20,154 results match your criteria Bladder Management


Risk of bowel fistula following surgical management of deep endometriosis of the rectosigmoid: a series of 1102 cases.

Hum Reprod 2020 Jul 3. Epub 2020 Jul 3.

Department of Digestive Surgery, Rouen University Hospital, Rouen, France.

Study Question: What are the risk factors and prevalence of bowel fistula following surgical management of deep endometriosis infiltrating the rectosigmoid and how can it be managed?

Summary Answer: In patients managed for deep endometriosis of the rectosigmoid, risk of fistula is increased by bowel opening during both segmental colorectal resection and disc excision and rectovaginal fistula repair is more challenging than for bowel leakage.

What Is Known Already: Bowel fistula is known to be a severe complication of colorectal endometriosis surgery; however, there is little available data on its prevalence in large series or on specific management.

Study Design, Size, Duration: A retrospective study employing data prospectively recorded in the North-West Inter Regional Female Cohort for Patients with Endometriosis (CIRENDO) from June 2009 to May 2019, in three tertiary referral centres. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1093/humrep/deaa131DOI Listing

Clinical Efficacy of Transurethral Resection of the Prostate Combined with Oral Anticholinergics or Botulinum Toxin - A Injection to Treat Benign Prostatic Hyperplasia with Overactive Bladder: A Case-Control Study.

Clin Pharmacol 2020 26;12:75-81. Epub 2020 Jun 26.

Department of Urology, Shohada-e-Tajrish Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

Introduction: Recent investigations showed that anticholinergic drugs could use for the management of storage symptoms after transurethral resection of the prostate (TURP). The use of intravesical botulinum toxin-A (BTX-A) for the management of overactive bladder is rapidly increasing. In this research, we assess the efficacy of BTX-A vs solifenacin in men suffering from bladder outlet obstruction-over active bladder (BOO-OAB) managed with TURP. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.2147/CPAA.S256051DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7326164PMC

Efficacy and Safety of Naftopidil in Patients With Neurogenic Lower Urinary Tract Dysfunction: An 8-Week, Active-Controlled, Stratified-Randomized, Double-Blind, Double-Dummy, Parallel Group, Noninferiority, Multicenter Design.

Int Neurourol J 2020 Jun 30;24(2):163-171. Epub 2020 Jun 30.

Department of Urology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.

Purpose: The aim of this study was to evaluate the efficacy and safety of naftopidil compared with tamsulosin in patients with neurogenic lower urinary tract dysfunction (LUTD).

Methods: This study was conducted as an 8-week, active-controlled, stratified-randomized, double-blind, double-dummy, parallel group, noninferiority, and multicenter clinical trial. After 2 weeks of screening, eligible subjects were randomly assigned to receive naftopidil (25 mg for 1 week followed by 75 mg for 7 weeks) or tamsulosin (0. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.5213/inj.1938198.099DOI Listing

Management of Urinary Incontinence With Underactive Bladder: A Review.

Int Neurourol J 2020 Jun 30;24(2):111-117. Epub 2020 Jun 30.

Department of Urology, Bucheon St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea.

Urinary incontinence is caused by storage function failure, while underactive bladder (UAB) is caused by a decline in detrusor contractility and voiding dysfunction. As the treatment mechanisms for incontinence and UAB are contrary to each other, it is difficult to treat both incontinence and UAB, and the patient's quality of life can be further degraded. Conventional midurethral sling (MUS), such as transobturator tape or retropubic MUS, introduces a risk of postoperative voiding dysfunction in stress urinary incontinence with UAB. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.5213/inj.2040076.038DOI Listing

Comparison of subtotal vertebral resection with reconstruction and percutaneous vertebroplasty for treatment of metastasis in the lumbar spine.

Br J Neurosurg 2020 Jun;34(3):308-312

Department of Orthopaedics, People Hospital of Wuhan University, Wuhan, China.

Tumor metastasis in the spine can cause pain and fractures, leading to deformities, and deficits in movement, sensation, and bowel/bladder function. Percutaneous vertebroplasty (PVP) and subtotal vertebral resection with reconstruction (SVR) are suitable treatments, but their relative clinical efficacy is uncertain. The purpose of this retrospective cohort study was to compare the management and clinical effect of SVR for lumbar metastatic tumor with PVP. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1080/02688697.2020.1729959DOI Listing

Primary extra nodal Non-Hodgkin's lymphoma of urinary bladder presenting as a bladder tumor: A case report.

Ann Med Surg (Lond) 2020 Aug 17;56:68-71. Epub 2020 Jun 17.

Deptt.of Pathology, PGIMS Rohtak, Haryana, India.

