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1.
Anat Histol Embryol ; 51(4): 477-483, 2022 Jul.
Article in English | MEDLINE | ID: mdl-35603530

ABSTRACT

Euphractus sexcinctus is a wild mammal native to the Americas; they have great diversity and are not in danger of extinction like other armadillo species. Despite the diversity, the morphology of several biological systems of this species has not been fully described. This study details the gross and microscopic anatomy of the urinary system in Euphractus sexcinctus, a six-banded armadillo, compared with other mammalian study models. Six animals were dissected in the study. In the anatomical analysis, the kidneys, ureters, urinary bladder and urethra were dissected and photographed; then, fragments were submitted to histological routine for staining with haematoxylin-eosin, toluidine blue and Masson's trichrome for visualization under light microscopy. The six-banded armadillo ureter is histologically composed of four concentric layers. The urinary bladder is presented with three tissue layers. The pattern of constitution and distribution of urinary system structures was compatible with that of most domestic like Canis familiaris and wild animals like Bradypus torquatus, with adaptations for the arid and semi-arid habitat. The description of the morphology of Euphractus sexcinctus presents great relevance both for its conservation and for its use as a model for clinical research.


Subject(s)
Armadillos , Urinary Tract , Animals , Animals, Wild , Armadillos/anatomy & histology , Dogs , Sloths , Urinary Tract/anatomy & histology
2.
Int. j. morphol ; 38(2): 292-298, abr. 2020. tab, graf
Article in English | LILACS | ID: biblio-1056437

ABSTRACT

Trans-obturator tape (TOT) and tension free vaginal tape (TVT) procedures are efficient treatment options, which reduce the surgical complications and provide adequate support to urethra in case of increased abdominal pressure to prevent stress urinary incontinence (SUI). The aim of this study is to evaluate the effect and efficacy of 3D printed female anatomical model on the training of TOT and TVT procedures. A 3D printed female anatomical model was produced for MedTRain3DModSim, Erasmus+ European Union project led by Turkey with the participation of Greece, Italy, Czech Republic and South Korea. Face and content validities of the model evaluated by the participants and the experts respectively. During two learning & teaching & training activities and a multiplier event of the project between 2016 and 2018; 41 medical students, 30 residents and 19 specialists of urology and gynecology were educated and performed TOT and TVT procedures with this model under the mentorship of 3 experts. All participants were assessed and scored for their achievement on both procedures with model according to 7 parameters by the experts. There was no statistical difference between the students and residents for each parameter. All the parameters of the students and specialists were statistically different. 3D anatomical models produced from real data and mimicking different types of tissues are suitable for basic anatomy education of students and residents, hands on training for junior surgeons before cadaveric courses in hybrid education system, surgical planning of the surgeons and informing the patients before the operation.


Los procedimientos de cinta transobturadora (TOT) y cinta vaginal sin tensión (TVT) son opciones de tratamiento eficientes, que reducen las complicaciones quirúrgicas y proporcionan un soporte adecuado a la uretra en caso de aumento de la presión abdominal para prevenir la incontinencia urinaria de esfuerzo (IUE). El objetivo de este estudio fue evaluar el efecto y la eficacia del modelo anatómico femenino impreso en 3D en el entrenamiento de los procedimientos TOT y TVT. Se produjo un modelo anatómico femenino impreso en 3D para MedTRain3DModSim, proyecto Erasmus + de la Unión Europea dirigido por Turquía con la participación de Grecia, Italia, la República Checa y Corea del Sur. Validez facial y de contenido del modelo fueron evaluados por los participantes y los expertos respectivamente. Durante dos actividades de aprendizaje, enseñanza y capacitación y un evento multiplicador del proyecto entre 2016 y 2018; 41 estudiantes de medicina, 30 residentes y 19 especialistas en urología y ginecología fueron capacitados y realizaron procedimientos TOT y TVT de este modelo bajo la tutoría de 3 expertos. Todos los participantes fueron evaluados y calificados por los expertos, por su logro en ambos procedimientos con el modelo de acuerdo con 7 parámetros. No hubo diferencia estadística entre los estudiantes y los residentes para cada parámetro. Todos los parámetros de los estudiantes y especialistas fueron estadísticamente diferentes. Los modelos anatómicos en 3D producidos a partir de datos reales e imitando diferentes tipos de tejidos son adecuados para la educación básica de anatomía de estudiantes y residentes. Además de ofrecer una capacitación práctica para los cirujanos antes de los cursos cadavéricos en el sistema educativo, y una planificación quirúrgica de los cirujanos e información para los pacientes antes de la cirugía.


