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Urinary retention far

Jamshaid Iqbal, Jumanah Al-Rashed, Elijah O Kehinde
BACKGROUND: Despite a worldwide common and progressive nature of benign prostate hyperplasia (BPH) in older men, no association has been observed between a causative pathogen and other etiology so far. METHODS: In this study, we investigated a causative association of Trichomonas vaginalis, a flagellate protozoan parasite, in 171 BPH cases presenting without symptoms of prostatitis at a surgical outpatient clinic in Kuwait. We detected T. vaginalis DNA by polymerase chain reaction (PCR) and T...
2016: BMC Infectious Diseases
Kathryn Griffin Cunningham, O Lenaine Westney
INTRODUCTION: Sacral chordoma is a rare malignant tumor arising from remnants of the notochord. Due to its propensity for recurrence, the treatment of choice is surgical resection. Orthopedic and neurosurgical literature describe bladder dysfunction as prevalent in these patients, specifically urinary incontinence, however urologic literature is lacking in the exact nature of this dysfunction. Thus far, Sacral Nerve Stimulation (SNS) has not been described as a treatment option for these patients...
June 13, 2016: Neuromodulation: Journal of the International Neuromodulation Society
A Bouty, Y Lefevre, L Harper, E Dobremez
INTRODUCTION: Urethral duplication is extremely rare in girls, with less than 40 cases reported so far. Most of them present as a prepubic sinus. Literature is scare regarding aetiology, classification and management in other forms. This study presents three cases of sagittal urethral duplication in girls presenting a main hypospadiac urethra and an accessory epispadiac urethra. PATIENTS AND METHODS: Medical records were retrospectively reviewed of three girls with urethral duplication managed over a 30-year period at a single institution...
August 2016: Journal of Pediatric Urology
Hsin-Hsiao S Wang, Rohit Tejwani, Glenn M Cannon, Patricio C Gargollo, John S Wiener, Jonathan C Routh
INTRODUCTION: Open ureteroneocystostomy (UNC) is the gold standard for surgical correction of vesicoureteral reflux (VUR). Beyond single-center reports, there are few published data on outcomes of minimally-invasive (MIS) UNC. Our objective was to compare postoperative outcomes of open and MIS UNC using national, population-level data. METHOD: We reviewed the 1998-2012 Nationwide Inpatient Sample to identify pediatric (≤18 years) VUR patients who underwent either open or MIS UNC...
August 2016: Journal of Pediatric Urology
Dimitrios Basoulis, Maria Mylona, Pantelis Toskas, Dimitris Tsilingiris, Christina Fytili
Meningitis-retention syndrome (MRS) is a clinical entity that has recently appeared in the literature. We present the case of a 22-year-old man with fever and headache who, in the course of his hospitalization with a diagnosis of aseptic meningitis, developed acute urinary retention. Fewer than 30 such cases have been described and in several of them, no clear associations with other disorders have been made. In some cases, direct association with viral infection has been proved, and in others, there are indications of an underlying demyelinating condition...
September 2015: International Neurourology Journal
Huy-Hoang Nguyen, Antje Eiden-Plach, Frank Hannemann, Ewa M Malunowicz, Michaela F Hartmann, Stefan A Wudy, Rita Bernhardt
Congenital adrenal hyperplasia (CAH) is an autosomal recessive inherited disorder of steroidogenesis. Steroid 11β-hydroxylase deficiency (11β-OHD) due to mutations in the CYP11B1 gene is the second most common form of CAH. In this study, 6 patients suffering from CAH were diagnosed with 11β-OHD using urinary GC-MS steroid metabolomics analysis. The molecular basis of the disorder was investigated by molecular genetic analysis of the CYP11B1 gene, functional characterization of splicing and missense mutations, and analysis of the missense mutations in a computer model of CYP11B1...
January 2016: Journal of Steroid Biochemistry and Molecular Biology
Zachary Binder, Kathryn Iwata, Michael Mojica, Howard B Ginsburg, Justin Henning, Naomi Strubel, Philip Kahn
BACKGROUND: Acute urinary retention (AUR) is a rare diagnosis both in pediatric and adult female populations, especially when compared to adult males. AUR occurs in women at a rate of 7 in 100,000 per year in a 1:13 female to male ratio. Multiple studies have shown that within the pediatric population AUR is far less common in females and is caused by different pathologies than AUR in adult women. CASE REPORT: We report the case of an 11 year-old prepubescent female who presented to the emergency department with acute urinary retention found to be caused by a mature cystic ovarian teratoma...