Introduction: Primary non-Hodgkin's lymphoma (NHL) of urinary bladder is an exceedingly rare entity accounting for 0.2% of the primary neoplastic lesions. This tumor has female predominance; with most of the cases seen in middle-aged females. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.amsu.2020.05.045DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7322174PMC

Primary Urothelium Carcinoma of the Distal Urethra in a Male: Case Report and Literature Review.

Onco Targets Ther 2020 24;13:6011-6015. Epub 2020 Jun 24.

Department of Urology, Nan Fang Hospital, Southern Medical University, Guangzhou City, Guangdong Province 510515, People's Republic of China.

Male primary urethral urothelium carcinoma is a rare clinical case. Here, we detail a case of a 58-year-old man with primary urothelium carcinoma of the distal urethra treated in our hospital. The patient with a neoplasm inside the external urethral orifice for 2 years, which was previously diagnosed as condyloma acuminata, had received photodynamic therapy for 3 times, with initial symptoms of urinary stream bifurcation and dysuria. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.2147/OTT.S252822DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7322166PMC

Clinical outcomes of sacral neuromodulation in non-neurogenic, non-obstructive dysuria: A 5-year retrospective, multicentre study in China.

World J Clin Cases 2020 Jun;8(12):2494-2501

Department of Urology, West China Hospital, Sichuan University, Chengdu 610000, Sichuan Province, China.

Background: Management of non-neurogenic, non-obstructive dysuria represents one of the most challenging dilemmas in urological practice. The main clinical symptom is the increase in residual urine. Voiding dysfunction is the main cause of dysuria or urinary retention, mainly due to the decrease in bladder contraction (the decrease in contraction amplitude or duration) or the increase in outflow tract resistance. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.12998/wjcc.v8.i12.2494DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7322430PMC

Idiopathic Pneumatosis of Small Bowel and Bladder.

Cureus 2020 May 27;12(5):e8313. Epub 2020 May 27.

Surgery, Charles E. Schmidt College of Medicine, Florida Atlantic University, Boca Raton, USA.

An 81-year-old woman presented with multiple episodes of loose bowel movements. CT scan of the abdomen and pelvis revealed pneumatosis cystoides intestinalis and asymptomatic emphysematous cystitis. The patient had an extensive workup with no obvious identified pathology to explain diffuse pneumatosis of the small bowel and bladder. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.7759/cureus.8313DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7320656PMC

mary care anagement of lower rinary tract ymptoms in men: protocol for development and validation of a diagnostic and clinical decision support tool (the PriMUS study).

BMJ Open 2020 Jun 30;10(6):e037634. Epub 2020 Jun 30.

Division of Population Medicine, Cardiff University, Cardiff, South Glamorgan, UK.

Introduction: Lower urinary tract symptoms (LUTS) is a bothersome condition affecting older men which can lead to poor quality of life. General practitioners (GPs) currently have no easily available assessment tools to help effectively diagnose causes of LUTS and aid discussion of treatment with patients. Men are frequently referred to urology specialists who often recommend treatments that could have been initiated in primary care. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1136/bmjopen-2020-037634DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7328815PMC

Decompression illness type II with stroke: challenging situation in acute neurorehabilitation.

Int Marit Health 2020 ;71(2):105-108

Department of Neurorehabilitation, Leicester General Hospital, University Hospitals of Leicester NHS Trust, Leicester, United Kingdom.

A professional 55-year-old female experienced diver, who surfaced after the second dive, had a lucid interval before dropping Glasgow Coma Scale (GCS) to 3/15. She was admitted to intensive care unit and commenced on hyperbaric oxygen therapy. Her initial computed tomography of the head was normal but her magnetic resonance imaging of the brain at 48 hours showed extensive bilateral cortical watershed territory infarcts. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.5603/IMH.2020.0019DOI Listing
January 2020

Continuation of Neurogenic Bowel and Bladder Programs in a Pancytopenic Cancer Patient: A Case Report.

PM R 2020 Jun 30. Epub 2020 Jun 30.

Department of Palliative, Rehabilitation and Integrative Medicine, The University of Texas MD Anderson Cancer Center, Houston, Texas.

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1002/pmrj.12446DOI Listing

Impact of anemia on the survival of patients undergoing radical cystectomy for bladder cancer.

Actas Urol Esp 2020 Jun 26. Epub 2020 Jun 26.

Servicio de Urología, Consorci Corporació Sanitària Parc Taulí, Sabadell, Barcelona, España.

Objective: To evaluate the prevalence of preoperative anemia and its effect on oncological outcomes in patients undergoing radical cystectomy (RC) due to bladder cancer.

Material And Methods: Retrospective single-center study with 176 RCs between May 2008 and July 2018. Anemia was defined according to the WHO classification (male<130mg/dL, female<120mg/dL). Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.acuro.2020.04.005DOI Listing

Utility of preoperative Neutrophil / Lymphocyte ratio (NLR) as a new objective prognostic tool in endoscopically treated upper tract urothelial carcinoma. A retrospective evaluation.

