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pregnancy ivu

Sabrina Thalita Reis, Kátia R M Leite, Nayara Izabel Viana, Roberto Iglesias Lopes, Caio Martins Moura, Renato F Ivanovic, Marcos Machado, Francisco Tibor Denes, Amilcar Giron, William Carlos Nahas, Miguel Srougi, Carlo C Passerotti
BACKGROUND: Ureteropelvic junction obstruction (UPJO) diagnosed prenatally occurs in 1:150 - 1:1200 pregnancies. Although many studies investigating the molecular changes of this obstructed segment have been performed, the underlying mechanisms are still unclear. The role of extracellular matrix (ECM) components remains controversial, and the investigations in the field of ECM changes, might help the better understanding of the pathogenesis of this common condition. The aim of the present study was to investigate for the first time in the literature whether MMP9 and its specific inhibitors, TIMP1 and RECK, are expressed in a reproducible, specific pattern in UPJ...
July 23, 2016: BMC Urology
Mohammad S Abdel-Kader, Abdel-Aziz Tamam, Ahmad A Elderwy, Mohammad Gad, Mohammad A El-Gamal, Adel Kurkar, Ahmed S Safwat
PURPOSE: To present our experience in the management of symptomatic ureteral calculi during pregnancy. MATERIALS AND METHODS: Twenty-three pregnant women, aged between 19 and 28 years presented to the obstetric and urology departments with renal colic (17 cases, 73.9%) and fever and renal pain (6 cases, 26.1%); suggesting ureteric stones. The diagnosis was established by ultrasonography (abdominal and transvaginal). Outpatient follow-up consisted of clinical assessment and abdominal ultrasonography...
October 2013: Urology Annals
Zachary Nash, Lawrence Mascarenhas
Presented is a case of an acute, right flank, loin to groin pain in the third trimester of an otherwise uncomplicated pregnancy. Renal calculi was suspected clinically and supported by radiological evidence. Temporising treatment was undertaken successfully by retrograde ureteric stenting, which became blocked, secondarily resulting in a percutaneous nephrostomy. Good symptomatic control was achieved before the delivery at 38 weeks and 1 day gestation. Postpartum intravenous urogram and ureteroscopy did not reveal evidence of calculi...
May 31, 2013: BMJ Case Reports
M Karul, R Heuer, M Regier
The diagnosis of acute urolithiasis results from unenhanced multidetector computed tomography (MDCT). This test analyses the functional and anatomical possibility for passing an ureteral calculi, the localization and dimension of which are important parameters for further therapy. Alternatively chronic urolithiasis could be ruled out by magnetic resonance urography (MRU). MRU is the first choice especially in pregnant women and children because of radiation hygiene. Enhanced MDCT must be emphasized as an alternative to intravenous urography (IVU) for diagnosis of complex drainage of urine and suspected disorder of the involved kidney...
February 2013: RöFo: Fortschritte Auf Dem Gebiete der Röntgenstrahlen und der Nuklearmedizin
H Stunell, G McNeill, R F J Browne, R Grainger, W C Torreggiani
The presence of diverticula arising from the calyceal system is a relatively uncommon urological problem, occurring with an incidence of 2.1-4.5 per 1000 intravenous urogram (IVU) examinations. While the incidence of calyceal diverticula is low, the frequency of stone formation within them is high. We describe the aetiology and clinical presentation and describe the role of imaging with ultrasound, intravenous and retrograde pyelography and CT in diagnosis and planning treatment. We also describe the potential of fluid-sensitive magnetic resonance imaging techniques as a radiation-free alternative to the use of more conventional modalities, such as intravenous urography and retrograde pyelography, in delineating the anatomy of calyceal diverticula before surgical and radiological intervention especially in young patients and pregnant women...
October 2010: British Journal of Radiology
Dalenda Chelli, Hela Chelli, Abdelaziz Falfoul, Nabil Ben Zineb, Mounir Chibani, Sami Bouchoucha, Ines Najar, Nedra Hammedi, Fethia Boudaya, Mohamed B Channoufi
BACKGROUND: Vesicovaginal fistulas are the most frequent type of urogenital fistulas. Obstetrical cause remains the dominant etiology. They still represent a public health problem. Aim : to study epidemiological aspects of obstetric vesico-vaginal fistulas and their management. METHODS: a retrospective multicentric study among 19 hospital departments from February 1982 to January 2007. RESULTS: 131 VVF (92% of urogenital fistulas). The vaginal route for surgical repair was used in 2/3 cases...
