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Bladder retention

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https://www.readbyqxmd.com/read/30332442/suppression-of-18f-fdg-signal-in-the-bladder-on-small-animal-pet-ct
#1
Lorena Cussó, Manuel Desco
INTRODUCTION: Retention of 2-deoxy-2-[18F]fluoro-D-glucose 18F-FDG in the bladder causes more problems in small animal research than in human research owing to the smaller size of the subject. Catheterization has been proposed to reduce bladder spillover both in human studies and in small animal research. Noninvasive alternatives such as hydration plus furosemide also seem to be a promising pre-imaging strategy for decreasing bladder spillover. Our main goal was to measure the effects of the combination of furosemide and hydration for reducing bladder signal directly on mouse bowel 18F-FDG-PET images...
2018: PloS One
https://www.readbyqxmd.com/read/30316955/bladder-training-prior-to-urinary-catheter-removal-in-total-joint-arthroplasty-a-randomized-controlled-trial
#2
George Markopoulos, Dimitrios Kitridis, Konstantinos Tsikopoulos, Dimitrios Georgiannos, Ilias Bisbinas
BACKGROUND: Urinary catheters are commonly used in patients undergoing total hip and knee arthroplasty. Bladder training before catheter removal is reported to shorten the time to return to normal bladder function and reduce the incidence of urinary retention. OBJECTIVE: To evaluate the results of bladder training in patients with total hip and knee arthroplasty. DESIGN: Randomized controlled trial. SETTING: Orthopaedic Department of a tertiary Military Hospital...
September 11, 2018: International Journal of Nursing Studies
https://www.readbyqxmd.com/read/30310935/-sacral-neuromodulation-for-refractory-overactive-bladder
#3
Arndt van Ophoven
Sacral neuromodulation (SNM) is a minimally invasive, established treatment modality for overactive bladder (OAB) as well as for other pelvic functional disorders, such as non-obstructive urinary retention and fecal incontinence. A pacemaker implanted in the upper buttocks delivers mild electrical pulses to the sacral nerves thereby modulating pathological afferent signals from pelvic end organs. The current article conveys the current knowledge on the indications, contraindications, mechanism of action, implantation technique, efficacy and complications of SNM for the treatment refractory OAB...
October 11, 2018: Der Urologe. Ausg. A
https://www.readbyqxmd.com/read/30303589/the-anatomy-of-urination-what-every-physician-should-know
#4
REVIEW
Elroy Patrick Weledji, Divine Eyongeta, Eleanour Ngounou
INTRODUCTION: Normal voiding needs a coordinated, sustained bladder contraction of adequate size and duration. It requires a decrease in resistance of the bladder neck and urethra and no obstruction. Voiding problems can arise from abnormal storage of urine or problems with urinary control. The aim of this article was to review the functional anatomy and physiology of urinary control and micturition and the pathophysiology of urinary control problems. MATERIALS AND METHODS: The Medline (PubMed) database, Cochrane Library, and Science Citation Index were searched electronically to identify original published studies on bladder anatomy, function and urinary control...
October 10, 2018: Clinical Anatomy
https://www.readbyqxmd.com/read/30286581/specificity-of-lower-urinary-tract-symptoms-in-neuromyelitis-optica-in-comparison-with-multiple-sclerosis-patients
#5
Arnaud Declemy, Camille Chesnel, Audrey Charlanes, Frederique Le Breton, Samer Sheikh Ismael, Gerard Amarenco
PURPOSE: The aim of this study was to describe lower urinary tract symptoms in neuromyelitis optica (NMO), and to compare these data with urinary disorders observed in multiple sclerosis (MS) patients. METHODS: Retrospective study of data collected from January 1997 to July 2017 using the database from a Neuro-Urology Department of a university hospital. NMO and MS patients were matched for sex, age, and Expanded Disability Status Scale (EDSS). RESULTS: Twenty-six patients with NMO were included and compared with 33 MS patients...
