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Bladder retention

Shu-Yu Wu, Hann-Chorng Kuo
INTRODUCTION AND HYPOTHESIS: The suburethral sling procedure has been widely used as the first-line treatment for stress urinary incontinence (SUI) in women. Although the success rate is high, difficult urination and urine retention can occur in a small portion of patients. A transvaginal sling incision can solve this problem but recurrent SUI may occur. This study investigated the long-term outcomes of women who underwent the pubovaginal sling (PVS) procedure and subsequent transvaginal sling incision for urethral obstruction...
August 6, 2018: International Urogynecology Journal
Axelle Charavil, Aubert Agostini, Caroline Rambeaud, Andy Schmitt, Claire Tourette, Patrice Crochet
STUDY OBJECTIVE: To evaluate the feasibility of an en block salpingectomy at the time of vaginal hysterectomy for removal of Essure inserts. DESIGN: Prospective observational study (Canadian Task Force Classification II1) SETTING: Monocenter study at the Conception University Hospital Center, Marseille, France. PATIENTS: Women seeking removal of the Essure device and candidate for vaginal hysterectomy, from the 1st of January 2017 to the 31st of January 2018...
August 1, 2018: Journal of Minimally Invasive Gynecology
Ryuji Sakakibara
PURPOSE: Multiple sclerosis (MS), neuromyelitis optica (NMO), and related disorders are major immune-mediated central nervous system diseases affecting the spinal cord. We reviewed the occurrence of neurogenic lower urinary tract dysfunction (NLUTD) in these categories of diseases. METHODS: We systematically reviewed the literature regarding bladder dysfunction in MS, NMO spectrum disorder (NMOSD), and related disorders (acute disseminated encephalomyelitis, acute immune-mediated myelopathy, and meningitis-retention syndrome)...
August 3, 2018: Clinical Autonomic Research: Official Journal of the Clinical Autonomic Research Society
Ching Soong Khoo, Alyaa Hassan Ali, Rabani Remli, Hui Jan Tan
Guillain-Barré syndrome (GBS) is an acute immune-mediated demyelinating disease. Early recognition of this disease is crucial as it can progress to life-threatening conditions such as respiratory failure or autonomic dysfunction. Typical clinical manifestations of GBS include progressive weakness of the limbs, bulbar, facial muscles and ophthalmoplegia. Sensory level and bladder dysfunction are more suggestive of acute myelopathy. We report a case of GBS presenting with acute urinary retention and T6 sensory level, which was successfully treated with plasma exchange...
August 2018: Clinical Medicine: Journal of the Royal College of Physicians of London
Amy D Dobberfuhl, Amandeep Mahal, Kai B Dallas, Katherine M Choi, Craig V Comiter, Christopher S Elliott
PURPOSE: Sacral neuromodulation (SNS) is approved by the Food and Drug Administration as a third-line treatment for refractory overactive bladder, idiopathic urinary retention, and fecal incontinence. Prior to implantation of an implantable pulse generator, all patients undergo a trial phase to ensure symptom improvement. The published success rates of progression from the test phase to permanent implant vary widely (range, 24% to >90%). We sought to characterize success rates using a statewide registry...
July 27, 2018: Female Pelvic Medicine & Reconstructive Surgery
Sarabjot Kaur, Rohit Mehra
Groundwater samples have been collected from far-reaching locations in Solan and Shimla districts of Himachal Pradesh, India, and studied for uranium concentration using LED fluorimetry. In this region, uranium in groundwater varies from 0.12 to 19.43 μg L-1 . Radiological and chemical toxicity is accounted for different uranium isotopes. The average mortality risk for uranium isotopes 234 U, 235 U, and 238 U are 2.6 × 10-12 , 3.5 × 10-10 , and 5.9 × 10-8 , respectively. Similarly, the mean morbidity risk for 234 U, 235 U and 238 U are 4...
July 25, 2018: Environmental Geochemistry and Health
Manju Lata Verma, Vartika Tripathi, Uma Singh, Pushpa Lata Sankhwar
Acute retention of urine in pregnancy is an emergency, since it can lead to loss of pregnancy besides other dire complications. Gartner's abscess is an extremely rare cause for this condition. We present a case of a 23-year-old primigravida woman who presented to us at 24 weeks of pregnancy with acute retention of urine. After clinical and radiological evaluation, a large Gartner's abscess was found to be the cause. Per vaginal drainage of the abscess was not attempted because insertion of transvaginal probe was extremely painful for the patient, and the abscess was located high up in the anterior fornix...