Subject(s)
Humans , Female , Urinary Incontinence, Stress , Urinary Tract/anatomy & histology , Suburethral Slings , Models, Anatomic , Printing, Three-Dimensional
3.
J Exp Zool B Mol Dev Evol ; 334(2): 88-99, 2020 03.
Article in English | MEDLINE | ID: mdl-32003151

ABSTRACT

Oweniidae is a basal group of recent annelids and nowadays it attracts the attention of researchers of many biological fields. Surprisingly, details of their anatomy, like the adult excretory system, remain obscure. Researchers recently suggested that the paired organs of tubeworms in the family Oweniidae are related to nephridia. In the current study of Owenia borealis adults, we determined that these structures are parapodial glandular organs (PGOs) and are located in the first two segments of adults. The PGOs are complex subepidermal multicellular glands that contain secretory cells, that is, goblet cells, which are differentiated by the type of the producing tube matter. The goblet cells are surrounded by muscles that are used to extrude material stored in the PGO's lumen into the external environment. The anterior pair of PGOs have very well-developed rough endoplasmatic reticulum in the proximal cells, spacious Golgi complexes, numerous nail-shaped microvilli, and apocrine secretory processes in the goblet cells of the distal parts. The posterior pair of PGOs only consists of cells, which probably produce proteinaceous fibrils. We discuss the homology of goblet cells with specific nail-shaped microvilli that produce ß-chitin within annelids. We also discuss the possibility that PGOs and nephridia have a common origin. This study provides new information on the ultrastructure of cells that secrete the organic material used to form the tubes inhabited by tube-dwelling annelids.


Subject(s)
Annelida/anatomy & histology , Animals , Annelida/physiology , Microscopy, Electron, Transmission , Urinary Tract/anatomy & histology , Urinary Tract/ultrastructure
4.
Am J Obstet Gynecol ; 222(3): 204-218, 2020 03.
Article in English | MEDLINE | ID: mdl-31805273

ABSTRACT

The objectives of this study were to review the published literature and selected textbooks, to compare existing usage to that in Terminologia Anatomica, and to compile standardized anatomic nomenclature for the apical structures of the female pelvis. MEDLINE was searched from inception until May 30, 2017, based on 33 search terms generated by group consensus. Resulting abstracts were screened by 11 reviewers to identify pertinent studies reporting on apical female pelvic anatomy. Following additional focused screening for rarer terms and selective representative random sampling of the literature for common terms, accepted full-text manuscripts and relevant textbook chapters were extracted for anatomic terms related to apical structures. From an initial total of 55,448 abstracts, 193 eligible studies were identified for extraction, to which 14 chapters from 9 textbooks were added. In all, 293 separate structural terms were identified, of which 184 had Terminologia Anatomica-accepted terms. Inclusion of several widely used regional terms (vaginal apex, adnexa, cervico-vaginal junction, uretero-vesical junction, and apical segment), structural terms (vesicouterine ligament, paracolpium, mesoteres, mesoureter, ovarian venous plexus, and artery to the round ligament) and spaces (vesicocervical, vesicovaginal, presacral, and pararectal) not included in Terminologia Anatomica is proposed. Furthermore, 2 controversial terms (lower uterine segment and supravaginal septum) were identified that require additional research to support or refute continued use in medical communication. This study confirms and identifies inconsistencies and gaps in the nomenclature of apical structures of the female pelvis. Standardized terminology should be used when describing apical female pelvic structures to facilitate communication and to promote consistency among multiple academic, clinical, and surgical disciplines.


Subject(s)
Genitalia, Female/anatomy & histology , Pelvis/anatomy & histology , Terminology as Topic , Urinary Tract/anatomy & histology , Arteries/anatomy & histology , Female , Humans , Ligaments/anatomy & histology , Veins/anatomy & histology
5.
Obstet Gynecol Clin North Am ; 46(4): 563-580, 2019 Dec.
Article in English | MEDLINE | ID: mdl-31677742

ABSTRACT

This article reviews normal pelvic anatomic findings during ultrasound and discusses how to obtain and measure these images. Representative images of normal pelvic anatomy, with select videos, are included to assist in understanding the presented concepts and normal anatomic images.


