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https://www.readbyqxmd.com/read/27919130/-two-cases-of-spontaneous-rupture-of-the-urinary-bladder-associated-with-radiation-cystitis-repaired-with-omentum-covering
#1
Takahito Wakamiya, Tomomi Kuramoto, Takeshi Inagaki
We experienced two cases of spontaneous rupture of the urinary bladder associated with radiation cystitis. Case 1 and Case 2 were a 45-year-old female and a 71-year-old female, respectively. Both of them were admitted to our hospital with complaints of high grade fever and severe lower abdominal pain. They had a past history of total hysterectomy followed by radiationtherapy more than10 years ago. The cystography and the subsequent computed tomography revealed spontaneous rupture of the urinary bladder. We performed the operationto repair the perforationsite with omentum covering...
October 2016: Hinyokika Kiyo. Acta Urologica Japonica
https://www.readbyqxmd.com/read/27866214/vesicouterine-fistula-teaching-video-on-diagnosis-and-surgical-treatment
#2
Pilar Marin-Sanchez, Maria Luisa Sánchez-Ferrer, Clara Garrido-Navarro, Antonio Prieto-Gonzalez, Francisco Machado-Linde
INTRODUCTION: A 42-year-old woman presented with urinary incontinence 9 years after the last of four vaginal deliveries. She had also had one Caesarean section. Immediately after the last delivery, she presented with haematuria, which resolved within a few hours, but the drain remained prophylactically for 7 days. Nine years later, she was referred to a specialist hospital. METHOD: The patient presented with continuous urinary incontinence, and physical examination revealed a loss of urine from the vagina, the latter confirmed by a methylene blue test showing loss of urine from the uterine cervix...
November 19, 2016: International Urogynecology Journal
https://www.readbyqxmd.com/read/27833981/m%C3%A3-llerianosis-of-the-urinary-bladder-a-rare-case-report-and-review-of-the-literature
#3
Marius Stanimir, LuminiŢa Cristina ChiuŢu, Sébastien Wese, Amelia Milulescu, Răducu Nicolae Nemeş, Ovidiu Gabriel Bratu
The aim of this paper is to report a very rare case of müllerianosis (endosalpinx, endometrium, and endocervix) in a post-menopausal woman. Müllerianosis of the bladder is a very rare disease, which affects mainly the women of the reproductive age group, but with a good prognosis if the transitional bladder carcinoma is resolved. We present the case of a 64-year-old woman complaining of left lower abdomen pain, repeated lower and upper tract urinary infections, emergency urinary incontinence and hematuria...
2016: Romanian Journal of Morphology and Embryology, Revue Roumaine de Morphologie et Embryologie
https://www.readbyqxmd.com/read/27775289/-anterior-urethral-valves-and-anterior-urethral-diverticulum-are-they-same-entity
#4
E Calleja Aguayo, A E Hernández Calvarro, J Bregante Ucedo, C Marhuenda Irastorza
OBJECTIVE: We present our experience in the diagnosis and management of anterior urethral valves (AUV) and anterior urethral diverticula (AUD) as well as review of the bibliography. MATERIALS AND METHODS: We retrospectively evaluated all the cases of the AUV and AUD treated in our hospital during the last 10 years. The clinical exploration, renal function study and renal and bladder ultrasound were evaluated in all the children. The diagnosis was completed with voiding cystography (VCUG) and cystoscopy as well as nuclear study in the relevant patients...
April 15, 2015: Cirugía Pediátrica: Organo Oficial de la Sociedad Española de Cirugía Pediátrica
https://www.readbyqxmd.com/read/27751731/use-of-scaffolding-tissue-biografts-to-bolster-vesicourethral-anastomosis-during-salvage-robot-assisted-prostatectomy-reduces-leak-rates-and-catheter-times
#5
Gabriel Ogaya-Pinies, Yash Kadakia, Hariharan Palayapalayam-Ganapathi, Tracey Woodlief, Cathy Jenson, Vipul Patel
BACKGROUND: One of the key factors contributing to morbidity associated with salvage radical prostatectomy is a significant vesicourethral anastomosis (VUA) disruption or postoperative tissue dehiscence in the region of the distal bladder neck that causes a large prolonged urinary leak, perineal pain, and delayed catheter removal. OBJECTIVE: To describe our surgical technique using a urinary bladder extracellular matrix (UB-ECM) scaffold incorporated into the base of the VUA and the distal bladder neck during salvage robot-assisted radical prostatectomy (sRARP) and to assess outcomes and safety...
