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Genital Area (genital + area)
Selected AbstractsA Case of Foul Genital Odor Treated with Botulinum Toxin ADERMATOLOGIC SURGERY, Issue 9 2004Jae-Bong Lee MD Background. Genital odor is an uncommon condition characterized by an offensive and malodorous smell in the genital area. Although the etiology of foul genital odor is multifactorial, an important cause is sweat secretion and decomposition of sweat components by bacteria. Different methods are effective in reducing body odor secondary to bromhidrosis. Conservative methods only act for a short period of time, and more invasive surgical methods carry risk of complications or are inapplicable for the genital region. Methods. A patient with localized foul odor in the genital hair bearing area was treated with botulinum toxin A. Results. Botulinum toxin A was effective in creating an odorless and anhydrous response in the genital region, and no major adverse effects were noted during a follow-up of 9 months after injection. Conclusion. Local injection of botulinum toxin A appears to be a useful treatment for foul genital odor related to sweat glands activity. [source] The male postabdomen of Stolotermes inopinus: a termite with unusually well-developed external genitalia (Dictyoptera: Isoptera: Stolotermitinae)ACTA ZOOLOGICA, Issue 2 2000Klaus-Dieter Klass Abstract Klass, K.-D., Thorne, B. L. and Lenz, M. 2000. The male postabdomen of Stolotermes inopinus: a termite with unusually well-developed external genitalia (Dictyoptera: Isoptera: Stolotermitinae). ,Acta Zoologica (Stockholm) 81: 121,130 Stolotermes inopinus has large external male genitalia (phallic lobe), which contrast with the small genital papillae or lack of external genitalia of other Isoptera. As in the genital papilla of Mastotermesdarwiniensis, a ventral sclerite pair is present, the gonopore is located ventroterminally on the phallic lobe, and the genital area is entirely symmetrical , suggesting that this may be the groundplan condition of Isoptera. The relations of the phallic lobe to surrounding components like the subgenital plate, paraprocts, and certain muscles and nerves indicate that the lobe of S. inopinus is homologous with the phallomeres of other Dictyoptera. The bilateral symmetry and simple structure, however, are in strong contrast to the asymmetry and high complexity found in male genitalia of Blattaria and Mantodea. The postabdominal nervous system of S. inopinus resembles that of the cockroach Periplaneta americana. Indications are given that the Stolotermitinae are related to the Kalotermitidae, Rhinotermitidae, and Termitidae rather than to the Termopsinae. [source] 006 Efficacy of photochemotherapy and UVA-1 therapy in patients with morphea or lichen sclerosusPHOTODERMATOLOGY, PHOTOIMMUNOLOGY & PHOTOMEDICINE, Issue 2 2002K. Ghoreschi Morphea and lichen sclerosus are inflammatory skin diseases of unknown aetiology. Morphea can be subdivided into plaque morphea, linear morphea and disabling or generalized morphea. In most patients morphea leads to superficial or deep sclerosis of the skin. The characteristic features of lichen sclerosus which often affects the genital area are edema of upper dermis, inflammatory infiltration and hyalinisation to the dermis at advanced stages. Patients with morphea or lichen sclerosus suffer especially from scar formation and morphea may lead to severe disfigurement, contractures and reduction of quality of life. Skin sclerosis seems to be the result of vascular damage, T cell activation and altered connective tissue production. Various therapies have been reported for lichen sclerosus and morphea. Whereas the topical use of ultrapotent corticosteroids is well established for genital lichen sclerosus, immunosuppressive agents are normally not successful in resolving extragenital skin sclerosis. In a retrospective study we confirmed the efficacy of phototherapy in more than 50 patients with morphea. Fourty treatments with 30 J/cm2 UVA-1 or PUVA-bath photochemotherapy resulted in a significant improvement, reduced skin thickness, as determined by high frequency ultrasound and reconstitution of functional mobility of the skin and even the underlying fasciae. In lichen sclerosus phototherapy was successful only in some patients. Thus for lichen sclerosus the use of topical corticosteroids is the first choice therapy, while phototherapy using either PUVA-bath or medium dose UVA-1 are the most effective treatments for morphea. [source] The Peritoneal Mesothelium Covering the Genital Tract and