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Lower urinary tract obstruction

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https://www.readbyqxmd.com/read/29791696/monocenter-experience-with-532-nm-laser-photoselective-vaporization-of-the-prostate-by-greenlight-xps%C3%A2-laser-is-it-really-an-endourological-joker-card
#1
Jamil Ghahhari, Carlo D'Orta, Ambra Rizzoli, Michele Marchioni, Giulia I Primicer, Piergustavo De Francesco, Angelo Civitella, Mario Di Lecce, Pietro Castellan, Roberto Castellucci, Fabio Neri, Fabiola Raffaella Tamburro, Luca Cindolo, Luigi Schips
INTRODUCTION: In our study, we reported on our monocenter experience with GreenLight (GL) Xcelerated Performance System (XPS)™ /MoXy™ laser fiber (American Medical Systems Inc., Minnetonka, Minnesota), examining its efficacy, safety, and its ability to effectively treat lower urinary tract symptoms (LUTS) in benign prostate obstruction (BPO). We also explored and compared the three different endoscopic approaches used for GL treatment of benign prostatic hyperplasia (BPH), standard photovaporization (PVP), anatomical PVP, and GreenLight XPS™ enucleation of the prostate...
June 1, 2018: Surgical Technology International
https://www.readbyqxmd.com/read/29788851/-micturition-complaints-in-men-one-symptom-multiple-causes
#2
Stefanie Cermak, Scott Putman
Micturition Complaints in Men: One Symptom, Multiple Causes Abstract. Micturition complaints in male patients are a common problem in the general practice. The complaints are summarized as lower urinary tract symptoms (LUTS) and are often an expression of prostate enlargement and the resulting bladder outlet -obstruction. Differential diagnosis has to exclude prostate-related LUTS. Basic diagnostics are performed by means of detailed physical history, Combur test and ultrasound. The most common diagnoses can already be made at this point and therapy can be initiated...
2018: Praxis
https://www.readbyqxmd.com/read/29783546/re-benign-prostatic-obstruction-relief-in-patients-with-lower-urinary-tract-symptoms-suggestive-of-benign-prostatic-enlargement-undergoing-endoscopic-surgical-procedures-or-therapy-with-alpha-blockers-a-review-of-urodynamic-studies
#3
https://www.readbyqxmd.com/read/29776937/pelvic-epidermoid-cyst-a-rare-cause-of-lower-urinary-tract-symptoms
#4
Pritesh Jain, Dilip Kumar Pal
Pelvic retroperitoneum is a bizarre location of an epidermoid cyst and obstructive voiding caused by it even being stranger. Voiding symptoms related to such an abnormal location of cyst are extremely rare and literature that taps into such cases is scarce. We are presenting here a case of 26-year-old man who was presented with obstructive lower urinary tract symptoms and chronic constipation. On evaluation, he was found to have well-defined cyst in pelvic retroperitoneum. Complete excision of the cyst was done; histopathology confirmed it as an epidermoid cyst...
May 18, 2018: BMJ Case Reports
https://www.readbyqxmd.com/read/29775557/symptoms-of-obstructive-sleep-apnea-nasal-obstruction-and-enuresis-in-children-with-nonsyndromic-cleft-lip-and-palate-a-prevalence-study
#5
Marilyse de Bragança Lopes Fernandes, Alícia Graziela Noronha Silva Salgueiro, Eliete Janaína Bueno Bighetti, Ivy Kiemle Trindade-Suedam, Inge Elly Kiemle Trindade
OBJECTIVE: To estimate the prevalence of symptoms of obstructive sleep apnea (OSA), nasal obstruction, and enuresis in children with nonsyndromic unilateral cleft lip and palate. DESIGN: Prospective cross-sectional study. SETTING: Referral care center. PARTICIPANTS: One hundred seventy-four children aged 6 to 12 years of both genders. INTERVENTIONS: Symptoms of OSA and nasal obstruction were investigated by analysis of scores obtained by the Sleep Disturbance Scale for Children (SDSC) and Congestion Quantifier (CQ-5)...