October 14, 2016: European Urology
https://www.readbyqxmd.com/read/27697471/utility-of-retrograde-ureterocelogram-in-management-of-complex-ureterocele
#6
M K Arevalo, J C Prieto, N Cost, G Nuss, B J Brown, L A Baker
INTRODUCTION: Symptomatic pediatric ureterocele has diverse manifestations, making evidence-based management impractical. Thus, detailed visualization of ureterocele anatomy prior to first surgical incision is invaluable. Retrograde ureterocelogram (RUC) is a simple, underutilized radiologic technique that can be performed during cystoscopy. This study sought to determine whether RUC changes surgical management by more accurately depicting the complex ureteral and ureterocele anatomy, compared with renal ultrasound (US) and voiding cystourethrography (VCUG)...
September 17, 2016: Journal of Pediatric Urology
https://www.readbyqxmd.com/read/27683029/transplantation-of-mature-adipocyte-derived-dedifferentiated-fat-cells-for-the-treatment-of-vesicoureteral-reflux-in-a-rat-model
#7
Yuichiro Ikado, Daisuke Obinata, Taro Matsumoto, Yasutaka Murata, Koichiro Kano, Noboru Fukuda, Kenya Yamaguchi, Satoru Takahashi
PURPOSE: Autologous cells potentially provide an ideal injectable substance for management in vesicoureteral reflux (VUR). The aim of this study is to examine the effects of mature adipocyte-derived dedifferentiated fat (DFAT) cell transplantation on VUR in a rat bladder pressurization-induced VUR model. METHODS: To create VUR, Sprague-Dawley rats underwent urethral clamping and placement of cystostomy followed by intravesical pressurization. Rat DFAT cells (1 × 10(6) cells, DFAT group, n = 5) or saline (control group, n = 5) was then injected into the bilateral vesicoureteral junctions...
September 28, 2016: International Urology and Nephrology
https://www.readbyqxmd.com/read/27681662/postoperative-cystographic-findings-as-an-independent-predictor-of-urinary-incontinence-three-months-after-radical-prostatectomy
#8
Yun S Ha, Dong J Bak, Jae W Chung, Jun N Lee, Se Y Kwon, Seock H Choi, Tae G Kwon, Tae H Kim
BACKGROUND: Postoperative cystogram has been used to identify clinically significant leaks before catheter removal after radical prostatectomy (RP). The aim of the present study was to investigate the relationship between cystogram findings after RP and early urinary incontinence. METHODS: From January 2011 to February 2015, 417 patients who had undergone a cystography after RP at our hospital were retrospectively analyzed. The ratio dividing the length from the upper part of the pubic symphysis to the neck of the bladder with the length of the total pubic symphysis height [bladder neck pubic symphysis ratio (BNPSR)] was measured and urinary incontinence was assessed by the subjects' use of a pad...
September 29, 2016: Minerva Urologica e Nefrologica, the Italian Journal of Urology and Nephrology
https://www.readbyqxmd.com/read/27624111/-a-case-of-emphysematous-cystitis-with-bladder-diverticulum
#9
Shinya Kajiwara, Hiroshi Matsuura, Shigeki Arase, Yasuhide Hori, Hiromi Tochigi, Yoshiki Sugimura
Emphysematous cystitis (EC) is a rare form of acute complicated urinary tract infection (UTI). We report a case of EC with bladder diverticulum. A 77-year-old man who had a medical history of diabetes mellitus was admitted to our hospital with the chief complaint of macrohematuria and pneumaturia. Based on the findings of an abdominal computed tomography and cystoscopy, the diagnosis of EC and bladder diverticulum was made with its characteristic feature being gas within the bladder wall and lumen and a cystic lesion from the bladder...
August 2016: Hinyokika Kiyo. Acta Urologica Japonica
https://www.readbyqxmd.com/read/27490371/imaging-diagnosis-radiography-and-ultrasonography-of-bilateral-congenital-ureterovesical-junction-stenosis-causing-hydronephrosis-and-hydroureter-in-a-ferret-mustela-putorius-furo
#10
Laura Vilalta, Elisabet Dominguez, Raul Altuzarra, Neus Sibera, Yvonne Espada, Rosa Novellas, Jaime Martorell
An 8-month-old neutered male ferret was presented for vaccination and preventive treatment for adrenal gland disease. Abdominal ultrasound revealed severe bilateral hydronephrosis and hydroureter. Excretory urography and negative contrast cystography showed bilateral ureterovesical junction stenosis. Positive retrograde cystography demonstrated right ureteral reflux. A subcutaneous ureteral bypass was placed in the left kidney; however, it had to be removed 3 months later due to an obstruction and persistent urinary tract infection...
