Antonio Macedo Jr a,b , Se´rgio Leite Ottoni b , Paula Cartaxo Barros Camilato b , Hugo Santiago Crespo Ganchozo b , Gilmar Garrone b , Ricardo de Mattos Marcondes b , Marcela Leal da Cruz b, *
Summary
Introduction
Diphallia is a rare anomaly. It has a range of appearances from a small accessory penile to complete duplication.
Methods
We present a 2 year-old boy with complete penile duplication. The left penile was the largest. NMR (Nuclear Magnetic Resonance) suggested one corporal body for each penile and VCUG (Voiding Cystourethrogram) showed a normal urethra in the right penile and stricture at glandular and mid penile urethra of the left penis. A Y confluence to bulbar urethra was observed confirming only one prostate and bladder.
Results
The cystoscopy through the right penile identified the urethral confluence in the bulbar area. We performed a meatotomy in the left penile to insert the cystoscope and confirmed the blind ending urethra. We decided to remove this penile. The penile was degloved entirely and clamped and took out the corpora at the base.
Discussion
Diphallia can have three presentations: only glans duplication, bifid diphallia and complete diphallia (two corpora cavernosa and a corpus spongiosum for each penile). In our case, each penile presented only one corpora cavernosa and the decision taken was based on urethral patency.
Conclusion
The treatment should always be planned individually whereas associated anomalies with the goal of attaining satisfactory functional and cosmetic.
Minh-Tung Do a , Louis Kim b , Young Jae Im a,b , Kwanjin Park a,b, *
Introduction The bladder scanner (BS), a portable ultrasound device specialized in bladder volume measurement, has been developed and applied to clinical assessment of postvoid residual urine, which is a requisite in evaluating patients with voiding dysfunction.
However, experiences in the application of the BS to the pediatric population remain limited despite commonly encountered reluctance to catheterization. This prospective observational study aimed to evaluate the correlation and accuracy of the newly developed pediatric module of the BS (BioCon-900) in measuring bladder volume in children 0e6 years.
Materials and methods
This study included 29 patients scheduled to undergo preventive untethering for their spinal dysraphism. When they undergo cystometry for the confirmation of normal neurologic function, bladder volume was measured by BS when recorded volume infusion reached each quartile of the age-adjusted estimated bladder capacity (EBC). The difference (bias) between measured and infused volume was expressed as a percentage of EBC (%EBC). The correlation coefficient and the Bland_Altman plot were obtained to determine the discriminating power and accuracy, respectively. The acceptable limit was set as 30%EBC.
A strong correlation between the measured and infused volume (r = 0.95, P < 0.001) was found for the entire age range. This excellent correlation remained comparable between children less than three years and the older ones. Bladder volume tended to be overestimated, and the mean bias was 33 ± 22.3%EBC, and it became higher with increasing quartiles. The accuracy was acceptable in all ranges of measurement in the older group and first and second quartiles in the younger one.
We have first evaluated the potential use of BS in 0_3 years old children and compared the results with 4_6- year-old children in whom the accuracy of BS has been demonstrated. The strong point of our study was the inclusion of data spanning all quartiles of bladder volume. The use of infused volume as reference enabled us to assess the accuracy in a more precise way than the use of ultrasound. Despite the good discriminating power, the accuracy was not acceptable in higher quartiles in the younger group. If the trend of overestimation especially higher volume, could be understood prior to measurement, it would be helpful to assume the real val.
Conclusions
The children’s module in BS showed excellent discriminating power and generally acceptable accuracy in more than four-year-old children. This may lose accuracy in higher quartiles among less than three years old children.
原创:伤口治疗及造口护理中心
皮肤是作为人类健康与美丽的象征,当我们最初注意到一个人时,她健康的肌肤往往是形成美好的第一印象的重要因素。
健康与美丽是分不开的,尤其是对皮肤来说,这一点更加重要,如果没有了健康,便根本谈不上皮肤的美丽。
在日常的工作、学习、生活中,难免会有磕磕碰碰,时不时我们的身体就是因某些原因,造成不可避免的伤口出现。有时我们会发现,有些伤口会快速愈合甚至不留痕迹,而有些伤口经久不愈甚至情况愈演愈烈,造成不可挽回的后果,只有我们能够简单的初步认识伤口的各种情况,才能更好地对待我们所发生的一些伤口情况,使其快速愈合,让我们的身体恢复健康。
今天,小编就给大家讲解一下什么是伤口以及伤口的分类。
在日常生活中,当我们的机体受到伤害而造成伤口的时候,最希望伤口能够尽快愈合,恢复到未受伤时候的状态。通过观察不难发现,伤口几乎是一天一个样,那么机体是如何让伤口产生这些变化的呢?伤口有时如何进行修复的呢?
今天小编就告诉大家伤口的愈合过程,通过了解这个过程,我们能够更好地了解自己伤口所处在的周期,以及能够大概了解伤口是往好的方向发展还是往坏的方向恶化。话不多说,下面介绍今天的主题!
一旦有伤口出现,往往会有疼痛的症状发生,这些疼痛反复发作,让许多患者困扰不已。实际上导致患者出现伤口疼痛有些是伤口愈合期间的正常症状,有些由于伤口感染等原因导致,我们应该区别对待,区别处理。
伤口世界平台生态圈,以“关爱人间所有伤口患者”为愿景,连接、整合和拓展线上和线下的管理慢性伤口的资源,倡导远程、就近和居家管理慢性伤口,解决伤口专家的碎片化时间的价值创造、诊疗经验的裂变复制、和患者的就近、居家和低成本管理慢性伤口的问题。
2019广东省医疗行业协会伤口管理分会年会
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