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Elderly with urinary obstruction

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https://www.readbyqxmd.com/read/27582609/medical-and-surgical-treatment-modalities-for-lower-urinary-tract-symptoms-in-the-male-patient-secondary-to-benign-prostatic-hyperplasia-a-review
#1
REVIEW
Matthew Ryan Macey, Mathew C Raynor
Benign prostatic hyperplasia (BPH) with lower urinary tract symptoms (LUTS) is one of the most common ailments affecting aging men. Symptoms typically associated with BPH include weak stream, hesitancy, urgency, frequency, and nocturia. More serious complications of BPH include urinary retention, gross hematuria, bladder calculi, recurrent urinary tract infection, obstructive uropathy, and renal failure. Evaluation of BPH includes a detailed history, objective assessment of urinary symptoms with validated questionnaires, and measurement of bladder function parameters, including uroflowmetry and postvoid residual...
September 2016: Seminars in Interventional Radiology
https://www.readbyqxmd.com/read/27440812/pseudotuberculous-granulomatous-pyelitis-report-of-a-case
#2
Zitong Zhao, Rui Ming Ong, Chin Hong Goh, Hwai Liang Loh
We report a case of pseudotuberculous granulomatous pyelitis in an elderly female patient with hydronephrotic right kidney secondary to obstructing urinary stone. Pseudotuberculous granulomatous pyelitis is a rarely reported entity, characterized by severe granulomatous inflammation limited predominantly to the renal pelvis. It is associated with urinary (pelvicalyceal) obstruction, urolithiasis well as non-Mycobacterial urinary tract infection.
July 19, 2016: International Journal of Surgical Pathology
https://www.readbyqxmd.com/read/27349525/nocturia-other-lower-urinary-tract-symptoms-luts-and-sleep-dysfunction-in-a-community-dwelling-cohort-of-men
#3
Sean A Martin, Sarah L Appleton, Robert J Adams, Anne W Taylor, Peter G Catcheside, Andrew Vakulin, R Douglas McEvoy, Nick A Antic, Gary A Wittert
OBJECTIVES: To examine the influence of obstructive sleep apnea (OSA) on nocturia, controlling for their shared co-morbidities, in a population of community-based middle aged to elderly men. METHODS: Participants were drawn from a randomly-selected, community-dwelling cohort of men in Adelaide, Australia. 708 men (mean:60.7 [41.6-88.2] years) who had PSG recordings, complete LUTS measures (IPSS), without prostate or bladder cancer and/or surgery, and no prior OSA diagnosis were selected...
June 24, 2016: Urology
https://www.readbyqxmd.com/read/27337839/-how-i-treat-a-renal-colic
#4
O Lavergne, Q Bonnet, A Thomas, D Waltregny
Renal colic (RC) represents nearly 2% of emergency department admissions. RC is defined by the occurrence of back pain which may radiate towards the abdomen and external genitals. In adults, the obstruction is caused by a urinary stone in 80% of cases. The 20 % of non-stone related RCs are due either to an intrinsic obstruction (pyeloureteral junction stenosis, ureteral tumor, ...) or an extrinsic compression (pelvic tumor, lymphadenopathy ...). In over 90% of cases, an RC does not require hospitalization and is treated with medication...
May 2016: Revue Médicale de Liège
https://www.readbyqxmd.com/read/27330314/fast-track-surgery-protocol-in-elderly-patients-undergoing-laparoscopic-radical-gastrectomy-for-gastric-cancer-a-randomized-controlled-trial
#5
Guozheng Liu, Fengguo Jian, Xiuqin Wang, Lin Chen
AIM: To study the efficacy of the fast-track surgery (FTS) program combined with laparoscopic radical gastrectomy for elderly gastric cancer (GC) patients. METHODS: Eighty-four elderly patients diagnosed with GC between September 2014 and August 2015 were recruited to participate in this study and were divided into four groups randomly based on the random number table as follows: FTS + laparoscopic group (Group A, n=21), FTS + laparotomy group (Group B, n=21), conventional perioperative care (CC) + laparoscopic group (Group C, n=21), and CC + laparotomy group (Group D, n=21)...
