2,276 results match your criteria Bladder Trauma Imaging


Lower Urinary Tract Injuries: A Guide for the Emergency Radiologist.

Can Assoc Radiol J 2020 May 11:846537120913875. Epub 2020 May 11.

Division of Emergency Radiology, Vancouver General Hospital, Vancouver, British Columbia, Canada.

Traumatic lower urinary tract injuries are uncommon and mainly occur in patients with severe trauma and multiple abdominopelvic injuries. In the presence of other substantial injuries, bladder and urethral injuries may be overlooked and cause significant morbidity and mortality. Therefore, it is important that radiologists are familiar with mechanisms and injuries that are high risk for bladder and urethral trauma. Read More

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http://dx.doi.org/10.1177/0846537120913875DOI Listing

Multidisciplinary treatment of abdominal wall endometriosis: A case report and literature review.

Eur J Obstet Gynecol Reprod Biol 2020 Jul 21;250:9-16. Epub 2020 Apr 21.

Department of Gynecology and Obstetrics, The First Affiliated Hospital, Sun Yat-Sen University, Guangzhou 510080, Guangdong Province, PR China. Electronic address:

A 31-year-old female patient presented with complaints of cyclic low abdominal wall pain and palpable abdominal mass for more than 4 years. Physical examination revealed a painful mass measuring 7 cm × 5 cm within the abdominal wall. Her surgical history included surgery for congenital lymphatic haemangioma twice and caesarean section delivery twice. Read More

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http://dx.doi.org/10.1016/j.ejogrb.2020.04.046DOI Listing
July 2020
1.627 Impact Factor

Post-traumatic Sacral Epidermoid Cyst Masquerading as Chordoma on Imaging: A Case Report.

JNMA J Nepal Med Assoc 2020 Mar;58(223):192-194

Department of Critical Care Medicine, B & C Medical College Teaching Hospital & Research Center, Birtamode, Jhapa, Nepal.

Intradural spinal epidermoid cysts are rare, benign lesions either acquired from trauma, surgery, lumbar puncture or arise as congenital lesions, particularly associated with spinal dysraphism. Epidermoid cyst arising from the spine with expansile destruction of vertebrae has not been reported yet in the literature. We report a case of 36-years male presented with history of fall 8 years back with progressive symptoms of lower back pain, weakness of left lower limb and bladder/bowel incontinence. Read More

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Use of a Closed Diurnal Indwelling Catheter for Patients With Spinal Cord Disorders: A Pilot Study.

Urology 2020 Apr 19. Epub 2020 Apr 19.

Shriners Hospitals for Children Northern California, Sacramento, CA; Department of Urologic Surgery, University of California Davis Medical Center, Sacramento, CA.

Objectives: To evaluate an alternative to clean intermittent catheterization (CIC) for individuals with neurogenic bladder for its effects on independence, privacy, and convenience. This prospective cohort study provides an initial assessment of quality of life, safety, and efficacy of closed diurnal indwelling catheterization (CDIC).

Materials And Methods: Individuals with spinal cord disorders using CIC were prospectively screened at multidisciplinary clinic appointments. Read More

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http://dx.doi.org/10.1016/j.urology.2020.04.033DOI Listing

Diagnostic accuracy of pneumo-CT-cystography in the detection of bladder rupture in patients with blunt pelvic trauma.

Radiol Med 2020 Apr 9. Epub 2020 Apr 9.

Department of Emergency Radiology, Careggi University Hospital, L.go Brambilla 3, Florence, Italy.

Purpose: To evaluate the diagnostic utility of bladder air distension (pneumo-CT-cystography) in the detection of bladder rupture in patients with blunt pelvic trauma.

Materials And Methods: 843 patients with blunt pelvic trauma were evaluated. Intravenous contrast-enhanced CT was performed for trauma staging. Read More

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http://dx.doi.org/10.1007/s11547-020-01190-2DOI Listing

French recommendations for the management of patients with spinal cord injury or at risk of spinal cord injury.

Anaesth Crit Care Pain Med 2020 Apr 27;39(2):279-289. Epub 2020 Mar 27.

Intensive Care Unit, Nice University Hospital, Pasteur 2 Hospital, Nice, France.

Objectives: To update the French guidelines on the management of trauma patients with spinal cord injury or suspected spinal cord injury.

Design: A consensus committee of 27 experts was formed. A formal conflict-of-interest (COI) policy was developed at the outset of the process and enforced throughout. Read More

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http://dx.doi.org/10.1016/j.accpm.2020.02.003DOI Listing

Autologous Transplantation of Adipose-Derived Stem Cells to Treat Acute Spinal Cord Injury: Evaluation of Clinical Signs, Mental Signs, and Quality of Life.

Open Access Maced J Med Sci 2019 Dec 20;7(24):4399-4405. Epub 2019 Dec 20.

Faculty of Biology, Hanoi National University of Education, Hanoi, Vietnam.

Backgroud: Spinal cord injury (SCI) is damage that can cause a temporary or permanent change in spinal cord functions.