August 4, 2016: Veterinary Radiology & Ultrasound
https://www.readbyqxmd.com/read/27436925/a-rare-cause-of-inguinal-hernia-scrotal-cystocele
#11
İsmail Zihni, Ali Duran, Volkan Soysal
Herniation of the urinary bladder into the inguinal canal is rare. It constitutes 1-3% of all inguinal hernias. Bladder herniation is usually asymptomatic, and it is usually diagnosed during surgery or as a result of intra-operative bladder injury. Male patients with lower urinary tract symptoms or with a history of previous hernia surgery are at increased risk of bladder herniation. Typically, patients complain of inguinal or scrotal swelling, dysuria and shrinkage of scrotal swelling after voiding. Early diagnosis with radiological imaging is important to prevent complications during surgery...
2016: Ulusal Cerrahi Dergisi
https://www.readbyqxmd.com/read/27279407/laparoscopic-repair-in-children-with-traumatic-bladder-perforation
#12
Cetin Ali Karadag, Burak Tander, Basak Erginel, Dilek Demirel, Unal Bicakci, Mithat Gunaydin, Nihat Sever, Ferit Bernay, Ali Ihsan Dokucu
Here, we report two patients with a traumatic intraperitoneal bladder dome rupture repaired by laparoscopic intracorporeal sutures. The first patient was a 3-year old boy was admitted with a history of road accident. He had a traumatic lesion on his lower abdomen and a pelvic fracture. Computed tomography (CT) scan revealed free intraabdominal fluid. The urethragram showed spreading contrast material into the abdominal cavity. Laparoscopic exploration revealed a 3-cm-length perforation at the top of the bladder...
July 2016: Journal of Minimal Access Surgery
https://www.readbyqxmd.com/read/27275347/vesicoureteral-reflux-detected-with-99m-tc-dtpa-renal-scintigraphy-during-evaluation-of-renal-function
#13
Nevena Manevska, Sinisa Stojanoski, Venjamin Majstorov, Daniela Pop-Gjorcheva, Nikolina Zdraveska, Dafina Kuzmanovska
BACKGROUND: Radionuclide techniques, as direct radionuclide cystography and (99m)Tc-DMSA scintigraphy, have been used in evaluation of vesicoureteral reflux (VUR) and reflux nephropathy (RN) in children. Dynamic (99m)Tc-DTPA scintigraphy is reserved for evaluation of differential renal function and obstruction in children, where hydronephrosis is detected by ultrasonography (US) pre- or postnatally. CASE REPORT: Six year old boy was prenatally diagnosed with bilateral hydronephrosis...
March 15, 2016: Open Access Macedonian Journal of Medical Sciences
https://www.readbyqxmd.com/read/27251802/laparoscopic-repair-in-children-with-traumatic-bladder-perforation
#14
Cetin Ali Karadag, Burak Tander, Basak Erginel, Dilek Demirel, Unal Bicakci, Mithat Gunaydin, Nihat Sever, Ferit Bernay, Ali Ihsan Dokucu
Here, we report two patients with a traumatic intraperitoneal bladder dome rupture repaired by laparoscopic intracorporeal sutures. The first patient was a 3-year old boy was admitted with a history of road accident. He had a traumatic lesion on his lower abdomen and a pelvic fracture. Computed tomography (CT) scan revealed free intraabdominal fluid. The urethragram showed spreading contrast material into the abdominal cavity. Laparoscopic exploration revealed a 3-cm-length perforation at the top of the bladder...
June 2, 2016: Journal of Minimal Access Surgery
https://www.readbyqxmd.com/read/27173009/transplantation-of-human-adipose-derived-mesenchymal-stem-cells-on-a-bladder-acellular-matrix-for-bladder-regeneration-in-a-canine-model
#15
Xianglin Hou, Chunying Shi, Wei Chen, Bing Chen, Weisheng Jia, Yu Guo, Chao Ma, Gang Ye, Jiuhong Kang, Jianwu Dai
Tissue engineering brings new hope for the reconstruction of injured bladders. The aim of the present study was to evaluate human adipose-derived mesenchymal stem cells (hADSCs) combined with a bladder acellular matrix (BAM) for bladder regeneration. A BAM or BAM loaded with hADSCs (BAM/hADSCs) was used to repair partial cystectomy of the bladder in a canine model. 6 months after implantation, calculi and urine leakage were not found in either the BAM or BAM/hADSCs group by cystography. And compared to the BAM group, a significant increase of maximum bladder volume and bladder compliance was observed in the BAM/hADSCs group by urodynamics evaluation...