January 1, 2018: Cleft Palate-craniofacial Journal
https://www.readbyqxmd.com/read/29772579/antenatal-workup-of-early-megacystis-and-selection-of-candidates-for-fetal-therapy
#6
Federica Fontanella, Leonie Duin, Phebe N Adama van Scheltema, Titia E Cohen-Overbeek, Eva Pajkrt, Mireille Bekker, Christine Willekes, Caroline J Bax, Dick Oepkes, Catia M Bilardo
OBJECTIVE: To investigate the best criteria for discriminating fetuses with isolated posterior urethral valves from those theoretically not eligible for fetal treatment because of complex megacystis, high chance of spontaneous resolution, and urethral atresia. METHODS: A retrospective national study was conducted in fetuses with megacystis detected before 17 weeks' gestation (early megacystis). RESULTS: In total, 142 cases with fetal megacystis were included in the study: 52 with lower urinary tract obstruction, 29 with normal micturition at birth, and 61 with miscellaneous syndromal associations, chromosomal and multiple structural abnormalities (complex megacystis)...
May 17, 2018: Fetal Diagnosis and Therapy
https://www.readbyqxmd.com/read/29762074/use-of-artificial-hydration-at-the-end-of-life-a-survey-of-australian-and-new-zealand-palliative-medicine-doctors
#7
Jacqueline Oehme, Caitlin Sheehan
BACKGROUND: Dying is ubiquitous, yet the optimal management of hydration in the terminal phase is undetermined. Palliative care (PC) doctors' practices may act as a de facto measure of the benefits and burdens of artificial hydration (AH) use. OBJECTIVE: To identify PC doctors' AH prescribing practices for imminently dying patients and possible influencing factors. METHODS: An online survey of doctors belonging to the Australian and New Zealand Society of Palliative Medicine...
May 15, 2018: Journal of Palliative Medicine
https://www.readbyqxmd.com/read/29749775/the-use-of-tiemann-tip-catheters-for-male-intermittent-self-catheterisation
#8
Maggie Rew, Helen Lake, Kayleigh Brownlee-Moore
Male catheterisation can be difficult to perform, especially in patients with an enlarged prostate gland or other potentially obstructive conditions in the lower urinary tract. Repeated and unsuccessful catheterisations, as well as causing trauma, pain and distress, can cause other conditions such as urethral strictures and 'false passages' (when the catheter is pushed through the urethral wall instead of passing down the urethra), which then require more costly interventions to correct. With an increasingly ageing population these complications are expected to rise, putting added strain on an already stretched health service...
May 10, 2018: British Journal of Nursing: BJN
https://www.readbyqxmd.com/read/29744072/ultrasound-prenatal-diagnosis-of-typical-megacystis-microcolon-intestinal-hypoperistalsis-syndrome
#9
Natalia Buinoiu, Anca Panaitescu, Mihaela Demetrian, Sebastian Ionescu, Gheorghe Peltecu, Alina Veduta
In the presence of megacystis in the second half of pregnancy, with increased amniotic fluid, especially in a female fetus, the most likely diagnostic result is megacystis, microcolon, intestinal hypoperistalsis syndrome, MMIHS. In these cases, the diagnosis of MMIHS should be strongly considered instead of lower urinary tract obstruction.
May 2018: Clinical Case Reports
https://www.readbyqxmd.com/read/29705282/is-urodynamics-necessary-when-assessing-a-patient-with-male-lower-urinary-tract-symptoms
#10
Marcus J Drake
Urodynamics can distinguish bladder outlet obstruction from detrusor underactivity. Clear identification of the mechanism of a man's voiding symptoms can help give the best chance of good outcome from surgery. Publication of results from the UPSTREAM study will help in establishing the exact place for urodynamic testing in male lower urinary tract symptoms.
