WordNet

an abnormal passage leading from a suppurating cavity to the body surface (同)sinus
of or relating to the perineum; "perineal pains"

PrepTutorEJDIC

瘻(ろう)菅(長い菅状になった潰瘍)

UpToDate Contents

全文を閲覧するには購読必要です。 To read the full text you will need to subscribe.

1. 腹会陰式直腸切除術後の会陰部合併症のマネージメント management of perineal complications following an abdominal perineal resection
2. 肛門直腸瘻の外科的マネージメント operative management of anorectal fistulas
3. 肛門周囲膿瘍：臨床症状、診断、および治療 perianal abscess clinical manifestations diagnosis treatment
4. 直腸腟瘻、肛門腟瘻、および結腸膀胱瘻 rectovaginal anovaginal and colovesical fistulas
5. 熱傷再建の原理：会陰および生殖器 principles of burn reconstruction perineum and genitalia

English Journal

Partial urorectal septum malformation sequence in a kitten with disorder of sexual development.

Reynolds BS1, Pain A, Meynaud-Collard P, Nowacka-Woszuk J, Szczerbal I, Switonski M, Chastant-Maillard S.Author information 11Veterinary Teaching Hospital CHUVAC, University of Toulouse, INP-ENVT, Toulouse, France.AbstractA 2-month-old kitten exhibited simultaneously an imperforate anus, hypospadias, rectourethral fistula and genital dysgenesis (penis restricted to the glans, absence of prepuce and bifid scrotum). Surgical correction consisted of separation of the urinary and digestive tracts, perineal urethrostomy and connection of the rectum to the newly made anal opening. Pathological examination of the testes, conventionally removed at 9 months of age, showed no mature spermatozoa and underdevelopment of germ and Leydig cells. In humans, the absence of an anal opening in association with abnormal sexual development defines the urorectal septum malformation sequence. Here, we describe the first case of this syndrome in a kitten with a normal male karyotype (38,XY) and a normal coding sequence for the SRY gene. Both the rectourethral fistula and observed genital abnormalities might have been induced by a disturbance in the hedgehog signalling pathway. However, although four polymorphic sites were identified by DHH gene sequencing, none cosegregated with the malformation.
Journal of feline medicine and surgery.J Feline Med Surg.2014 Apr 9. [Epub ahead of print]
A 2-month-old kitten exhibited simultaneously an imperforate anus, hypospadias, rectourethral fistula and genital dysgenesis (penis restricted to the glans, absence of prepuce and bifid scrotum). Surgical correction consisted of separation of the urinary and digestive tracts, perineal urethrostomy a
PMID 24718294

Outcomes after recto-anastomosis fistula repair in patients who underwent radical prostatectomy for prostate cancer.

Pfalzgraf D1, Isbarn H, Reiss P, Meyer-Moldenhauer WH, Fisch M, Dahlem R.Author information 1Department of Urology, University Medical Centre Hamburg-Eppendorf, Hamburg, Germany.AbstractOBJECTIVES: To assess fistula recurrence rate and health-related quality of life (HRQL) after repair, as well as the impact on continence and erection in patients with recto-anastomotic fistula after radical prostatectomy (RP). In recent publications, the numbers of cases of recto-urinary fistulae after RP are relatively small. Success rates at fistula closure are good; however, data about functional outcomes and HRQL are more restricted.
BJU international.BJU Int.2014 Apr;113(4):568-73. doi: 10.1111/bju.12254. Epub 2013 Nov 21.
OBJECTIVES: To assess fistula recurrence rate and health-related quality of life (HRQL) after repair, as well as the impact on continence and erection in patients with recto-anastomotic fistula after radical prostatectomy (RP). In recent publications, the numbers of cases of recto-urinary fistulae a
PMID 24053507

Gracilis transposition for complex perineal fistulas: rectovaginal fistula and rectourethral fistula.

Takano S1, Boutros M, Wexner SD.
Diseases of the colon and rectum.Dis Colon Rectum.2014 Apr;57(4):538. doi: 10.1097/DCR.0000000000000093.
PMID 24608312

Japanese Journal

会陰部からの排膿を契機に診断された尿管異所開口の1例

大関孝之,安富正悟,江左篤宣 [他]
泌尿器科紀要 58(8), 453-456, 2012-08
… The patient was a 53-year-old woman with chief complaints of repeated pyrexia and pus discharge from the perineal region. … A macroscopic examination revealed the presence of a fistula in the anterior wall of the vagina ; … magnetic resonance imaging, retrograde urography through the fistula, and excretory urography indicated that the fistula was a complete left ureteral duplication with an opening on the anterior wall of the vagina. …
NAID 40019388023

クローン病直腸切断術後に生じた会陰創回腸瘻の2例

渡部顕,小金井一隆,二木了,杉田昭,鬼頭文彦
日本大腸肛門病学会雑誌 65(4), 229-234, 2012-04-01
NAID 10030360127

会陰部膿瘍・尿道皮膚瘻を生じた前立腺結石の1例

豊島優多,細川幸成,橋村正哉 [他]
泌尿器科紀要 58(1), 35-38, 2012-01
… A 37-year-old male who had sustained a lumbar vertebral fracture presented with the chief complaint of high fever and urine leakage from the perineal region. … He had a urethrocutaneous fistula in the perineal region. … Transvesical prostate-urethrolithotomy, debridement of perineal abscess and cystostomy were performed. …
NAID 40019146785