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UTI in gynecology patient

Carlos Gustavo Trujillo, Cristina Domínguez, Daniela Robledo, Juan Ignacio Caicedo, Alejandra Bravo-Balado, Juan Guillermo Cataño, Natalia Cortés, Lina Parra, Wilson Riaño, Eduardo Londoño-Schimmer, Jorge Otero, Gabriel Herrera, Fernando Arias, Mauricio Plata
BACKGROUND: Cytoreductive surgery and hyperthermic intraperitoneal chemotherapy (CRS-HIPEC) is associated with significant manipulation of the urinary tract (UT). We aim to describe the urological events and their management in patients who underwent CRS-HIPEC. METHODS: Clinical records of patients who underwent treatment between 2007 and 2015 were reviewed. Urological events and their multidisciplinary management were analyzed. Descriptive statistics were calculated...
February 23, 2018: Acta Chirurgica Belgica
Beatriz Escobar-Padilla, Limberg Darinel Gordillo-Lara, Horacio Martínez-Puon
BACKGROUND: Preterm birth is one of the biggest problems in obstetrics and gynecology, given that it has an incidence of 10-11%. The objective was to identify the risk factors associated with a preterm birth. METHODS: A retrospective, observational, transversal and analytic case-control study was made. All premature birth incidences were determined as study objects and controls were integrated with term deliveries. A sample size of 344 patients with a control per case was calculated...
July 2017: Revista Médica del Instituto Mexicano del Seguro Social
N Gabunia, Iv Rodionov, T Chigogidze
Congenital renal malformations are the most common congenital malformations in humans, the most common being horseshoe kidney with joined lower poles present in up to 0.25% of general population. To the contrary renal fusions with ectopia are amongst the rare malformations affecting 1 in 2000 examined cadavers. Males are affected slightly more often then females (3:2), left to right crosses being more frequent. The value of early diagnosis of asymptomatic renal malformation is uncertain, except when other abnormalities might point to them and they can affect the clinical management strategy (severe ear deformity with facial malformation, gynecological abnormalities)...
July 2016: Georgian Medical News
Muniqui S Capett, Patricia Vollú-Silva, Vanessa A Melchiades, Luciana C Bokehi, Fernanda M Araújo, Ianick Souto Martins, Felipe P G Neves, Alice G M Gonzalez, Eric Oswald, Geraldo R de Paula, Lenise A Teixeira
The objective of this work was to assess the genetic characteristics of uropathogenic Escherichia coli, ciprofloxacin resistance or susceptibility, obtained from patients with gynecological cancer and urinary tract infection (UTI). Seventy-seven E. coli ciprofloxacin-resistant isolates and 38 ciprofloxacin-susceptible were analyzed by polymerase chain reaction (PCR) to determine the phylogenetic groups, virulence factors as iucC, fyuA, hlyC, cnf1 genes, and pks pathogenicity island. The presence of genes related to ciprofloxacin resistance such as qnrA, qnrB, qnrS, aac(6')-Ib-cr, and qepA, and the sequencing of DNA gyrase genes and topoisomerase IV were determined...
November 2016: Current Microbiology
Andrew J Cohen, Vignesh T Packiam, Charles U Nottingham, Blake D Alberts, Sarah F Faris, Gregory T Bales
OBJECTIVE: To determine 30-day complications, risk of readmission, and reoperation for midurethral slings (MUS). METHODS: The National Surgical Quality Improvement Program database from 2006 to 2013 was queried for MUS alone by excluding concurrent reconstructive, urologic, or gynecologic procedures. We assessed baseline characteristics, 30-day perioperative outcomes and 30-day readmission. Logistic regression analysis identified risk factors for the frequent complications...
September 2016: Urology
Carlos A Medina, Elisabetta Costantini, Eckhard Petri, Sherif Mourad, Ajay Singla, Silvia Rodríguez-Colorado, Oscar Contreras Ortiz, Stergios K Doumouchtsis
AIMS: To review available evidence regarding evaluation and treatment of stress urinary incontinence (SUI) and provide recommendations for management of urinary incontinence under specific conditions determined by the International Federation of Gynecology and Obstetrics (FIGO) Working Group. METHODS: The FIGO Working Group discussed the management of SUI during meetings and assessed the evidence. The search of evidence was performed using MEDLINE® and Cochrane databases as well as additional searches from societies and major organizations for additional guidelines and recommendations and hand searches from bibliographies...