September 2018: International Neurourology Journal
https://www.readbyqxmd.com/read/30282963/treatment-of-renal-fungal-ball-with-fluconazole-instillation-through-a-nephrostomy-tube-case-report-and-literature-review
#6
Osama Abdelhaleem Abdeljaleel, Ibrahim Alnadhari, Sara Mahmoud, Garegin Khachatryan, Morshed Salah, Omar Ali, Ahmad Shamsodini
BACKGROUND Urinary tract candida infection can be due either to hematogenous dissemination of the organism or a retrograde infection. In debilitated or immunosuppressed septic patients, who have upper urinary tract obstruction with renal filling defect, fungal infection should be considered. We report on a patient with sepsis and renal fungal ball who was treated with percutaneous nephrostomy and intravenous antifungal agent, but the patient did not respond so instillation of fluconazole through nephrostomy was given...
October 4, 2018: American Journal of Case Reports
https://www.readbyqxmd.com/read/30277739/urinary-retention-in-adults-evaluation-and-initial-management
#7
David C Serlin, Joel J Heidelbaugh, John T Stoffel
Urinary retention is the acute or chronic inability to voluntarily pass an adequate amount of urine. The condition predominantly affects men. The most common causes are obstructive in nature, with benign prostatic hyperplasia accounting for 53% of cases. Infectious, inflammatory, iatrogenic, and neurologic causes can also affect urinary retention. Initial evaluation should involve a detailed history that includes information about current prescription medications and use of over-the-counter medications and herbal supplements...
October 15, 2018: American Family Physician
https://www.readbyqxmd.com/read/30275745/evaluation-of-a-program-of-clean-intermittent-catheterization-for-underactive-bladder-after-radical-hysterectomy
#8
Katsuya Hikita, Masashi Honda, Yusuke Kimura, Bunya Kawamoto, Panagiota Tsounapi, Shuichi Morizane, Atsushi Takenaka
Background: Dysfunction of the lower urinary tract is the most common complication of radical hysterectomy (RH). However, there are no established treatment protocols for postoperative underactive bladder (PUB). We developed our own new program for the treatment of underactive bladder (UB) after RH and evaluated it retrospectively. Methods: In this program, there are five steps for patients to follow according to their urinary condition. The first step is the administration of urapidil 30 mg, voiding six times at a predetermined time each day, and clean intermittent catheterization (CIC) after each voiding...
September 2018: Yonago Acta Medica
https://www.readbyqxmd.com/read/30268444/the-most-significant-risk-factors-for-urinary-retention-in-fast-track-total-joint-arthroplasty-are-iatrogenic
#9
Mohamad J Halawi, Nicholas Caminiti, Mark P Cote, Adam D Lindsay, Vincent J Williams
BACKGROUND: Postoperative urinary retention (POUR) remains a common complication after total joint arthroplasty (TJA). The objective of this study was to determine the incidence and risk factors for POUR in fast-track TJA emphasizing rapid mobilization, multimodal analgesia, and shorter hospital stay. METHODS: Our institutional joint registry was queried for patients who underwent primary TJA between January 2016 and November 2017. The primary outcome was the development of POUR...
September 7, 2018: Journal of Arthroplasty
https://www.readbyqxmd.com/read/30266465/suprapubic-tube-compared-with-urethral-catheter-drainage-after-robot-assisted-radical-prostatectomy-a-systematic-review-and-meta-analysis
#10
REVIEW
Mei-Xuan Li, Peng Cheng, Liang Yao, Hui-Juan Li, Yang-Qin Xun, Pei-Jing Yan, Cai-Wen Han, Cun-Cun Lu, Wen-Bo He, Meng Wang, Rong Liu, Tian-Kang Guo, Ke-Hu Yang
This meta-analysis aimed to compare the effectiveness of the suprapubic drainage and urethral catheterization after robot-assisted radical prostatectomy (RARP). PubMed, EMBASE, Cochrane Library and China Biology Medicine disc were systematically researched from their inception to December 2017. We selected randomized controlled trials, cohort studies comparing suprapubic tube with urethral catheter drainage in RARP patients. A meta-analysis was performed using R software, and a random-effects model was used to pool the effect size...