November 2015: Journal of Emergency Medicine
William Kondo, Reitan Ribeiro, Monica Tessmann Zomer, Renata Hayashi
STUDY OBJECTIVE: To demonstrate the technique of laparoscopic double discoid resection with a circular stapler for bowel endometriosis. DESIGN: Case report (Canadian Task Force classification III). SETTING: Private hospital in Curitiba, Paraná, Brazil. PATIENT: A 33-year-old woman was referred to our service complaining about cyclic dysmenorrhea, dyspareunia, chronic pelvic pain, and cyclic dyschezia. Transvaginal ultrasound with bowel preparation showed a 6-cm endometriotic nodule at the retrocervical area, uterosacral ligaments, posterior vaginal fornix, and anterior rectal wall, infiltrating up to the submucosa, 5 cm far from the anal verge...
September 2015: Journal of Minimally Invasive Gynecology
Erin Bresnahan, Andrew Bates, Andrew Wu, Mark Reiner, Brian Jacob
BACKGROUND: The use of self-gripping mesh during laparoscopic TEP inguinal hernia repairs may eliminate the need for any additional fixation, and thus reduce post-operative pain without the added concern for mesh migration. Long-term outcomes are not yet prospectively studied in a controlled fashion. METHODS: Under IRB approval, from January 2011-April 2013, 91 hernias were repaired laparoscopically with self-gripping mesh without additional fixation. Patients were followed for at least 1 year...
September 2015: Surgical Endoscopy
Alhafidz Hamdan, Rajeev Padmanabhan
BACKGROUND CONTEXT: Spinal dural arteriovenous fistulas (AVFs) are acquired lesions presenting typically with neurologic deficits secondary to chronic congestive myelopathy. The low-flow and low-volume nature of these lesions makes hemorrhage very unlikely, and intramedullary hemorrhage caused by thoracolumbar dural AVFs is exceedingly rare. PURPOSE: The purpose of this study was to report a case of intramedullary hemorrhage caused by a thoracolumbar dural AVF. STUDY DESIGN/SETTING: The study design included a case report and review of literature...
February 1, 2015: Spine Journal: Official Journal of the North American Spine Society
Julijana Vuchkova, Maria Koltun, Kerryn Greive, Wayne D Comper
Albuminuria in nephrotic states is thought to arise from the formation of large pores in the glomerular capillary wall as large hydrodynamic probes, like Ficoll, have increased fractional clearance. In the present study, we tested for large pore formation in a novel manner. We accounted for the rates of plasma elimination as determined for tritium-labeled tracers of uncharged polydisperse Ficoll (radii range: 35-85 Å) and two globular (14)C-labeled proteins, albumin (radius: 36 Å) and IgG (radius: 55 Å), in control and puromycin aminonucleoside nephrotic (PAN) Sprague-Dawley rats...
September 1, 2014: American Journal of Physiology. Renal Physiology
Rajiv Mahendru
OBJECTIVE: Considering the great variety of techniques and disagreement about the ideal route, there is a need for a safe, simple and effective method for the management of apical prolapse. MATERIAL AND METHODS: Twenty seven cases of post- hysterectomy vault prolapse (twenty four following vaginal and three after total abdominal hysterectomy) were treated surgically by anterior abdominal wall colpopexy with autogenous rectus fascia strips. RESULT: Except for minor complaints like- vomiting, fever and urinary retention in 3...
2010: Journal of the Turkish German Gynecological Association
I E Gorgun, I Emre Gorgun, Erman Aytac, Meagan M Costedio, Hasan H Erem, Michael A Valente, Luca Stocchi
BACKGROUND: Large polyps and early carcinomas of the rectum may be excised with transanal endoscopic surgery (TES). Single-port techniques are emerging in the field of colorectal surgery and have been adapted to many colorectal procedures so far. In this article, we aimed to present our initial experience with TES using a single access port with its technical details. PATIENTS AND METHODS: Patients undergoing TES using a single access port between July 2010 and January 2013 were included in the study...