Subject(s)
Genitalia, Female/diagnostic imaging , Pelvis/diagnostic imaging , Ultrasonography/methods , Urinary Bladder/diagnostic imaging , Female , Genitalia, Female/anatomy & histology , Humans , Pelvis/anatomy & histology , Rectum/anatomy & histology , Rectum/diagnostic imaging , Urinary Bladder/anatomy & histology , Urinary Tract/anatomy & histology , Urinary Tract/diagnostic imaging
6.
Turk J Med Sci ; 49(5): 1257-1270, 2019 Oct 24.
Article in English | MEDLINE | ID: mdl-31648427

ABSTRACT

Background/aim: It is necessary to incorporate novel training modalities in medical education, especially in surgical fields, because of the limitations of cadaveric training. Traditional medical education has many drawbacks, such as residency working hour restrictions, patient safety conflicts with the learning needs, and the lack of hands-on workshops. The MedTRain3DModsim Project aimed to produce 3-dimensional (3D) medical printed models, simulations, and innovative applications for every level of medical training using novel worldwide technologies. It was aimed herein to improve the interdisciplinary and transnational approaches, and accumulate existing experience for medical education, postgraduate studies, and specialty training. Materials and methods: This project focused on models of solid organs and the urinary system, including the kidney, prostate, ureter, and liver. With 3D medical printing, it is possible to produce a body part from inert materials in just a few hours with the standardization of medical 3D modeling. Results: The target groups of this project included medical students and residents, graduate students from engineering departments who needed medical education and surgical training, and medical researchers interested in health technology or clinical and surgical an atomy. Conclusion: It was also intended to develop a novel imaging platform for education and training by reevaluating the existing data using new software and 3D modalities. Therefore, it was believed that our methodology could be implemented in all related medical fields.


Subject(s)
Printing, Three-Dimensional , Urology/education , Virtual Reality , European Union , Humans , Urinary Tract/anatomy & histology , Urologic Diseases/pathology , Urologic Diseases/therapy
7.
Aging (Albany NY) ; 11(9): 2653-2669, 2019 05 13.
Article in English | MEDLINE | ID: mdl-31085797

ABSTRACT

Prostate disease incidence, both benign and malignant, directly correlates with age. Men under 40 years of age are rarely diagnosed with benign or malignant prostate disease, while 90% of men over the age of 80 have histological evidence of benign disease (benign prostatic hyperplasia; BPH). Although rodent models have been invaluable in the study of disease progression and treatment efficacy, the effect of age is often not considered. In examining aged (24-month-old) mice, we observed changes within the lower urinary tract that is typically associated with lower urinary tract dysfunction (LUTD) similar to models of BPH. In this study, we identify LUTD using functional testing as well as various imaging technologies. We also characterize the histological differences within the lower urinary tract between young (2-month-old) and aged mice including proliferation, stromal remodeling, and collagen deposition. Additionally, we examined serum steroid hormone levels, as steroid changes drive LUTD in mice and are known to change with age. We conclude that, with age, changes in prostate function, consistent with LUTD, are a consequence. Therapeutic targeting of endocrine and prostatic factors including smooth muscle function, prostate growth and fibrosis are likely to reestablish normal urinary function.


Subject(s)
Aging , Prostatic Hyperplasia , Urinary Tract Physiological Phenomena , Urinary Tract/anatomy & histology , Animals , Male , Mice , Risk Factors
8.
Med Phys ; 46(7): 3034-3043, 2019 Jul.
Article in English | MEDLINE | ID: mdl-31049993

