1,068 results match your criteria Urethral Catheterization Men

Prostatic urethral lift (UroLift): a real-world analysis of outcomes using hospital episodes statistics.

BMC Urol 2021 Apr 7;21(1):55. Epub 2021 Apr 7.

The Newcastle Upon Tyne Hospitals NHS Foundation Trust, Newcastle upon Tyne, UK.

Background: To determine real-world outcomes of prostatic urethral lift (UroLift) procedures conducted in hospitals across England.

Methods: A retrospective observational cohort was identified from Hospital Episode Statistics data including men undergoing UroLift in hospitals in England between 2017 and 2020. Procedure uptake, patient demographics, inpatient complications, 30-day accident and emergency re-attendance rate, requirement for further treatment and catheterization were captured. Read More

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Artificial Urinary Sphincter Complications: Risk Factors, Workup, and Clinical Approach.

Curr Urol Rep 2021 Mar 29;22(5):30. Epub 2021 Mar 29.

Department of Urology, University of Texas Southwestern Medical Center, 5323 Harry Hines Blvd, Dallas, TX, 75390-9110, USA.

Purpose Of Review: To review risk factors for AUS complications and present a systematic approach to their diagnosis and management.

Recent Findings: Established risk factors for AUS complications include catheterization, channel TURP, pelvic radiation, urethroplasty, anticoagulation, cardiovascular disease, diabetes mellitus, frailty index, hypertension, low albumin, and low testosterone. We present our algorithm for diagnosis and management of AUS complications. Read More

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Urological emergencies in a Nigerian teaching hospital: Epidemiology and treatment.

Niger J Clin Pract 2021 Mar;24(3):400-405

Department of Surgery, Alex-Ekwueme Federal University Teaching Hospital, Ebonyi State, Nigeria.

Background: Urological emergencies constitute a significant part of emergency presentations in various referral centers. Data on the prevalence of these emergencies in West African sub-region are sparse.

Objective: The study is aimed at determining the pattern of urological emergencies in our center and is geared towards bridging the gap in knowledge of the epidemiology of urological emergencies in this sub-region as a means of achieving efficient use of scarce resources. Read More

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Benzalkonium chloride induced corrosive balanoposthitis in a man requiring clean intermittent catheterization.

IJU Case Rep 2021 Mar 12;4(2):101-103. Epub 2021 Jan 12.

Department of Urology Faculty of Medicine Saga University Nabeshima Saga Japan.

Introduction: Men who require intermittent catheterization may be susceptible to balanoposthitis. Benzalkonium chloride is commonly used to disinfect reusable catheters, but the concentration of this solution is critical.

Case Presentation: A 40-year-old man presented with fever, pus around the glans and foreskin, and difficult catheterization. Read More

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Efficacy and safety of holmium laser enucleation of the prostate for elderly patients: surgical outcomes and King's Health Questionnaire.

Transl Androl Urol 2021 Feb;10(2):775-784

Department of Urology, Tohoku Medical and Pharmaceutical University, Sendai, Japan.

Background: Holmium laser enucleation of the prostate (HoLEP) has been a widely utilized minimally invasive surgical procedure for benign prostate hyperplasia. The current study aimed to compare surgical outcomes and King's Health Questionnaire (KHQ) assessment scores following HoLEP between younger men and those aged ≥75 years.

Methods: This prospective single-center study compared perioperative complications, postoperative urinary conditions, and KHQ scores (nine categories) between men aged ≥75 years (group A) and men aged <75 years (group B) before and 1, 3, and 6 months after surgery. Read More

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February 2021

Impact of detrusor underactivity on the postoperative outcomes after benign prostatic enlargement surgery.

Neurourol Urodyn 2021 03 1;40(3):868-875. Epub 2021 Mar 1.

Department of Urology, Hospital Universitario Fundación Santa Fe de Bogotá and Universidad de los Andes School of Medicine, Bogotá, Distrito Capital, Colombia.

Introduction And Objective: Previous studies suggest that men with detrusor underactivity (DUA) have less symptomatic improvement after prostate surgery than those with normal contractility, but the available data is controversial. We aim to determine the differences in functional outcomes of patients with or without DUA who underwent photovaporization of the prostate (PVP) with GreenLight™180 W XPS.

Methods: A cohort of patients with lower urinary tract symptoms (LUTS) who underwent PVP between 2012 and 2019 was evaluated. Read More

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Relationship between the Severity of Coronary Artery Disease and Catheter-Associated Urethral Stricture in Patients with Acute Coronary Syndrome.