July 24, 2018: BMJ Case Reports
L M Rapoport, N I Sorokin, R B Sukhanov, A M Dymov, D V Enikeev, D S Davydov, S P Danilov
INTRODUCTION: Some authors consider HoLEP a new gold standard for the surgical management of prostatic hyperplasia. The increasing utilization of holmium enucleation has led to the development of various modifications of this treatment modality, including the so-called enucleation as a single piece (HoLEP en bloc), which reduces the operative time and, according to some authors, facilitates acquiring new surgical technique by surgical trainees. AIM: To compare the effectiveness and safety of the traditional HoLEP and HoLEP en bloc...
July 2018: Urologii︠a︡
Luciano A Favorito
No abstract text is available yet for this article.
July 2018: International Braz J Urol: Official Journal of the Brazilian Society of Urology
Pengyu Guo, Wenting Shang, Li Peng, Lu Wang, Hongzhi Wang, Ziyu Han, Hongmei Jiang, Jie Tian, Kun Wang, Wanhai Xu
Single instillation (SI) reduces recurrence of non-muscle-invasive bladder cancer by chemoresecting floating tumor cells and residual tumor lesions (RTLs) after transurethral resection of the bladder, but with limited efficacy. Current studies improved this by prolonging retention time and increasing penetration to bladder wall, ignoring that the two separate factors should be treated in different ways. Here, we introduced a smart gel system-based SI to prevent re-implantation of tumor cells (RTCs) and ablate RTLs in a "divide-and-rule" approach...
July 2, 2018: Journal of Controlled Release: Official Journal of the Controlled Release Society
Giulia Reggiani, Damiano Pizzol, Daniele Trevisanuto, Mario Antunes
Abdominal distention and urinary retention are rare manifestations in newborns. The differential diagnosis of a female neonate presenting these signs, especially when combined, should include hydrocolpos due to imperforate hymen. The prognosis of imperforate hymen is generally good, although it can be associated with serious nephro-urologic and infectious complications. Early diagnosis and drainage of hydrocolpos allow prevention and/or improvement of these possible complications. In limited-resource settings, diagnostic imaging is more difficult to obtain, and, therefore, increased caution and an accurate physical exam with perineal inspection are essential...
July 2018: Oxford Medical Case Reports
Konstantinos Kotoulas, Chrysostomos Georgellis, Engkin Kigitzi, Apostolos Liappis, Marios Spounos, Vasiliki Tsalkidou, Emmanouil Patris
Gangrenous cystitis is an umbrella term encompassing conditions from necrosis of the mucosa and submucosa to necrosis of the entire bladder wall that can result in acute peritonitis. Timely diagnosis is challenging as the symptoms are nonspecific and resemble other conditions such as cystitis. We report a case of gangrenous cystitis in a 63-year-old woman who was diagnosed with peritonitis preoperatively by a CT scan of the abdomen. Overdistension of the bladder due to chronic urinary retention was the primary cause...
2018: Case Reports in Urology
N Berte, I Vrillon, O Larmure, V Gomola, C Ayav, C Mazeaud, J L Lemelle
INTRODUCTION: Congenital Lower Urinary Tract Obstructions (LUTO) is a heterogeneous group of diseases in which urine elimination is obstructed at the level of bladder neck or urethra. The aim of the study is to evaluate the long-term renal outcome of patients suffering of congenital LUTO. PATIENTS AND METHOD: We retrospectively reviewed patients with congenital LUTO. All patients had at least 1 year follow-up. Data on surgery, renal imaging and Schwartz estimate creatinine clearance were collected...
July 3, 2018: Progrès en Urologie
Francesca Kum, Adam Jones, Raj Nigam
INTRODUCTION: Multi-parametric MRI (MP-MRI) prior to prostate biopsy is the investigation of choice for an elevated age-related PSA and abnormal digital rectal examination. MP-MRI in combination with transperineal template mapping biopsy has facilitated the development of the concept of targeted biopsies, either cognitively or with software fusion. Urinary retention is a recognised complication of transperineal prostate biopsy, with reported incidence being 1.6-11.4%. We present patient and procedure-related factors, which influence occurrence of urinary retention after transperineal template biopsy...
