Sacral Nerve Stimulation and Fecal Incontinence: Current Uses and Emerging Trends
Jennifer E Hrabe, Brooke Gurland and Tracy L Hull
Article Type: Short Review | First Published: May 21, 2016
Fecal incontinence (FI) is a socially devastating condition affecting both men and women. Patients often suffer in silence, as FI is frequently unreported. It is commonly seen in patients who also experience urinary incontinence (UI). Risk factors for FI include obstetrical trauma as well as increasing age. Until recently, treatment options were limited and consisted of medical therapy or surgical options with limited efficacy or high morbidity. Initially used for UI, sacral nerve stimulation ha...
Isolated Rectal Laceration Following Normal Spontaneous Vaginal Delivery and Delayed Rectal Hemorrhage
Article Type: Case Report | First Published: May 21, 2016
A 37-year-old Para 0 patient underwent an induction of labor due to chronic hypertension. She had a successful normal vaginal delivery but experienced acute cardiovascular collapse immediately following the delivery requiring massive transfusion. She also was found to have an isolated rectal laceration without laceration of anus or anal sphincter. After she was discharged home she presented to the emergency room with rectal hemorrhage 5 days after the initial repair requiring an additional two u...
Dextroposition of the Heart Reflected Mosaic Fetal Trisomy 18
Mohamed A Satti, Frederico G Rocha, Erin Beaver and Jeffrey M Dicke
Article Type: Case Report | First Published: May 02, 2016
Anatomy scan of a 22 year old prima gravida at 19w4d showed a viable IUP with unilateral choroid plexus cyst and dextroposition of the heart without any other observed structural malformation. Amniocentesis revealed a normal male pattern for chromosomes 13, 18, 21, X and Y by fluorescence in situ hybridization (FISH). However, chromosomal microarray analysis (CMA) for circulating fetal DNA in maternal blood was consistent with mosaic Trisomy 18. The karyotype of cultured dividing cells confirmed...