J Tehran Heart Cent 2020 Jul;15(3):113-118

Department of Cardiology, Medical Faculty, Kafkas University, Kars, Turkey.

Different arterial segments throughout the vascular system develop similar grades of atherosclerosis concomitantly. Urethral ischemia has been proposed as a cause of urethral stricture. Therefore, we aimed to investigate the relationship between coronary artery disease severity using a SYNTAX score and urethral stricture occurrence after urethral catheterization in patients with non-ST-segment-elevation acute coronary syndrome (ACS). Read More

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Conservative Management of Lichen Sclerosus Male Urethral Strictures: A Multi-Institutional Experience.

Urology 2021 Jan 19. Epub 2021 Jan 19.

Lahey Hospital and Medical Center, Burlington, MA.

Objective: To assess the outcomes and safety of conservative management of lichen sclerosus urethral stricture disease (LS-USD).

Methods: This multi-institutional study included patients with LS-USD managed with endoscopic procedures or clean intermittent catheterization (CIC) regimens between 2005 and 2019. Those with an obliterative stricture, a history of prior urethral reconstruction, or <3 months follow-up was excluded. Read More

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January 2021

Antibiotic prophylaxis for urinary catheter manipulation following arthroplasty: a systematic review.

ANZ J Surg 2021 Jan 21. Epub 2021 Jan 21.

Trauma & Orthopaedic department, St. George's University Hospitals NHS Foundation Trust, London, UK.

Background: Urinary catheter use in the peri- and post-operative phase following arthroplasty may be associated with urinary tract infection (UTI) and deep prosthetic joint infection (PJI). These can be catastrophic complications in joint arthroplasty. We performed a systematic review of the evidence on use of antibiotics for urinary catheter insertion and removal following arthroplasty. Read More

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January 2021

Beyond Antimuscarinics: A Review of Pharmacological and Interventional Options for Overactive Bladder Management in Men.

Eur Urol 2021 Apr 2;79(4):492-504. Epub 2021 Jan 2.

Department of Urology, Clinic Favoriten and Sigmund Freud Private University, Vienna, Austria.

Context: The role of overactive bladder (OAB) treatment in women beyond antimuscarinics has been evaluated extensively. Beta-3 agonists, botulinum toxin-A (BTX-A), and nerve stimulation are indicated in these patients. However, data on male patients in this clinical scenario are scarce. Read More

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Rezum therapy for patients with large prostates (≥ 80 g): initial clinical experience and postoperative outcomes.

World J Urol 2021 Jan 3. Epub 2021 Jan 3.

Department of Urology, Icahn School of Medicine At Mount Sinai, One Gustave Levy Place, Box 1272, New York, NY, 10029, USA.

Purpose: Rezum is a minimally invasive surgery for benign prostatic hyperplasia. Current guidelines recommend Rezum for prostates < 80 cc, but little data exist describing outcomes in patients with prostates ≥ 80 cc. We compare outcomes after Rezum between men with small < 80 cc (SP) and large ≥ 80 cc prostates (LP). Read More

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January 2021

Urinary paraplegia and William Withey Gull.

Mervyn Eadie

J Hist Neurosci 2020 Dec 15:1-12. Epub 2020 Dec 15.

School of Health Sciences, University of Queensland, and Royal Brisbane and Women's Hospital, Brisbane, Australia.

In 1833, Edward Stanley described the autopsy findings in seven men with paraplegia but no visible spinal cord abnormality. All had upper urinary tract infections. Stanley suggested that a nerve-transmitted input from the kidneys could suppress function in the spinal cord, causing paralysis. Read More

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December 2020

Prostatic Artery Embolization in Refractory Hematuria of Prostatic Origin.

Tech Vasc Interv Radiol 2020 Sep 6;23(3):100694. Epub 2020 Oct 6.

Department of Interventional Radiology, University of Miami Miller School of Medicine, Miami, FL.

Hematuria of prostatic origin has multiple etiologies including benign prostatic hyperplasia (BPH), iatrogenic urological trauma, prostate cancer, and radiation therapy. Hematuria secondary to benign prostatic hyperplasia can occur because of the increased vascularity of the primary gland, itself, or because of the vascular re-growth following a transurethral resection of the prostate. Prostatic hematuria usually resolves with conservative measures; however, refractory hematuria of prostatic origin may require hospitalization with treatment with blood transfusions, repeated indwelling urinary catheterization, and continuous bladder irrigation. Read More

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September 2020

Urinary Retention in a Patient With an Artificial Urinary Sphincter: A Case Report of a Rare Cause of Urinary Retention.