Aim: This work evaluates clinical signs, mental signs, and quality of life (QoL) after autologous adipose-derived stem cells (ADSCs) transplantation to treat acute spinal cord injury (SCI).

Methods: In this study, 47 SCI patients were recruited and divided into two groups: intervention and control. Read More

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http://dx.doi.org/10.3889/oamjms.2019.843DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7084027PMC
December 2019

Neuroimaging in Neuro-Urology.

Eur Urol Focus 2020 Feb 28. Epub 2020 Feb 28.

Institute of Neuroradiology, University Hospital Zürich, University of Zürich, Zürich, Switzerland.

Neuroimaging allows in vivo visualization of neuronal structures/processes to assess their involvement in bodily functions. This is particularly valuable for the assessment of complex, multilevel neuronal controlled functions, such as urine storage and micturition. Using positron emission tomography or functional magnetic resonance imaging, significant alterations of supraspinal lower urinary tract (LUT) control have been described in patients with neurogenic LUT dysfunction due to spinal cord injury, Parkinson's disease, and multiple sclerosis. Read More

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http://dx.doi.org/10.1016/j.euf.2019.12.006DOI Listing
February 2020

[Radiological diagnosis of pelvic ring fractures].

Authors:
Thomas Grieser

Radiologe 2020 Mar;60(3):226-246

Klinik für Diagnostische und Interventionelle Radiologie, Universitätsklinikum Augsburg, Stenglinstr. 2, 86156, Augsburg, Deutschland.

Epidemiology: Traumatic fractures of the pelvic ring are relatively rare, but are associated with increased risk of mortality. Depending on injury mechanism and main vector of energy impact, a distinction is made between anteroposterior compression, lateral compression, and vertical shear (Young and Burgess classification), while the stability-related classification according to Tile distinguishes between type A (stable), type B (rotationally unstable) and type C (completely unstable). A comprehensive modern classification is given by the AO/OTA. Read More

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http://dx.doi.org/10.1007/s00117-020-00656-8DOI Listing

Robotic urethral reconstruction: redefining the paradigm of posterior urethroplasty.

Transl Androl Urol 2020 Feb;9(1):121-131

Department of Urology, Mayo Clinic, Rochester, MN, USA.

Outlet procedures for benign prostatic hypertrophy, prostate cancer therapy, and trauma can result in stenosis of the posterior urethra, a complex reconstructive problem that often fails conservative endoscopic management, necessitating more aggressive and definitive reconstructive solutions. This is typically done with an open technique which may require a combined abdominoperineal approach, pubectomy, and/or flap interposition. Implementation of a robot-assisted platform affords several potential advantages including smaller incisions, magnified field of vision, near-infrared fluorescence (NIRF) imaging to characterize tissue integrity, enhanced dexterity within the deep and narrow confines of the male pelvis, sparing of the perineal planes, and shorter convalescence. Read More

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http://dx.doi.org/10.21037/tau.2019.08.22DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6995938PMC
February 2020

Updated Australian diagnostic reference levels for adult CT.

J Med Radiat Sci 2020 Mar 10;67(1):5-15. Epub 2020 Feb 10.

Australian Radiation Protection and Nuclear Safety Agency, Yallambie, Victoria, Australia.

Introduction: In 2018, ARPANSA published updated national DRLs for adult CT, which were first published in 2012, and augmented the national DRL categories. This paper presents the updated national DRLs and describes the process by which they were produced.

Methods: Examine patient survey data submitted to the Australian Radiation Protection and Nuclear Safety Agency (ARPANSA) National Diagnostic Reference Level Service (NDRLS). Read More

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http://dx.doi.org/10.1002/jmrs.372DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7063242PMC

Is computed tomography cystography indicated in children with pelvic fractures?

Chin J Traumatol 2020 Jun 30;23(3):181-184. Epub 2019 Nov 30.

The Rappaport School of Medicine, Technion, Haifa, Israel; Trauma Unit, Hillel Yaffe Medical Center, Hadera, Israel.

Purpose: Pelvic fracture evaluation with abdominopelvic computed tomography (CT) and formal CT cystography for rule out of urine bladder injury have been commonly employed in pediatric trauma patients. The additional delayed imaging required to obtain optimal CT cystography is, however, associated with increased doses of ionizing radiation to pelvic organs and represent a significant risk in the pediatric population for future carcinogenic risk. We hypothesized that avoidance of routine CT cystography among pediatric pelvic fracture victims would not result in an appreciable rate of missed bladder injuries and would aid in mitigating the radiation exposure risk associated with these additional images. Read More

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http://dx.doi.org/10.1016/j.cjtee.2019.09.002DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7296357PMC

T10-L3 Cystic Lesion of the Ventriculus Terminalis Presenting as Conus Medullaris Syndrome.

World Neurosurg 2020 Apr 16;136:146-149. Epub 2020 Jan 16.

