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Vesicourethral reflux

Seyhan Kutluğ, Gönül Ogur, Aysegül Yilmaz, Peter E Thijssen, Ummet Abur, Alisan Yildiran
ICF syndrome is a primary immunodeficiency disease characterized by hypo- or agammaglobulinemia, centromeric instability mainly on chromosomes 1, 9, and 16 and facial anomalies. ICF syndrome presents with frequent respiratory tract infections in infancy. A 20-month-old female patient was referred to our clinic due to frequent lower respiratory tract infections. ICF syndrome was considered because of comorbidity of hypogammaglobulinemia, facial anomalies, and neuromotor growth retardation. Metaphase chromosome analysis revealed centromeric instability on chromosomes 1, 9, and 16 and through Sanger a previously unreported homozygous missense mutation (c...
December 2016: American Journal of Medical Genetics. Part A
Fatemeh Beiraghdar, Zohreh Rostami, Yunes Panahi, Behzad Einollahi, Mojtaba Teimoori
SUBJECTIVES: Prevalence of benign joint hypermobility syndrome (BJHMS) without systemic disease seems to be high in children. Little literature is currently available related to urinary tract diseases in patients with BJHMS. Here, we report an association between the urinary tract disease and BJHMS. METHODS: We conducted a prospective case series study of 62 pediatric patients with musculoskeletal pain to detect urinary tract diseases in Tehran, Iran from October 2009 to October 2010...
September 2013: Nephro-urology Monthly
Adnan Yıldırım, Fatih Mehmet Türkcü, Harun Yüksel, Alparslan Sahin, Yasin Cınar, Ihsan Caça
A 12-year-old female patient was admitted to our clinic complaining about low vision. Bilateral optic disc edema, macular star, and preretinal hemorrhages were found in fundoscopic examination. In fundus fluorescein angiography, massive leakage in the late phase was seen in the optic nerve head and macular area. These findings were compatible with high-grade hypertensive retinopathy. The patient consulted with pediatrics and a diagnosis of vesicourethral reflux and malignant hypertension was made.
January 2014: Seminars in Ophthalmology
Ana Aguiar, André Cardoso, Rui Prisco, Maria Eduarda Cruz
BACKGROUND: Early diagnosis and adequate follow-up are fundamental principals for the treatment of vesicourethral reflux in children. The treatment options in these cases remain an individual choice based on multiple factors. OBJECTIVE: To determine and compare the effectiveness of two different surgical techniques (endoscopic and conventional) used on vesicourethral reflux treatment. METHODOLOGY: Cohort study, based on the clinical files of children and adolescents submitted to surgical treatment of vesicourethral reflux, between the 1st January of 2000 and 30th April 2006...
December 2011: Acta Médica Portuguesa
Jose Luis Palmero Martí, Miguel Ramirez Backhaus, Ariana Alvarez Barrera, Araceli Amoros Torres, Antonio Benedicto Redon
OBJECTIVE: We present the case of an adult patient diagnosed with Hutch diverticula after examination. Indications were of a type of congenital bladder diverticula very rare in children and unusual in adults, as very few cases in adults are addressed in the literature. METHODS: Intravenous Urography and Voiding Cystourethrogram (VCUG) were realized RESULTS: The intravenous urography revealed ureterohydronephrosis in the excretory phase that did not have repletion defects suggesting lithiasis at distal urethra...
July 2012: Archivos Españoles de Urología
A Soave, R Dahlem, M Rink, S Ahyai, M Fisch
Orthotopic urinary diversion (OUD) is performed in almost half of all radical cystectomies. This review presents an overview of the incidence, pathophysiology, and management of urinary incontinence (UI) after OUD. Daytime and nighttime UI are reported in up to 15% and 45% of cases after OUD, respectively. UI after OUD is more frequent in women. Stress incontinence is the most common reason for daytime urinary leakage, while an absent vesicourethral reflex with reduced external sphincter muscle tone is associated with nighttime UI...
April 2012: Der Urologe. Ausg. A
Hasan Otukesh, Rozita Hoseini, Ashkan Heshmatzade Behzadi, Mahsa Mehran, Ali Tabbaroki, Behnaz Khamesan, Reza Farjad, Violet Amirjalai
Vesicoureteric reflux (VUR) is found in 1% of all children and in 30%-50% of those with urinary tract infection. Furthermore, VUR in childhood is the main reason for pyelonephritis, hypertension and chronic kidney disease. Recently, a variety of procedures with low radiation have been recommended for diagnosis of VUR. Therefore, in this study, voiding urosonography (VUS) or cystosonography was performed for evaluation of VUR and for comparing it with radio nucleotide cystography (RNC). We studied 25 children admitted with initial diagnosis of VUR in our center in the year 2007...
