{"title":"How to treat Urinary Incontinence in Women without Surgery?","authors":"G. Egloff, I. Bender, Jasmin, Roemer","doi":"10.13188/2332-3442.1000040","DOIUrl":"https://doi.org/10.13188/2332-3442.1000040","url":null,"abstract":"Statement of the problem: Urinary incontinence is defined as the loss of bladder control. In Western medicine, the treatment is hard to achieve and the need of surgery is common. In traditional Chinese medicine (TCM), urinary incontinence is caused by Kidney-Yang deficiency. Purpose: To demonstrate it is possible to treat urinary incontinence, without the need of surgery. Methods: A case report of 55-years-old female patient, with urinary incontinence for around 30 years. After three years of the birth of her third and last child, all delivered by vaginal births, the symptoms appeared when she would sneeze or cough and worsened, requiring diapers for performing different activities, mainly when she had contact with water in her feet. Her gynecologist recommended her for surgery, but she refused for a long time and after years, she tried another treatment. She was diagnosed with Kidney-Yang deficiency and Blood deficiency according to TCM. She performed the procedure of radiesthesia, which resulted in level 1 of 8 in energy, the minimum possible. She started Chinese dietary therapy, auricular acupuncture, apex ear bloodletting, moxibustion. Findings: She had complete improvement of the symptoms in three Chinese dietary therapy, sessions of acupuncture, homeopathy and crystal-based medication, not needing to use diapers or sanitary pats anymore. Conclusion: Based on this case report, we conclude that it is possible to treat urinary incontinence without surgery. To this aim, we need to see the patient as a whole, considering the energy imbalances, which were causing urinary incontinence, using Chinese nutritional therapy, acupuncture, moxibustion, homeopathy and crystal-based medications. Goetz Egloff1*, Isabella Bender2, and Jasmin Roemer3","PeriodicalId":329980,"journal":{"name":"Journal of Andrology and Gynaecology","volume":"3 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133111219","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Male Sexual Dysfunction","authors":"G. Egloff, I. Bender, Jasmin, Roemer","doi":"10.13188/2332-3442.1000036","DOIUrl":"https://doi.org/10.13188/2332-3442.1000036","url":null,"abstract":"Although sexual dysfunction problems are more common in women than in men, almost everywhere in the world, men are more likely to seek help. Most rely on their own strength, search for help over the Internet, seek for solutions, search for charlatans, and unproven treatments. Experts' help does not seek, as they are justified, considering that the doctor will be embarrassed, that the doctor has no time or that he does not actually have a cure for these problems. People know little about how to help in the case of sexual problems and most of them just heard for only drug registered for erectile dysfunction and often do not know that there are other treatment options and medications for other sexual problems. The most common sexual problems in men are premature ejaculation, erectile dysfunction, reduced sexual desire and postponed ejaculation. Other problems (eg different paraphilias, anorgasms, anejaculation, sexual addiction) are much less frequent. Goetz Egloff1*, Isabella Bender2, and Jasmin Roemer3","PeriodicalId":329980,"journal":{"name":"Journal of Andrology and Gynaecology","volume":"38 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132236134","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Acute Gravid Uterine Torsion: Case Report about an Uncommon Obstetric Emergency","authors":"A. Slaoui","doi":"10.13188/2332-3442.1000044","DOIUrl":"https://doi.org/10.13188/2332-3442.1000044","url":null,"abstract":"Introduction: Uterine torsion is defined by a vertical rotation of more than 45 degrees around its cervical-isthmic axis. It is a rare emergency with serious complications that can be life-threatening for the fetus and the mother. Its pathophysiology has not yet been fully explained but this situation is generally the result of a several factors with mainly the asymmetry of the transverse diameter of the uterus and pelvic adhesions. Case Presentation: We hereby report the case of a 26-year-old female patient, third gesture fourth pare without particular medical history, who presented to the emergency department at 37 weeks of amenorrhea of a twin pregnancy with severe abdominal pain of sudden onset. Initially mistaken for retroplacental hemorrhage or uterine rupture, it was only in the pre operatory phase of an emergency cesarean section that the diagnosis of uterine torsion was made. The operation was complicated by postpartum hemorrhage due to uterine atony which was managed by prompt medical care and a triple Tsirulnikov ligation. She was discharged home with her two healthy newborns at D4 post-op. Conclusion: Uterine torsion is an uncommon and serious obstetric complication of difficult diagnosis that can be life-threatening for the fetus and the mother. The specificity of our case is twofold. Firstly, it is the third case of uterine torsion in twin pregnancy reported in the literature to date. Secondly, it is the first time to our knowledge that the difference in length of the two round ligaments is observed as a possible factor in the pathophysiology of this complication.","PeriodicalId":329980,"journal":{"name":"Journal of Andrology and Gynaecology","volume":"8 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129969337","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Giant Ovarian Mass: About an Uncommon Case Report","authors":"Iben Atyya","doi":"10.13188/2332-3442.1000045","DOIUrl":"https://doi.org/10.13188/2332-3442.1000045","url":null,"abstract":"Background: Ovarian giant masses remain today an uncommon clinical presentation thanks to their early incidental radiological discovery. Their symptomatic presentation is usually characterized by abdominopelvic pain and a feeling of heaviness. The most important management is the removal of the tumor in order to allow the anatomopathological study which is the only way to confirm or deny the malignancy. We hereby present an atypical case due to its occurrence in a young 48-year-old female patient, the considerable size of the tumor, its non-specific clinical and radiological presentation making the diagnosis difficult. Case Presentation: This was the case of a 48-year-old woman with no particular antecedents, gravida 5 para 4 with four vaginal deliveries resulting in the birth of four healthy children and one miscarriage. She came to our department for management of a large abdominopelvic mass of more than 30 cm that was bulging out all abdominal organs. She had an MRI that strongly suspected ovarian origin and ROMA score that came back negative for malignancy. A left oophorectomy was followed by abdominal plasty. Anatomopathological study confirmed a serous cystadenoma with no sign of malignancy. The patient was discharged at D4 postoperatively. The follow-up was uneventful. Conclusion: Giant ovarian masses, although uncommon, raise a double difficulty for the clinician. On the one hand, the diagnosis, although largely guided by MRI, can only be confirmed during surgery. On the other hand, it represents a surgical challenge whether by laparotomy or by laparoscopy. In addition, the ROMA score based on the dosage of tumor markers CA125 and HE4 allows malignant tumors to be screened, but confirmation is only provided by anatomopathological study, hence the importance of not rupturing the cyst during","PeriodicalId":329980,"journal":{"name":"Journal of Andrology and Gynaecology","volume":"7 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125330889","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}