February 2017: Neurourology and Urodynamics
C Lowell Parsons
BACKGROUND: Interstitial cystitis (IC) does not start as an endstage disease, it has a beginning when symptoms are milder, intermittent and the disease is misdiagnosed. To determine how IC develops patients were interviewed on when their symptoms began, what they were and are now as well as the various diagnoses that they received before they were determined to have IC. METHODS: One hundred female IC patients were screened. They filled out a questionnaire asking about the age their disease presented, their initial and current symptoms, what their original diagnoses were, effect of the menstrual cycle and sexual activity on their symptoms and about any relatives with bladder symptoms or a current diagnosis of IC...
December 2015: Translational Andrology and Urology
Pei Liu, Xin Wu, Yu-ze Zhu, Qi Tang, Dong Fang, Xue-song Li, Jin-rui Hao, Li-qun Zhou
OBJECTIVE: To investigate the efficacy of ileal ureteric replacement in the treatment of iatrogenic long segment ureteric injuries. METHODS: The hospital records of 9 cases with iatrogenic long segment ureteric injuries during Aug. 2010 to Sept. 2014 treated with ileal ureteric replacement were retrospectively reviewed and followed-up postoperatively. The patients included 3 males and 6 females with a median age of 40 years. The length of injury segment was 13-25 cm (median 20 cm)...
August 18, 2015: Beijing da Xue Xue Bao. Yi Xue Ban, Journal of Peking University. Health Sciences
Lauren C Riney, Jennifer L Reed, Laura L Kruger, Alan J Brody, Wendy J Pomerantz
Abdominal pain is one of the most common complaints in the pediatric ED. Because of the broad range of potential diagnoses, it can pose challenges in diagnosis and therapy in the preadolescent girl. An 11-year-old previously healthy girl presented to our pediatric ED with fever, decreased appetite, vaginal bleeding, and abdominal pain. Initial evaluation yielded elevated creatinine levels, leukocytosis with bandemia, elevated inflammatory markers, and urine concerning for a urinary tract infection. She began receiving antibiotics for presumed pyelonephritis and was admitted to the hospital...
November 2015: Annals of Emergency Medicine
Tatiana Catanzarite, Sujata Saha, Matthew A Pilecki, John Y S Kim, Magdy P Milad
STUDY OBJECTIVE: The relationship between operative time and perioperative morbidity has not been fully characterized in gynecology. We aimed to determine the impact of operative time on 30-day perioperative complications after laparoscopic and robotic hysterectomy. DESIGN: Patients undergoing laparoscopic and robotic hysterectomy for benign disease from 2006 to 2011 within the National Surgical Quality Improvement Program (NSQIP) database were identified by Current Procedural Terminology code...
September 2015: Journal of Minimally Invasive Gynecology
N R Shapla, M A Islam, S M Shahida, Z Parveen, Y S Lipe
This observational study was carried out to identify the various types of high risk pregnancy and to determine the maternal and foetal outcome. The study was carried out on 206 pregnant high risk women in the Gynecology and Obstetrics department of Border Guard Hospital, Dhaka from January 2012 to December 2012. During mentioned period among 598 pregnant women 206 high risk pregnancy cases were randomly selected. Pregnant women (gestational age from 34 weeks upto 40 weeks) having medical condition and pregnancy related high risk factors were included and uncomplicated pregnancy, pregnancy before 37 weeks, post dated pregnancy were excluded from this study...
April 2015: Mymensingh Medical Journal: MMJ
Linda Brubaker, Alan J Wolfe
Emerging evidence challenges the long-held paradigm that the healthy bladder is sterile. These discoveries may provide new opportunities to address important women's health conditions, which include preterm labor and delivery, urinary tract infections, and common forms of urinary incontinence. Traditional tools for urinary bacterial assessment, which includes urinary dipsticks and standard urine cultures, have significant limitations that restrict the information that is available to clinicians. For example, the standard urine culture does not detect slow-growing bacteria that die in the presence of oxygen...
November 2015: American Journal of Obstetrics and Gynecology
Tatiana L Catanzarite, Brittany Vieira, Kevin Shih, John Y Kim, Magdy Peter Milad
INTRODUCTION: The relationship between operative time and morbidity is incompletely understood in gynecology. We aimed to evaluate the effect of operative time on 30-day complication rates after vaginal hysterectomy. METHODS: Patients undergoing vaginal hysterectomy for benign indications from 2005 to 2012 were identified in the American College of Surgeons National Surgical Quality Improvement Program database. Clinical characteristics and complications were compared for patients with operative time shorter and longer than 240 minutes...