May 2011: Saudi Journal of Kidney Diseases and Transplantation
Joep G H van Roermund, Jean-Paul A van Basten, Lambertus A Kiemeney, Herbert F M Karthaus, J Alfred Witjes
OBJECTIVE: The increasing incidence of both obesity and prostate cancer (PCa) detection will confront the urologist more often with obese men having PCa. It is unknown whether obesity affects the surgical and oncological outcomes following open radical retropubic prostatectomy (RRP). Knowledge concerning this issue is relevant when counselling obese patients with PCa for RRP. PATIENTS AND METHODS: A single institution cohort study was performed including 252 men who underwent a RRP between 1992 and 2003...
2009: Urologia Internationalis
Su-Ju Tsai, Tsung-Ho Ying, Yu-Hui Huang, Ju-Wen Cheng, Liu-Ing Bih, Henry L Lew
OBJECTIVE: To determine the effectiveness of a combined method for localizing external urethral sphincter for transperineal injection of botulinum toxin A (BTX-A) in the treatment of detrusor sphincter dyssynergia (DSD) in patients with spinal cord injury (SCI). DESIGN: A prospective, open-label trial. SETTING: A rehabilitation hospital affiliated with a medical university. PARTICIPANTS: Eighteen SCI patients with voiding dysfunction resulting from urodynamically confirmed DSD...
May 2009: Archives of Physical Medicine and Rehabilitation
Paolo Di Benedetto, Cristina Delneri, Emanuele Biasutti, Luisa Monti Bragadin, Tullio Giorgini
The most common lower urinary tract symptoms (LUTS) in multiple sclerosis (MS) are irritative, obstructive or mixed (association of irritative and obstructive LUTS). Generally irritative LUTS are typical in patients with cortical, brainstem or mild spinal cord lesions; obstructive symptoms are frequent in patients with spinal cord lesions (below the pontine micturition centre) or at the level of the sacral micturition centre. Irritative LUTS are often associated with detrusor overactivity, whereas obstructive LUTS are associated with detrusor sphincter dyssynergia or detrusor areflexia/hypocontractility...
December 2008: Neurological Sciences
Hak Jong Lee, Cheong-Il Shin, Sung Il Hwang, Sung Il Jung, Seung Hyup Kim, Sang Eun Lee, Seok-Soo Byun
OBJECTIVE: The purpose of this study was to compare detection rates with MDCT cystography and conventional cystography in the evaluation of vesicourethral leakage after radical prostatectomy. SUBJECTS AND METHODS: From September 2004 to May 2005, 51 sets of MDCT and conventional cystographic images of 46 patients who underwent retropubic radical prostatectomy were included in the study. The mean age of the patients was 65.3 +/- 2.1 years. The rates of detection of vesicourethral leakage at the anastomotic site were compared on conventional and MDCT cystographic images...
December 2008: AJR. American Journal of Roentgenology
Rafael Barrero Candau, Miguel Fernández Hurtado, Francisco García Merino, Julia Fijo López-Viota, Eduardo León Dueñas, Francisco Torrubia Romero
OBJECTIVES: We analyze the frequency of vesicoureteral reflux and the factors that favor its appearance after kidney transplantation in pediatric patients. METHODS: This retrospective analysis examined the prevalence of posttransplant vesicoureteral reflux in a total of 201 kidney transplants performed in children at our centre between 1978 and 2006. In patients who required corrective surgery for this problem, we analyzed pretransplant residual diuresis, pretransplant pathology and posttransplant problems related to vesicoureteral reflux...
March 2008: Archivos Españoles de Urología
Rafael Luque Mialdea, Rosa Martín-Crespo
Various papers differentiating neonatal vesicoureteral reflux (VUR) with severe renal damage from other predominant group of newborns with neonatal VUR without renal lesions and those diagnosed in older ages, generally in relation with urinary tract infection (UTI), have been published over the last decade. From the standpoint that VUR is part of a broad spectrum both in clinical expression as in pathogenesis, with different theories described to explain the existence of this type of congenital VUR in males...