its Ligaments in the Female Pig Shows Signs of Active FunctionTHE ANATOMICAL RECORD : ADVANCES IN INTEGRATIVE ANATOMY AND EVOLUTIONARY BIOLOGY, Issue 7 2007Jesús Luis Yániz Abstract The aim of this study was to describe the surface features of the peritoneal mesothelium covering the genital tract and adjacent ligaments of the sow to find signs of biosynthetic activation of cells. Surface features of the serosa covering the genital tract and adjacent ligaments from 14 cyclic sows, 7 in the follicular phase and 7 in the luteal phase of the estrous cycle, were examined by histology and scanning electron microscopy. Five additional sows, three in the follicular phase and two in the luteal phase of the estrous cycle, were examined by transmission electron microscopy (TEM). In this study, the presence of cells of the oviductal epithelium in the serosa of the infundibulum and the ampulla, as well as indications of a high functional activity of the mesothelial cells in the areas studied were two aspects that differed from the findings of previous works. Presence of endosalpingeal cells was observed in the serosal surface, showing cyclical variations with a predominance of either ciliated cells during the follicular phase or secretory cells during the luteal phase. Signs of high functional activity of the mesothelial cells included the predominance of cuboidal over flattened cells, a cytoplasm richly supplied with organelles, a dense microvillous coat, numerous primary cilia, and many secretory structures on the surface of cells. These results indicate that the serosa covering the genital area and the adjacent ligaments in the sow has an active epithelium whose coordinating role between reproductive tissues may be far more significant than previously thought. Anat Rec, 2007. © 2007 Wiley-Liss, Inc. [source] Extragenital subcutaneous cellular angiofibroma,APMIS, Issue 3 2007Case report Cellular angiofibroma (CAF) is a rare distinctive mesenchymal neoplasm that occurs almost exclusively in the genital area. We report the case of a 38-year-old woman who presented with an asymptomatic subcutaneous mass, 3.5 cm in diameter, located in the left hypochondrium, which had progressively enlarged during the previous 6 months. The lesion was completely excised. No recurrence was observed 3 months after the excision. A review of the literature,and including the present report,revealed five cases (three men and two women) with location outside the urogenital tract. Mean age was 57 (range 38,78) years; mean 41 years for women and 68 years for men. Average tumor size was 9 (range 3.5,25) cm; mean 5 cm for women and 12 cm for men. Tumors were located in the superficial soft tissue of the trunk, except for one case in the retroperitoneum. Mean follow-up was 29 (range 3,102) months, and no patient developed recurrence or metastasis. Extragenital CAF, except for location, shows similar clinicopathological features to genital CAF. Simple tumorectomy appears to be adequate treatment. Morphologically, CAF is closely related to spindle cell lipoma. [source] Urological complications of coitusBJU INTERNATIONAL, Issue 3 2002N. Eke Objective To ascertain the urological complications of coitus, as the proximity of the lower urinary tract to the organs of coitus exposes the tract to coital trauma. Materials and methods Medline was searched from 1966 to 2000 to identify reports on coital injuries. Publications and relevant references were retrieved. Those reporting urological complications were selected for analysis. Results In all, 1454 cases of reported coital injuries were reviewed; 790 occurred in men while 664 occurred in women, mainly in the genital area. Physical urological complications were more common in men than in women. The injuries were often sustained during voluntary coitus, but one penile fracture was sustained during an attempted rape. The presentations included penile swellings and deviations, haemorrhage, erectile dysfunction and urinary incontinence. Complications included vesicovaginal fistulae, bladder and cavernosal ruptures, and urinary tract infections. Rare complications included isolated rupture of the penile vasculature. Major risk factors included penovaginal disproportion, excessive force at coitus, urethral coitus, fellatio and anal intercourse. Urethral injuries were the commonest complications; in men these were associated with 10,38% of penile fractures. The treatments included cold compress and anti-inflammatory agents in contusions, repairs of lacerations, closure of fistulae and urethral and vaginal