J Endourol 2020 Jun 29. Epub 2020 Jun 29.

Spire Roding, Urology, Roding Lane South, London, United Kingdom of Great Britain and Northern Ireland, IG4 5PZ;

Introduction This exploratory retrospective analysis examined any potential prognostic role of pre-operative NLR for progression free survival (PFS) and time to endoscopically verified upper tract or bladder recurrence free survival (RFS), in upper tract urothelial cancer (UTUC) patients selected for endoscopic treatment with subsequent endo-surveillance. Patients and Methods Eligibility criteria were natural orifice endoscopically retrogradely treated low-risk and imperative UTUC patients treated between 2005-2019, with biopsy confirmed diagnosis and 12 months minimum follow-up. For PFS, optimal NLR cut-off value was derived by log-rank test. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1089/end.2020.0283DOI Listing

Optimizing Nonsurgical Treatments of Overactive Bladder in the United States.

Urology 2020 Jun 26. Epub 2020 Jun 26.

Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA.

Overactive bladder (OAB) syndrome is a prevalent condition impacting quality of life (QOL), activities of daily living, work productivity, physical and psychological health, sleep, and sexuality. Published guideline recommendations and effective behavioral, pharmacologic, and neuromodulatory therapies exist; however, adherence can be poor. Clinicians have important roles educating patients, setting treatment expectations, and providing follow-up. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.urology.2020.06.017DOI Listing

Identification of an Individualized Prognostic Signature Based on the RWSR Model in Early-Stage Bladder Carcinoma.

Biomed Res Int 2020 4;2020:9186546. Epub 2020 Jun 4.

College of Computer Science and Technology, Jilin University, Changchun, Jilin, China.

Bladder cancer (BLCA) is the fourth common cancer among males in the United States, which is also the fourth leading cause of cancer-related death in old males. BLCA has a high recurrence rate, with over 50% of patients which has at least one recurrence within five years. Due to the complexity of the molecular mechanisms and heterogeneous cancer feature, BLCA clinicians find it hard to make an efficient management decision as they lack reliable assessment of mortality risk. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1155/2020/9186546DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7293744PMC

A Comprehensive Review of the Treatment and Management of Myofascial Pain Syndrome.

Curr Pain Headache Rep 2020 Jun 27;24(8):43. Epub 2020 Jun 27.

LSUHSC School of Medicine, Department of Anesthesiology, Shreveport, LA, USA.

Purpose Of Review: Myofascial pain syndrome (MPS) is a musculoskeletal pain condition that stems from localized, taut regions of skeletal muscle and fascia, termed trigger points. The purpose of this comprehensive review is to provide updated information on prevalence, pathophysiology, and treatment modalities with a focus on interventional modalities in managing MPS.

Recent Findings: Though MPS can present acutely, it frequently presents as a chronic condition, affecting up to 85% of adults during their lifetime. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1007/s11916-020-00877-5DOI Listing

Demographics and baseline care among newly transitioning adult congenital urology patients.

J Pediatr Urol 2020 Jun 1. Epub 2020 Jun 1.

University of California, San Francisco, Mission Hall Global Health Sci Bldg, 550 16th Street, 6th Floor, Box 1695, San Francisco, CA, 94143, USA. Electronic address:

Introduction: In 2017, UCSF established a formal Transitional Urology (TU) clinic co-run by pediatric and adult urology aimed at providing comprehensive urologic care for people progressing into adulthood with complex urologic histories.

Objective: We aim to describe baseline demographic and disease characteristics of this population, understand gaps in care, and gauge follow-through.

Study Design: We performed a retrospective chart review of all new patients in the TU clinic at UCSF from February 2017 through January 2019. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.jpurol.2020.05.167DOI Listing

European Association of Urology Guidelines on Upper Urinary Tract Urothelial Carcinoma: 2020 Update.

Eur Urol 2020 Jun 24. Epub 2020 Jun 24.

Department of Urology, Hospital Motol, Second Faculty of Medicine, Charles University, Prague, Czech Republic; Department of Urology Comprehensive Cancer Centre, Medical University of Vienna, Vienna, Austria; Department of Urology, Weill Cornell Medical College, New York, NY, USA; Department of Urology, University of Texas Southwestern, Dallas, TX, USA; Institute for Urology and Reproductive Health, I.M. Sechenov First Moscow State Medical University, Moscow, Russia.

Context: The European Association of Urology (EAU) Guidelines Panel on Upper Urinary Tract Urothelial Carcinoma (UTUC) has prepared updated guidelines to aid clinicians in the current evidence-based management of UTUC and to incorporate recommendations into clinical practice.

Objective: To provide an overview of the EAU guidelines on UTUC as an aid to clinicians.

