The recognition of spinal dysraphism as a potential cause of voiding dysfunction is of the utmost importance if appropriate treatment and followup are to be initiated. We present 2 women with prolonged voiding dysfunction who had spinal dysraphism, intradural lipoma and related urodynamic abnormalities. The importance of initial symptom recognition, physical examination, urodynamic evaluation, appropriate treatment and periodic re-examination to detect progressive neurological impairment is emphasized.

Adult↗

PubMed1983

[Treatment of an urethrorectal fistula by anterior transanorectal perineal approach. Apropos of a case].

The authors report a case of acquired urethro-rectal fistula which was treated by an anterior perineal, transano-rectal approach. They review all of the techniques of approaching these urethro-rectal fistulae which have the reputation for being difficult to treat. This case, like others, demonstrates the harmlessness of section of the anal sphincter, provided it is repaired correctly. The authors propose extending the indications for this approach to include prostato-rectal fistulae.

Aged↗