Dr Sarah Prasad and Prof Kieran Murphy write about 22q11.2DS, which is the most common chromosomal microdeletion syndrome. The most frequently occurring chromosomal microdeletion syndrome in humans is 22q11.2 deletion syndrome (DS), with an estimated incidence of one in 4,000 live births. 22q11.2DS is also known as velo-cardio-facial syndrome (VCFS), DiGeorge syndrome, conotruncal anomaly face [...]
Aliskiren in diabetic nephropathy and the AVOID study
Dr Donal Reddan and Dr Austin Stack, Consultants in Nephrology, explain how the results of the AVOID study have increased our understanding of direct renin inhibition. Over the past two decades, a large body of evidence has accumulated on the therapeutic efficacy of agents that block the renin-aldosterone-angiotensin system and, in so doing, improve the [...]
Current management of stress urinary incontinence
In the second part of our series on stress urinary incontinence in women, Mr Syed Jaffry examines the treatment options that are available to treat the condition. Stress urinary in-continence (SUI) is the most common type of incontinence in women, with 86 per cent of incontinent women presenting with the symptom of SUI in either [...]
Assessing and diagnosing stress urinary incontinence
Stress urinary incontinence (SUI) is a common disorder among women of all ages, which compromises their quality of life (QoL) and that of their families. The bothersome symptoms of SUI may adversely affect social relationships and activities, restrict physical pursuits, impair personal hygiene and lead to avoidance of sexual relationships. Nonetheless, They may have little [...]
Respecting the bodily integrity rights of children
Irish Medical Times’s UK correspondent Natalya Anderson reports from a recent symposium which focussed on circumcision as a human rights issue A new campaign has been launched to encourage men and women to exercise their right to say no to what many consider to be unnecessary genital cutting or surgery. The Tenth International Symposium on [...]
Combination therapy is best for BPH
Emerging data suggests that combination therapy is the future in the medical management of benign prostate hyperplasia (BPH), north Dublin GPs attending a recent clinical meeting on the condition were told. Mr Kiaran O’Malley, Consultant Urologist at the Mater Hospital in Dublin, gave a highly informative talk entitled ‘Latest Advances in Medical Management of BPH-Combination [...]
Incontinence affects one quarter of women
Nearly one-quarter of women surveyed, and more than one-third of older women, report at least one pelvic-floor disorder, which includes urinary and faecal incontinence and the shifting of a pelvic organ, according to a new study. In the study, doctors surveyed 1,961 non-pregnant women. Women were interviewed in their homes and then underwent standardised physical [...]
Elderly satisfied with sex lives
An increasing number of 70-year-olds are having good sex and more often, and women in this age group are particularly satisfied with their sex lives, according to a new study. In the study, researchers in Sweden examined attitudes to sex in later life among four representative population samples of 70-year-olds, who they interviewed in 1971-’72, [...]
Ultrasonic instruments produce better results
Using ultrasonic surgical instruments is associated with more favourable outcomes when compared with convent-ional instruments for colorectal and gynaecological procedures, according to a new meta-analysis of previously published studies. In the analysis, doctors looked at studies published between 1990 and 2005 comparing ultrasonic to conventional surgical instruments. Their analysis included 51 studies involving 4,902 patients [...]
Restoring continence and restoring control
Dr Rory O’Connor on the importance of addressing the problem of altered bladder control and helping those with the condition to carry out daily activities with confidence. The Continence Foundation of Ireland, in its soon-to-be- launched National Strategy. Document regarding continence services, coins the term ‘ABC’ to incorporate both altered bladder control and altered bowel [...]