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A uterine fibroid (also uterine leiomyoma, myoma, fibromyoma, leiofibromyoma, fibroleiomyoma, and fibroma) (plural of ... myoma is ...myomas or ...myomata) is a benign (non-cancerous) tumor that originates from the smooth muscle layer (myometrium) and the accompanying connective tissue of the uterus. Fibroids are the most common benign tumors in females and typically found during the middle and later reproductive years. While most fibroids are asymptomatic, they can grow and cause heavy and painful menstruation, painful sexual intercourse, and urinary frequency and urgency. Uterine fibroids is the major indication for hysterectomy in the US.[2] Fibroids are often multiple and if the uterus contains too many leiomyomatas to count, it is referred to as uterine leiomyomatosis. The malignant version of a fibroid is uncommon and termed a leiomyosarcoma.

Male Foley Catheterization Technique

The spleen is the largest lymphoid organ. It receives blood from the splenic artery and is the only lymphoid organ that primarily filters blood instead of lymph.

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Ulnar Gutter Cast

Watch that video of a Korean model disfigured after cooking oil injections

An excerpt from the award-winning documentary “Exposure: Environmental Links to Breast Cancer” about the effects of radiation. Featuring Olivia Newton-John, Dr. Rosalie Bertell and Dr. Susan Love.

This video demonstrates the process for preparing and administering an intramuscular injection (IM)

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I filmed my lasik eye surgery because it looks neat

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http://www.paruresistreatment.norisk101.com Having trouble urinating in the presence of others? Is a friend or family member struggling with this problem? The following article offers some insight into this social anxiety disorder.
What is Shy Bladder Syndrome?
shy or bashful bladder syndrome, is properly titled Paruresis.It is a phobia that involves fear and avoidance of using public toilets. It should be mentioned that this form of urinary retention is not the result of a physical blockage in the body. People who suffer from paruresis have trouble urinating in the presence of others or put another way paruresis is the fear of not being able to urinate unless one is in absolute privacy.The symptoms can vary in severity . This social anxiety disorder can affect a person's quality of life in many ways. Paruretics are confronted with problems at work with a prime example being when they have to submit a urine sample for drug testing, traveling on long journeys via airplane or train to every day social situations that the rest of us take for granted.
What causes paruresis?
The cause of paruresis is hotly debated and not easily determined in some cases. It could start as a toddler in preschool, in adolescence, or even in adulthood. While not all paruretics can point to an event in their life that could have lit the fuse to their shy bladder syndrome, some look to a traumatic incident in their past including embarrassment by a parent, teasing by schoolmates or freinds and siblings, harassment in public bathrooms or even sexual abuse as the catalyst.
How common is Shy Bladder?
While definitive numbers are hard to find with regard to how many people suffer from shy bladder surveys performed over the last few decades show that the numbers could range from less than one percent to more than 25 percent of Americans. There was a study done in 1994 called the National Comorbidity Surveywhich showed that 6.6 percent (17 million people) of the populationare fearful of using the toilet away from home, although it is uncertain how many of these fears were related to the difficulties initiating urinating in public bathrooms.
Paruresis symptoms?
A common scenario for how shy bladder syndrome evolves in a person's life is as follows: After an initial unpleasant experience, the person anticipates difficulty urinating whenever entering a bathroom. After trying to make themselves overcome this fear and failing, the associated anxiety with performance reduces the individual's chances even further of the possibility of urinating in a public restroom. The sufferer then adjusts to the condition by urinating as much as possible while at home, restricting how much they drink and avoiding social events that will keep them away from home for too long.

How is Shy Bladder Syndrome treated?
It is recommended that a sufferer of paruresis should first visit a urologist to make sure there is nothing physically wrong with them.
The urologist will:
A) make sure there are no underlying physical problems.
B)Let the patient know they are not alone and that any other people suffer with the same problem
C) Offer guidance as to approaches for coping with the condition such as scheduling urination, and, for men making use of an enclosed cubicle as opposed to the urinal.
4) Discuss the possibility of self-catheterization if the patient feels that would work for them. It is a way to offer an instant way to improve their quality of life through being able to be more social.
5) Referring them out to a specialist dealing with anxiety disorders for cognitive and graduated exposure therapy.

There is new hope for sufferers of shy bladder syndrome with the "Paruresis Treatment System" which is helping people lead different and better lives.
To learn more visit:-
https://www.youtube.com/watch?v=j6TpU_0-ufw
~N

Haemorrhoids is one of the most common problems seen in surgical OPD. Open haemorrhoidectomy has remained the gold standard for a long time with a high post-operative morbidity. The quest for a better understanding of the pathology of haemorrhoids resulted in the evolvement of stapler haemorrhoidopexy. Our aim is to study the efficacy of stapler haemorrhoidopexy with regards to role of immediate post-operative morbidity. A prospective study of 50 patients (n = 50) with the second- and third-degree symptomatic haemorrhoids was done. The mean age of the patients was 44.1 years. Fourteen patients had co-morbid conditions. The average duration of the operation was 29 min. Patients with the second-degree haemorrhoids had higher rate of complication. The complication rate was 32%. Three patients had urinary retention. Two patients had minor bleeding, and one patient experienced transient discharge. The mean analgesic requirement was 2.4 tramadol, 50 mg injections. Ten patients had significant post-operative pain. Average length of hospital stay was 2.7 days. There were no symptomatic recurrences till date.