reconstruction. The results of treatment were essentially good. Recurrent penile fractures were reported. Conclusion Coitus, although pleasurable, may be risky. The complications have been termed ,faux pas' implying that they are preventable. While the ultimate prevention is abstinence, this is an unrealistic prescription. Therefore, efforts are necessary to identify risk factors to enable preventive strategies. [source] A comparative study of sanitary napkins and absorbent nappy pads for urine output measurement in neonatesACTA PAEDIATRICA, Issue 6 2009Sourabh Dutta Abstract Aim: To compare sanitary napkins and absorbent nappy pads (ANP) for urine output (UO) measurement. Methods: Phase 1: Freshly passed neonatal urine (5, 10 and 15 mL) was poured onto preweighed sanitary napkins or ANP, which were juxtaposed to the genital area of manikins placed in incubators/warmers and weighed at ˝, 1, 2, 4, 5 and 6 hr. Outcome was percentage weight change from baseline. Phase 2: Five very low birth weight boys in incubators had UO measurement by test tubes. A sanitary napkin or ANP was co-applied with the test tube for 4 h each. Urine collected in the test tube was measured and poured on the device, which was reapplied. Weight and wetness were checked. Results: Phase 1: Mean urine loss was 8.35, 13.8, 20.1, 25.2, 33.1, 38.7 and 42.6% at ˝, 1, 2, 3, 4, 5 and 6 h, respectively (repeated measures ANOVA [RM-ANOVA], p < 0.001). Loss was higher with ANP than sanitary napkins (32.1% vs. 13.4%, two-way RM-ANOVA, p = 0.001). There was less loss in incubators versus radiant warmers at 6 h (p = 0.09). Phase 2: There was 12.1 and 26% deficit with sanitary napkin and ANP, respectively. Wetness was felt in one and four cases, respectively. Conclusion: Urinary losses are less from sanitary napkins than ANPs. [source] Malignant melanoma in Chile: an unusual distribution of primary sites in men from low socioeconomic strataCLINICAL & EXPERIMENTAL DERMATOLOGY, Issue 3 2006V. Zemelman Summary Background., Mortality from malignant melanoma (MM) has increased in Chile in the past decade. The location of MM lesions on the body has been correlated with prognosis and survival. Aim. To review body site and gender relationships with histopathologically confirmed primary MM in Chile. Methods., Records of 575 cases presenting to 5 state hospitals from 1992 to 2001 were analysed. Results., There were 360 women and 215 men. Women showed a significantly higher number of MM on the legs, cheeks and arms, and in the genital area, whereas men showed a significantly higher number on the ears, backs of the hands, soles and feet. Men had a predilection for MM with a poor prognosis. Conclusion., The different body site distribution of primary MM in men and women may be explained by a different pattern of sun exposure. Ethnic and genetic factors may also be involved. The predominant location of MM in women in Chile is similar to white populations, whereas the location in men is similar to that observed in black and Asian populations. These observations may be relevant to the high mortality of MM in Chilean men. [source] How patients experience psoriasis: results from a European surveyJOURNAL OF THE EUROPEAN ACADEMY OF DERMATOLOGY & VENEREOLOGY, Issue 2005S Fouéré ABSTRACT Background, Most of the psoriasis that affects the European population is treated with topical preparations. Compliance rates, however, are known to be quite low. Objective, To provide an update on how psoriasis is experienced by patients and how well these patients comply with prescribed topical treatment. Methods, This was an observational and transversal survey conducted in 1281 patients with psoriasis. Patient input alone formed the basis of the study. Participants were contacted through the national psoriasis patient associations in France, the United Kingdom, Belgium, Germany and the Netherlands. Results, The study showed that 32% of the patients suffer currently from psoriasis in the face, skin folds and genital areas , areas very sensitive to topical treatments. Most of the patients (74%) considered their psoriasis as at least moderately severe, and 73% stated not to comply with their current treatment. Lack of efficacy and messiness of the treatment were the main reasons for non-compliance, an element that is especially important for the use in sensitive areas such as the face, skin folds and genitalia. Conclusion, The present survey confirmed that cosmetic acceptability is, together with efficacy and safety, a very important aspect of a successful treatment of psoriasis. [source] |