Suprapubic cystostomy was performed if there was
periurethral involvement causing urinary extravasation.
anterior prostate), Block 2 (ventral prostate), and Block 3 (remaining prostatic complex consisting of the lateral and dorsal lobes and the
periurethral region).
Recently, a small phase-one clinical trial on the outcomes of the
periurethral injection of stem cells has been reported.
Precipitating events leading to Fournier's gangrene (AT=44) Precipitating event n (%)
Periurethral abscess or urethral stricture 25 (56.8) Perianal source, e.g.
Overall our results are consistent with a recent systematic review of
periurethral Polyacrylamide hydrogel, which primarily included patients with mild primary stress incontinence; the included studies reported good clinical success, minimal morbidity, and an approximately 25% reinjection rate (8).
Smith, "Subpubic cartilaginous cyst-a rare
periurethral lesion with implications for surgical approach," Urology, vol.
Ultrasound of the urinary tract can demonstrate the exact length of each urethra, looking for stenosis, diverticulations, and anomalies of the
periurethral soft tissues as well as associated malformations such as bladder, ureteral duplication, or renal agenesis [1].
One proposed theory is that of chronic infection/inflammation of the
periurethral glands resulting in abscess formation that can communicate with the urethral lumen [3].
Presentation may resemble other
periurethral masses, and, as a result, a careful history and physical examination is crucial for the proper diagnosis [8].
Currently, it is reported that total collagen content is reduced in the pelvic floor tissues in the POP patients including the parametrium and vaginal apex,[3],[15]
periurethral ligaments, or sacral ligaments,[16] indicating that variations in the ECM collagen content significantly affect the supporting effect caused by these proteins to the pelvic floor tissues.
Pelvic floor physical therapy works to stretch the contracted anterior pelvic muscles by releasing trigger points and connective tissue restrictions, and by decreasing
periurethral tension; it also may decrease neurogenic triggers and central nervous system sensitivity.
There was minimal drainage in the
periurethral area.