September 26, 2018: Asian Journal of Surgery
https://www.readbyqxmd.com/read/30266377/onabotulinumtoxina-injections-in-men-with-refractory-idiopathic-detrusor-overactivity
#11
N Faure Walker, O Syed, S Malde, C Taylor, A Sahai
OBJECTIVES: To establish the effectiveness and safety profile of BTX-A in men with idiopathic detrusor overactivity (IDO) and compare with the outcomes observed in women. Several randomized trials have demonstrated the effectiveness of intradetrusor Onaboulinum Toxin A (BTX-A) injections in improving symptoms and quality of life (QoL) in patients with overactive bladder (OAB) symptoms. Most trials however contained relatively few men or excluded men altogether. METHODS: Data patient undergoing BTX-A for refractory OAB with IDO on urodynamics were extracted from our centre's prospectively maintained database...
September 25, 2018: Urology
https://www.readbyqxmd.com/read/30262261/-consequences-of-prostatic-obstruction-on-bladder-function-impact-of-removal-and-management-of-recurrence-after-surgery
#12
A de la Taille, G Robert, A Descazeaud
OBJECTIVE: Our objective was to evaluate bladder outlet obstruction (BOO) consequences on the detrusor activity, to analyze the impact of medical and surgical treatments, and to study the reasons for recurrence of urinary symptoms after surgical treatment. METHOD: A non-systematic review of the scientific literature was conducted from the PubMed database to retrieve the most relevant scientific publications between 2000 and July 2018 with the keywords: BPH, bladder obstruction, bladder instability, surgery, and reoperation...
September 24, 2018: Progrès en Urologie
https://www.readbyqxmd.com/read/30258784/an-unusual-case-of-intra-peritoneal-bladder-rupture
#13
Hannah Samuelson, Giovanni Giannotti, Thomas Malvar
•Urologists and health care professionals alike need to recognize the risks and complications that come with clot formation in urine and the use of CBI, especially subsequent bladder rupture.•Prior history of chronic, prolonged BPH has implications and complications that need to be considered when hematuria with blood clots arise and urologic procedures are performed.•This case is presented to highlight the importance of surveillance of hematuria with presence of clots, as well as the importance of regulated control of CBI...
November 2018: Urology Case Reports
https://www.readbyqxmd.com/read/30254999/incarceration-of-early-gravid-uterus-with-adenomyosis-and-myoma-report-of-two-patients-managed-with-uterine-reduction
#14
Hee-Sun Kim, Ji-Eun Park, Seo-Yeon Kim, Jung-Eun Kim, Su-Hyun Chae, In-Sook Sohn, Han-Sung Hwang, Han-Sung Kwon
Although gravid uterine incarceration is typically diagnosed during the early second trimester, we encountered two unusual cases in early pregnancy. A 34-year-old multiparous woman with adenomyosis presented at 7 + 2 weeks of gestation with increased urinary frequency and a sensation of incomplete bladder emptying. The uterine incarceration was successfully reduced by manual reduction and pessary insertion, and she delivered a normal infant at term. In the second case, a 31-year-old nulliparous woman with a large myoma complained of dysuria, acute urinary retention, and intense back pain at 6 weeks of gestation...
September 2018: Obstetrics & Gynecology Science
https://www.readbyqxmd.com/read/30254450/effectiveness-of-intramuscular-neostigmine-to-accelerate-bladder-emptying-after-spinal-anesthesia
#15
Tjokorda Gde Agung Senapathi, Made Wiryana, I Made Subagiartha, I Putu Pramana Suarjaya, I Made Gede Widnyana, Ida Bagus Krisna Jaya Sutawan, A A Gde Putra Semara Jaya, Andri Thewidya
Purpose: Postoperative urinary retention (POUR) is one of the most common complications following spinal anesthesia. Spinal anesthesia may influence urinary bladder function due to interruption of the micturition reflex. Urinary catheterization is the standard treatment of POUR. Urinary catheter insertion is an invasive procedure, which is associated with catheter-related infections, urethral trauma, and patient discomfort. The purpose of this study was to determine the effectiveness of intramuscular (IM) neostigmine to accelerate bladder emptying after spinal anesthesia...