March 2008: Archivos Españoles de Urología
Jennifer Hagerty, Max Maizels, Andrew Kirsch, Dennis Liu, Kourosh Afshar, Timothy Bukowski, Paolo Caione, Yves Homsy, Theresa Meyer, William Kaplan
OBJECTIVES: To examine whether vesicourethral reflux diagnosed by positioned instillation of contrast (PIC-VUR) shows clinical importance by comparing the incidence rates of febrile urinary tract infection (FUTI) before and after treatment of PIC-VUR. METHODS: Beginning in 2001 we used a multi-institutional registry to prospectively enroll consecutive pediatric patients with a history of FUTI without VUR according to voiding cystourethrogram (VCUG) and yet who show PIC-VUR...
July 2008: Urology
Willem Proesmans
Neurogenic bladder dysfunction in children is frequently seen in patients with meningomyelocele (MMC). The disorder carries a high risk for all kinds of complications, with renal damage being the most important. More than 95% of MMC patients have a neurogenic bladder, the paramount manifestation of which is a disturbed coordination between detrusor and sphincter muscles. This vesicourethral dysfunction leads to defective filling and emptying of the urinary bladder. Voiding at will is almost never possible. According to the location and extent of the neural tube lesion, patients have either an atonic or a hypertonic pelvic floor and either an atonic or a hypertonic detrusor, leading to four classic combinations...
April 2008: Pediatric Nephrology: Journal of the International Pediatric Nephrology Association
Aamir Jalal Al Mosawi
OBJECTIVES: To report the third series of the severe neonatal form of Allen-Hinman syndrome. Hinman and Baumann (1973) and Allen (1977) reported the first two series (14 and 21 patients, respectively) of children with severe functional vesicourethral dysfunction producing changes indistinguishable from an obstructive factor. MATERIAL AND METHODS: From January 1995 to April 2006, 7 boys with Allen-Hinman syndrome were observed. They had been symptomatic since early infancy with a poor stream and chronic urinary retention...
August 2007: Urology
Mohammad Ali Amirzargar, Mahnaz Yavangi, Manouchehr Ghorbanpour, Seyed Mohammadmehdi Hosseini Moghaddam, Mohammad Rahnavardi, Nasibeh Amirzargar
OBJECTIVE: We aimed to describe our experience in administering an innovative surgical technique to treat pediatric cases of exstrophy-epispadias complex. MATERIAL AND METHODS: Between 1995 and 2004, seven consecutive patients (six males) with exstrophy-epispadias complex were treated using ileocecal segment for bladder augmentation and appendix for urethral reconstruction. In a single-stage operation, the exstrophied bladder was dissected- and a segment of cecum, ascending colon, terminal ileum, and the corresponding appendix were isolated...
2007: International Urology and Nephrology
Miguel Vírseda Chamorro, Ramón Diz Rodríguez, Jesús Salinas Casado, Ignacio Arance Gil, Pedro Paños Lozano
OBJECTIVES: Lower urinary tract dysfunction may affect the upper urinary tract with development of vesicoureteral reflux. The objective of our study is to evaluate what lower urinary tract dysfunctions are associated with vesicoureteral reflux in adults. METHODS: We performed a cross-sectional study in a sample of 236 patients (149 males and 87 females) with a mean age of 45.5 yr. (typical deviation 19.0 yr.) submitted for videourodynamic study for lower urinary tract functional symptoms...
September 2006: Archivos Españoles de Urología
Stephen Boorjian, E Darracott Vaughan, W Reid Pitts, Edward C Muecke
PURPOSE: Victor Fray Marshall (1913 to 2001) contributed to advancements in a variety of fields within urology, including incontinence, oncology, stone disease and pediatrics. MATERIALS AND METHODS: We reviewed historical records from the New York Hospital archives as well as the original publications of Marshall. Personal experiences of former residents and others were recounted. RESULTS: While Marshall may be most recognized for Marshall-Marchetti-Krantz vesicourethral suspension, designed to correct stress urinary incontinence, he was among the earliest advocates of surgical extirpation for bladder cancer and helped introduce the use of urinary cytology for the diagnosis of urothelial malignancy...
January 2006: Journal of Urology
X Tarrado, J Rodó, J A Sepúlveda, L García Aparicio, L Morales
INTRODUCTION: Continent urinary diversion (based on Mitrofanoff's principle), despite its complexity, is the gold standard in the treatment of those vesicourethral disfunctions that need clean intermittent catheterization (CIC) to achieve complete vesical voiding, in patients with non easily catheterizable native urethra. AIM: To analize our experience in continent urinary diversion at our centre. PATIENTS AND METHODS: We have reviewed the records of the 14 cases of continent urinary diversion in the last 8 years...
January 2005: Cirugía Pediátrica: Organo Oficial de la Sociedad Española de Cirugía Pediátrica
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