Cureus 2020 Oct 30;12(10):e11259. Epub 2020 Oct 30.

Emergency Medicine, University of Arizona, Tucson, USA.

Urinary retention is the inability to spontaneously void with lower abdominal or suprapubic pain caused by infection, trauma, obstruction, medications, or neurological etiologies. Acute urinary retention (AUR) is a urological emergency often seen in males presenting to the emergency department (ED). AUR is frequently seen in men over the age of 60 and approximately one-third of men over the age of 80. Read More

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October 2020

Urethra-sparing minimally invasive simple prostatectomy: an old technique revisited.

Curr Opin Urol 2021 Jan;31(1):18-23

CUF Urology, Lisbon.

Purpose Of Review: The aim of this study was to review recent development in urethra and ejaculation preserving laparoscopic and robotic simple prostatectomy.

Recent Findings: Since Madigan prostatectomy original description in 1990, to recent reports of robotic-assisted surgery using this urethra-sparing technique, many studies have suggested the advantages of the preservation of urethra, bladder neck and ejaculatory ducts, when removing adenomatous tissue in benign prostatic obstruction (BPO) surgery. Allying anatomical preservation of this structure with the well known benefits of minimally invasive procedures seems to reduce postoperative haematuria, obviating the need for bladder irrigation, with shorter catheterization and hospitalization times, less risk of urethral stricture and, of utmost importance, reducing rates of retrograde ejaculation. Read More

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January 2021

Functional results of hautmann neobladder with chimney modification and wallace ureteroileal anastomosis: initial experience with 22 patients.

Int Braz J Urol 2021 Mar-Apr;47(2):426-435

Department of Urology, Clinic Urology, Clinical Centre of Serbia, Belgrade, Serbia.

Objective: To assess the functional outcomes and complications of modified Hautmann neobladder with Wallace ureteroileal anastomosis on a 6-8 cm long isoperistaltic chimney, following radical cystectomy.

Materials And Methods: Between January 2015 and October 2019, 22 patients (18 men and 4 women) underwent radical cystectomy and Hautmann neobladder reconstruction with chimney modification and Wallace I ureteroileal anastomosis. The mean age of patients was 61 years (45-74 years). Read More

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A uropathogenic UTI89 model of prostatic inflammation and collagen accumulation for use in studying aberrant collagen production in the prostate.

Am J Physiol Renal Physiol 2021 01 2;320(1):F31-F46. Epub 2020 Nov 2.

Department of Comparative Biosciences, University of Wisconsin-Madison, Madison, Wisconsin.

Bacterial infection is one known etiology of prostatic inflammation. Prostatic inflammation is associated with prostatic collagen accumulation and both are linked to progressive lower urinary tract symptoms in men. We characterized a model of prostatic inflammation using transurethral instillations of UTI89 in C57BL/6J male mice with the goal of determining the optimal instillation conditions, understanding the impact of instillation conditions on urinary physiology, and identifying ideal prostatic lobes and collagen 1a1 prostatic cell types for further analysis. Read More

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January 2021

Symptomatic inguinal bladder hernia causes post-renal acute kidney injury: A rare case report.

Ann Med Surg (Lond) 2020 Nov 28;59:153-155. Epub 2020 Sep 28.

Department of Medicine, Jersey Shore University Medical Center, Neptune, NJ, 07753, USA.

Introduction: Inguinal bladder hernia (IBH) is a rare condition representing less than 5% of all inguinal hernias. Most cases occur in elderly overweight men. Patients may present with variable symptoms such as urinary symptoms, inguinal swelling, or pain; however, most of them are asymptomatic and only less than 7% are diagnosed pre-operatively. Read More

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November 2020

Mirabegron Vs Placebo Add-on Therapy in Men With Overactive Bladder Symptoms Receiving Tamsulosin for Underlying Benign Prostatic Hyperplasia: A Safety Analysis From the Randomized, Phase 4 PLUS Study.

Urology 2021 Jan 10;147:235-242. Epub 2020 Oct 10.