ABSTRACT

PURPOSE: Assessment of urethral dynamics is clinically regarded to be important in analyzing the functional impact of pathological features like urethral obstruction, albeit it is difficult to perform directly in vivo. To facilitate such an assessment, urethra phantoms may serve well as investigative tools by reconstructing urethral dynamics based on anthropomorphic factors. Here, our aim is to design a new class of anatomically realistic, deformable urethra phantoms that can simulate the geometric, mechanical, and hydrodynamic characteristics of the male prostatic urethra. METHODS: A new lost-core tube casting protocol was devised. It first involved the drafting of urethra geometry in computer-aided design software. Next, 3D printing was used to fabricate the urethra geometry and an outer mold. These parts were then used to cast a urinary tract using a polyvinyl alcohol (PVA)-based material (with 26.6 ± 4.0 kPa Young's elastic modulus). After forming a surrounding tissue-mimicking slab using an agar-gelatin mixture (with 17.4 ± 3.4 kPa Young's modulus), the completed urethra phantom was connected to a flow circuit that simulates voiding. To assess the fabricated phantoms' morphology, ultrasound imaging was performed over different planes. Also, color Doppler imaging was performed to visualize the flow profile within the urinary tract. RESULTS: Deformable phantoms were devised for the normal urethra and a diseased urethra with obstruction due to benign prostatic hyperplasia (BPH). During voiding, the short-axis lumen diameter at the verumontanum of the BPH-featured phantom (0.91 ± 0.08 mm) was significantly smaller than that for the normal phantom (2.49 ± 0.20 mm). Also, the maximum flow velocity of the BPH-featured phantom (59.3 ± 5.8 cm/s; without Doppler angle correction) was found to be higher than that of the normal phantom (22.7 ± 9.0 cm/s). CONCLUSION: The fabricated phantoms were effective in simulating urethra deformation resulting from urine passage during voiding. They can be used for mechanistic studies of urethral dynamics and for the testing of urodynamic diagnostic techniques in urology.


Subject(s)
Phantoms, Imaging , Prostate/physiology , Urodynamics , Biomechanical Phenomena , Humans , Male , Prostate/diagnostic imaging , Prostate/physiopathology , Prostatic Hyperplasia/diagnostic imaging , Prostatic Hyperplasia/pathology , Prostatic Hyperplasia/physiopathology , Ultrasonography , Urethra/diagnostic imaging , Urethra/pathology , Urethra/physiopathology , Urinary Tract/anatomy & histology , Urinary Tract/diagnostic imaging , Urinary Tract/pathology
9.
Eur. j. anat ; 23(2): 131-135, mar. 2019. ilus, tab
Article in English | IBECS | ID: ibc-182423

ABSTRACT

Horseshoe kidneys (HSK) represent an interesting surprise during anatomical dissections directed towards teaching of the urinary system. Clinically, the HSK limits access into the retroperitoneal space due to its location, orientation, and positioning of the ureters. In addition, its highly variable arterial and venous patterns provide great difficulties for surgeons during aortic aneurysm correction, and more recently, HSK transplantation. This case is a morphological study of a noticeably different HSK from the perspective of location, arterial blood supply, and venous drainage, which is further solidified by an embryological review. The debate is opened for further exploration into the theories associated with HSK ascent, its vasculature patterns, and the need for precise diagnostic imaging to serve preoperative planning


No disponible


Subject(s)
Humans , Male , Aged , Fused Kidney , Dissection , Retroperitoneal Space/anatomy & histology , Renal Artery/anatomy & histology , Mesenteric Artery, Superior/anatomy & histology , Aorta, Abdominal/anatomy & histology , Urinary Tract/anatomy & histology , Aortic Aneurysm , Cadaver
10.
J Robot Surg ; 13(2): 289-292, 2019 Apr.
Article in English | MEDLINE | ID: mdl-30014233

ABSTRACT

Urologic injury is an infrequent but serious complication of pelvic surgery. Training in the assessment and management of this injury might be enhanced through animated simulation. Our objective was to assess the intraoperative management of urologic injury with robotic pelvic surgery using a simulated injury animal model. We used a female domestic pig to create three types of urologic injury, which we then managed with robotically assisted surgery. An edited video of the model was assessed by 14 senior learners and 10 attending faculty. The assessments included key competencies and domains of fidelity. A scale of poor, fair, or good was utilized. The defects and repairs simulated those seen in humans, both anatomically and surgically, although deficiencies were noted. Related to fidelity of the anatomy of the ureter and bladder, lower ratings were given for some of the key competencies (determining the relationship to the trigone, ureteral mobilization, repair of all 3 injuries). The porcine model for simulation of urologic injury during robotically assisted pelvic surgery may be useful for training purposes.