2018: Therapeutics and Clinical Risk Management
https://www.readbyqxmd.com/read/30250991/whole-body-pet-imaging-with-a-norepinephrine-transporter-probe-4-18-f-fluorobenzylguanidine-biodistribution-and-radiation-dosimetry
#16
Stephen J Lokitz, Sudha Garg, Rachid Nazih, Pradeep K Garg
PURPOSE: 4-[18 F]Fluorobenzylguanidine ([18 F]PFBG) is a positron emission tomography (PET) probe for non-invasive targeting of the norepinephrine transporter. The aim of this study was to assess uptake and distribution characteristics of this PET probe. PROCEDURES: Three cynomolgus monkeys were injected with 269 ± 51 MBq (7.3 ± 1.4 mCi) of [18 F]PFBG and 21 whole body PET scans were acquired over 165 min. s around organs to generate time-activity curves...
September 24, 2018: Molecular Imaging and Biology: MIB: the Official Publication of the Academy of Molecular Imaging
https://www.readbyqxmd.com/read/30248183/bladder-changes-after-catheterizable-channel-creation-in-adults-with-cerebral-palsy-who-are-in-chronic-urinary-retention
#17
Vikram M Narayan, Joseph J Pariser, Ronak A Gor, Jenna Katorski, Sean P Elliott
AIMS: Cerebral palsy (CP) is characterized by motor impairments as a result of brain injury during development. Patients can have neurogenic bladder dysfunction and are often unable to catheterize through their native urethra. Catheterizable channel (CC) creation can facilitate clean intermittent catheterization (CIC). We have observed that patients with large capacity, low-pressure bladders can develop de novo neurogenic detrusor overactivity (NDO) postoperatively. We sought to better characterize this finding...
September 24, 2018: Neurourology and Urodynamics
https://www.readbyqxmd.com/read/30224090/3-d-physiomimetic-extracellular-matrix-hydrogels-provide-a-supportive-microenvironment-for-rodent-and-human-islet-culture
#18
K Jiang, D Chaimov, S N Patel, J-P Liang, S C Wiggins, M M Samojlik, A Rubiano, C S Simmons, C L Stabler
Organ-on-a-chip platforms serve as cost-efficient testbeds for screening pharmaceutical agents, mimicking natural physiology, and studying disease. In the field of diabetes, the development of an islet-on-a-chip platform would have broad implications in understanding disease pathology and discovering potential therapies. Islet microphysiological systems are limited, however, by their poor cell survival and function in culture. A key factor that has been implicated in this decline is the disruption of islet-matrix interactions following isolation...
September 7, 2018: Biomaterials
https://www.readbyqxmd.com/read/30220536/-how-to-evaluate-bph-related-sbaus-in-clinical-practice-and-research
#19
A Descazeaud, G Robert, A de La Taille
OBJECTIVE: To describe the useful explorations in the clinical evaluation of the symptoms of the lower urinary tract symptoms possibly related to BPH (LUTS/BPH), and to list the information necessary to allow an evaluation of an instrumental or surgical intervention in the treatment of the hypertrophy and benign prostatic obstruction. METHOD: Bibliographic research in English using the European, American and French recommendations on the evaluation of BPH, supplemented by a Pubmed search...
September 13, 2018: Progrès en Urologie
https://www.readbyqxmd.com/read/30220535/-management-of-the-bladder-outlet-obstruction-associated-with-bph-in-patients-with-special-circumstances-and-or-complications
#20
A Descazeaud, G Robert, A de La Taille
INTRODUCTION: Medical or surgical treatment of lower urinary tract symptoms associated with the bladder obstruction due to BPH must take into account patient's comorbidities and tBPH complication. The objective is to review the different situations in order to optimize the treatment. METHODS: A review of the literature was conducted in English on the Pubmed website using the following keywords: BPH; diabetes; anticoagulants; antiplatelet agents; renal insufficiency; indwelling catheter; bladder calculus; urinary tract infection; hematuria; chronic bladder retention or diverticulum...
September 13, 2018: Progrès en Urologie
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