2016: OncoTargets and Therapy
https://www.readbyqxmd.com/read/27215514/-therapy-of-both-surgical-and-non-surgical-related-complication-of-gastric-cancer-for-the-elderly
#6
Yong Li, Jiabin Zheng
Gastric cancer is one of the most common digestive malignant tumors. More and more elderly gastric cancer patients are diagnosed and need to undergo surgical treatment as the population ages. Since the elderly patients decrease in organ function and increase in internal diseases, the tolerance to anesthesia and surgery is poor. As a result, the incidence of surgical and postoperative complications is obviously higher. Complications can be divided into surgical complications and non-surgical related complications...
May 2016: Zhonghua Wei Chang Wai Ke za Zhi, Chinese Journal of Gastrointestinal Surgery
https://www.readbyqxmd.com/read/27108102/-prevalence-and-initial-management-of-overactive-bladder-in-france-a-cross-sectional-study
#7
J-N Cornu, G Amarenco, F Bruyere, E Chartier-Kastler, B Fatton, P Grise, F Haab, R Bourouina
AIMS: To determine the prevalence of overactive bladder (OAB) syndrome in France and gather data about initial patient trajectories in the healthcare system. METHODS: A dedicated questionnaire (41 questions) has been sent to a 12,000 sample of people representative of the global population. The following data were investigated: social and demographic features, medical history, Urinary Symptom Profile questionnaire, bother, history of symptoms, care seeking and treatments received...
June 2016: Progrès en Urologie
https://www.readbyqxmd.com/read/27011586/left-sided-appendicitis-in-an-elderly-patient-with-midgut-malrotation
#8
Pei Wen Chuang, Bo-Ming Huang, Chung Hsien Liu, Chien-Chin Chen, Ming-Jen Tsai
Appendicitis is a common surgical abdominal disease with various presentations. Its diagnosis may be obscured by asymptomatic congenital anatomical anomalies like midgut malrotation. Midgut malrotation is a rare fetal anomaly resulting from incomplete or failure of midgut rotation and fixation. It is mostly presented with bowel obstruction or volvulus in early life. Presentation in adult is rare. Here, we report an elderly patient presented with left lower abdominal pain and urinary tract infection. Abdominal computed tomography revealed left-sided appendicitis with non-rotational-type midgut malrotation...
December 2015: Indian Journal of Surgery
https://www.readbyqxmd.com/read/26916046/-multimorbidity-in-urology
#9
A Wiedemann, I Füsgen
As people age, they increasingly experience multimorbidity, especially regarding urological conditions. Multimorbidity in elderly patients frequently includes urinary incontinence and subvesical obstruction. While urinary incontinence is often directly associated with other existing diseases or polymedication, subvesical obstruction may be unrelated to other morbidities. Subvesical obstruction often requires polymedication and is therefore a noteworthy condition in urological diagnostics and treatment. First and foremost, a focused diagnostic investigation must be performed, which then enables a systematic therapeutic approach...
February 2016: Aktuelle Urologie
https://www.readbyqxmd.com/read/26916045/-urosepsis-in-geriatric-patients
#10
H J Heppner, F Yapan, A Wiedemann
Due to the demographic shift, increasing numbers of geriatric patients are admitted to acute care hospitals of all levels of care. This means that special challenges must be met in the medical care and management of these patients.Immunosenescence and multimorbidity make elderly patients vulnerable to infectious diseases. Urinary tract infections range from "simple" cystitis to pyelonephritis and urosepsis and, at 25%, are the second most common form of infection in geriatric patients. It is often difficult to make a diagnosis because typical symptoms do not always occur...
