Dougherty Hamann (periodoboe4)

Conclusion An upfront combined laparoscopic and inguinal approach to redo orchidopexy for recurrent palpable undescended testes is suitable in selected patients. This study identifies the selection criteria and outlines the operative considerations. This laparoscopic-assisted approach is a safe and feasible way to correct unsatisfactory position of the testis, with diminished risk of injury to the vas and vessels, while gaining the maximum possible length by high retroperitoneal dissection. Abbreviation UDT undescended testis/testes. © 2019 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group.Objective To determine if the interpretation of urodynamic studies (UDS) in children without a rectal catheter may be similar to multi-channel studies, as UDS in children are challenging and can sometimes be difficult to interpret. Patients and methods In this retrospective pilot study, 115 paediatric pressure-flow studies were included. A blinded investigator was given two sets of UDS traces. The first set had the vesical trace of all children and the second set had the multi-channel trace. The agreement between the interpretations of both the sets was tested by Cohen's κ, and sensitivity, specificity, and predictive values were expressed with 95% confidence intervals (CIs). The voiding pattern was compared and Pearson's correlation coefficient was used to analyse the pressure at maximum urinary flow (Qmax). Results The most common indications for UDS were neurogenic bladder and posterior urethral valves. The interpretation of compliance and detrusor overactivity by single-channel analysis had a positive predictive value of 92.1% (95% CI 84.7-96.1%) and 89.4% (95% CI 78.3-95.6%), respectively, and a negative predictive value of 100% and 97.1% (95% CI 89.5-99.2%) respectively, in comparison to multi-channel analysis. Children with underactive detrusor were identified reliably by analysing the straining pressure pattern and flow curve. Amongst children who voided, the pressure at Qmax showed a moderate correlation (Pearson's coefficient = 0.53) between the two groups. Conclusion Rectal catheters may be avoided in a carefully selected group of children undergoing UDS who only need filling phase assessment. Abbreviations DO detrusor overactivity; EBC expected bladder capacity; Pabd abdominal pressure; Pdet detrusor pressure; PUV posterior urethral valve; (N)(P)PV (negative) (positive) predictive value; Pves vesical pressure; Qmax maximum urinary flow rate; UDS urodynamic studies; UI urinary incontinence. © 2019 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group.Objective To determine the prevalence of urinary incontinence (UI) in women with type 2 diabetes mellitus (T2DM) in the North West Bank, Palestine, and to assess the role of potential risk factors including age and DM control. Patients and methods Adult women with DM attending governmental primary healthcare centres in the North West Bank were interviewed using the Centers for Disease Control and Prevention National Health and Nutrition Examination Survey (NHANES) standardised UI questionnaire. The prevalence of UI was estimated and differences between groups were evaluated using the chi-square test. A multivariate logistic model was used to estimate the adjusted relationships and to control for confounders. The statistical significance level was set at P less then  0.05. The study was approved by the Institutional Review Board at An-Najah National University. Results The study included 381 women with T2DM, aged 30-83 years, of whom 43.2% (95% confidence interval [CI] = 37.9-47.8%) reported UI regardless of e; (S)(U)UI (stress) (urge) urinary incontinence. © 2019 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group.Objective To translate and validate an Arabic (Tunisian) version of the Urogenital Distress Inventory short form (UDI-6) and Incontinence Imp