MyMedR

Stapleless Laparoscopic Sleeve Gastrectomy: a Relatively New Approach in Bariatric Surgery

Vinayak CR, Lechmiannandan S, Ramasamy U

Obes Surg, 2016 Sep 27.

Fulltext Urologic Services in Public Hospitals Suffered a Greater Detriment Than Private Hospitals During the Battle of COVID-19

Ong WLK, Lechmiannandan S, Loeb S, Teoh JY

Urology, 2020 10;144:269-270.

PMID: 32687841 DOI: 10.1016/j.urology.2020.07.010

Fulltext "Thumb's off" for acrometastasis of renal cell carcinoma: Is there a role for acrometastasectomy in the era of targeted therapy?

Lechmiannandan S, Aida N, Paul AG, Thevarajah S

Asian J Urol, 2018 Jul;5(3):199-201.

PMID: 29988877 DOI: 10.1016/j.ajur.2017.07.003

Fulltext Case report of bilateral testicular infarction due to severe bilateral epididymo-orchitis: A catastrophic complication causing castration

Ong Lay Keat W, Lechmiannandan S, Manoharan D, Lee SB, Nagalingam P

Int J Surg Case Rep, 2020;73:161-163.

PMID: 32688238 DOI: 10.1016/j.ijscr.2020.07.013

INTRODUCTION: Testicular infarction as a result of severe epididymo-orchitis is an uncommon urological emergency, with only a handful of reported cases in literature. We report an even rarer case of bilateral epididymo-orchitis complicated with testicular infarction, resulting in bilateral orchidectomy.

PRESENTATION OF CASE: 49 year old gentleman presented with fever, persistent, unresolving pain and scrotal swelling of two weeks duration. Despite close clinical monitoring, timely ultrasounds of the testis and antibiotics there was an inexorable progression to bilateral testicular ischemia.

DISCUSSION: This is only the second reported case of this nature in published literature. Epididymo-orchitis usually responds well to appropriate antibiotic therapy, although progression to testicular infarction is possible.

CONCLUSION: Clinical presentation of persistent scrotal pain and oedema in cases of epididymo-orchitis should raise strong suspicion of testicular ischemia or infarction. Despite all efforts, progression to bilateral testicular infarction resulting in castration is a possible catastrophic outcome.

Resolution of Female Sexual Dysfunction (FSD) Among the Obese Multiethnic Malaysian Women Now a Reality with Bariatric Surgery: a Prospective Pilot Study in Malaysia

Lechmiannandan S, Panirselvam M, Muninathan P, Hussin N, Rajan R, Sidi H, et al.

Obes Surg, 2019 05;29(5):1571-1575.

PMID: 30706310 DOI: 10.1007/s11695-019-03722-w

INTRODUCTION: Female sexual dysfunction (FSD) among the obese women is often under diagnosed and ignored especially in Malaysia, a nation of conservative multiethnic society. There are only a few studies on FSD resolution post-bariatric surgery. The objective was to identify the rate and resolution or improvement of FSD, among obese multiethnic Malaysian women post-bariatric surgery.

MATERIAL AND METHODS: This is a prospective study of women undergoing bariatric surgery, between May 2017 and April 2018. FSD was diagnosed using the Malay version of Female Sexual Function Index (MVFSFI) questionnaire. Patients filled up the questionnaire before and 6 months after surgery. Association between BMI reduction and FSFI score improvement was measured using Fisher's exact test. Outcomes between types of surgery (sleeve gastrectomy and gastric bypass) was compared.

RESULTS: Fifty-two women completed the study. The mean age was 38.77 ± 6.7. There were 44 (84.6%) Malay patients, 7 (13.5%) Indian patients, and 1 (1.9%) Chinese patient. There was a significant reduction in mean BMI, 39.89 ± 6.9 pre-surgery to 30.32 ± 5.4 post-surgery (p value

Displaying all 5 publications