July 4, 2018: World Journal of Urology
Mesut Polat, Mehmet Baki Şentürk, Çiğdem Pulatoğlu, Ozan Doğan, Çetin Kılıççı, Mehmet Şükrü Budak
Objective: Postpartum urinary retention means the absence of spontaneous micturition more than 6 hours after birth or when residual volume after urination is less than 150 cc. If neglected, postpartum urinary retention may result in bladder denervation and detrusor muscle weakness requiring intermittent catheterization or permanent micturition dysfunction. Our goal was to identify the possible risk factors for postpartum urinary retention. Materials and Methods: Five hundred sixty female subjects were included in this retrospective study...
June 2018: Turkish Journal of Obstetrics and Gynecology
Christine Ibilibor, James T Cammack
Necrotizing urethritis is a rare malady with only one other case reported in the literature found to be due to an infectious cause. We report a case of necrotizing urethritis caused by Candida glabrata and review all relevant literature to date. The patient is a 56-year-old man with a past medical history significant for poorly controlled insulin-dependent type 2 diabetes mellitus and incomplete bladder emptying who presented to the University Medical Center with perineal pain, fever, and urinary retention...
2018: Case Reports in Infectious Diseases
T Kawal, A K Srinivasan, J Chang, C Long, D Chu, A R Shukla
OBJECTIVE: Urinary retention following robotic-assisted laparoscopic extravesical ureteral reimplantation (RALUR) is proposed to be due to traction or injury of the pelvic parasympathetic nerve plexus during distal ureteral dissection. Nerve-sparing techniques have been employed to avoid injury to the pelvic plexus, either directly or indirectly. This single-center study assessed postoperative urinary retention rates after extravesical RALUR and investigated whether demographic or operative factors could predict this occurrence...
June 7, 2018: Journal of Pediatric Urology
A J Scott, S E Mason, A J Langdon, B Patel, E Mayer, K Moorthy, S Purkayastha
AIMS: Post-operative urinary retention (POUR) is a common cause of unplanned admission following day-case surgery and has negative effects on both patient and surgical institution. We aimed to prospectively evaluate potential risk factors for the development of POUR following day-case general surgical procedures. METHODS: Over a 24-week period, consecutive adult patients undergoing elective day-case general surgery at a single institution were prospectively recruited...
June 14, 2018: World Journal of Surgery
Louisa Ho, Edward Jones, Alexander Kavanagh
Inverted papilloma of the urinary tract is a rare benign lesion. A 59-year-old male who presented with the chief complaint of gross hematuria and acute urinary retention is described. Cystoscopy revealed a solitary, papillary tumor at the bladder neck. Transurethral resection was performed, and histological examination revealed a pathological diagnosis of inverted papilloma. Following resection, the patient was able to void without difficulty. This is an interesting case of acute urinary retention secondary to an inverted papilloma at the bladder neck causing intermittent outlet obstruction, and we review the literature on inverted papilloma of the bladder...
June 2018: Journal of Surgical Case Reports
Hui Guo, Faping Li, Weiguo Xu, Jinjin Chen, Yuchuan Hou, Chunxi Wang, Jianxun Ding, Xuesi Chen
Initially, chemotherapy is effective for treatment of bladder cancer after transurethral resection of the bladder. However, certain patients progressively become unresponsive after multiple treatment cycles, which results from the rapid and almost complete excretion of clinically used formulations of antineoplastic agents with urinary voiding. Improving the mucoadhesiveness and penetrability of chemotherapeutic drugs are key factors in treatment of advanced bladder cancer. Here, a smart disulfide-crosslinked polypeptide nanogel of poly(l-lysine)-poly(l-phenylalanine- co -l-cystine) (PLL-P(LP- co -LC)) is developed to deliver 10-hydroxycamptothecin (HCPT) for treatment of orthotopic bladder cancer...
June 2018: Advanced Science (Weinheim, Baden-Wurttemberg, Germany)
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