Subject(s)
Education, Graduate/methods , Intraoperative Care/methods , Intraoperative Complications/etiology , Intraoperative Complications/surgery , Laparoscopy/adverse effects , Laparoscopy/education , Models, Animal , Pelvis/surgery , Robotic Surgical Procedures/adverse effects , Robotic Surgical Procedures/education , Simulation Training/methods , Swine , Urinary Tract/injuries , Urinary Tract/surgery , Animals , Cystotomy/methods , Female , Intraoperative Complications/diagnosis , Laparoscopy/methods , Robotic Surgical Procedures/methods , Urinary Tract/anatomy & histology
11.
Radiol Technol ; 90(2): 149-167, 2018 Nov.
Article in English | MEDLINE | ID: mdl-30420572

ABSTRACT

Retrograde urethrograms and voiding cystourethrograms provide clinicians with important information to determine treatment options and surgical interventions for patients with urethral abnormalities. This article discusses the elements with which radiologic technologists should be familiar, including urethra anatomy, the pathology of urethral abnormalities, imaging techniques, and special considerations for preoperative and postoperative patients.


Subject(s)
Fluoroscopy , Urethra/abnormalities , Urethra/diagnostic imaging , Urethral Diseases/diagnostic imaging , Adult , Contrast Media , Humans , Male , Patient Safety , Radiation Exposure/prevention & control , Radiation Protection , Urethral Stricture/diagnostic imaging , Urethral Stricture/etiology , Urethral Stricture/surgery , Urinary Tract/anatomy & histology
12.
Urol Int ; 101(3): 300-312, 2018.
Article in English | MEDLINE | ID: mdl-30269138

ABSTRACT

INTRODUCTION: 0% of all urinary tract injuries are iatrogenic lesions. Although they only occur in < 5%, they can lead to severe ipsilateral renal dysfunctions. These lesions can be treated with extensive knowledge on the genesis of the lesion, the anatomy, the individual patient's history and high operative expertise in diverse surgical methods. MATERIAL AND METHODS: In this article, we show which reconstruction options are possible, depending on the lesion's severity according to the AAST and EAU Guidelines from 2009 on the classification of ureter injuries, as well as the localisation. A special focus is on the anatomy. It is important to adhere to surgical ground principles, such as making sure all pathological tissue is removed, the ureter ends are spatulated and a tension-free and watertight anastomosis is maintained. RESULTS: Iatrogenic ureter lesions are rare complications, but being able to deal with these frequently requires a urologist's expertise. Whenever surgeons operate close to the ureters, there is always a risk of an iatrogenic ureter lesion, which in turn requires that all available reconstructive measures are used dynamically. CONCLUSION: Ureter complications are rare but require surgeons' excellent management expertise.


Subject(s)
Ureter/surgery , Urinary Tract/injuries , Urinary Tract/surgery , Urologic Surgical Procedures/adverse effects , Urologic Surgical Procedures/methods , Anastomosis, Surgical , Endoscopy , Humans , Postoperative Complications/etiology , Practice Guidelines as Topic , Psoas Muscles/physiology , Plastic Surgery Procedures , Severity of Illness Index , Tissue Engineering , Ureter/anatomy & histology , Urinary Tract/anatomy & histology , Urologic Surgical Procedures/standards
13.
Biol Sex Differ ; 9(1): 45, 2018 10 22.
Article in English | MEDLINE | ID: mdl-30343668

ABSTRACT

Females and males differ significantly in gross anatomy and physiology of the lower urinary tract, and these differences are commonly discussed in the medical and scientific literature. However, less attention is dedicated to investigating the varied development, function, and biology between females and males on a cellular level. Recognizing that cell biology is not uniform, especially in the lower urinary tract of females and males, is crucial for providing context and relevance for diverse fields of biomedical investigation. This review serves to characterize the current understanding of biological sex differences between female and male lower urinary tracts, while identifying areas for future research. First, the differences in overall cell populations are discussed in the detrusor smooth muscle, urothelium, and trigone. Second, the urethra is discussed, including anatomic discussions of the female and male urethra followed by discussions of cellular differences in the urothelial and muscular layers. The pelvic floor is then reviewed, followed by an examination of the sex differences in hormonal regulation, the urinary tract microbiome, and the reticuloendothelial system. Understanding the complex and dynamic development, anatomy, and physiology of the lower urinary tract should be contextualized by the sex differences described in this review.