Department of Surgery/Urology, University of Toronto, Sunnybrook Health Sciences Centre, Toronto, Ontario, Canada; Department of Urology, Stritch School of Medicine, Loyola University Medical Center, Maywood, IL; Department of Urology, Infanta Leonor Hospital, Madrid, Spain; Department of Urology, Royal Berkshire Hospital, Reading, United Kingdom; Astellas Pharma Global Development Inc., Northbrook, IL; Astellas Pharma Europe Ltd., Chertsey, United Kingdom; Department of Urology, Icahn School of Medicine at Mount Sinai, New York City, NY.

Objective: To analyze the safety of mirabegron add-on therapy in men with overactive bladder symptoms concurrently receiving tamsulosin for lower urinary tract symptoms associated with benign prostatic hyperplasia.

Methods: The Phase 4 PLUS study comprised a 4-week run-in period (tamsulosin [0.4 mg]) and a 12-week randomized treatment period (add-on treatment: mirabegron [25 mg] or placebo). Read More

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January 2021

Assessing the Outcome of Holmium Laser Enucleation of the Prostate by Age, Prostate Volume, and a History of Blood Thinning Agents: Report from a Single-Center Series of >1800 Consecutive Cases.

J Endourol 2021 Jan 29. Epub 2021 Jan 29.

Department of Urology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.

To assess perioperative outcomes of holmium laser enucleation of the prostate (HoLEP) in a real-world scenario and with a focus on demanding patient factors, such as large prostate size, advanced patient age, and anticoagulation therapy (AT). We retrospectively analyzed HoLEP procedures at our institution between 2010 and 2016. After stratification by prostate volume, age, and AT, perioperative and early voiding characteristics were compared. Read More

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January 2021

Evolution of male patients with detrusor underactivity and conservative treatment. Five-year follow-up.

Actas Urol Esp 2021 Jan-Feb;45(1):83-89. Epub 2020 Oct 2.

Sección de Urología Funcional y Reconstructiva. Hospital Universitario y Politécnico La Fe, Valencia, España.

Introduction: The objective of the study was to compare the evolution of male patients with neurogenic detrusor underactivity (NDU) versus non-neurogenic DU (NNDU) and to establish risk factors to predict the need for clean intermittent catheterization (CIC) during the follow-up period.

Material And Methods: Longitudinal, descriptive study of a cohort of patients diagnosed with DU, and 2,496 urodynamic studies (2008-2018) were reviewed. Patients with DU (ICS 2002 and/or Bladder contraction index (< 100)) without treatment were included. Read More

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October 2020

[Predictors of catheter-related bladder discomfort].

Prog Urol 2020 Dec 30;30(16):1045-1050. Epub 2020 Sep 30.

Service d'urologie, centre hospitalier universitaire Ibn Rochd, Casablanca, Maroc.

Introduction: Establish a descriptive epidemiological profile of patients with Catheter Related Bladder Discomfort (CRBD) and identify its predictive factors.

Material And Method: Between June 2019 and December 2019, 300 patients have been evaluated. Different parameters were taken into account including: sex, age, body mass index (BMI), historical health data, duration and indications of the urinary catheterization, type of the transurethral catheter used, lubrication of the catheter and the existence of CRBD. Read More

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December 2020

Multicenter experience with photoselective vaporization of the prostate on men taking novel oral anticoagulants.

Asian J Urol 2020 Oct 30;7(4):340-344. Epub 2019 Jul 30.

The Chris O'Brien Lifehouse Hospital, Sydney, Australia.

Objective: Photoselective vaporization of the prostate (PVP) is a widely performed surgical procedure for benign prostatic obstruction. This approach has become particular favoured for men on anti-platelet and anticoagulation agents such as clopidogrel and warfarin but there is minimal published experience in the setting of novel oral anticoagulants (NOACs). This study was to examine the perioperative outcomes in men on NOACs undergoing PVP, with particular reference to perioperative morbidity. Read More

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October 2020

Bipolar radiofrequency thermotherapy treatment of the prostate in urinary catheter-dependent men.

Low Urin Tract Symptoms 2021 Apr 29;13(2):210-215. Epub 2020 Sep 29.

Department of Urology, Mehmet Akif Inan Training and Research Hospital, Sanliurfa, Turkey.

Objectives: In this study, for the first time in the literature, we evaluated patients with benign prostatic hyperplasia (BPH) who had undergone permanent urinary catheterization for urinary retention and who were treated with radiofrequency (RF) thermotherapy as an alternative method due to their inoperability based on the high risk associated with anesthesia. We aimed to investigate these patients' posttreatment parameters concerning the catheter-free rates, quality of life (QoL) changes, and retrospective treatment efficacy.