Department of Neurologic Surgery, Mayo Clinic, Jacksonville, Florida, USA. Electronic address:

Background: Intramedullary spinal cord cysts are benign, rare, fluid-filled lesions that can present anywhere along the craniospinal axis. However, when present at the level of the ventriculus terminalis, conus medullaris syndrome may occur. Radical resection of the cyst wall and evacuation of the cyst content are the 2 surgical procedures of choice. Read More

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http://dx.doi.org/10.1016/j.wneu.2020.01.049DOI Listing
April 2020
2.417 Impact Factor

Self-introduced intravesical magnets in a 3-year-old boy: Case report.

Turk J Pediatr 2019 ;61(2):286-288

Department of Pediatric Surgery, University of Medical Sciences, Tepecik Training and Research Hospital, Yenişehir, İzmir, Turkey.

Özdemir T, Orhan G, Candan B, Köylüoğlu G. Self-introduced intravesical magnets in a 3-year-old boy: Case report. Turk J Pediatr 2019; 61: 286-288. Read More

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http://dx.doi.org/10.24953/turkjped.2019.02.022DOI Listing

Placenta percreta evaluated by MRI: correlation with maternal morbidity.

Arch Gynecol Obstet 2020 03 4;301(3):851-857. Epub 2020 Jan 4.

Department of Radiology, Shandong Medical Imaging Research Institute, Shandong University, 324, Jingwu Road, Jinan, 250021, Shandong, People's Republic of China.

Purpose: The purpose of this study was to evaluate the capability of MRI in depicting the topography of placenta percreta (PP) and to further explore the correlation between invasion topography and maternal outcomes.

Methods: 55 patients with histologically or surgically confirmed PP were included in this retrospective study. Two senior radiologists evaluated the topography of PP based on MR images: the invasion topography was depicted as S1, S2, parametrial, bladder, and cervical invasion. Read More

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http://dx.doi.org/10.1007/s00404-019-05420-5DOI Listing

Traumatic Vertebral Body Second Lumbar over Third Lumbar Retrolisthesis in a Child: Reporting the First Case along with the Review of Relevant Literature.

Asian J Neurosurg 2019 Oct-Dec;14(4):1298-1301. Epub 2019 Nov 25.

Department of Neurosurgery, Sher-i-Kashmir Institute of Medical Sciences, Srinagar, Jammu and Kashmir, India.

Traumatic retrolisthesis of the lumbar vertebrae is a rare entity in children. Only four such cases, two cases each of first lumbar-second lumbar (L1-L2) and L5-S1 retrolisthesis in children, have been reported so far in the English scientific literature. Here, we report a traumatic retrolisthesis of the L2 vertebra in an 8-year-old male child. Read More

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http://dx.doi.org/10.4103/ajns.AJNS_93_19DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6896645PMC
November 2019

Identifying bladder rupture following traumatic pelvic fracture: A machine learning approach.

Injury 2020 Feb 9;51(2):334-339. Epub 2019 Dec 9.

Vanderbilt University Medical Center, USA. Electronic address:

Introduction: Bladder rupture following blunt pelvic trauma is rare though can have significant sequelae. We sought to determine whether machine learning could help predict the presence of bladder injury using certain factors at the time of presentation of blunt pelvic trauma.

Materials And Methods: Adult patients at a Level I trauma center with blunt trauma pelvic fractures from January 1, 2005 to December 31, 2017 were identified. Read More

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http://dx.doi.org/10.1016/j.injury.2019.12.009DOI Listing
February 2020

prosthetic joint infection following intravesical instillation of BCG for bladder cancer.

BMJ Case Rep 2019 Dec 18;12(12). Epub 2019 Dec 18.

Internal Medicine, Geisinger Medical Center, Danville, Pennsylvania, USA.

A 91-year-old man with a history of intravesicular BCG therapy for recurrent bladder cancer and bilateral total hip arthroplasty (THA) presented with left hip pain. He was noted to have a fluid collection over the left lateral hip and hip X-ray showed loosening of the prosthetic hip stem indicative of a prosthetic joint infection (PJI). He subsequently underwent removal of the THA and insertion of an antibiotic spacer. Read More

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http://dx.doi.org/10.1136/bcr-2019-231830DOI Listing
December 2019

Lung-related complications of transrectal prostate biopsy.

Br J Hosp Med (Lond) 2019 Dec;80(12):ii

Assistant Professor, Department of Radiology, Alanya Education and Research Hospital, Alanya, Antalya, Turkey.

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http://dx.doi.org/10.12968/hmed.2019.80.12.iiDOI Listing
December 2019

A case report of endorectal displacement of a right ureteral stent following radiochemotherapy and Bevacizumab.

BMC Urol 2019 Dec 9;19(1):128. Epub 2019 Dec 9.

Department of Translational Research and New Technologies in Medicine and Surgery, Sections of Urology, University of Pisa, via Paradisa 2, 56126, Pisa, Italy.

