Rare case of paraurethral leiomyoma

A 35-year-old woman presented to our clinic with a mass in the left paraurethral area, slightly proximal to the urethra, that she had noticed 5 months before. The patient underwent urethrocystoscopy and had the mass excised. A histopathological examination led to a diagnosis of paraurethral leiomyoma

Combined transurethral and laparoscopic partial cystectomy for the treatment of bladder endometriosis

We present a case of a 22-year-old nulliparous woman, initially investigated by a urologist after she presented with a history of urinary tract symptoms including catamenial hematuria and suprapubic pain.  Ultrasonographic and cystoscopic findings suggested a bladder mass suspicious for endometriosis. Further MRI revealed a 3 X 4 cm mass in the bladder, and the diagnosis of endometriosis was confirmed by the biopsy. Consequently, the patient was offered treatment options including combined laparoscopic and transurethral resection of the bladder lesion for definitive diagnosis and treatment. Using a combination of hydrodissection and CO2 laser energy laparoscopically and monopolar electro-surgery cystoscopically, the lesion was resected uneventfully and the bladder defect was repaired laparoscopically. The patient was discharged on the same day with a Foley catheter, which was removed 10 days later. After 8 weeks follow up period, she remained free of symptoms. Histopathology confirmed endometriosis. We conclude that this combined approach is feasible, safe and effective therapy for intramural bladder endometriosis

Rare case of paraurethral leiomyoma

A 35-year-old woman presented to our clinic with a mass in the left paraurethral area, slightly proximal to the urethra, that she had noticed 5 months before. The patient underwent urethrocystoscopy and had the mass excised. A histopathological examination led to a diagnosis of paraurethral leiomyoma

Effect of long and short umbilical cord on perinatal outcome

Background: Most of umbilical cords are 50 to 60 cm long, and very few are abnormally short or long. Short cord is defined as <35 cm and long cord >80 cm. Short cords maybe associated with adverse perinatal outcomes such as IUGR, congenital malformation, intrapartum distress and 2 fold. Cord length is influenced positively by both the volume of amniotic fluid and fetal mobility. Objective was to determine the association between abnormal umbilical cord length and perinatal outcome.Methods: A retrospective cohort study, conducted at McGill University, using the computerized MOND database. All Term singleton deliveries between 2001 and 2007 were included. We based our population according to the length of the umbilical cord following delivery: Normal cord length (measured length 35-80 cm), short cord (<35 cm) and long cord (>80 cm). Admission to the Neonatal Intensive Care Unit (NICU) was compared to the normal cord group.Results: Of the 14,873 deliveries included, 13518 (90.9 %) had normal cord lengths, 980 (6.6 %) had short cords, and 375 (2.5%) long cords. Maternal age, gravidity, birth weights, and rate of male gender babies were all increased in the long cord group and decreased in the short cord group (all p<0.05). NICU admissions were more common in the short cord group (OR 1.9; 95%, CI 1.4-2.6) but not in the long cord group. Babies in both the short and long cord groups had higher rates of Apgar score <7 (OR 1.3, 95% CI 1.1-1.7 and OR 1.7, 95% CI 1.2-2.3, respectively) with no significant difference in cord pH. Gravidity and abnormal cord length were independent predictors of NICU admission.Conclusions: Short umbilical cord is associated with higher rates of NICU admissions and low Apgar scores

Effect of long and short umbilical cord on perinatal outcome

Background: Most of umbilical cords are 50 to 60 cm long, and very few are abnormally short or long. Short cord is defined as <35 cm and long cord >80 cm. Short cords maybe associated with adverse perinatal outcomes such as IUGR, congenital malformation, intrapartum distress and 2 fold. Cord length is influenced positively by both the volume of amniotic fluid and fetal mobility. Objective was to determine the association between abnormal umbilical cord length and perinatal outcome.Methods: A retrospective cohort study, conducted at McGill University, using the computerized MOND database. All Term singleton deliveries between 2001 and 2007 were included. We based our population according to the length of the umbilical cord following delivery: Normal cord length (measured length 35-80 cm), short cord (<35 cm) and long cord (>80 cm). Admission to the Neonatal Intensive Care Unit (NICU) was compared to the normal cord group.Results: Of the 14,873 deliveries included, 13518 (90.9 %) had normal cord lengths, 980 (6.6 %) had short cords, and 375 (2.5%) long cords. Maternal age, gravidity, birth weights, and rate of male gender babies were all increased in the long cord group and decreased in the short cord group (all p<0.05). NICU admissions were more common in the short cord group (OR 1.9; 95%, CI 1.4-2.6) but not in the long cord group. Babies in both the short and long cord groups had higher rates of Apgar score <7 (OR 1.3, 95% CI 1.1-1.7 and OR 1.7, 95% CI 1.2-2.3, respectively) with no significant difference in cord pH. Gravidity and abnormal cord length were independent predictors of NICU admission.Conclusions: Short umbilical cord is associated with higher rates of NICU admissions and low Apgar scores