- Information about Jai

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Hello ,

Here is some information for you from Dr contacts.... hope it helps you!

Love Aisha.

One person wrote:-

Behcet's disease?mouth ulcers, rash, urethral inflammation...

then another sent:-

Here are some URLs for this disease ( I had to look it up as I hadnever heard of it)http://www.ninds.nih.gov/health_and_medical/disorders/behcet_doc.htmFriday, December 15, 2000, 8:09:15 AM, you wrote:Aac> Behcet's disease?Aac> mouth ulcers, rash, urethral inflammation...http://www.star.net/people/~amagocsi/behcets/http://behcet.co.kr/prologue.htmhttp://vasculitis.med.jhu.edu/behcet's.htm

Then another sent:-

The crucial information that is lacking includes:

1. Childs age now and at onset of symptoms

2. ESR

3. CRP

4. The state of the urinary tract - does it show signs of dilatation consistent with long term obstruction.

Here are some references that could be useful

Steenkamp JW; de Kock ML :Epidemiology of urethral stricture at Tygerberg Hospital. S Afr Med J, 1994 May, 84:5, 267-8

Over a 12-month period, 120 consecutive male patients with confirmed urethral stricture were prospectively studied with regard to the epidemiology of the disease. Specific urethritis is the main aetiological factor (45%) and internal and external trauma account for an alarming 38.3% of cases. The prevalence is highest among 40-50-year-old coloured men who have had little schooling, multiple sexual partners and who have a low annual income. The incidence can be reduced by upliftment of moral and educational standards of the local population, and by emphasising the potential dangers of catheterisation and instrumentation of medical personnel.

Nonomura K; Kanno T; Kakizaki H; Koyama T; Yamashita T; Koyanagi T :Impact of congenital narrowing of the bulbar urethra (Cobb's collar) and its transurethral incision in children. :Eur Urol, 1999 Aug, 36:2, 144-8

OBJECTIVES: We described the clinical manifestation and outcome after transurethral incision (TUI) of a congenital narrowing of the bulbar urethra (Cobb's collar). MATERIALS AND METHODS: Over a period of 11 years a total of 74 boys, from 3 months to 16 years old with a mean age of 5 years, were subjected to TUI. A febrile urinary tract infection (UTI) was the most common symptom in 40 cases, enuresis in 15, urinary incontinence in 11, hematuria in 9, antenatally diagnosed dilated urinary tract in 4 and others in 9. Concurrent bladder instability was detected by cystometry in 27/31 boys older than 3 years with suspicious bladder urgency. When the bulbar narrowing was detected by cystourethroscopy under 8 Fr, the lesion was simultaneously incised by using an infantile resectoscope (Olympus 10 Fr with a knife electrode or Storz 10 F with a cold knife). RESULTS: Vesicoureteral refluxes (VURs) occurred in 39 cases (53%) and it was diminished in 11 and improved in 25 after TUI. Of the 40 cases, 38 (95%) were free from UTI after TUI. For enuresis and urinary incontinence, 14/15 and all 11, respectively, thrived after TUI and the anticholinergic supplement. Although 61 cases were primarily cured with no complications, insufficient cutting and recurrence of the stricture required an additional TUI in 13 cases for whom the knife electrode was mostly used. Overall clinical improvement was obtained in 71/74 (93%) cases after TUI. CONCLUSION: Meticulous cystourethroscopy is indispensable for detecting a clinically significant bulbar narrowing. TUI of the lesion is useful as a primary treatment in the majority of cases even with concurrent VUR and unstable bladder. A cold knife is preferable to electrocautery in incising this fine anterior urethral lesion.

Scherz HC; Kaplan GW. Etiology, diagnosis, and management of urethral strictures in children. :Urol Clin North Am, 1990 May, 17:2, 389-94

Urethral strictures in children, like those in adults, are problems whose management embodies all that is basic to urology. It is helpful to think of strictures according to etiology: congenital, infectious-inflammatory, and traumatic (iatrogenic and noniatrogenic). The treatment options are diversion (nearly always temporary), manipulation, and repair. The authors also review their research on urethral healing.

Kernohan RM; Anwar KK; ston SR. Complete urethral stricture of the membranous urethra: a different perspective. :Br J Urol, 1990 Jan, 65:1, 51-4

Seven patients with complete rupture of the membranous urethra secondary to trauma were treated by internal optical urethrotomy (OU). All underwent initial suprapubic catheter drainage. The diagnosis of complete urethral rupture was confirmed by ascending and descending urethrograms and subsequent urethroscopy. OU was performed 3 weeks to 8 years following injury. Although all patients required further OUs for recurrent strictures, all can pass urine satisfactorily. Two patients have slight stress incontinence. This technique is a viable alternative to more conventional procedures for this condition.

Docimo SG; Silver RI; R; Müller SC; Jeffs RD. Idiopathic anterior urethritis in prepubertal and pubertal boys: pathology and clues to etiology [see comments] :Urology, 1998 Jan, 51:1, 99-102

OBJECTIVES: Records were reviewed to examine the common features of boys with noninfectious anterior urethritis, and to describe the underlying pathology. METHODS: Five cases of anterior urethritis with features typical of this syndrome are reviewed. RESULTS: These cases demonstrate the typical appearance and in 1 case the pathologic diagnosis of squamous metaplasia of the bulbar urethra. CONCLUSIONS: Prepubertal urethrorrhagia is associated with squamous metaplasia of the urethra. The tendency to stricture formation may precede instrumentation of the urinary tract.