Evidence Acquisition: The recommendations provided in the current guidelines are based on a thorough review of available UTUC guidelines and articles identified following a systematic search of Medline. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.eururo.2020.05.042DOI Listing

Efficient fungal and bacterial facilitated remediation of thiencarbazone methyl in the environment.

Environ Res 2020 Jun 20;188:109811. Epub 2020 Jun 20.

Department of Environmental Sciences Fatima Jinnah Women University, The Mall Rawalpindi, Pakistan.

Triazole herbicide, Thiencarbazone-methyl (TCM) applied on different crops for weedicidal activity is associated with an inherent toxicity towards bladder and urinary functionality. TCM has been first time explored for its biodegradative behavior utilizing microbes, previously isolated from soils. Simulated bio-transformation assemblies of five fungal strains; Aspergillus flavus (AF), Penicillium chrysogenum (PC), Aspergillus niger (AN), Aspergillus terrus (AT), Aspergillus fumigatus (AFu) and two bacterial strains: Xanthomonas citri (XC), Pseudomonassyringae (PS), were utilized. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.envres.2020.109811DOI Listing

Online Health Coaching for Spinal Cord Injury: Results from a Mixed Methods Feasibility Evaluation.

JMIR Rehabil Assist Technol 2020 Jun 14. Epub 2020 Jun 14.

Department of Physical Therapy, University of Toronto, Toronto, CA.

Background: Individuals with spinal cord injury (SCI) have a high risk of experiencing secondary conditions like pressure injuries. Self-management programs may reduce the risk of such complications, but traditional programs have proven to be insufficiently tailored to the needs of people with SCI. To overcome barriers to self-management support, an online self-management program was developed for Canadians with SCI called "SCI&U". Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.2196/16351DOI Listing

Antibody-drug conjugates for the treatment of urothelial carcinoma.

Expert Opin Biol Ther 2020 Jul 3:1-8. Epub 2020 Jul 3.

Lank Center for Genitourinary Oncology, Dana-Farber Cancer Institute , Boston, MA, USA.

Introduction: The therapeutic landscape for urothelial carcinoma has changed significantly over the past few years with the addition of immunotherapy to platinum-based chemotherapy. Targeted therapy against FGFR (fibroblast growth factor receptor) is now also approved for the minority of patients with FGFR aberrations. Antibody-drug conjugates (ADCs) are of great interest in urothelial carcinoma, with a recent FDA approval for enfortumab vedotin (EV) and others in development. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1080/14712598.2020.1789096DOI Listing

Endoscopic Transpapillary Gallbladder Drainage for Acute Cholecystitis.

Dig Dis Sci 2020 Jun 25. Epub 2020 Jun 25.

Division of Gastroenterology and Hepatology, Department of Internal Medicine, University of New Mexico, MSC10 5550, 1 University of New Mexico, Albuquerque, NM, 87131, USA.

The mainstay of management of acute cholecystitis has been surgical, with percutaneous gallbladder drainage in patients deemed high risk for surgical intervention. Endoscopic management of acute cholecytitis with transpapillary and transmural drainage of the gall bladder is emerging as a viable alternative in high-risk surgical patients. In this article, we discuss the background, current status, technical challenges and strategies to overcome them, adverse events, and outcomes of endoscopic transpapillary gallbladder drainage for management of acute cholecystitis. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1007/s10620-020-06422-zDOI Listing

The call for a strategic framework to improve cancer literacy in Europe.

Arch Public Health 2020 23;78:60. Epub 2020 Jun 23.

MSD International GmbH, Kriens, Switzerland.

Background: Health literacy is increasingly being recognized as a widespread public health challenge in Europe. This commentary explores the importance of health literacy amongst cancer patients (ie, cancer literacy) and examines how cancer literacy can be improved through the practical application of health literacy principles within the context of providing timely, patient-centered, value-based care in Europe.

Main Body: Despite implementation of evidence-based cancer prevention programs and increased cancer survival rates, low cancer literacy may impact the personal capacity to manage risks and adversely impact behavior and outcomes. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s13690-020-00441-yDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7313097PMC

A Rare Case of Pyonephrosis in an Infant Induced by Extended-Spectrum Beta-Lactamase-Producing .

Saudi J Med Med Sci 2020 May-Aug;8(2):156-159. Epub 2020 Apr 17.

Department of Urology, King Fahd Hospital of the University, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia.

Pyonephrosis is a rare condition in both adult and pediatric population. Here, the author presents a rare case of pyonephrosis induced by extended-spectrum beta-lactamase-producing in a 12-month-old girl presenting with a picture of urosepsis. The patient presented with febrile urinary tract infection and was unresponsive to intravenous meropenem. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.4103/sjmms.sjmms_91_18DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7305680PMC

Acute Presentation of Urachal Cyst: A Case Report.