March 2014: Surgical Endoscopy
Carolina Staut Pinhal, Agnes Lopes, Daniele Bráz Torres, Sergio Luis Felisbino, José Antônio Rocha Gontijo, Patrícia Aline Boer
BACKGROUND: Evidence is emerging that highlights the far-reaching consequences of a high-fat diet (HFD) on kidney morphology and function disorders. METHODS: The present study was performed on 3-, 5-, 7- and 9-week-old HFD female rats compared with the appropriate gender and age-matched animals. We evaluated the kidney expression of angiotensin type II receptor and fibrotic and epithelial-to-mesenchymal transition (EMT) markers, by immunoblotting and immunohistochemical and histological techniques, in parallel with kidney function...
October 2013: Nephrology, Dialysis, Transplantation
Ernst Hund
Transthyretin familial amyloid polyneuropathy (TTR-FAP) is a fatal clinical disorder characterized by extracellular deposition of abnormal fibrils derived from misfolded, normally soluble transthyretin (TTR) molecules. The disease is most commonly caused by a point mutation within the TTR gene inherited in an autosomal dominant fashion. Over 100 of such mutations have been identified, leading to destabilization of the physiological TTR tetramer. As a result, many monomers originate with a tendency for spontaneous conformational changes and self-aggregation...
2012: Application of Clinical Genetics
B Ali-El-Dein, A Mosbah, Y Osman, N El-Tabey, M Abdel-Latif, I Eraky, A A Shaaban
PURPOSE: To prospectively present the technique, functional and oncological outcome of internal genitalia sparing cystectomy for bladder cancer in 15 selected women. PATIENTS AND METHODS: Between January 1995 and December 2010, 305 women underwent orthotopic neobladder after radical cystectomy. Of these, 15 cases with a mean age of 42 years underwent genitalia sparing. Inclusion criteria included stage (T2b N0 Mo or less, as assessed preoperatively, unifocal tumors away from the trigone, sexually active young women and internal genitalia free of tumor...
April 2013: European Journal of Surgical Oncology
Christine M Chu, Lisa Dabney, Anne Hardart
CASE: We present a case of a symptomatic uterine leiomyoma presenting with recurrent urinary retention that was conservatively managed with a gonadotropin-releasing hormone agonist. As far as we know, this is the first reported case of a successful treatment by gonadotropin-releasing hormone agonist. We also compare other approaches to treatment of urinary retention secondary to uterine leiomyoma found in literature. CONCLUSION: Gonadotropin-releasing hormone agonists can be offered to the patient as a potential, successful nonsurgical option in select cases...
January 2013: Female Pelvic Medicine & Reconstructive Surgery
Jyothi Padavala, Amin Abdelmagied, Simon Emery
Myomatous erythrocytosis syndrome is polycythaemia associated with uterine leiomyoma, a rare condition known for over five decades with unclear aetiology. The present case is a 51-year-old Caucasian woman who presented with urinary retention and anaemia secondary to multiple uterine fibroids and menorrhagia 5 years following uterine artery embolisation. She opted for abdominal hysterectomy but preoperatively was found to be polycythaemic with haemoglobin of 23 g% and raised serum erythropoietin requiring serial venesections...
2010: BMJ Case Reports
Bernardo Rocco, Gabriele Cozzi, Matteo G Spinelli, Rafael F Coelho, Vipul R Patel, Ashutosh Tewari, Peter Wiklund, Markus Graefen, Alex Mottrie, Franco Gaboardi, Inderbir S Gill, Francesco Montorsi, Walter Artibani, Francesco Rocco
CONTEXT: In 2001, Rocco et al. described a surgical technique whose aim was the reconstruction of the posterior musculofascial plate after radical prostatectomy (RP) to improve early return to urinary continence. Since then, many surgeons have applied this technique-either as it was described or with some modification-to open, laparoscopic, and robot-assisted RP. OBJECTIVE: To review the outcomes reported in comparative studies analysing the influence of reconstruction of the posterior aspect of the rhabdosphincter after RP...
November 2012: European Urology
Andrew Thomson
INTRODUCTION: Benign prostatic hyperplasia (BPH) is a common condition affecting older men. Bothersome symptoms can progress to serious complications such as acute urinary retention (AUR) requiring surgical intervention. Dutasteride, a dual 5-alfa-reductase (5AR) inhibitor (5ARI), is a recently introduced therapy for the treatment of BPH. AIMS: The objective of this article is to review the evidence for the treatment of BPH with dutasteride. EVIDENCE REVIEW: Evidence from large clinical studies shows that men with an enlarged prostate achieve a measurable decrease in prostate volume by up to 26% after 4 years of treatment with dutasteride and urinary symptoms improve after 6 months of treatment...
2005: Core Evidence
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