April 25, 2018: European Urology Focus
https://www.readbyqxmd.com/read/29702098/does-post-void-residual-volume-predict-worsening-urologic-symptoms-in-patients-with-multiple-sclerosis
#11
Elizabeth Dray, Anne Pelletier Cameron, J Quentin Clemens, Yongmei Qin, Diana Covalschi, John Stoffel
PURPOSE: Our goal was to examine how post-void residual (PVR) volumes relate to urinary symptoms in multiple sclerosis (MS) patients. MATERIALS AND METHODS: We performed a retrospective review of MS patients with lower urinary tract symptoms (LUTS) presenting to a tertiary neurourology clinic. Patients who had a PVR recorded at their initial urologic assessment were included in our analysis. Results of the American Urological Association Symptom Index (AUA-SI) and the Michigan Incontinence Symptom Index (M-ISI) completed at this visit were analyzed to assess severity of LUTS and incontinence, and a chart review was performed for demographic information and documented urinary tract infections (UTIs)...
April 24, 2018: Journal of Urology
https://www.readbyqxmd.com/read/29697376/efficacy-of-silodosin-urorec%C3%A2-in-the-treatment-of-benign-prostatic-hyperplasia-the-maximum-decrease-of-bladder-outlet-obstruction-index
#12
A Khamzin, R Frolov
One of the main causes of lower urinary tract symptoms in men over the age of 40 years old is benign prostatic hyperplasia (BPH), which according to the research is detected in 26.2% of men of this age group. The purpose of this study was to evaluate the efficacy of the use of silodosin (Urorec®) at dosage 8 mg once a day for relief of obstructive symptoms of BPH in men over 40 years old. From September 2016 till December 2017 144 men (residents of Almaty, the Republic of Kazakhstan) aged from 56 to 81 years old (63...
March 2018: Georgian Medical News
https://www.readbyqxmd.com/read/29686417/prostatic-inflammation-a-potential-treatment-target-for-male-luts-due-to-benign-prostatic-obstruction
#13
REVIEW
M Samarinas, M Gacci, A de la Taille, S Gravas
BACKGROUND: The purpose of this narrative review is to evaluate the role of prostatic inflammation as a treatment target for lower urinary tract symptoms (LUTS) due to benign prostatic obstruction (BPO) and provide an update on the available therapies. METHODS: An extensive literature search was conducted for studies on established and investigational treatments with anti-inflammatory mechanism of action that has been assessed for the management of male LUTS due to BPO...
April 24, 2018: Prostate Cancer and Prostatic Diseases
https://www.readbyqxmd.com/read/29682392/a-rare-case-of-multifocal-prostatic-blue-nevus
#14
Elias J Farran, Preston S Kerr, Christopher D Kosarek, Joseph Sonstein, Eduardo J Eyzaguirre
Prostatic blue nevus is a rare benign pathologic diagnosis most commonly diagnosed incidentally on many different types of prostate specimens. Blue nevus is the deposition of stromal melanin characterized by spindle cells within the fibromuscular stroma which stains positive for melanin-specific stains Fontana-Masson and S100 and stains negative for CD68, HMB45, and iron stains. We report the case of a multifocal and bilateral blue nevus in a 52-year-old Hispanic male who presented with an elevated prostate-specific antigen of 4...
2018: Case Reports in Urology
https://www.readbyqxmd.com/read/29679600/perinephric-urinoma-secondary-to-malignancy-in-a-pediatric-patient
#15
Julie W Cheng, Ashley Li, David A Chamberlin
Perinephric urinomas commonly arise following traumatic injury or high grade obstruction from kidney stones or lower urinary tract disorders. Not only are spontaneous urinomas rare in the pediatric population, but malignancy presenting with perinephric urinomas have only been described in the adult population. In this case report, we report flank pain from a spontaneous perinephric urinoma as the presenting symptom of lymphoma in a pediatric patient.