Cureus 2020 May 21;12(5):e8220. Epub 2020 May 21.

Urology, Pondicherry Institute of Medical Sciences, Pondicherry, IND.

Urachus is an embryonic organ related to the bladder that degenerates after birth. Defective obliteration of the urachus leads to urachal malformations, the most common of which is a urachal cyst. A urachal cyst is often misdiagnosed due to its myriad presentations. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.7759/cureus.8220DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7306636PMC

Pediatric Trauma: Management and Lessons Learned.

J Indian Assoc Pediatr Surg 2020 May-Jun;25(3):142-146. Epub 2020 Apr 11.

Department of Pediatric Surgery, Post Graduate Institute of Medical Education and Research, Chandigarh, India.

Aim: The aim is to prospectively study 125 trauma patients admitted in the pediatric surgery ward in our institute.

Materials And Methods: Pediatric patients admitted in the ward after initial resuscitation in the triage room were included. Isolated neurosurgical and orthopedic injuries were excluded. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.4103/jiaps.JIAPS_35_19DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7302457PMC

Follow Up and Outcomes of Patients with Long Term Cutaneous Vesicostomies at a Single Institution.

Urology 2020 Jun 21. Epub 2020 Jun 21.

Division of Urology, Hospital of the University of Pennsylvania, Perelman Center for Advanced Care, 3400 Civic Center Blvd, 3(rd) Floor West Pavilion, Philadelphia, PA 19104; Division of Urology, Children's Hospital of Philadelphia, 3401 Civic Center Blvd, Philadelphia, PA 19104.

Objective: To identify and describe the characteristics of a group of patients at our institution who are satisfied with cutaneous vesicostomy for long term bladder management and never undergo subsequent continence surgery.

Methods: Using an IRB- approved registry of our patients undergoing reconstructive urinary tract surgery since 1985, we identified patients who underwent vesicostomy creation and were 15 years or older as of October 2017 and performed a retrospective chart review.

Results: 67 patients were included with the most common diagnosis being spina bifida and the average duration of vesicostomy 14. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.urology.2020.04.130DOI Listing

Complex circumferential obstetric fistula-a urologist's worst nightmare.

Int Urogynecol J 2020 Jun 23. Epub 2020 Jun 23.

Department of Urology, Sri Sathya Sai Institute of Higher Medical Sciences, Prashantigram, Puttaparthi, Andhra Pradesh, 515134, India.

Introduction And Hypothesis: Circumferential vesicourethrovaginal fistula is a severe form of obstetric injury that is challenging to repair and carries a poor prognosis related to eventual continence. Here, we report the successful repair of a circumferential vesicovaginal fistula associated with near total loss of the urethra. The use the anterior bladder flap technique along with an autologous rectus sheath sling resulted in the creation of an effective continence unit. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1007/s00192-020-04398-yDOI Listing

Grade IV Renal Laceration In A 13-Year Old Boy With Cross Fused Renal Ectopia.

Urology 2020 Jun 20. Epub 2020 Jun 20.

LAC+USC Medical Center, Department of Urology, Los Angeles, California.

A 13-year old boy presented with gross hematuria following a skateboarding accident and was found to have cross-fused renal ectopia of the left kidney with a grade IV right renal laceration and urinary extravasation. Despite a double-J ureteral stent, urinoma drain, and indwelling bladder catheter, his urinoma drain maintained high output. He underwent a ureteral stent exchange and upsizing. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.urology.2020.06.011DOI Listing

Case Report: Recurrent Pyometra in an Adolescent.

J Pediatr Adolesc Gynecol 2020 Jun 20. Epub 2020 Jun 20.

Virginia Commonwealth University Department of Obstetrics and Gynecology.

Background: Pyometra is an uncommon but serious condition that is generally diagnosed in post-menopausal women. It rarely occurs in premenopausal patients, particularly adolescents.

Case: A 16yo with multiple comorbidities including severe intellectual disability, neurogenic bladder, and recurrent UTIs presented with fevers, abdominal pain, and vaginal discharge after prolonged treatment with depot medroxyprogesterone acetate (DMPA). Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.jpag.2020.06.009DOI Listing

Surgical Pathology Findings in Patients Who Have Undergone Radical Cystectomy/Cystoprostatectomy With Extended Versus Standard Lymph Node Dissection for Urothelial Carcinoma of the Bladder: A Contemporary Analysis.

Int J Surg Pathol 2020 Jun 23:1066896920937072. Epub 2020 Jun 23.

Emory University, Atlanta, GA, USA.

Radical cystectomy/cystoprostatectomy with pelvic lymph node dissection (with or without neoadjuvant chemotherapy) is the gold standard in the management of patients with urothelial carcinoma (UCa) with muscularis propria (detrusor muscle) invasion. However, it remains controversial how extensive the lymph node dissection should be. In this article, we analyzed the clinicopathologic findings in patients who had radical cystectomy/cystoprostatectomy with extended versus standard lymph node dissection. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1177/1066896920937072DOI Listing

Is urodynamic evaluation able to change and improve the management of women with idiopathic overactive bladder?