Background: The angiogenesis inhibitor monoclonal antibody Bevacizumab is presently the standard treatment for numerous neoplasms but particular toxicities are emerging, such as hypertension, haemorrhage, thromboembolism, gastrointestinal perforation, fistulae, and delayed wound healing. The addition of Bevacizumab to radio and chemotherapy has improved the overall survival rate in patients with metastatic, persistent or recurrent cervical carcinoma. However an increased risk of enteric or urinary fistula formation has been documented, related to hypoxia which is induced by the inhibition of angiogenesis. Read More

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http://dx.doi.org/10.1186/s12894-019-0566-1DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6902463PMC
December 2019

The Practice of 'Urethral Sounding' Complicated by Retained Magnetic Beads Within the Bladder and Urethra: Diagnosis and Review of Management.

Am J Case Rep 2019 Dec 9;20:1841-1844. Epub 2019 Dec 9.

Department of Urology, Royal Surrey County Hospital, Guildford, United Kingdom.

BACKGROUND The emergency treatment of a retained foreign body within the urethra and bladder is an uncommon clinical scenario within adult urology. Beyond the medical field, the placement of an object/s into the urethra is known as 'urethral sounding' and encompasses a sexual practice performed to heighten arousal and pleasure. The medical literature highlights the morbidity associated with this practice, most commonly when the sounding device can no longer be retrieved by the participant. Read More

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http://dx.doi.org/10.12659/AJCR.919439DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6913229PMC
December 2019

3D printing of pelvic fracture urethral injuries-fusion of technology and urethroplasty.

Turk J Urol 2020 01 14;46(1):76-79. Epub 2019 Nov 14.

Kulkarni Reconstructive Urology Center, Pune, India.

Objective: Urethral injury occurs in 10% of patients who suffer from pelvic fractures. Urethroplasty is performed after an interval of 3 months to stabilize the perineal hematoma. It has been reported that the rate limiting step in anastomotic urethroplasty is finding the posterior urethra. Read More

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http://dx.doi.org/10.5152/tud.2019.19165DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6944423PMC
January 2020

Cystometric Measurements in Rats with an Experimentally Induced Traumatic Brain Injury and Voiding Dysfunction: A Time-Course Study.

Brain Sci 2019 Nov 14;9(11). Epub 2019 Nov 14.

School of Biomedical Engineering, College of Biomedical Engineering, Taipei Medical University, Taipei-11031, Taiwan.

Traumatic brain injuries (TBIs) are a serious public health issue worldwide with increased mortality as well as severe disabilities and injuries caused by falls and road accidents. Unfortunately, there is no approved therapy for TBIs, and bladder dysfunction is a striking symptom. Accordingly, we attempted to analyze bladder dysfunction and voiding efficiency in rats with a TBI at different time-course intervals. Read More

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http://dx.doi.org/10.3390/brainsci9110325DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6895874PMC
November 2019

Imaging of urinary bladder injury: the role of CT cystography.

Emerg Radiol 2020 Feb 15;27(1):87-95. Epub 2019 Nov 15.

The Russell H. Morgan Department of Radiology and Radiological Science, Johns Hopkins University School of Medicine, 600 N Wolfe St, Baltimore, MD, 21287, USA.

Although conventional radiographic cystography has been traditionally considered the reference standard in detecting bladder injuries, computed tomography (CT) cystography has become the initial imaging method of choice in the acute setting. CT cystography has been shown to provide comparable accuracy as conventional cystography, and can be easily performed in conjunction with trauma CT surveys in patients with suspected bladder injuries. Despite increasing enthusiasm toward CT cystography in dealing with patients with suspected bladder injuries, there is little information in this regard in the literature. Read More

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http://dx.doi.org/10.1007/s10140-019-01739-3DOI Listing
February 2020

Handlebar sign: a bruise with underlying visceral injury.

BMJ Case Rep 2019 Nov 7;12(11). Epub 2019 Nov 7.

Department of General Surgery, Lokmanya Tilak Municipal Medical College and General Hospital, Mumbai, India.

A 14-year-old boy presented with a painful swelling topped by a bruise overlying the skin of the right inguinal region without peritonitis. This was the area of impact of bicycle handlebar while riding 6 days ago. On contrast-enhanced CT scan, we found a traumatic abdominal wall hernia (handlebar hernia) near the right deep ring without any solid organ, bowel or urinary bladder injury. Read More

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http://dx.doi.org/10.1136/bcr-2019-231835DOI Listing
November 2019

Iatrogenic Epidermoid Cyst of the Cauda Equina: A Late Complication of Lumbar Disc Herniation Surgery.

World Neurosurg 2020 Jan 19;133:271-274. Epub 2019 Oct 19.

Department of Neurosurgery, Burn and Trauma Center Ben Arous Tunisia, University Tunis, El Manar, Tunisia.

Background: Epidermoid cysts (ECs) account for 0.5% to 1% of all spinal tumors. They can be congenital or acquired. Read More

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http://dx.doi.org/10.1016/j.wneu.2019.10.076DOI Listing
January 2020
2 Reads

Spontaneous renoalimentary fistula as a complication of upper tract urothelial carcinoma: unknown complication of a rare disease.

BMJ Case Rep 2019 Oct 15;12(10). Epub 2019 Oct 15.