Subject(s)
Urinary Tract Physiological Phenomena , Urinary Tract/anatomy & histology , Animals , Female , Gonadal Steroid Hormones/physiology , Humans , Male , Sex Characteristics , Urinary Tract/cytology
14.
Curr Urol Rep ; 19(9): 75, 2018 Aug 06.
Article in English | MEDLINE | ID: mdl-30083849

ABSTRACT

PURPOSE OF REVIEW: Urinary dysfunction is a common entity in patients undergoing radical pelvic surgery for non-urologic malignancies. These dysfunctions may manifest as lower urinary tract symptoms (LUTS) or signs such as urinary retention or leakage. Review of current literature is performed to describe the differing urinary dysfunctions that manifest after colorectal resection, hysterectomy, and sacrectomy. RECENT FINDINGS: Conventional radical surgery for pelvic malignancies often will result in debilitating functional problems. As advances in surgical techniques and management options become more available, patients can have better functional outcomes, specifically in the lower urinary tract. Nerve-sparing techniques as well as vascular preservation are becoming more important to preserve function as patient survival is improving. Additionally, newer methods are being explored, such as nerve stimulation for those who are unable to empty adequately. This article also addresses different management options for specific voiding dysfunction that may result from pelvic surgery. Preventative strategies such as nerve preservation during surgery are an important concept to prevent urinary dysfunction. The goal to good functional outcomes includes maintaining reservoir compliance and capacity as well as allowing proper outlet for voiding. We discuss different modalities to help achieve a functional lower urinary tract for patients with lower urinary tract dysfunction after pelvic surgery.


Subject(s)
Lower Urinary Tract Symptoms/therapy , Pelvis/surgery , Surgical Procedures, Operative/adverse effects , Urination Disorders/therapy , Female , Humans , Lower Urinary Tract Symptoms/etiology , Urinary Tract/anatomy & histology , Urinary Tract/innervation , Urination Disorders/etiology
15.
In. Gómez Ochoa, Clara Alicia; Roberts Alfonso, Daisy Rosa; Rúa Hernández, Esther de la Caridad. Anatomofisiología humana. Selección de temas. Terapia ocupacional, Ortoprótesis y Terapia física y rehabilitación. La Habana, Editorial Ciencias Médicas, 2018. , ilus.
Monography in Spanish | CUMED | ID: cum-71110
17.
Cir. pediátr ; 30(3): 156-161, jul. 2017. tab
Article in Spanish | IBECS | ID: ibc-168011

ABSTRACT

Objetivos. Conocer el estado actual de los pacientes intervenidos por hipospadias en nuestra región, para adaptar la técnica quirúrgica a sus necesidades reales. Material y métodos. Estudio descriptivo y observacional. Se entrevistó a pacientes intervenidos de hipospadias en nuestro hospital entre 1976 y 1996, incidiendo en su función urinaria, sexual e impacto psi- cológico. Realizamos análisis estadístico descriptivo y comparaciones entre tipos de hipospadias (SPSSv19). Resultados. 566 pacientes fueron intervenidos de hipospadias en el período estudiado, entrevistándose a 100, con edades entre 18 y 40 años. El 73% fueron distales y 27% proximales. En el 30% el meato no es ortotópico, 10% presenta fístula, 18% presenta algún grado de estenosis y 52% presenta curvatura. El 13% siente haber tenido desventajas en su vida. Consideran su pene diferente en: tamaño (19%), forma glande (17%), curvatura (14%), cicatrices (10%) y orificio más bajo (7%). La satisfacción sexual fue valorada en 8,9 en una escala del 1 al 10, sin diferencias entre los tipos de hipospadias. Los proximales presentan mayores problemas de eyaculación: 42% frente al 11% de los distales. El 68% de los proximales desearían mejorar frente al 20% de los distales, en apariencia (17%), tamaño (11%) y forma de orinar (11%). Conclusiones. Se mantienen alteraciones anatómicas pero los aspectos que más valora el paciente adulto difieren de los perseguidos en las cirugías que se practicaban. Un porcentaje importante de pacientes se reoperaría de nuevo. Mantener el tamaño del pene y aspecto natural del glande debe ser un objetivo prioritario durante la cirugía de hipospadias (AU)