Minerva Urol Nefrol 2020 Jun 22. Epub 2020 Jun 22.

Department of Obstetrics and Gynecology, University of Insubria, Varese, Italy.

Background: For women with overactive bladder (OAB), current guidelines recommend the use of urodynamic studies (UDS) only in complicated cases. This study aimed to investigate whether UDS can also be helpful in uncomplicated cases. Specific aims of the study were (a): to evaluate objective benefit and subjective patient satisfaction with tailored treatment based on the UDS diagnosis compared to the outcomes of the pharmacological treatment only based on the symptoms; (b) to investigate the correlation between symptoms and UDS findings in women with uncomplicated idiopathic OAB symptoms; (c) to assess the ability of UDS to modify management decisions in these patients. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.23736/S0393-2249.20.03801-1DOI Listing

Secondary bladder amyloidosis due to Crohn's disease: a case report and literature review.

CEN Case Rep 2020 Jun 22. Epub 2020 Jun 22.

Department of Urology, S. Orsola-Malpighi University Hospital, Via P. Palagi 9, 40138, Bologna, Italy.

The presence of amyloid deposits in bladder walls is a rare histological finding. It can be linked to primary (limited to bladder) or secondary (systemic, associated with chronic inflammatory disorders) amyloidosis. Secondary bladder involvement is very uncommon; it usually presents with gross hematuria, which is challenging to manage, due to frail bladder mucosa and/or necrosis. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1007/s13730-020-00497-3DOI Listing

Beyond the Typical Syndrome: Understanding Non-motor Features in Niemann-Pick Type C Disease.

Cerebellum 2020 Jun 22. Epub 2020 Jun 22.

Division of Neurology, Department of Clinical Medicine, Universidade Federal do Ceará, Fortaleza, Brazil.

Niemann-Pick type C (NPC) is a rare autosomal recessive disorder characterized by storage of unesterified glycolipids and cholesterol in lysosome. NPC's clinical presentation is highly heterogeneous, depending on the time of onset. It encompasses visceral, neurological, and/or psychiatric manifestations. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1007/s12311-020-01156-0DOI Listing

Development of a Personalized mHealth Program for Cancer Symptom and Complication Management.

Stud Health Technol Inform 2020 Jun;270:1255-1256

School of Nursing & LCCC University of North Carolina-Chapel Hill.

Based on care need assessment of colorectal and bladder cancer (CBC) patients with newly created ostomies (stomas) and caregivers, and with the input of the Wound, Ostomy, and Continence Nurses (WOCNs), we have developed an mHealth complication and symptom monitoring and self-management program, titled PRISMS. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.3233/SHTI200389DOI Listing

Negative-Pressure Ureteroscopic Holmium-YAG Laser Lithotripsy for Ureteral Stones.

Urol Int 2020 Jun 22:1-6. Epub 2020 Jun 22.

Department of Urology, Zhongnan Hospital of Wuhan University, Wuhan, China.

Objectives: The aim of this study was to describe a novel negative-pressure laser lithotripsy device to overcome the deficiencies of the conventional procedure.

Patients And Methods: Between August 2018 and March 2019, 78 patients with a single ureteral stone underwent retrograde ureteroscopy with a Wolf 8F/9.8F rigid ureteroscope and a 200-μm holmium-YAG laser. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1159/000507266DOI Listing
June 2020
1.151 Impact Factor

Case report of a rare urinary bladder tumor variant (carcinosarcoma).

Urol Ann 2020 Apr-Jun;12(2):190-192. Epub 2020 Apr 14.

Department of Urology and Nephrology, King Fahd Military Medical Complex, Dhahran, Saudi Arabia.

Carcinosarcoma of the bladder is a rare and aggressive variant of bladder tumor. The causes are not clear for this bladder tumor variant. Early diagnosis with immediate surgical resection is the most accepted management as reported so far in the literature, but the optimal management is unknown to date. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.4103/UA.UA_76_19DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7292428PMC

Intravesical Botox for overactive bladder; how to minimize complications and manage failures.

Curr Drug Targets 2020 Jun 21. Epub 2020 Jun 21.

2ndDepartment of Urology, School of Medicine, Aristotle University of Thessaloniki, Thessaloniki. Greece.