2016: Biomedical Materials
https://www.readbyqxmd.com/read/27127354/selective-indication-for-check-cystogram-before-catheter-removal-following-robot-assisted-radical-prostatectomy
#16
Rajiv Yadav, Somendra Bansal, Narmada P Gupta
INTRODUCTION: With the improvement in anastomotic technique, it is rare to find anastomotic site leak after robot-assisted radical prostatectomy (RARP). It may not always be necessary to do regular check cystogram before catheter removal. We evaluated our 230 consecutive RARP patients and their cystograms to determine the indications for selective use of cystogram before catheter removal. MATERIALS AND METHODS: We reviewed our prospectively collected RARP database of 230 consecutive patients...
April 2016: Indian Journal of Urology: IJU: Journal of the Urological Society of India
https://www.readbyqxmd.com/read/27121408/laparoscopic-psoas-hitch-double-ureteral-re-implantation-in-the-duplex-urinary-system-for-treatment-of-ureterovaginal-fistula
#17
Tito Palmela Leitão, Ricardo Pereira E Silva, Sónia Barata, Adalgisa Guerra, Filipa Osório
INTRODUCTION: Although laparoscopy is widely established for ablative urologic procedures, pelvic reconstructive procedures are still mostly performed by open-surgery. As urologists continue to introduce advanced laparoscopic skills to reconstructive urologic procedures, we present our experience with a laparoscopic psoas hitch double ureteral re-implantation in a patient with an ureterovaginal fistula and an ipsilateral duplex urinary system. MATERIALS AND METHODS: A 42-year-old patient presented with continuous involuntary urine loss from the vagina after an abdominal hysterectomy...
April 2016: Surgical Technology International
https://www.readbyqxmd.com/read/27100451/prognostic-factors-for-anastomotic-urinary-leakage-following-retropubic-radical-prostatectomy-and-correlation-with-voiding-outcomes
#18
Luigi Cormio, Giuseppe Di Fino, Carmen Scavone, Domenico Maroscia, Vito Mancini, Nicola Ruocco, Francesco Bellanti, Oscar Selvaggio, Francesca Sanguedolce, Giuseppe Lucarelli, Giuseppe Carrieri
This study aimed to determine the occurrence and grade of cystographically detected urinary leakage (UL) in a contemporary series of open retropubic radical prostatectomy (RP), whether patients' clinical variables predict occurrence of UL, and whether occurrence of UL correlates with patients' voiding outcomes in terms of urinary continence and anastomotic stricture (AS). Enrolled patients underwent cystography 7 days after retropubic RP; in case of UL, the catheter was left in situ and cystography repeated at 7 days intervals until demonstrating absence of UL...
April 2016: Medicine (Baltimore)
https://www.readbyqxmd.com/read/26959964/other-radiological-lesions-of-the-lower-urinary-tract-in-patients-after-isolated-pelvic-radiotherapy-and-combined-with-surgery
#19
S Méndez Rubio, J Salinas Casado, M Vírseda Chamorro, P Gutiérrez Martín, M Esteban Fuertes, J Moreno Sierra
INTRODUCTION: The cystographic study of patients who have undergone radiotherapy (RT) and pelvic surgeries is uncommon in the literature, not described in patients without complications, and mostly related to urinary fistulae. OBJECTIVE: The study of the lower urinary tract (LUT) by cystography in these patients, with a description of some other types of radiation lesions. METHODS: 127 cystographies have been performed (88 men and 39 women) in consecutive patients undergoing radiotherapy (RT) (48 monotherapy and 79 cases combined with surgery), with a mean age of 69...
March 2016: Archivos Españoles de Urología
https://www.readbyqxmd.com/read/26912768/inguinal-hernia-containing-bladder-and-ureteroneocystostomy-a-rare-cause-for-acute-renal-graft-dysfunction
#20
Hugo Coelho, Pedro Nunes, Carolina Canhoto, Paulo Temido
A 77-year-old man presented with acute graft dysfunction 25 years after a renal transplant in the left iliac fossa. He also had an asymptomatic left inguinal hernia. Renal ultrasound showed a significant pyelocalicial dilation of the kidney graft and the patient was submitted to a percutaneous nephrostomy. An antegrade nephrostogram was performed, which showed a dilated ureter and the bladder included in the left inguinal hernia that caused the obstructive uropathy. Concomitant retrograde cystography also showed a significant portion of the bladder in the hernia sac...
2016: BMJ Case Reports
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