The objective of this study was to evaluate the impact of female urinary incontinence (UI) on quality of life. The method of research is based on a literature search on PubMed, Cochrane library and relevant articles from 1977 to 2012. Forty-eight works were found. Literature showed that UI affects a large percentage of the aged out patients. Women experience UI because of many reasons such as childbirth, menopause and previous gynaecologic surgery. Incontinence is to be treated as it impacts physiological and psychological aspects of patient’s life. Treatments include medical, physical (rehabilitation) and surgical approaches. Measures for assessment are made up by specific and non-specific questionnaires. Evaluation of female incontinence must take into account patients with and without medical treatment. Every sort of therapy has to consider the psychological impact too. In current literature depression, anxiety, shame and decreed selfefficacy resulted as the most important factors involving women with UI
One of the most unusual complications in cholethiasis is spontaneous cholecystocutaneous fistula, which has only been reported a few times in the literature. We report the case of a 76 year old man who presented with a right hypochondrium subcutaneous abscess, with pain evoked through palpation. No comorbidity in the patient’s medical history were noted. Confirmation of cholecystocutaneous fistula was made using the proper diagnostic process, which is computed tomography with contrast media, followed by hepatobiliary MRI. This confirmed the presence of a fistulous pathway between the gallbladder and the skin. The patient underwent cholecystectomy surgery and open laparotomy with
en block aponeurotic muscle, skin and fistula orifice excision.
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