Radiodiagnosis, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, India

Fistulae of the upper urinary tract with the alimentary tract are rare. Most cases of renoalimentary fistulae are secondary to penetrating trauma, which may be iatrogenic or due to locally invasive benign infective processes or complicated nephrolithiasis, or following surgical procedures. Spontaneous renoalimentary fistulae developing secondary to locally advanced malignancies, namely renal cell carcinoma, are very rare, and unknown due to upper tract transitional cell carcinoma. Read More

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http://dx.doi.org/10.1136/bcr-2019-231720DOI Listing
October 2019
1 Read

Ultrasound-guided Morcellation During Difficult Holmium Laser Enucleation of the Prostate.

Urology 2020 Jan 4;135:171-172. Epub 2019 Oct 4.

Department of Urology, University of California San Francisco, San Francisco, CA.

Objective: To demonstrate how bladder ultrasound can be useful in completing morcellation during difficult Holmium Laser Enucleation of the Prostate (HoLEP). As HoLEP has emerged as a standard of care for the treatment of benign prostatic hyperplasia, multiple studies have reported the potentially catastrophic complication of bladder injury during morcellation. This video aims to assist any urologist performing HoLEP by providing step-by-step instruction for using ultrasound to complete morcellation safely. Read More

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http://dx.doi.org/10.1016/j.urology.2019.09.027DOI Listing
January 2020

Thickness-to-Height Ratio of Intravesical Prostatic Protrusion Predicts the Clinical Outcome and Morbidity of Prostatic Artery Embolization for Benign Prostatic Hyperplasia.

J Vasc Interv Radiol 2019 Nov 3;30(11):1807-1816. Epub 2019 Oct 3.

Department of Surgery, Prince of Wales Hospital, The Chinese University of Hong Kong, Room 2A061, 2/F, Main Clinical Block and Trauma Centre, 30-32 Ngan Shing Street, Shatin, New Territories, Hong Kong SAR.

Purpose: To evaluate the presence of intravesical prostatic protrusion (IPP) and its thickness-to-height (T/H) ratio as a predictor for the clinical outcome and morbidity of prostatic artery embolization (PAE) for benign prostatic hyperplasia.

Materials And Methods: This was a prospective, single-center, institutional review board-approved study from June 2015 to December 2018 of 82 consecutive patients (age, 53-79 years; median, 66 years) with International Prostate Symptom Score (IPSS) ≥15 and quality-of-life (QOL) score ≥3. The presence of IPP and its T/H ratio were assessed on baseline magnetic resonance imaging for their correlation with the clinical outcomes of suboptimal IPSS (IPSS ≥10) and suboptimal QOL (QOL ≥3) up to 12 months after PAE and the occurrence of post-procedure complications (≤30 days), which caused a certain degree of urinary outflow obstruction. Read More

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http://dx.doi.org/10.1016/j.jvir.2019.07.035DOI Listing
November 2019
1 Read

Repair of Iatrogenic Urethral and Bladder Neck Injury Due to Missed Diagnosis of Mayer-Rokitansky-Küster-Hauser Syndrome.

Urology 2019 Dec 24;134:213-216. Epub 2019 Sep 24.

Schulich School of Medicine and Dentistry, Western University, London, Ontario, Canada; Division of Urology, Department of Surgery, London Health Sciences Centre, London, Ontario, Canada; Division of Paediatric Surgery, Department of Surgery, London Health Sciences Centre, London, Ontario, Canada.

Mayer-Rokitansky-Küster-Hauser syndrome is a congenital malformation disorder resulting in agenesis of the proximal vagina, absence of cervix, and variable development of the uterus. This report describes the repair of a complex iatrogenic urethrovaginal injury due to a missed diagnosis of Mayer-Rokitansky-Küster-Hauser. Our treatment utilized a primary urethroplasty through a transvaginal approach with bladder neck reconstruction and a Martius flap for secondary coverage. Read More

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http://dx.doi.org/10.1016/j.urology.2019.09.017DOI Listing
December 2019

CT imaging markers to improve radiation toxicity prediction in prostate cancer radiotherapy by stacking regression algorithm.

Radiol Med 2020 Jan 24;125(1):87-97. Epub 2019 Sep 24.

Department of Medical Physics, School of Medicine, Iran University of Medical Sciences, Tehran, Iran.

Purpose: Radiomic features, clinical and dosimetric factors have the potential to predict radiation-induced toxicity. The aim of this study was to develop prediction models of radiotherapy-induced toxicities in prostate cancer patients based on computed tomography (CT) radiomics, clinical and dosimetric parameters.

Methods: In this prospective study, prostate cancer patients were included, and radiotherapy-induced urinary and gastrointestinal (GI) toxicities were assessed by Common Terminology Criteria for adverse events. Read More

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http://dx.doi.org/10.1007/s11547-019-01082-0DOI Listing
January 2020
2 Reads

Computed tomography (CT) in the evaluation of bladder and ureteral trauma: indications, technique, and diagnosis.

Abdom Radiol (NY) 2019 12;44(12):3962-3977

Boston Medical Center, One Boston Medical Center Pl, Boston, MA, 02118, USA.

