, receptor, tumour, urethra, Table of Contents Abstract Introduction Case History Discussion References Introduction Periurethral leiomyoma is a rare benign tumour that has rarely been shown to express the estrogen and progesterone receptors. Prompt [...]

Table of Contents Abstract Introduction Case Report Discussion References Abstract Introduction: A urinary calculus in the urethra is rarely seen and usually encountered in men with urethral stricture or diverticulum. [...]

Table of Contents Abstract Case Report Discussion References Abstract A 31 year old female presented with left ureteric obstruction in the absence of any detectable stones. She was discovered to [...]

Table of Contents Abstract Introduction Case Report Discussion References Abstract Foreign bodies are often introduced into the urethra for auto-eroticism. Although most foreign bodies can be removed easily, some cases [...]

THE CASE: A 5-year-old black girl, who was originally from Sudan, was seen by her general pediatrician after her parents noted intermittent bright red blood staining her underwear. She did [...]

HISTORY Man who fell down a flight of stairs, landing in straddle position. Much pain, but did not lose consciousness. PHYSICAL EXAMINATION Uncomfortable man with tachycardia but otherwise normal vital [...]

A 45-year-old woman presented with a 10-year history of recurrent urinary tract infections. On clinical examination, we found a hard periurethral mass in the anterior vaginal wall. A radiograph of [...]