Intravesical Botox has become a widespread treatment for patients with refractory overactive bladder. Further to its acknowledged efficacy, both physicians and patients must be fully aware of possible complications, such as urinary tract infections, incomplete bladder emptying or even urinary retention and possible need for intermittent selfcatheterizations, fatigue, muscle weakness, transient hematuria and autonomic dysreflexia. Careful patient selection, particularly in terms of comorbidities, caution with technical aspects of the procedure such as the use of fine specifically designed injection needles, treatment of baseline UTIs or bacteriuria, avoidance of bladder overfilling could be the main measures, in addition to rigorous patient follow-up, to minimize the risk of post-Botox UTIs, hematuria, autonomic dysreflexia, and retention. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.2174/1389450121666200621194732DOI Listing

Gallbladder wall perforation secondary to empyema in Mirizzi's syndrome: An unseen complication. A case report.

Int J Surg Case Rep 2020 Jun 15;72:438-442. Epub 2020 Jun 15.

MRCS(Eng), FCPS(Pak), Dip. Laparoscopic Surgery (France), General Surgery Specialist, Dr. Sulaiman Al Habib Medical Group, Riyadh, Saudi Arabia. Electronic address:

Introduction: Mirizzi's syndrome is a rare but potential complication of long standing gallstone disease, particularly cholecystolithiasis.

Case Presentation: Being described is a case of a 42 year old patient who presented with right upper quadrant pain. Initially sent home as the pain settled but was diagnosed as Mirrizi's syndrome on readmission and was managed accordingly. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.ijscr.2020.06.040DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7306538PMC

Significant rate of lower urinary tract dysfunction in patients with sacrococcygeal teratomas.

J Pediatr Urol 2020 May 25. Epub 2020 May 25.

Division of Urology, Nationwide Children's Hospital, Columbus, OH, USA.

Background: Sacrococcygeal teratoma (SCT) is the most commonly occurring presacral tumor and can affect the lower urinary tract by direct mass effect, or as a sequela from surgical resection. Despite the potential impact on urologic function, there is no current standard for urological involvement or follow-up for these patients. The purpose of this study was to evaluate the need for urologic involvement for lower urinary tract dysfunction (LUTD) in patients with SCTs at our institution. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.jpurol.2020.05.013DOI Listing

Efficacy of bio-assisted pelvic floor muscle training in women with pelvic floor dysfunction.

Eur J Obstet Gynecol Reprod Biol 2020 May 18;251:206-211. Epub 2020 May 18.

Department of Obstetrics and Gynecology, Far-Eastern Memorial Hospital, New Taipei, Taiwan; Department of Obstetrics and Gynecology, College of Medicine and National Taiwan University Hospital, National Taiwan University, Taipei, Taiwan; Department of Medicine, College of Medicine, Fu Jen Catholic University, Taiwan. Electronic address:

Objectives: To evaluate the efficacy of 12-week pelvic floor muscle training (PFMT) using bio-assisted surface electromyography (EMG) feedback in women with complex pelvic floor dysfunction (PFD); to further differentiate the effect of exercise adherence from the biofeedback per se; and to assess and compare the severities of overactive bladder (OAB) symptoms, stress urinary incontinence (SUI), and stage of prolapse with the women's perception of symptom cure or improvement following the program.

Study Design: This prospective observational study was conducted between December 2015 and November 2018 at a medical center in Taiwan. It included 83 women with PFD, manifesting solely as either OAB or SUI with (group 1) or without (group 2) concomitant stages I and II pelvic organ prolapse (POP). Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.ejogrb.2020.04.050DOI Listing

Cutting-edge Management of Muscle-invasive Bladder Cancer in 2020 and a Glimpse into the Future.

Eur Urol Oncol 2020 Jun 15. Epub 2020 Jun 15.

Sorbonne University, GRC 5 Predictive ONCO-URO, AP-HP, Urology, Pitié-Salpêtrière Hospital, Paris, France. Electronic address:

This case-based discussion describes the clinical course of a 63-yr-old patient who presented with gross hematuria and was diagnosed with a muscle-invasive bladder cancer at transurethral resection. Computed tomography revealed a locally advanced tumor, and the patient underwent neoadjuvant chemotherapy followed by open radical cystectomy with standard pelvic lymph node dissection. In a step-by-step fashion, we elaborate on diagnostic and therapeutic treatment options from two different vantage points: (1) guideline-adherent treatment with the state-of-the-art standard of care, and (2) a glimpse into the future discussing the evidence of potential additional or alternative approaches based on recent scientific advances. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.euo.2020.06.001DOI Listing

When the bowel meets the bladder: Optimal management of colorectal pathology with urological involvement.

World J Gastrointest Surg 2020 May;12(5):208-225

Department of Colorectal Surgery, Galway University Hospital, Galway H91 YR71, Ireland.

Fistulae between the gastrointestinal and urinary systems are rare but becoming increasingly more common in current surgical practice. They are a heterogeneous group of pathological entities that are uncommon complications of both benign and malignant processes. As the incidence of complicated diverticular disease and colorectal malignancy increases, so too does the extent of fistulous connections between the gastrointestinal and urinary systems. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.4240/wjgs.v12.i5.208DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7289647PMC

The Urothelium, the urinary microbioma and men LUTS: a systematic review.