Introduction: Trauma to the genitourinary system includes blunt and penetrating injuries to bladder and ureters. These are rare injuries and are overlooked as other abdominal and pelvic injuries often take priority. Delayed diagnosis can lead to significant morbidity and mortality. Read More

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http://dx.doi.org/10.1007/s00261-019-02161-6DOI Listing
December 2019
2 Reads

Inadvertent iatrogenic prostatectomy and urethrectomy in 2 dogs.

Tierarztl Prax Ausg K Kleintiere Heimtiere 2019 Aug 21;47(4):282-289. Epub 2019 Aug 21.

Department of Veterinary Clinical Sciences, Clinic for Small Animals, Justus Liebig University.

Two dogs were referred because of dysuria following inadvertent iatrogenic total prostatectomy and urethrectomy. In both cases an existing perineal hernia was not recognized by the referring veterinarians and the caudally herniated prostate gland was diagnosed as a perianal neoplasia and subsequently removed. Both dogs were treated with isolation of the urinary bladder from the urethra and a permanent prepubic cystostomy tube. Read More

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http://dx.doi.org/10.1055/a-0948-7713DOI Listing
August 2019
8 Reads

Levator ani muscle injury and risk for urinary and fecal incontinence in parous women from a normal population, a cross-sectional study.

Neurourol Urodyn 2019 11 20;38(8):2296-2302. Epub 2019 Aug 20.

Department of Gynecology and Obstetrics, St. Olavs University Hospital, Trondheim, Norway.

Aims: To study possible associations between levator ani muscle (LAM) injury and urinary incontinence (UI) and fecal incontinence (FI) and possible associations between bladder neck descent (BND), urethral funneling, and UI.

Methods: A cross-sectional study of 608 women with first delivery in 1990 to 1997 assessed in 2013 to 2014. The Urinary Distress Inventory (UDI-6) and Colorectal Anal Distress Inventory (CRADI-8) were used to quantify symptoms (range, 0-100). Read More

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http://dx.doi.org/10.1002/nau.24138DOI Listing
November 2019
2 Reads

Bladder necrosis and perforation in end-stage renal disease and recurrent urinary tract infection: A rare medical emergency.

Int J Crit Illn Inj Sci 2019 Apr-Jun;9(2):101-104

Department of Gastroenterology, Morehouse School of Medicine, Grady Memorial Hospital, Atlanta, Georgia, USA.

Bladder necrosis and perforation is a rare and life-threatening medical emergency. Risk factors include trauma, malignancy, previous surgery and/or radiation therapy and diabetes mellitus. Signs, symptoms, and imaging findings are often obscure making the diagnosis difficult. Read More

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http://dx.doi.org/10.4103/IJCIIS.IJCIIS_72_18DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6625330PMC
July 2019
12 Reads

Late side effects of 3T MRI-guided 3D high-dose rate brachytherapy of cervical cancer : Institutional experiences.

Strahlenther Onkol 2019 Nov 15;195(11):972-981. Epub 2019 Jul 15.

Department of Oncology and Radiotherapy, University Hospital in Pilsen, alej Svobody 80, 304 60, Pilsen, Czech Republic.

Purpose: This article reports experiences with 3T magnetic resonance imaging(MRI)-guided brachytherapy (BT) for cervical cancer focusing on late side effects.

Methods: Between June 2012 and March 2017 a total of 257 uterovaginal BT administrations were performed in 61 consecutive patients with inoperable cervical cancer. All patients were treated with BT combined with external beam radiotherapy. Read More

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http://dx.doi.org/10.1007/s00066-019-01491-0DOI Listing
November 2019

Paraplesia after surfing in a young female novice surfer: a case report on surfer's myelopathy.

Acute Med Surg 2019 Jul 5;6(3):312-315. Epub 2019 Apr 5.

Emergency Department Shonan Kamakura General Hospital Kamakura Kanagawa Japan.

Background: Surfer's myelopathy is a non-traumatic spinal cord injury that was first described in a publication in 2004. However, most emergency physicians are not familiar with this rare disease.

Case Presentation: The patient was a 19-year-old female novice surfer. Read More

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http://dx.doi.org/10.1002/ams2.416DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6603321PMC
July 2019
1 Read

Severe Pott's Kyphosis in a 19-Month-Old Child: Case Report and Review of Literature.

World Neurosurg 2019 Oct 25;130:30-36. Epub 2019 Jun 25.

Department of Spine Services, Indian Spinal Injuries Centre, New Delhi, India.

Background: Spinal osseous tuberculosis, or Pott's spine, although very common in endemic countries, has a lower incidence in very young children. However, the infection has the propensity to cause greater vertebral destruction in this age group, leading to severe structural kyphotic deformity and associated neurologic deficits. We report the case of a 19-month-old child with severe tubercular kyphotic deformity of the upper thoracic spine managed with posterior vertebral column resection (VCR) and nonfusion posterior pedicle screw instrumentation. Read More

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http://dx.doi.org/10.1016/j.wneu.2019.06.097DOI Listing
October 2019
10 Reads

Very early Charcot spinal arthropathy associated with forward bending after spinal cord injury: a case report.

