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is there a gynourologist or is it Gyno Urologist? NM THANKS!

Posted By: Jennifer on 2009-06-10
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Subject: is there a gynourologist or is it Gyno Urologist? NM THANKS!




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gyno surgery s/l corcsilludium
Subject: gyno surgery s/l corcsilludium

Tubes and ovaries are normal.  There appears to be an old s/l "corksilludium" on the right side.  Please help!
Is this a urologist?
Subject: Is this a urologist?

Stuck on MRC but CUA is abbrev. for cystoscopy under anesthesia

Must put this just for laugh, reminds me of riddle/joke.

MR SNAKES
MR KNOT
OSAR
CM EDBD I'S

MR BIRDS
MR KNOT
OSAR
CM WANGS

You read out the individual letters of the smaller words.
Thanks, this is a urologist who always - sm
Subject: Thanks, this is a urologist who always - sm

says for pt to continue on this medication following cystoscopy, stone removal and stents.  He says it very clear, but to date have not been able to find it. 
I work for a urologist and he says..sm
Subject: I work for a urologist and he says..sm

"visually occlusive" quite frequently during this type exam.  Hope this helps.
urologist appointment? nm
Subject: urologist appointment? nm

s
I don't think that would be it because the dr who dictated it is a urologist.
Subject: I don't think that would be it because the dr who dictated it is a urologist.

Earlier in the note, the dr said he did not get an s/l osbot or ozbot appt.
I got this from the Peds Urologist I work from Arizona. SM
Subject: I got this from the Peds Urologist I work from Arizona. SM


This a bladder augmentation with the small bowel ileum (ileocystoplasty) and the creation of a continent catheterizable channel using the small bowel and reconfiguring that into a short tube or channel that is implanted into the bladder. That allows the patient to catheterize from the abdomen (often the belly button) rather than having to cath through the urethra since after the augmentation they usually can not void enough to empty the enlarged bladder. It was described by a physician named Montie (I think at the Univ of Miami) and is now often called a Montie catheterizable channel. Both are an attempt to make a small bladder (eg neurogenic bladder) bigger to hold more urine and avoid urinary incontinence. Essentially trading an enlarged bladder with the need for catheterization to maintain continence for too small a bladder and incontinence. PEG


see message-info on urologist w/surname Dhanani.
Subject: see message-info on urologist w/surname Dhanani.

Urology, January 2005







December 2004 (Volume 172, Number 6)

Successful Outpatient Management of the Nonpalpable Intra-abdominal Testis With Staged Fowler-Stephens Orchiopexy


[[[ Dhanani NN, Cornelius D, Gunes, A Ritchey, ML 
The Journal of Urology.  2005; 172 (6) : 2399-2401]]]



Management of the high intra-abdominal testis is a challenging surgical procedure. Most pediatric urologists today would advocate either a laparoscopic or transabdominal orchiopexy to keep the gonadal vessels intact, but in some patients the testicular artery will be too short and not amenable to a standard orchiopexy. Preservation of these testicles requires either a microvascular procedure, in which the testicular vessels are reanastomosed to larger vessels in the leg, or a staged procedure, in which the vessels are ligated in the first operation, and the testicle is mobilized on a wide strip of peritoneum and moved to the scrotum on the basis of the blood supply of the vas deferens. Recognition of the patients who will require a 2-stage Fowler-Stephens procedure early in the initial exploration is probably one of the most important aspects of achieving a good outcome. Early recognition allows the avoidance of manipulation and possible injury of the collateral blood supply of the vas deferens and peritoneum that is necessary for a successful second-stage procedure. A prior meta-analysis of the previously reported 2-stage Fowler-Stephens procedures found an overall success rate of only 69%. The study authors review their success with a 2-stage Fowler-Stephens procedure.


http://www.medscape.com/viewarticle/501229


Just a little humor for a Friday morning. Urologist, Dr. Stone.nm
Subject: Just a little humor for a Friday morning. Urologist, Dr. Stone.nm