June 2010: La Tunisie Médicale
Mrinal Dhar, John D Denstedt
Imaging has an essential role in the diagnosis, management, and follow-up of patients with stone disease. A variety of imaging modalities are available to the practicing urologist, including conventional radiography (KUB), intravenous urography (IVU), ultrasound (US), magnetic resonance urography, and computed tomography (CT) scans, each with its advantages and limitations. Traditionally, IVU was considered the gold standard for diagnosing renal calculi, but this modality has largely been replaced by unenhanced spiral CT scans at most centers...
January 2009: Advances in Chronic Kidney Disease
A R Sulaiman, H Nawaz, I Munajat, A Y Sallehudin
We report a case of the Antley-Bixler syndrome in an 11-year-old girl. She presented with bilateral proximal femoral focal deficiency, right clubfoot, left radiohumeral synostosis, bilateral ear hypoplasia, cleft palate, tongue tie, missing teeth, congenital heart disease, a pelvic kidney with hydronephrosis, and mental retardation. Proximal femoral focal deficiency has never been reported before as a manifestation of Antley-Bixler syndrome. Her mother was exposed to radiation during an intravenous urogram done in the first trimester of pregnancy...
April 2007: Journal of Orthopaedic Surgery
Rana Muhammad Mubeen, Farhat Naheed, Khursheed Anwar
OBJECTIVE: To find out the commonest cause of vesicovaginal fistula (VVF) and describe the surgical management. DESIGN: A descriptive study. PLACE AND DURATION OF STUDY: The Department of Urology and Transplantation, Pakistan Institute of Medical Sciences (P.I.M.S.) Islamabad, from January 1995 to April 2002. PATIENTS AND METHODS: The subjects were presenting with vesicovaginal fistulae. Symptomatology and demographic causes were noted...
January 2007: Journal of the College of Physicians and Surgeons—Pakistan: JCPSP
Nejat Aksu, Onder Yavaşcan, Murat Kangin, Orhan D Kara, Yahya Aydin, Hakan Erdoğan, Tuba Cerçi Tuncel, Ergün Cetinkaya, Erkan Ozbay, Tahir G Sandikçioğlu
With the increasing use of antenatal sonography, fetal hydronephrosis has been reported more frequently. Because of the lack of consensus regarding treatment of these infants, the postnatal approach toward fetal renal pelvis enlargement remains controversial. The aim of this prospective study is to demonstrate the postnatal investigation, treatment, and outcome of infants with prenatally diagnosed hydronephrosis. Infants whose antenatal ultrasound scan showed a fetal renal pelvis of 5 mm or greater were investigated postnatally using ultrasound (US) and voiding cystourethrography...
September 2005: Pediatric Nephrology: Journal of the International Pediatric Nephrology Association
Daniel Mota-Rojas, Ma Elena Trujillo, Julio Martínez, Ana Ma Rosales, Héctor Orozco, Ramiro Ramírez, Héctor Sumano, María Alonso-Spilsbury
Oxytocin is used to induce and control parturition; nevertheless, an increase in uterine contractions decreases blood flow and gaseous exchange through the uterus predisposing to intra-partum mortality in pigs. The objective of the present study was to evaluate the effect of different oxytocin administration routes on myometrial activity, fetal intrauterine hypoxia and postnatal asphyxia in crated farrowing sows. Yorkshire x Landrace hybrid sows (n = 300), that were approaching the time of parturition, were randomly assigned into six groups...
March 2006: Animal Reproduction Science
Abdelkader Saidi, Véronique Delaporte, Eric Lechevallier
The many anatomical and physiological changes occurring during pregnancy affect the entire urinary tract. These changes can induce various urological diseases, alter renalfunction and can be life-threatening to the foetus and the mother Some changes can persist post partum. Asymptomatic bacteriuria must be investigated and treated to prevent about 40% of pyelonephritis and a twofold higher premature delivery rate. Duplex ultrasound is the reference examination to diagnose renal colic due to stones and a low-dose IVU can be proposed whenever there is a doubt about the diagnosis...
February 2005: Progrès en Urologie
José Alberto Hermida Pérez, Pablo Guerra Abrante, José Samuel Hernández Guerra, Otto Ochoa Urdangarain
OBJECTIVES: To report the case of a 28-year-old female patient carrying a lithiasis of soft appearance located within a calyceal diverticulum in the right kidney which presented clinically during pregnancy, and to comment on therapeutic management, as well as the outcome one year after conservative treatment. METHODS AND RESULTS: 28-year-old female patient with history of renal colic during pregnancy, who presents at our clinics in the postpartum period with a recurrent abdominal and lumbar pain...