Objectives. To determine the current status of the patients operated on for hypospadias in our region, in order to adapt the surgical technique to their real needs. Material and methods. A descriptive and observational study. Interviews were conducted with hypospadias surgery patients in our hospital between 1976 and 1996, focusing on their urinary and sexual function and psychological impact. We performed a descriptive statistical analysis and comparisons between types of hypospadias (SPSSv19). Results. 566 patients were operated on for hypospadias during the study period, interviewing 100 aged between 18 and 40 years. The 73% were distal and 27% proximal. Of all patients, 30% do not have an orthotopic meatus, 10% have fistula, 18% have some degree of stenosis and 52% have penile curvature. The 13% feel to have had disadvantages in their life. They consider they have a different penis in: size (19%), glans shape (17%), curvature (14%), scars (10%) and lowest hole (7%). Sexual satisfaction was valued at 8.9 on a scale of 1 to 10, with no differences between the types of hypospadias. Proximal hypospadias patients have more ejaculation problems: 42% versus 11% in distal hypospadias. The 68% of the proximal ones would like to improve compared to 20% of the distal in: appearance (17%), size (11%) and way to urinate (11%). Conclusions. Anatomic abnormalities are maintained but the aspects that values the adult patient differ from those persecuted by practiced surgeries. A significant percentage of patients would try to get another surgery. Keeping the size of the penis and natural appearance of the glans should be a priority in hypospadias surgery (AU)


Subject(s)
Humans , Male , Female , Young Adult , Adult , Hypospadias/complications , Hypospadias/psychology , Hypospadias/surgery , Health Status , Psychosocial Impact , 28599 , Urinary Tract/anatomy & histology , Urinary Tract/physiopathology
18.
J Zoo Wildl Med ; 47(2): 573-85, 2016 Jun.
Article in English | MEDLINE | ID: mdl-27468031

ABSTRACT

The ring-tailed lemur (Lemur catta) is primarily distributed in south and southwestern Madagascar. It is classified as an endangered species by the International Union for Conservation of Nature. Various abdominal diseases, such as hepatic lipidosis, intestinal ulcers, cystitis, urinary tract obstruction, and neoplasia (e.g., colonic adenocarcinoma and cholangiocarcinoma), have been reported in this species. The aim of this study was to describe the normal radiographic and ultrasonographic abdominal anatomy in captive ring-tailed lemurs to provide guidance for clinical use. Radiography of the abdomen and ultrasonography of the liver, spleen, kidneys, and urinary bladder were performed in 13 and 9 healthy captive ring-tailed lemurs, respectively, during their annual health examinations. Normal radiographic and ultrasonographic reference ranges for abdominal organs were established and ratios were calculated. The majority (12/13) of animals had seven lumbar vertebrae. The sacrum had mainly (12/13) three segments. Abdominal serosal detail was excellent in all animals, and hypaxial muscles were conspicuous in the majority (11/13) of animals. The spleen was frequently (12/13) seen on the ventrodorsal (VD) view and rarely (3/13) on the right lateral (RL) view. The liver was less prominent and well contained within the ribcage. The pylorus was mostly (11/13) located to the right of the midline. The right and left kidneys were visible on the RL and VD views, with the right kidney positioned more cranial and dorsal to the left kidney. On ultrasonography, the kidneys appeared ovoid on transverse and longitudinal views. The medulla was hypoechoic to the renal cortex. The renal cortex was frequently (8/9) isoechoic and rarely (1/9) hyperechoic to the splenic parenchyma. The liver parenchyma was hypoechoic (5/5) to the renal cortex. Knowledge of the normal radiographic and ultrasonographic abdominal anatomy of ring-tailed lemurs may be useful in the diagnosis of diseases and in routine health examinations.