Minerva Urol Nefrol 2020 Jun 16. Epub 2020 Jun 16.

Department of Urology, Ospedale Sant'Andrea, 'Sapienza' Università di Roma, Rome, Italy.

Introduction: The pathophysiology and management of male patients with lower urinary tract symptoms (LUTS) is still a matter of debate. In the past few years, the urothelium and the urinary microbiota represent important areas of research to improve the understanding and management of these patients. Aim of the present review is to summarize the available data on the urothelium and the microbiota related to male LUTS. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.23736/S0393-2249.20.03762-5DOI Listing

Cystoscopy-Guided Laparoscopic Excision of Prostatic Utricle: Report of a Case.

European J Pediatr Surg Rep 2020 Jan 28;8(1):e35-e38. Epub 2020 Apr 28.

Department of Pediatric Surgery, Hacettepe University Faculty of Medicine, Ankara, Turkey.

Prostatic utricle (PU) is incomplete regression of Müllerian duct and may cause recurrent urinary tract infections (UTIs), stone formation, postvoid dribbling, and recurrent epididymitis. Although surgical excision is recommended to avoid complications, surgical access to PU has been challenging. Cystoscopy-guided laparoscopic management of PU in a 3-year-old boy is reported to discuss use of other endoscopic aids in the surgical treatment of PU. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1055/s-0040-1705155DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7188514PMC
January 2020

Exploring the Mechanism of Flaccidoxide-13-Acetate in Suppressing Cell Metastasis of Hepatocellular Carcinoma.

Mar Drugs 2020 Jun 15;18(6). Epub 2020 Jun 15.

Antai Medical Care Corporation Antai Tian-Sheng Memorial Hospital, Pingtung 92842, Taiwan.

Hepatocellular carcinoma (HCC) is the most common liver or hepatic cancer, accounting for 80% of all cases. The majority of this cancer mortality is due to metastases, rather than orthotopic tumors. Therefore, the inhibition of tumor metastasis is widely recognized as the key strategy for successful intervention. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.3390/md18060314DOI Listing

Abdominoperineal resection with prostatectomy in T4 rectal cancer : bladder sparing robotic pelvic exenteration- video vignette.

Colorectal Dis 2020 Jun 16. Epub 2020 Jun 16.

Division of colorectal oncology, Department of Surgical Oncology, Tata Memorial Centre, Homi Bhabha National Institute, Mumbai, India.

The role of minimally invasive surgery is still evolving for the management of locally advanced rectal cancers and is being practised at high volume centres(1). A few video vignettes are available demonstrating the technique of robotc total pelvic exenteration (2). The complications of creating a conduit or a neobladder as a urinary diversion in a patient undergoing total pelvic exenteration for locally advanced rectal cancer range from recurrent urinary infection and electrolyte imbalance to renal failure. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1111/codi.15200DOI Listing
June 2020
2.351 Impact Factor

Botox rechallenge-An additional tool in the management of an incompletely emptying bladder and inadequate overactive symptom control following sacral neuromodulation.

Low Urin Tract Symptoms 2020 Jun 16. Epub 2020 Jun 16.

Department of Urology, Austin Health, Heidelberg, Victoria, Australia.

Two female patients aged 70 and 72 with video-urodynamics-confirmed detrusor overactivity and detrusor underactivity (DO-DU) were treated. Patients were refractory to medical therapies and had previously failed intravesical botulinum toxin type A (BoNT-A) at other centers secondary to urinary retention and difficulty with self-catheterization. Placement of an Interstim II device (Medtronic, Minneapolis, Minnesota) for sacral neuromodulation (SNM) as alternative third-line treatment partially improved overactive bladder (OAB) symptoms while significantly improving voiding symptoms. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1111/luts.12332DOI Listing

Real-World Effects of Mirabegron in Patients with Chronic Neurogenic Detrusor Overactivity - A Retrospective Cohort Study.

Res Rep Urol 2020 22;12:187-192. Epub 2020 May 22.

Neuro-Urology, Swiss Paraplegic Centre, Nottwil, Switzerland.

Purpose: To investigate the tolerability and the effects of the β-3-adrenoceptor-agonist mirabegron on urinary incontinence and urodynamic parameters in patients with chronic neurogenic detrusor overactivity (NDO).

Patients And Methods: The patient database of a spinal cord injury rehabilitation center in Switzerland was screened for patients with chronic (>12 months) NDO, who had been prescribed mirabegron. Patient characteristics, data regarding bladder management, urinary incontinence and concurrent medication for NDO as well as urodynamic parameters were collected retrospectively. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.2147/RRU.S253713DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7250696PMC