Shelly Fulford

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OBJECTIVE To assess the long-term outcome of patients who had an artificial urinary sphincter (AUS) implanted between 10 and 15 years ago. PATIENTS AND METHODS Of 68 patients who had an AUS implanted more than 10 years ago, 61 were followed with sufficient detail for analysis. Thirty-four had a neuropathic bladder with sphincter dysfunction, 15 had(More)
PURPOSE We assessed the urodynamic changes after pubovaginal sling procedure for stress incontinence, particularly in regard to the associated symptoms of urgency, frequency, nocturia and urge incontinence, known as the urge syndrome. MATERIALS AND METHODS A total of 85 women with proved stress incontinence underwent a pubovaginal sling procedure using(More)
OBJECTIVE The purpose of this study was to describe clinical outcome after adult thoracic aortic surgery requiring standardized deep hypothermic circulatory arrest (DHCA), to determine mortality and length of stay, neurologic outcome, cardiorespiratory outcome, and hemostatic and renal outcome after DHCA. DESIGN Retrospective and observational. SETTING(More)
PURPOSE We attempted to determine the tissue of origin of tumors after augmentation enterocystoplasty. MATERIALS AND METHODS We retrospectively reviewed the histological findings of 4 tumors that developed after clam ileocystoplasty. RESULTS Tumors were primarily adenocarcinoma that originated on the bladder side of the anastomosis. The urothelium(More)
We aimed to assess the results of the modified rectus fascial sling for the treatment of genuine stress incontinence (GSI), using an observational study of patients at a South Wales Teaching Hospital. Seventy-three patients with proven GSI underwent a modified rectus fascial sling. Thirty-seven also had a significant urge component to their symptoms though(More)
Many conventional dressings are painful when removed, and may be detrimental to healing. In a pilot study ten consecutive abscesses, requiring incision and drainage, were packed with a calcium alginate dressing: this was well tolerated, its removal causing minimal pain. No adverse effects were attributable to its use. A controlled trial was therefore(More)
OBJECTIVE To evaluate the use of pentosan polysulphate sodium (PPS) to reduce the level of urinary basic fibroblast growth factor (bFGF). PATIENTS AND METHODS Forty-one patients with a clam enterocystoplasty were randomized to receive either 200 mg three times daily of oral PPS (n = 21) or placebo (n = 20) for 6 weeks. Three patients acted as a cross-over(More)
To test the hypothesis that tortuous, diseased vessels could be successfully treated with a flexible rotational atherectomy device we evaluated the BARD atherectomy device with quantitative angiography and histology in normal canine coronary arteries and diseased human below-knee amputation specimens. The mid left anterior descending and the circumflex(More)
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