February 2016: Aktuelle Urologie
https://www.readbyqxmd.com/read/26844777/renal-biopsy-in-2015-from-epidemiology-to-evidence-based-indications
#11
Marco Fiorentino, Davide Bolignano, Vladimir Tesar, Anna Pisano, Wim Van Biesen, Graziella D'Arrigo, Giovanni Tripepi, Loreto Gesualdo
BACKGROUND: Although the number of patients reaching end-stage kidney disease without a biopsy-proven diagnosis is increasing, the utility of renal biopsy is still an object of debate. We analyzed epidemiological data and the main indications for renal biopsy with a systematic, evidence-based review at current literature. SUMMARY: There is a high discrepancy observed in biopsy rates and in the epidemiology of glomerular diseases worldwide, related to the different time frame of the analyzed reports, lack of data collection, the different reference source population and the heterogeneity of indications...
2016: American Journal of Nephrology
https://www.readbyqxmd.com/read/26792064/luts-in-pelvic-ischemia-a-new-concept-in-voiding-dysfunction
#12
Portia Thurmond, Jing-Hua Yang, Kazem M Azadzoi
Lower urinary tract symptoms (LUTS) are a group of voiding symptoms affecting both genders as they age. Traditionally, LUTS in men were commonly attributed to bladder outlet obstruction (BOO) due to benign prostatic enlargement. It was later shown that, in approximately one third to more than one half cases, LUTS in men are not associated with BOO. Urodynamic changes in the male bladder and symptom scores in the aging men were found to be identical to their age-matched female counterparts. These observations suggested that LUTS in the elderly do not necessarily relate to BOO and may result from local changes in bladder wall...
January 20, 2016: American Journal of Physiology. Renal Physiology
https://www.readbyqxmd.com/read/26675028/small-bowel-carcinoids-a-single-surgeon-s-experience-in-southern-india
#13
Sreevathsa Maddibande Ramachar, Nishchit Hegde
INTRODUCTION: Small bowel carcinoid tumours are indolent neuroendocrine tumours usually seen in the 6(th) and 7(th) decades. Most often, they are silent with non-specific symptoms. They generate serotonin, provoking a desmoplastic reaction in the mesentery leading to bowel ischemia and obstruction. While CECT abdomen can help raise suspicion and show regional spread, elevated 24-hour urinary 5-HIAA levels, histopathology and immunohistochemistry for Chromogranin A are confirmatory. AIM: To analyse a single surgeon's experience of clinical features and diagnosis of carcinoid tumours of the small intestine...
November 2015: Journal of Clinical and Diagnostic Research: JCDR
https://www.readbyqxmd.com/read/26351597/purple-urine-bag-syndrome-in-two-elderly-men-with-urinary-tract-infection
#14
Jan Van Keer, Daan Detroyer, Bert Bammens
Purple urine bag syndrome is a rare condition in which purple discoloration of urine inside its collection bag occurs. We describe two illustrative cases. The first patient is an 81-year-old man who was hospitalized for a newly diagnosed lymphoma with acute obstructive renal failure for which a nephrostomy procedure was performed. During the hospitalization, a sudden purple discoloration of the suprapubic catheter urine was noted, while the nephrostomy urine had a normal color. Urine culture from the suprapubic catheter was positive for Pseudomonas aeruginosa and Enterococcus faecalis; urine from the nephrostomy was sterile...
2015: Case Reports in Nephrology
https://www.readbyqxmd.com/read/26245947/morbidities-after-closure-of-ileostomy-analysis-of-risk-factors
#15
Vivian Chi Mei Man, Hok Kwok Choi, Wai Lun Law, Dominic Chi Chung Foo
PURPOSE: Low anterior resection is commonly performed for carcinoma of the distal rectum. Diverting ileostomy has been used to decrease the septic consequence of anastomotic leakage and to reduce the re-operation rate. Nevertheless, subsequent closure of ileostomy can be associated with considerable morbidities. This study aimed to evaluate the morbidities after closure of ileostomy and to identify possible risk factors associated with the morbidities. METHODS: Data of patients who underwent closure of ileostomy, after a previous low anterior resection and defunctioning ileostomy for rectal cancer, was reviewed retrospectively...
