Urethral Leak: an Unusual Symptom of Pudendal Nerve Entrapment

Pudendal nerve (PN) entrapment is one of the most misunderstood and underdiagnosed medical conditions. It is recognized as a cause of chronic pelvic pain syndrome. However, due to the pudendal nerve's mixed composition and complex anatomy, the presenting symptoms are varied and go beyond pain, depending on the entrapment's nature, location and duration. We report a unique case of a young patient presenting with a urethral leak refractory to antibiotics. Patient evaluation highlighted findings suspicious of pudendal nerve entrapment. The patient was submitted to a laparoscopic transperitoneal PN neurolysis, resulting in major symptoms improvement.info:eu-repo/semantics/publishedVersio

Erectile function recovery after laparoscopic decompression of pudendal artery and nerve: a documented case report

The aim of this article is to report the effectiveness of laparoscopic decompression of pudendal artery (PA) and nerve for erectile dysfunction (ED) restoration. A 32-year-old man consulted for a long-term complaint of ED not responsive to medical therapy. Endocrine screening and neurological evaluation did not show any abnormalities. Color Doppler ultrasound revealed the absence of blood flow in the right PA. After failure of conservative treatments and in accordance to the patient’s desire, laparoscopic pudendal artery decompression was performed. The patient reported significant amelioration of ED one month after surgery. At 8-months follow-up, Doppler ultrasound showed complete revascularization of the right PA

Managing contested spaces: Public managers, obscured mechanisms and the legacy of the past in Northern Ireland

Societies emerging from ethno-political and inter-communal conflict face a range of complex problems that stem directly from the recent lived experience of bloodshed and injury, militarisation, securitisation and segregation. As institutional agents in such an environment, public managers perform the dual role of both interpreting public policy and implementing it within a politically contested space and place. In this article we address how managers cope with the outworking of ethno-nationalist conflict and peace building within government processes and policy implementation and contend this is a subject of emerging concern within the wider public administration, urban studies and conflict literature. Using data from a witness seminar initiative on the Northern Ireland conflict transformation experience, we explain how public sector managers make sense of their role in post-agreement public management and highlight the importance of three identified mechanisms; ‘bricolage’, ‘diffusion’ and ‘translation’ in the management of public sector organisations and urban spaces in a context of entrenched conflict and an uncertain path to peace

The built environment element of economic development in post conflict response in Indonesia

The recent violent communal conflicts events at the end of 1990s in Indonesia has appointed to the importance of relationship within the community and linked to the role of economic sector and built environment. This paper presents some findings from interviews with four groups of stakeholders related to urban development on a recent study in the context of the communal conflict that occurred on three cases: Solo (Central Java), Poso (Central Sulawesi), and Sambas (West Kalimantan). The finding suggests that the economic development needs to seriously consider the role of traditional market place and informal sector, as well as urban heritage conservation

Learning from Jerusalem: Rethinking urban conflicts in the 21st century Introduction

Jerusalem - its past, present and future - will serve as the foundation of our understanding of the geographies of cities within contemporary urban theory and practice in the 21st century. The underlying theoretical supposition in this special feature1 is that what have been labelled con- tested cities have growing similarities to less polarized cities similarities found in the expansion of ethnic, racial and class conflicts that revolve around issues of housing, infrastructure, participation and identity. In this sense, Jerusalem represents a rather exceptional case study and demonstrates a powerful spatio-political urban pattern in the field of urban studies. The examination of Jerusalem can advance our understanding of the relationship between planning conflicts and urban geopolitics in a growing number of cities worldwide

Beyond incommensurability: Jerusalem and Stockholm from an ordinary cities perspective

This paper’s core argument is that we should start creating theories that encompass different cities and include them in a more flexible and relational comparative framework. This must include a new urban terminology which does not continue the all-too-fashionable labelling of cities on a continuum between first world and third world, global North-West and South-East or as I emphasize below, including what have been labelled extremely contested cities in a more flexible and relational ordinary cities framework. To introduce such a comparative approach, I will examine Jerusalem and Stockholm via three contrastive and relational patterns: institutional segregation; urban violence; and non-governmental organization involvement in planning. In so doing, I point towards the necessity to open up research on extreme urban conflicts, suggesting that when assessing specific contextual patterns, those labelled as extremely contested cities (such as Jerusalem) share more similarities with other more ordinary cities (represented by Stockholm) than was previously perceived, often stemming from ethnic, racial and class conflicts revolving around issues of politics, culture and identity, among others

Large scale patterns in vertical distribution and behavior of mesopelagic scattering layers

Recent studies suggest that previous estimates of mesopelagic biomasses are severely biased, with the new, higher estimates underlining the need to unveil behaviourally mediated coupling between shallow and deep ocean habitats. We analysed vertical distribution and diel vertical migration (DVM) of mesopelagic acoustic scattering layers (SLs) recorded at 38 kHz across oceanographic regimes encountered during the circumglobal Malaspina expedition. Mesopelagic SLs were observed in all areas covered, but vertical distributions and DVM patterns varied markedly. The distribution of mesopelagic backscatter was deepest in the southern Indian Ocean (weighted mean daytime depth: WMD 590 m) and shallowest at the oxygen minimum zone in the eastern Pacific (WMD 350 m). DVM was evident in all areas covered, on average ~50% of mesopelagic backscatter made daily excursions from mesopelagic depths to shallow waters. There were marked differences in migrating proportions between the regions, ranging from ~20% in the Indian Ocean to ~90% in the Eastern Pacific. Overall the data suggest strong spatial gradients in mesopelagic DVM patterns, with implied ecological and biogeochemical consequences. Our results suggest that parts of this spatial variability can be explained by horizontal patterns in physical-chemical properties of water masses, such as oxygen, temperature and turbidity.En prensa2,927