There is a significant association between sickle cell disease and enuresis and overactive bladder symptoms such as daytime incontinence, urgency and frequency. Thus, all children and adolescents with sickle cell disease should be questioned regarding the presence of these symptoms to facilitate treatment for these conditions.

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Rev Bras Cir Plást. 2012;27(4):531-5 531Use of the Internet as a source of information about plastic surgery in Bahia, Brazil Use of the Internet as a source of information about plastic surgery in Bahia, Brazil O uso da internet como fonte de informação sobre cirurgia plástica na Bahia, Brasil ABSTRACT Background: The Internet has become one of the most important sources of health in formation. However, few studies have assessed the characteristics of Internet usage by patients or how the information obtained affects decisions to undergo surgery. This study describes the characteristics of Internet usage by patients who intended to undergo plastic surgery at the Unified Health System (SUS) and private networks and how it affected their confidence. Methods: A crosssectional observational study was performed using data collected by 200 surveys filled out by patients before the operation. One hundred surveys were sent to patients attending the outpatient clinic of Plastic Surgery of Professor Edgard Santos University Hospital (SUS), and the remaining 100 to patients treated in private health clinics in Salvador, BA. Results: The frequency of Internet use to seek health informa tion on plastic surgery differed significantly between the SUS (n = 24; 24%) and private health services (n = 64; 64%). Most of the patients (n = 48; 54.5%) visited 1 to 3 sites. The websites of plastic surgery centers were the most sought (n = 74; 84.1%), followed by the Brazilian Society of Plastic Surgery website. Half of the patients reported the existence of contra dictory information. Moreover, 71 (80.7%) of the respondents reported feeling that undergoing surgery was safe. Conclusions: The Internet was widely used to seek informa tion on plastic surgery. Although visited sites contained contradictory information, most patients felt safe before undergoing their desired surgery. Keywords:Internet. Information. Plastic surgery. RESUMO Introdução:A internet se tornou uma das mais importantes fontes de informação sobre saúde. Poucos estudos avaliam as características do acesso à internet pelos pacientes e a influência das informações obtidas na decisão em realizar uma cirurgia. O objetivo deste estudo é descrever as características do acesso à internet pelos pacientes do Sistema Único de Saúde (SUS) e da rede privada que pretendem se submeter a uma cirurgia plástica, bem como avaliar o impacto do acesso na confiança do paciente em realizar o procedimento. Método: Realizado estudo observacional de corte transversal com uso de dados coletados por meio de 200 questionários respondidos por pacientes ainda não operados, sendo 100 dirigidos aos pacientes atendidos no ambulatório de Cirurgia Plástica do Hospital Univer sitário Professor Edgard Santos (SUS) e 100, aos pacientes atendidos em consultório da rede privada de saúde, na cidade de Salvador, BA. Resultados: A frequência do acesso à internet na busca por informação sobre cirurgia plástica foi significativamente diferente entre o SUS (n = 24; 24%) e a rede privada (n = 64; 64%). A maiori...

Costa Sobrinho JBP et al. Evaluation of the L-shaped scar-reducing mastoplasty technique for breast hypertrophies Avaliação de técnica de mastoplastia redutora com cicatriz em "L" nas hipertrofias mamárias ABSTRACT Background: Many surgeons have attempted to develop techniques to reduce the scarring resulting from mastoplasty, particularly in cases undergoing nonreducing mastopexy. The aim of this study was to evaluate an L-shaped scar-reducing mastoplasty technique used for grade II or higher mammary hypertrophies, according to the rating system of Berrocal Revueltas. Methods: We conducted a retrospective study of 70 patients who underwent L-shaped scar-reducing mastoplasty between April 2007 and March 2011. We included patients with Berrocal Revueltas grades II and III breast hypertrophy and gigantomastia. The surgical technique involved marking of the skin both at the beginning of surgery as well as during the surgery after the formation of the new breast cone. We evaluated the complications encountered. The quality of the results was assessed by 4 full members of the Sociedade Brasileira de Cirurgia Plástica (Brazilian Society of Plastic Surgery). Statistical analysis was performed using SPSS. Results: The mean patient age was 32.9 years and 62.9% of patients were overweight. The average weight of resected tissue was 718.7 g in the right breast and 713.5 g in the left breast. Among the patients, hematoma (1.4%), seroma (2.9%), epidermolysis (1.4%), keloids (1.4%), hypertrophic scar (2.9%), and excess skin (5.7%) were noted, and the surgical reoperation rate was 8.6%. The evaluators assessed breast shape, breast symmetry, elevation of the nipple-areola complex, and scar appearance, which were considered very good (rating of 9-10) in 78.6%, 82.1%, 96.4%, and 67.9% of cases, respectively. Conclusions: The L-shaped scar-reducing mastoplasty technique was effective for the treatment of large breast hypertrophy.