January 2004: Archivos Españoles de Urología
Sarah J McAleer, Kevin R Loughlin
PURPOSE OF REVIEW: Urolithiasis during pregnancy is not common, however, it is a difficult condition to both diagnose and treat. There are many safety concerns that must be considered for both the mother and fetus. In this review we detail the different options available to the urologist and we highlight a treatment algorithm that we use when faced with a pregnant patient suspect of having a urinary calculus. RECENT FINDINGS: Changes in ultrasound, limited intravenous urograms and magnetic resonance imaging have improved our ability to diagnose urolithiasis in pregnancy...
March 2004: Current Opinion in Urology
José Angel Cuesta Alcalá, Ignacio Pascual Piédrola, Javier Aldave Villanueva, Alfredo Solchaga Martínez, Felicidad Pérez Omeñaca, Jose Luis Arrondo Arrondo, Luis Ripa Saldías, Vicente Grasa Lanau, Mariano Ponz González, Alfredo Ipiens Aznar
OBJECTIVE: To report a case of bifid left ureter with a blind-ending branch in a 35 year-old female patient who complained of poorly defined abdominal pain. METHODS: Clinical features, radiologic findings, differential diagnosis and therapeutic approach are discussed and the literature reviewed. RESULTS: Bifid ureter with a blind branch is not an uncommon anomaly as generally believed. There are at least a hundred and seventy-five cases reported in the literature reviewed...
March 2003: Archivos Españoles de Urología
Stuart O Irving, Neil A Burgess
OBJECTIVE: To investigate whether the intravenous urogram used in an appropriate setting is a valuable investigation for managing severe loin pain in pregnancy. DESIGN: Prospective observational study. SETTING: University teaching hospital. POPULATION: Fifteen pregnant women referred with severe loin pain. METHODS: A prospective study collecting data over a 24-month period was performed. Women with severe loin pain believed to be of renal origin that had failed to respond to conservative treatment were referred by their obstetricians...
September 2002: BJOG: An International Journal of Obstetrics and Gynaecology
Henrik S Thomsen, Steen Lindequist, Eva Brems-Dalgaard
Over the last 70 years, intravenous urography (IVU) has played a major role in the work-up of diseases in the kidneys and the upper urinary tract. However, modern cross-sectional modalities have shown that IVU does not fulfill current requirements. Patients with renal colic are better examined by non-enhanced CT scanning, as it finds more stones (60 versus 100%). Furthermore, a disease outside the upper urinary tract is found in about 15% of patients with renal colic, and in 3% another kidney or upper urinary tract disease is found...
March 11, 2002: Ugeskrift for Laeger
S A Shobeiri, R R Chesson, K T Echols
BACKGROUND: Most fistulas communicating with the bladder are large enough to be diagnosed easily, or small enough to close spontaneously without clinical sequel. A vesicocervical fistula is an uncommon event and may be difficult to diagnose. TECHNIQUE: During an operative cystourethroscopy procedure, suspicious areas of the bladder can be probed with a cone tip catheter and injected with contrast dye to visualize the suspected fistula communicating with the bladder...
December 2001: Obstetrics and Gynecology
M Arriaga-Alba, R Rivera Sánchez, G Romero Díaz, N Hernando Aguilar, E García Jiménez, R Flores Paz
Colicin production was studied among 137 Escherichia coli strains isolated from pregnant patients with symptomatic or asymptomatic, urinary tract infection (IVU). The observed colicinogeny frequency was 72.92% (n = 96), among the symptomatic patients and 29.26% (n = 41) among the asymptomatic group. The most frequently identified colicins from symptomatic patients were: V (23.9%), A (18.7%) and E1 (17.7%) and within the patients with asymptomatic IVU the most frequently observed colicins were A (9.7%), E1 (17...
July 2000: Ginecología y Obstetricia de México
A J Bradley, N S Desai, H Mamtora
OBJECTIVE: To assess whether the mild dilatation of the right ureter in women that is sometimes seen on intravenous urography (IVU) represents persistent dilatation after a previous pregnancy. PATIENTS AND METHODS: The intravenous urograms of 71 men, 63 parous and 27 nulliparous women were evaluated prospectively. The two groups of women were divided into those with and without a confirmed history of urinary tract infection (UTI) as the indication for IVU. producing five groups in all...
May 1998: British Journal of Urology
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