January 2016: International Journal of Colorectal Disease
https://www.readbyqxmd.com/read/26224134/clinical-outcomes-of-hydronephrosis-in-patients-with-systemic-lupus-erythematosus
#16
Seokchan Hong, Yong-Gil Kim, Soo Min Ahn, Seung-Hyeon Bae, Doo-Ho Lim, Jeong Kon Kim, Chang-Keun Lee, Bin Yoo
AIM: Hydronephrosis is a rare complication of systemic lupus erythematosus (SLE). Bladder and/or gastrointestinal involvement in SLE are associated with development of hydronephrosis, but the management and treatment outcomes of hydronephrosis are largely unknown. Therefore, we investigated the clinical manifestations and factors associated with the treatment response in patients with SLE complicated by hydronephrosis. METHOD: A retrospective analysis was performed of all 634 SLE patients who underwent computed tomography and/or ultrasonography between January 1998 and December 2013...
July 29, 2015: International Journal of Rheumatic Diseases
https://www.readbyqxmd.com/read/26073220/-consensus-document-on-overactive-bladder-in-older-patients
#17
Carlos Verdejo-Bravo, Francisco Brenes-Bermúdez, Maria Victoria Valverde-Moyar, Antonio Alcántara-Montero, Noemí Pérez-León
Overactive nladder (OAB) is a clinical entity with a high prevalence in the population, having a high impact on quality of life, especially when it occurs with urge urinary incontinence. It is very important to highlight the low rate of consultation of this condition by the older population. This appears to depend on several factors (educational, cultural, professional), and thus leads to the low percentage of older patients who receive appropriate treatment and, on the other hand, a large percentage of older patients with a significant deterioration in their quality of life...
September 2015: Revista Española de Geriatría y Gerontología
https://www.readbyqxmd.com/read/26000866/bladder-function-in-obstructed-men-does-age-matter
#18
Fabricio Beltrame, Fabrizzio Beltrame, Fabio Thadeu Ferreira, Fabio Lorenzetti, Mara Dambros, Sergio Bisogni, Miriam Dambros
AIM: The high prevalence of diseases and disabilities in the elderly will therefore impose major future challenges for governments, particularly in social security, health system and social care. METHODS: Nine hundred and seventy-one men, 40 years or older referred for low urinary tract symptoms (LUTS) evaluation who underwent full urodynamic investigation, were reviewed. Urodynamic parameters were obtained, such as Uroflowmetry, those of Filling Cystometry and those of pressure flow study (PFS)...
2015: Aging Male: the Official Journal of the International Society for the Study of the Aging Male
https://www.readbyqxmd.com/read/25995668/a-comparison-of-the-clinical-characteristics-of-elderly-and-non-elderly-women-with-community-onset-non-obstructive-acute-pyelonephritis
#19
COMPARATIVE STUDY
U-Im Chang, Hyung Wook Kim, Yong-sun Noh, Seong-Heon Wie
BACKGROUND/AIMS: Acute pyelonephritis (APN) is the most common cause of community-onset bacteremia in hospitalized elderly patients. The objectives of this study were to investigate the differences in the clinical and microbiological data of hospitalized elderly and non-elderly women with community-onset APN. METHODS: Women with community-onset APN as a discharge diagnosis were identified from January 2004 to December 2013 using an electronic medical records system...
May 2015: Korean Journal of Internal Medicine
https://www.readbyqxmd.com/read/25956819/vapoenucleation-of-the-prostate-using-a-high-power-thulium-laser-a-one-year-follow-up-study
#20
RANDOMIZED CONTROLLED TRIAL
Ching-Hsin Chang, Tzu-Ping Lin, Yen-Hwa Chang, William J S Huang, Alex T L Lin, Kuang-Kuo Chen
BACKGROUND: Prostate vaporization and enucleation is a novel treatment option for bladder outlet obstruction caused by benign prostate enlargement. This surgical technique, however, has not yet been standardized. We present our findings of using a high-power thulium laser to accomplish vapoenucleation of the prostate (ThuVEP). METHODS: We prospectively collected and analyzed data from 29 patients who underwent ThuVEP between August 2010 and May 2012. The control group included 30 patients who underwent traditional transurethral resection of the prostate (TURP)...
2015: BMC Urology
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