May 2015: Obstetrics and Gynecology
Aleksandra Szcześniewska, Marian Szpakowski, Jacek Władziński, Jacek R Wilczyński
OBJECTIVES: The aim of the study is to present data concerning Neugebauer-Le Fort operations performed at the Gynecologic Oncology Clinic, Polish Mother's Health Center Research Institute in Lodz between 2000-2009, including the effects of the surgeries on improving quality of life. MATERIAL AND METHODS: Our research included all patients (90 women) operated due to total pelvic organ prolapse (stage IV of POP-Q) in Gynecologic Oncology Clinic. The data was collected retrospectively from medical records...
March 2015: Ginekologia Polska
Betsy Foxman, Anna E W Cronenwett, Cathie Spino, Mitchell B Berger, Daniel M Morgan
OBJECTIVE: The risk of urinary tract infection (UTI) among women undergoing elective gynecological surgery during which a catheter is placed is high: 10-64% following catheter removal. We conducted the first randomized, double-blind, placebo-controlled trial of the therapeutic efficacy of cranberry juice capsules in preventing UTI after surgery. STUDY DESIGN: We recruited patients from a single hospital between August 2011 and January 2013. Eligible participants were undergoing elective gynecological surgery that did not involve a fistula repair or vaginal mesh removal...
August 2015: American Journal of Obstetrics and Gynecology
J Brian Szender, Peter J Frederick, Kevin H Eng, Stacey N Akers, Shashikant B Lele, Kunle Odunsi
OBJECTIVES: The National Surgical Quality Improvement Program is aimed at preventing perioperative complications. An online calculator was recently published, but the primary studies used limited gynecologic surgery data. The purpose of this study was to evaluate the performance of the National Surgical Quality Improvement Program Universal Surgical Risk Calculator (URC) on the patients of a gynecologic oncology service. STUDY DESIGN: We reviewed 628 consecutive surgeries performed by our gynecologic oncology service between July 2012 and June 2013...
March 2015: International Journal of Gynecological Cancer
Madeleine Courtney-Brooks, Kirby C Tanner Kurtz, Elizabeth B Pelkofski, John Nakayama, Linda R Duska
OBJECTIVE: There is a lack of consistent data regarding gynecologic oncology (GO) patients and the use of neuraxial anesthesia for post-operative pain management. Our objective was to compare the use of continuous epidural infusion (CEI) as part of post-operative pain management to more traditional management schemes. METHODS: GO patients undergoing laparotomy from July 1st, 2011 through July 31st, 2012 were identified. Patient demographic data and peri-operative details were abstracted from the medical record...
January 2015: Gynecologic Oncology
David D Rahn, Cassandra Carberry, Tatiana V Sanses, Mamta M Mamik, Renée M Ward, Kate V Meriwether, Cedric K Olivera, Husam Abed, Ethan M Balk, Miles Murphy
OBJECTIVE: To comprehensively review and critically assess the literature on vaginal estrogen and its alternatives for women with genitourinary syndrome of menopause and to provide clinical practice guidelines. DATA SOURCES: MEDLINE and Cochrane databases were searched from inception to April 2013. We included randomized controlled trials and prospective comparative studies. Interventions and comparators included all commercially available vaginal estrogen products...
December 2014: Obstetrics and Gynecology
Y Rajayana J Jayarathna, Sisira Ranaraja, Dulika S Sumathipala
AIM: The use of prophylactic antibiotics for laparoscopy of uncomplicated gynecologic conditions is controversial. The aim of this study was to assess whether prophylactic antibiotics is necessary to prevent early postoperative infections and febrile morbidity in elective laparoscopic surgery for benign gynecologic conditions. MATERIAL AND METHODS: A total of 218 patients who underwent laparoscopy for uncomplicated gynecologic conditions were recruited into the study over a 1-year period...
April 2015: Journal of Obstetrics and Gynaecology Research
Gu Eleje, Oi Udegbunam, Cj Ofojebe, Cv Adichie
BACKGROUND: The last decade has seen significant progress in understanding of the pathophysiology, anatomy and management modalities of pelvic organ prolapse. A review of the way we manage this entity in a low resource setting has become necessary. AIM: The aim of the study is to determine the incidence, risk factors and management modalities of pelvic organ prolapse. MATERIALS AND METHODS: A 5-year cross-sectional study with retrospective data collection of women who attended the gynecologic clinic in Nnamdi Azikiwe University Teaching Hospital, Nnewi, south-east Nigeria and were diagnosed of pelvic organ prolapse was made...
September 2014: Annals of Medical and Health Sciences Research
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