Bladder Stone 6 Years after Intravaginal Slingplasty: A Case Report and Review of Literature

We present a 42 year-old patient with a history of intravaginal slingplasty operation performed 6 years ago admitted with persistent lower urinary tract symptoms, dyspareunia and chronic pelvic pain for almost four years. She had undergone two previous cyctoscopies in which only mucosal edema had been reported. After a detailed urogynecological examination, a bladder stone over a mesh at the bladder neck was revealed at her third cystoscopy and was removed. Persistent urogenital symptoms should remind the possibility of unrecognized, intraoperative transvesical passage of the mesh or mesh erosion and stone formation over it even after years and even in the presence of a normal postoperative cystoscopy; a thorough cystoscopic evaluation, particularly paying attention at the urethra and bladder neck, should be performed in any case with a history of sling procedures

A prediction model for detrusor overactivity at ambulatory urodynamics in women with urinary incontinence

Objective(s): To develop a multivariable model using both clinical examination findings and validated questionnaires' scores for predicting the presence of detrusor overactivity observed during ambulatory urodynamic monitoring in women with urinary incontinence

Congenital Chylothorax: Case Report

We present a case of fetal chylothorax while discussing about its management and outcomes. Fetal pleural effusion causes pulmonary hypoplasia of the lungs. Patient with 31 weeks of gestation has detected to have a fetal pleural effusion by routine ultrasonographic imaging. Fetal echocardiography was unable to demonstrate a cardiac pathology. Fetal thoracentesis revealed lymphocyte predominance and chylothorax was diagnosed. Chromosome analysis, metabolic screening and TORCH screening were normal. After the application of antenatal steroids, a caesarean section was performed at 34th gestational week. The newborn was taken to neonatal intensive care unit. After treatment with medium-and short-chain fatty acids, octreotid, and pleural drainage newborn is discharged from the hospital well two months later. Chylothorax is one of the rare causes of respiratory distress in term neonates and most commonly occurs due to hydrops fetalis and perinatal infections. Rarely, congenital malformations of the thoracic duct and variational changes of embryonic lymphatic network were reported after autopsy. Some cases of chylothorax are found to be associated with Turner, Down and Noonan syndromes. Genetic analysis and infection screening should be considered to reveal the etiology. Usually chylothorax has a good prognosis. However prematurity, hydrops fetalis and degree of pulmonary hypoplasia are the factors determining the mortality rate. As a result, chylothorax should be included in the differential diagnosis of pleural effusion in the neonates, and thoracentesis should be made for early diagnosis. Appropriate and effective treatment of patients with chylothorax may contribute to the prognosis and neonatal survival