Spinal Cord Ser Cases 2019 14;5:19. Epub 2019 Feb 14.

Grady Health System, Emory Department of Neurosurgery, Grady Memorial Hospital, 80 Jesse Hill Jr. Dr. SE, Atlanta, GA, 30303, USA.

Introduction: Charcot spinal arthropathy (CSA) is an uncommon clinical entity following spinal cord injury (SCI). It is characterized by progressive cartilaginous and bony destruction and is felt to be due to loss of proprioceptive and nociceptive feedback from the spine. CSA is typically diagnosed many years following SCI and has the potential to lead to progressive neurologic decline if left untreated. Read More

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http://dx.doi.org/10.1038/s41394-019-0162-3DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6461858PMC
April 2020
4 Reads

Isolated free fluid on computed tomography for blunt abdominal trauma.

Ann R Coll Surg Engl 2019 Nov 20;101(8):552-557. Epub 2019 Jun 20.

Department of Surgery, University of KwaZulu Natal, Durban, South Africa.

Introduction: The clinical significance of isolated free fluid on abdominal computed tomography (CT) in patients with blunt abdominal trauma is unclear. This audit reviews our unit's experience with isolated free fluid and attempts to refine our clinical algorithms for the assessment of patients with blunt abdominal trauma.

Materials And Methods: All patients who sustained blunt abdominal trauma between December 2012 and December 2017 who were subjected to multidetector CT of the abdomen as part of their initial investigation were included in this study. Read More

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http://dx.doi.org/10.1308/rcsann.2019.0078DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6818054PMC
November 2019
26 Reads

Effects of early intravesical administration of resiniferatoxin to spinal cord-injured rats in neurogenic detrusor overactivity.

Neurourol Urodyn 2019 08 10;38(6):1540-1550. Epub 2019 Jun 10.

Department of Biomedicine, Experimental Biology Unit, Faculty of Medicine of Porto, University of Porto, Porto, Portugal.

Objectives: To investigate if intravesical administration during spinal shock of resiniferatoxin (RTX), an ultrapotent desensitizing agonist of transient receptor potential vanilloid-1 (TRPV1), would silence TRPV1-expressing bladder afferents at an early stage of disease progression and modulate neurogenic detrusor overactivity (NDO) emergence.

Materials And Methods: Rats submitted to largely incomplete spinal cord transection at T8/9 spinal segment were treated with intravesical RTX (50 nM) or its vehicle during spinal shock. Four weeks after spinal lesion, bladder-reflex activity was evaluated by cystometry under urethane anesthesia, after which the bladder, spinal cord, and dorsal root ganglia were collected and processed. Read More

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http://dx.doi.org/10.1002/nau.24032DOI Listing
August 2019
3 Reads

MRI Radiomic Analysis of IMRT-Induced Bladder Wall Changes in Prostate Cancer Patients: A Relationship with Radiation Dose and Toxicity.

J Med Imaging Radiat Sci 2019 06 18;50(2):252-260. Epub 2019 Jan 18.

Department of Medical Physics, School of Medicine, Iran University of Medical Sciences, Tehran, Iran; Radiation Biology Research Center, Iran University of Medical Sciences, Tehran, Iran. Electronic address:

Background: The main purpose of this study was to assess the structural changes in the bladder wall of prostate cancer patients treated with intensity-modulated radiation therapy using magnetic resonance imaging texture features analysis and to correlate image texture changes with radiation dose and urinary toxicity.

Methods: Ethical clearance was granted to enroll 33 patients into this study who were treated with intensity-modulated radiation therapy for prostate cancer. All patients underwent two magnetic resonance imagings before and after radiation therapy (RT). Read More

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http://dx.doi.org/10.1016/j.jmir.2018.12.002DOI Listing
June 2019
9 Reads

MDCT Imaging of Acute Bladder Pathology.

Curr Probl Diagn Radiol 2019 May 9. Epub 2019 May 9.

Department of Diagnostic Radiology, Emergency Radiology Division, Henry Ford Hospital, Detroit, MI. Electronic address:

In this review, we will discuss and illustrate the pathophysiology, presentation, and multidetector computed tomography findings associated with emergent bladder conditions, limiting our discussion to traumatic, infectious, and obstructive etiologies. After reviewing computed tomography cystographic technique, the commonly utilized classification systems for bladder trauma will be presented with illustrative examples of associated typical and more infrequent secondary injuries and complications. Next, the pathogenesis and imaging appearance of both mechanical and neurogenic acute urinary retention will be addressed, including less common though potentially pathognomonic obstructive etiologies including urethral calculi and ectopic ureteroceles. Read More

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http://dx.doi.org/10.1067/j.cpradiol.2019.05.005DOI Listing
May 2019
8 Reads

Intravesical invasion of a Mersilene tape and secondary stone formation.

Int Urogynecol J 2019 10 25;30(10):1775-1777. Epub 2019 May 25.

Department of Gynecology and Obstetrics, Xiangya Hospital, Central South University, No. 87 Xiangya Road, Changsha, China.