Tru Story - Adventures in the NICU.

METHODS:
Previously existing methods are characterized by unpleasant scars that, despite surgeons promises, remain for life.
Incisions are:

- around the areola (Round block) leading to a flat areola, often unpleasant hypertophic skars, skin rippling.
- inverted T (around the areola, vertically down and in the fold under the breast).

- Vertical (around the areola and vertically down). Due to the extess skin, incisions often turn into inverted L or T. Rearrangement of glandular tissue and skin changes the shape of the breasts and may be different from expectations. Scars worry patients and sometimes cause disturbances in the relationship with their partner.

- No scars. The "Serdev Suture" lifting technique for breast lifting without scars (only points - needle perforations in the skin) is created by the Bulgarian cosmetic surgeon Prof. Dr. Nikolay Serdev. It is a novelty that had changed the cosmetic surgery world in the last 10-14 years for young patients. The technique is especially important in Asia and Latin America, for Asians, African-Americans, Indians, and others who form keloids and lumpy scars after operations.

The Serdev suture method can achieve lift upto and over 14 centimeters and is most suitable for the following types of breasts:
- not very heavy full breasts.
- in the presence of subpectoral implants with subsequent drooping of the breasts after childbirth and lactation.
- empty and loose breasts after childbirth and breastfeeding. In such cases this technique is combined with subpectoral implants. In sagging breasts implants should not be placed in the skin over the pectoral muscles, because thus will lead to even more drooping. Therefore, breast lift requires breast fixation to the level of the pectoral muscle (the normal position in young women), and then placement of appropriate implants under the muscle, to hold them in the appropriated position.
- in drooping breasts after subglandular augmentation (over the muscle). In such cases, patients should not wait until the skin elongation becomes visible. The implants should be removed, the capsule removed - a difficult but a necessary operation, preventing postop seromas and infection. Implants should be placed under the pectoralis muscle to wear them. Patients should orient the cosmetic surgeon at what level they want the nipples - in the middle of the implant, higher or lower.
Implants should be generally replaced - below the muscle implants should be smooth, move naturally without hurting the muscle.

Because of modern anesthetics and new methods without trauma, pain and swelling after surgery are not significant. In 3-4 days, patients can return to social life, even the next day, but it is preferable to rest for 2-3 days.

Exercises with the arms and weight lifting is prohibited for a month and a half.

Due to lack of scars, the breast lift using the Serdev sutures can be repeated to maintain the aesthetic appearence of the breasts even in advanced age.

Gigantomastia i.e. very large, very heavy and drooping breasts can not be operated in this manner, because of gravity and overskin.

Early mastopexy using Serdev sutures is recommended before too much changes in the tissues. If late, more and more complex interventions are required.

"A lot of people are opting for various breast procedures and one of the most common among them is “mastopexy”. This is the surgery that involved uplifting of sagging breasts and, in certain cases, repositioning of the nipple and areola in order to restore normality and beauty. The excess skin is removed and firmness is provided to the breasts. Though mastopexy can be done as a stand alone surgery, many people combine it with breast augmentation which involves inserting implants inside the b

Thoracentesis is a procedure in which a needle is inserted into the pleural space between the lungs and the chest wall. This procedure is done to remove excess fluid, known as a pleural effusion, from the pleural space to help you breathe easier. It may be done to determine the cause of your pleural effusion. Some conditions such as heart failure, lung infections, and tumors can cause pleural effusions.

A Fistulotomy is the surgical opening or removal of a fistulous tract. They can be performed by excision of the tract and surrounding tissue, simple division of the tract, or gradual division and assisted drainage of the tract by means of a seton; a cord passed through the tract in a loop which is slowly tightened over a period of days or weeks.

Fistulas can occur in various areas of the human body, and the location of the fistula influences the necessity of the procedure. Some, such as ano-vaginal and perianal fistulas are chronic conditions, and will never heal without surgical intervention.

Septoplasty (SEP-toe-plas-tee) is a surgical procedure to correct a deviated septum — a displacement of the bone and cartilage that divides your two nostrils. During septoplasty, your nasal septum is straightened and repositioned in the middle of your nose.

Anatomy of The Shoulder and Arm Muscles

Urological surgeons have become proficient at performing complex pelvic urological procedures, such as radical prostatectomy, using the laparoscopic approach. Declan Murphy and Daniel Moon share their experience of four less common procedures they have performed recently using laparoscopic techniques. These include: excision of a urachal cyst; partial cystectomy for endometriosis (combined endoscopic-laparoscopic approach); repair of an intra-peritoneal bladder rupture; and repair of a ureteric injury (combined endoscopic-laparoscopic approach).