April 18, 2018: Urology
https://www.readbyqxmd.com/read/29671672/pathophysiological-effect-of-bladder-outlet-obstruction-on-the-urothelium
#16
Grzegorz Niemczyk, Katarzyna Czarzasta, Piotr Radziszewski, Paweł Włodarski, Agnieszka Cudnoch-Jędrzejewska
Bladder outlet obstruction (BOO) and associated lower urinary tract symptoms are major urological issues that significantly affect patient's quality of life and may lead to severe complications. The prevalence of both is increasing each year, raising the burden to health system. Therefore, casual and symptomatic treatment should be of great importance. However, management of symptoms is often difficult as their pathophysiology is multifactorial and not well elucidated. Recently urothelium has gathered much attention as one of the potential causal agents...
April 19, 2018: Ultrastructural Pathology
https://www.readbyqxmd.com/read/29665998/lower-urinary-tract-symptoms-including-bladder-outlet-obstruction-what-s-new-in-diagnostics
#17
REVIEW
Stavros Gravas, Iason Kyriazis, Adam P Klausner
It is well known that lower urinary tract symptoms (LUTS) have a multifactorial etiology. Therefore, there is an increased need for improved diagnostics for the optimal assessment of patients with LUTS in order to identify the various causes of symptoms and improve disease phenotyping. Research has focused on the development of improved urodynamic technologies and the development of noninvasive tests that could replace urodynamic studies. This mini-review will present the most recently published studies on the topic including new technologies in the diagnosis of bladder outlet obstruction, novel metrics for bladder sensation, analysis of filling phase rhythm, measurement of detrusor wall tension, and brain imaging during urodynamic studies...
April 14, 2018: European Urology Focus
https://www.readbyqxmd.com/read/29664229/a-classic-twin-study-of-lower-urinary-tract-obstruction-report-of-3-cases-and-literature-review
#18
Sandra Frese, Alexander Weigert, Bernd Hoppe, Markus Feldkötter, Michael Ludwig, Stefanie Weber, Katarzyna Kiliś-Pstrusińska, Marcin Zaniew, Heiko Reutter, Alina C Hilger
OBJECTIVE: The aim of the present study was to investigate genetic effects in the formation of congenital lower urinary tract obstruction (LUTO) comprising posterior urethral valves (PUV), urethral atresia, and urethras with variable degrees of stenosis. METHODS: A classic twin study was performed by assessing LUTO twin pairs from the literature. Furthermore, data regarding 3 previously unreported twin pairs with PUV from University of Bonn, Essen and Wrocławs own in-house databases were added...
April 17, 2018: Lower Urinary Tract Symptoms
https://www.readbyqxmd.com/read/29664124/a-comparison-of-the-treatment-recommendations-for-neurogenic-lower-urinary-tract-dysfunction-in-the-national-institute-for-health-and-care-excellence-european-association-of-urology-and-international-consultations-on-incontinence-guidelines
#19
Ashley Jaggi, Marcus Drake, Emad Siddiqui, Francis Fatoye
AIMS: Healthcare guidelines are an important vehicle in establishing up-to-date evidence based medicine (EBM) in clinical practice. Due to varying development processes, clinical guidelines created by different institutions can often contain contrasting recommendations. This can have implications for optimal and standardized patient care across management settings. METHODS: The similarities and differences of treatment recommendations made in the National Institute for Health and Care Excellence (NICE), The European Association of Urology (EAU), and the International Consultation on Continence (ICI) guidelines for neurogenic lower urinary tract dysfunction (NLUTD) were assessed...
April 17, 2018: Neurourology and Urodynamics
https://www.readbyqxmd.com/read/29662545/prostate-artery-embolization-a-new-minimally-invasive-treatment-for-lower-urinary-tract-symptoms-secondary-to-prostate-enlargement
#20
REVIEW
Drew Maclean, Ben Maher, Sachin Modi, Mark Harris, Jonathan Dyer, Bhaskar Somani, Nigel Hacking, Timothy Bryant
Prostate artery embolization (PAE) is emerging as a safe and efficacious treatment which approaches benign prostatic obstruction (BPO) from a unique perspective. This brings with it distinct advantages and solutions, which we discuss along with cost, evidence, complications and disadvantages.
August 2017: Therapeutic Advances in Urology
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