Urètre

Silva-Anoma, S. Da; Bertin, Kouame Dibi; Ouattara, O.; Gaudens, D A; Yao, David A.; Roux, C.

doi:10.1016/s0003-4401(01)80016-4

Cited by 11 publications

(2 citation statements)

References 3 publications

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“…These cells can be obtained from either the newborn foetal cord blood or his bone marrow, if he is HLA compatible. In such cases it is not necessary to perform a caesarean delivery to attempt to collect a higher blood volume and consequently a higher number of transplantable foetal haematopoeitic stem cells [1][2][3][4][5][6][7][8][9][10][11].…”

Section: Resultsmentioning

confidence: 99%

Umbilical Cord Blood

2016

IJWHC

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Umbilical cord blood (UCB) is widely considered as a potential alternative to bone marrow for haematopoietic stem cells. Efforts on UCB research have now taken a step further with the establishment of numerous cord blood banks throughout the world. In 15 months (from December 1999 to February 2001) we obtained 863 cord blood units by withdrawing residual blood from the placenta.The method of blood collection consisted of puncturing, with an 18-gauge needle, the umbilical cord vein and withdrawing the blood into a sterile bag immediately after clamping and newborn assistance. The blood was collected when the placenta was still in utero. Analysis of the blood was also performed to exclude any bacterial contamination. Among them 429 were collected from newborns delivered vaginally (Group 1) and 434 were collected from caesarean sections (Group 2). In this study we evaluated the volume of blood collected and the number of CD34+ cells contained in the foetal cord blood and we demonstrated that these two parameters were similar between the two groups; The higher median volume of blood collected from infant delivered through a caesarean section seems mainly due to the different clamping time rather than to the kind of delivery.

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Section: Resultsmentioning

confidence: 99%

Umbilical Cord Blood

2016

IJWHC

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“…The original method entails the use of either non-self retaining urethral catheter or use of self-retaining catheter with subsequently deflated balloon for later spontaneous catheter fall out following sloughing of the ligated tissue (12, 13). Many authors have reported very good outcomes for the ligation method (12-14). However some other authors have reported complications that include; premature discharge of the catheter, long catheterization, incomplete sloughing of the prolapsed urethral mucosa, urethral catheter obstruction, infection and post-operative pain and do not recommend its use (1, 6).…”

Section: Introductionmentioning

confidence: 99%

Urethral Prolapse: Contemporary Report on a Modified Ligation Over a Urethral Catheter Treatment Approach

Okorie

2013

Nephro Urol Mon

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BackgroundMost contemporary series on urethral prolapse report either on the use of excisional or conservative treatment approaches.ObjectivesTo introduce a modified ligation over a Foley catheter treatment method for urethral prolapse that addresses most of the previously reported complications.Patients and MethodsFive consecutive patients with urethral prolapse treated between 2003 and 2011, all using the ligation method on an outpatient basis were studied prospectively. Maintaining the inflated balloon of the Foley catheter with timed removal of the catheters among other modifications to the original technique is further described in the article. The main outcome measures were to evaluate for recurrence, post-operative appearance of the urethral orifice and satisfaction of parents. Secondarily the actions of the parents of the patients and those of the receiving physicians were also recorded.ResultsThe mean age of the patients was 6 years old (ranging from 3 to 8 years). All parents suspected sexual molestation and in two cases, the suspected perpetrators were verbally threatened of dire consequences of their actions if proven. None of the receiving medical personnel were aware of this condition. Maximum length of catheterization was for 4 days. The post treatment urethral openings appeared normal and there were no complications.ConclusionsThe ligation method with attention to the modifications described further in the article is a simple, safe and cost effective option for the management of urethral prolapse.Maintaining the inflated balloon of the Foley catheter with timed catheter removal especially adds predictability to this technique.

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Een peuter met genitaal bloedverlies

Stuiver¹,

Jong²,

Ribbert³

et al. 2003

KIND

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Summary We describe a two-year-old girl with genital bleeding based on urethral prolapse. The diagnosis is confirmed by inspection, sometimes under anaesthesia. The therapy for minimal prolapse is expectative or the local application of estrogen cream and hot baths several times during the day. Surgical excision of the prolapsed mucosa and ligation over a transurethral catheter can be additional therapeutic options. Long term complications are rare.Samenvatting We beschrijven een 2-jarig meisje met genitaal bloedverlies op basis van urethra prolaps. De diagnose urethra prolaps wordt gesteld door inspectie, al dan niet onder narcose. De therapie bij een minimale prolaps bestaat meestal uit afwachten of uit warme zitbaden enkele malen per dag en applicatie van oestrogeenhoudende cre`me. Chirurgische excisie van het geprolabeerde slijmvlies dan wel ligatie over een transurethrale katheter zijn eveneens behandelingsopties. Langetermijncomplicaties zijn zeldzaam. InleidingWij presenteren een peuter met genitaal bloedverlies en bespreken de differentiaaldiagnostische overwegingen. CasusEen 2-jarig Congolees meisje presenteerde zich met helderrood bloed met stolsels in de luier. Er was bij heteroanamnese geen sprake van een pijnlijke mictie dan wel een veranderd mictiepatroon. Ook de defecatie was regelmatig zonder obstipatie of persen. Behoudens een recent doorgemaakte pneumonie was ze nooit ziek geweest. Tijdens het lichamelijk onderzoek werd een niet-ziek, coo¨peratief, negroı¨de meisje gezien. Er werden geen afwijkingen vastgesteld bij het algemeen onderzoek. In verband met sterke afweer vond onder algehele anesthesie inspectie van vulva en anus plaats. Hierbij werd een blauwe rozet van oedemateus gezwollen urethraslijmvlies gezien ( fig. 1). De opening van de urethra was niet zonder meer zichtbaar maar bevond zich in het midden van de zwelling. Het geheel was zeer kenmerkend voor een urethra prolaps. Er waren geen suspecte afwijkingen aan de vulva. Echografie van nieren en blaas was niet afwijkend. De afwijking werd diathermisch door een kinderuroloog gee¨xcideerd waarna een Ch.14-katheter werd achtergelaten. Na drie uur kon de katheter worden verwijderd en plaste de patie¨nte weer normaal. Ze zal poliklinisch worden vervolgd om haar mictiegewoonten te beoordelen om een eventuele meatusstenose vroeg op te sporen.

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Urètre

Cited by 11 publications

References 3 publications

Umbilical Cord Blood

Umbilical Cord Blood

Urethral Prolapse: Contemporary Report on a Modified Ligation Over a Urethral Catheter Treatment Approach

Een peuter met genitaal bloedverlies

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