Methods: RF thermotherapy was applied to 62 permanent patients catheterized within the last 3 months due to urinary retention. Read More

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Acute urinary retention in children.

J Pediatr Urol 2020 Dec 25;16(6):842.e1-842.e6. Epub 2020 Aug 25.

Department of Pediatric Surgery and Pediatric Urology, Cnopfsche Kinderklinik, St. Johannis-Mühlgasse 19, 90419, Nürnberg, Germany. Electronic address:

Background: Acute urinary retention is a common emergency in adult patients, foremost in older men. In childhood urinary retention is a rare entity with only sparse literature on the etiology.

Objective: To assess the etiology and treatment of acute urinary retention in the pediatric population and assess age and sex distribution. Read More

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December 2020

Palliative MRI-guided transurethral ultrasound ablation for symptomatic locally advanced prostate cancer.

Scand J Urol 2020 Dec 8;54(6):481-486. Epub 2020 Sep 8.

Department of Urology, University of Turku and Turku University Hospital, Turku, Finland.

Purpose: Locally advanced prostate cancer can cause bladder outlet obstruction, gross hematuria and frequent hospitalization. While these complications are commonly treated by palliative transurethral resection of the prostate, the improvement is often insufficient. The purpose of this study was to evaluate the safety and feasibility of MRI-guided transurethral ultrasound ablation as an alternative palliative treatment option (pTULSA) for men suffering from symptomatic locally advanced prostate cancer. Read More

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December 2020

Benign prostatic hyperplasia: an update on minimally invasive therapy including Aquablation.

Can J Urol 2020 08;27(S3):2-10

Department of Urology, Thomas Jefferson University, Philadelphia, Pennsylvania, USA.

Introduction: Lower urinary tract symptoms (LUTS) secondary to benign prostatic hyperplasia (BPH) is a common condition affecting older men. New interventional treatments have emerged and evolved over the years, each with their own distinct efficacy and safety profiles. While some have fallen out of favor, new options continue to be explored. Read More

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The Microbiome of Catheter Collected Urine in Males with Bladder Cancer According to Disease Stage.

J Urol 2021 Jan 28;205(1):86-93. Epub 2020 Aug 28.

Humanitas Clinical and Research Center, Rozzano, Milan, Italy.

Purpose: The dogma that urine is sterile has been overturned and dysbiosis of the urinary microbiome has been linked to many urological disorders. We tested the hypothesis that the urinary microbial composition may be different between men with or without bladder cancer in catheter collected urines, bladder washouts and midstream voided urines, and may be dependent on tumor staging.

Materials And Methods: Liquid samples were collected from male patients with bladder cancer, and sex and age matched nonneoplastic controls. Read More

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January 2021

Treatment of benign prostate hyperplasia using the Rezum® water vapor therapy system: Results at one year.

Prog Urol 2020 Aug 18. Epub 2020 Aug 18.

Service d'urologie, CHU de Nîmes, 34029 Nîmes, France.

Purpose: To report the results of convective radiofrequency (RF) water vapor thermal therapy in men with lower urinary tract symptoms (LUTS) associated with benign prostatic hyperplasia (BPH) with one-year follow-up evaluation.

Material And Method: The study was conducted in 2 French hospitals, for men with moderate to severe LUTS secondary to BPH, as an alternative to classical surgery treatment. The pre- and postoperative evaluation of urinary symptomatology was based on the International Prostate Symptom Score (IPSS) questionnaire, measures of peak urinary flow rate (Qmax) and post-void residual volume (PVR). Read More

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Efficacy and Safety of Surgery for Benign Prostatic Obstruction in Patients with Preoperative Urinary Catheter.

J Endourol 2021 Jan 23;35(1):102-108. Epub 2020 Sep 23.

Department of Urology and Kidney Transplantation, Conception Academic Hospital, Aix-Marseille University, APHM, Marseille, France.

To evaluate the efficacy and safety of benign prostatic obstruction (BPO) surgery in patients with preoperative urinary catheterization. We conducted a multi-institutional retrospective study including all patients who failed a trial without catheter (TWOC) after acute urinary retention (AUR) between January 2017 and January 2019. Patients with neurogenic bladder, prostate cancer, or urethral stricture were excluded from the analysis. Read More

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January 2021