Subject(s)
Abdomen/anatomy & histology , Abdomen/diagnostic imaging , Lemur/anatomy & histology , Radiography, Abdominal/veterinary , Animals , Female , Gastrointestinal Tract/anatomy & histology , Gastrointestinal Tract/diagnostic imaging , Liver/anatomy & histology , Liver/diagnostic imaging , Lymphatic System/anatomy & histology , Lymphatic System/diagnostic imaging , Male , Muscle, Skeletal/anatomy & histology , Muscle, Skeletal/diagnostic imaging , Ultrasonography , Urinary Tract/anatomy & histology , Urinary Tract/diagnostic imaging , Urography/veterinary
19.
J Vet Med Educ ; 43(3): 263-70, 2016.
Article in English | MEDLINE | ID: mdl-26966984

ABSTRACT

Second-year veterinary students are often challenged by concepts in veterinary radiology, including the fundamentals of image quality and generation of differential lists. Four card games were developed to provide veterinary students with a supplemental means of learning about radiographic image quality and differential diagnoses in urogenital imaging. Students played these games and completed assessments of their subject knowledge before and after playing. The hypothesis was that playing each game would improve students' understanding of the topic area. For each game, students who played the game performed better on the post-test than students who did not play that game (all p<.01). For three of the four games, students who played each respective game demonstrated significant improvement in scores between the pre-test and the post-test (p<.002). The majority of students expressed that the games were both helpful and enjoyable. Educationally focused games can help students learn classroom and laboratory material. However, game design is important, as the game using the most passive learning process also demonstrated the weakest results. In addition, based on participants' comments, the games were very useful in improving student engagement in the learning process. Thus, use of games in the classroom and laboratory setting seems to benefit the learning process.


Subject(s)
Play and Playthings , Problem-Based Learning , Radiology , Urinary Tract , Animals , Humans , Artifacts , Education, Medical, Undergraduate , Education, Veterinary , Educational Measurement , Radiology/education , Urinary Tract/anatomy & histology
20.
Pesqui. vet. bras ; 36(3): 221-226, mar. 2016. graf
Article in Portuguese | LILACS | ID: lil-782063

ABSTRACT

Sapajus apella é um primata do Novo Mundo de porte médio e com distribuição geográfica desde a América do Sul até a Argentina. São bons modelos para estudo e nos últimos anos vêm sendo amplamente utilizados para este fim. A destruição progressiva do habitat natural desses animais os tem levado a migrarem para outras regiões, tornando-os, assim, mais susceptíveis à caça predatória. A necessidade de preservação das espécies silvestres desperta interesse por um maior conhecimento anatômico e clínico para estes animais. O presente estudo teve como objetivo examinar e descrever os aspectos morfológicos, quanto a anatomia macroscópica e microscópica dos órgãos do sistema urinário de fêmeas da espécie Sapajus apella visando estender o conhecimento anatômico para esta espécie. Foram utilizadas quatro fêmeas, oriundas do Centro Nacional de Primatas de Ananindeua/PA. istema urinário de S. apella apresenta características similares a outros primatas tanto humanos quanto não humanos e aos animais domésticos. Os rins apresentaram aspectos macroscópicos semelhantes aos rins de humanos, mas com a mesma classificação de outros primatas não humanos e alguns animais domésticos. A bexiga assemelhou-se aos animais domésticos e aos primatas de maneira geral, humano e não humano. O mesmo ocorreu quando analisamos estes órgãos histologicamente.


Sapajus apella is a primate of the New World of midsize and with geographical distribution from South America to Argentina. Good models for the study and in recent years have been widely used for this purpose. The progressive destruction of the natural habitat of these animals has led to migrate to other regions, thus making them more susceptible to hunting predator. The need for the preservation of wild species arouses interest by a greater anatomic and clinical knowledge of these animals. The present study was aimed to examine and describe the morphological aspects, as far as the macroscopic and microscopic anatomy of the organs of the urinary system of female Sapajus apella aiming to extend the anatomical knowledge for this species. Four females were used, from the National Center of Primates in Ananindeua - PA. The urinary system of S. apella has similar characteristics to other primates both human and non-human and domestic animals. The kidneys showed macroscopic aspects similar to the kidneys of humans, but with the same classification of other non-human primates and some domestic animals. The bladder was similar to domestic animals and primates in general, human and non-human. The same occurred when we analyze these components histologically.


Subject(s)
Animals , Cebus , Primates , Urinary Tract/anatomy & histology , Urinary Bladder/anatomy & histology , Kidney/anatomy & histology
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