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http://link.springer.com/10.1007/s00192-019-03971-4
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http://dx.doi.org/10.1007/s00192-019-03971-4DOI Listing
October 2019
5 Reads

Dose to the bladder neck in MRI-guided high-dose-rate prostate brachytherapy: Impact on acute urinary toxicity and health-related quality of life.

Brachytherapy 2019 Jul - Aug;18(4):477-483. Epub 2019 May 17.

Department of Radiation Oncology, University of Toronto, Toronto, ON, Canada; Radiation Medicine Program, Princess Margaret Cancer Centre, Toronto, ON, Canada. Electronic address:

Purpose: To assess the impact of the dose to the bladder neck (BN) on acute urinary toxicity (AUT) and health-related quality of life (uHRQoL) in patients with prostate cancer treated with MRI-guided high-dose-rate brachytherapy combined to external beam radiotherapy.

Methods And Materials: Sixty-one patients were treated with a single 15-Gy MRI-guided high-dose-rate brachytherapy followed by external beam radiotherapy as part of a prospective Phase II trial. The BN was delineated in retrospect on T2-weighted images. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S15384721183074
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http://dx.doi.org/10.1016/j.brachy.2019.02.003DOI Listing
January 2020
14 Reads

Lumbopelvic Fixation for Sacral Insufficiency Fracture Presenting with Sphincter Dysfunction.

Case Rep Orthop 2019 7;2019:9097876. Epub 2019 Apr 7.

Department of Orthopaedic Surgery, Chiba University, Graduate School of Medicine, 1-8-1 Inohana Chuou-ku, Chiba City, Chiba 260-8670, Japan.

Sacral insufficiency fractures (SIFs) are common in the elderly. In patients with SIF, objective neurological abnormalities such as sphincter dysfunction or leg paresthesia are uncommon. We present a case of SIF accompanied by spinopelvic dissociation with late neurological compromise treated by spinopelvic fixation. Read More

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http://dx.doi.org/10.1155/2019/9097876DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6476123PMC
April 2019
8 Reads

Ultrasound examination of coelomic viscera through the plastron in stranded green sea turtles ().

Open Vet J 2019 04 18;9(1):38-43. Epub 2019 Feb 18.

Instituto Gremar pesquisa, educação e gestão de fauna Rodovia Ariovaldo de Almeida de Viana, Guarujá, São Paulo, Brazil.

Many projects have been developed in the last years for the conservation of sea turtles. Young green turtles () often nest on the Brazilian coast. Because they nest in beaches along the coastline and islands, green turtles are susceptible to fishing and accidental ingestion of anthropogenic debris. Read More

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http://dx.doi.org/10.4314/ovj.v9i1.7DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6500861PMC
April 2019
5 Reads

Management of Iatrogenic Bladder Injury due to Vascular Surgery: Case Report and Literature Review.

Ann Vasc Surg 2019 Aug 7;59:307.e13-307.e16. Epub 2019 May 7.

Unit of Vascular Surgery, Fondazione Policlinico Universitario Agostino Gemelli IRCSS, Università Cattolica del Sacro Cuore, Rome, Italy.

We report an unusual case of a 53-year-old male patient, previously undergone an extra-anatomic right-to-left iliofemoral bypass graft, who has developed gross hematuria after 4 months. The cystoscopic examination revealed a wall injury due to the presence of the graft crossing the bladder. Iatrogenic bladder injuries during vascular surgery are extremely rare. Read More

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http://dx.doi.org/10.1016/j.avsg.2019.02.045DOI Listing
August 2019
10 Reads

Large inguinal bladder hernias: can a preoperative diagnosis be made?

Hernia 2019 Dec 4;23(6):1221-1227. Epub 2019 May 4.

Tecnologico de Monterrey, Escuela de Medicina y Ciencias de la Salud, Dr. Ignacio Morones Prieto O 3000, 64710, Monterrey, Nuevo León, Mexico.

Purpose: Bladder hernias are asymptomatic in most cases and are found incidentally during exploration for inguinal hernia repair. The treatment of inguinal bladder hernia is either reduction or resection of the herniated bladder, followed by herniorrhaphy. We present a case series with preoperative diagnoses, along with their surgical outcomes. Read More

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http://dx.doi.org/10.1007/s10029-019-01955-3DOI Listing
December 2019
6 Reads

Does Microscopic Hematuria After Pediatric Blunt Trauma Indicate Clinically Significant Injury?

J Surg Res 2019 09 2;241:317-322. Epub 2019 May 2.

Division of Pediatric Surgery, Department of Surgery, University of Texas Southwestern Medical Center, Dallas, Texas; Pediatric Surgery, Children's Health, Dallas, Texas. Electronic address:

Background: Children are more likely to have urinary system injury after blunt abdominal trauma (BAT) because of anatomical vulnerabilities. Urinalysis (UA) is often performed during initial evaluation to screen for injury. The purpose of this study was to determine how often finding microscopic hematuria after BAT leads to further testing and whether this indicates a significant injury. Read More

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http://dx.doi.org/10.1016/j.jss.2019.04.020DOI Listing
September 2019
2 Reads