1,515 results match your criteria Urethral Catheterization Women


[Features of surgical treatment of urinary incontinence in women with urethral destruction].

Urologiia 2021 May(2):86-89

Novosibirsk Research Institute of Traumatology and Orthopedics n.a. Ya.L. Tsivyan, Novosibirsk, Russia.

Urethral destruction in women is a rare pathology which is result of traumatic damage of the urethra during pelvic fractures, sexual trauma, iatrogenic effects (operative vaginal delivery, prolonged catheterization of the bladder, complicated surgical interventions on the urethra, etc.). The main symptom of urethral destruction is involuntary urinary incontinence. Read More

View Article and Full-Text PDF

Female Urethroplasty: Anterior Vaginal Wall Flap (Blandy Flap) - Simpler Tends to Be Better.

Urol Int 2021 May 6:1-4. Epub 2021 May 6.

Urology Department, Hospital Universitario de Canarias, Tenerife, Spain.

Urethral stricture is a rare condition in women, representing a diagnostic challenge for the urologist. Its main etiology is traumatic or due to labor. Definitive treatment can be by means of dilations or urethroplasty using both local flaps and free grafts. Read More

View Article and Full-Text PDF

Tamsulosin Versus Placebo to Prevent Postoperative Urinary Retention Following Female Pelvic Reconstructive Surgery: a Multicenter Randomized Controlled Trial.

Am J Obstet Gynecol 2021 Apr 21. Epub 2021 Apr 21.

Cleveland, OH, Division of Female Pelvic Medicine and Reconstructive Surgery, University Hospitals Cleveland Medical Center.

Background: Postoperative urinary retention is common following female pelvic reconstructive surgery. Alpha receptor antagonists can improve dysfunctional voiding by relaxing the bladder outlet, and may be effective in reducing the risk of postoperative urinary retention.

Objective: To determine whether tamsulosin is effective in preventing post-operative urinary retention in women undergoing surgery for pelvic organ prolapse. Read More

View Article and Full-Text PDF

Risk factors for urinary retention after urogynecologic surgery: A retrospective cohort study and prediction model.

Neurourol Urodyn 2021 Apr 23. Epub 2021 Apr 23.

Department of Obstetrics and Gynecology, University of British Columbia, Vancouver, British Columbia, Canada.

Aims: Postoperative urinary retention (POUR) is a common complication of urogynecological surgery. Our study aimed to identify demographic and perioperative risk factors to construct a prediction model for POUR in urogynecology.

Methods: Our retrospective cohort study reviewed all patients undergoing pelvic reconstructive surgeries at our tertiary care center (Jan 1, 2013-May 1, 2019). Read More

View Article and Full-Text PDF

Can We Trust the Math? Correlation of Objective Postvoid Residual With Calculated Subtraction Postvoid Residual.

Female Pelvic Med Reconstr Surg 2021 Apr 21. Epub 2021 Apr 21.

From the Department of Obstetrics and Gynecology, University of Wisconsin School of Medicine and Public Health, Madison, WI Department of Obstetrics and Gynecology, University of New Mexico, Albuquerque, NM Department of Obstetrics and Gynecology, Medical University of South Carolina, Charleston, SC Department of Biostatistics and Medical Informatics, University of Wisconsin, Madison, WI.

Objective: The aim of the study was to determine the accuracy of postvoid residual (PVR) by subtraction as compared with objective measurement by bladder scan or catheterization.

Methods: This is a secondary analysis of postoperative patients who underwent avoiding trial by retrograde bladder instillation. Fill volume, spontaneous voided volume, and PVR were objectively measured; PVR was also calculated. Read More

View Article and Full-Text PDF

A Participant-assigned Interventional Research of Precesarean Internal Iliac Artery Balloon Catheterization for Managing Intraoperative Hemorrhage of Placenta Previa and Placenta Accreta Spectrum Disorders After Cesarean Section.

Curr Med Sci 2021 Apr 20;41(2):336-341. Epub 2021 Apr 20.

Department of Gynecology and Obstetrics, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430030, China.

Placenta accreta spectrum disorder (PASD) and placenta previa (PP) are two of the most hideous obstetric complications which are usually associated with a history of cesarean section (CS). Moreover, women with PASD, PP and/or a cesarean scarred uterus are more likely to have adverse pregnancy outcomes, including blood transfusion, hysterectomy, pelvic organs damage, postpartum hemorrhage, disseminated intravascular coagulation, multi-organ dysfunction syndrome and even maternal or fetal death. This study aimed to investigate the efficacy of precesarean internal iliac artery balloon catheterization (BC) for managing severe hemorrhage caused by PASD and PP with a history of CS. Read More

View Article and Full-Text PDF

Intrapartum pudendal nerve block analgesia and risk of postpartum urinary retention: a cohort study.

Int Urogynecol J 2021 Apr 16. Epub 2021 Apr 16.

Division of Obstetrics and Gynecology, Oslo University Hospital, Sognsvannsveien 20, 0372, Oslo, Norway.

Introduction And Hypothesis: Pudendal nerve block analgesia (PNB) is used as pain relief in the final stage of childbirth. We hypothesized that PNB is associated with higher rates of postpartum urinary retention.

Methods: We performed a cohort study among primiparous women with a singleton, cephalic vaginal birth at Oslo University Hospital, Norway. Read More

View Article and Full-Text PDF

[Contemporary management of urethral strictures in women].

Aktuelle Urol 2021 Apr 15. Epub 2021 Apr 15.

Klinik und Poliklinik für Urologie, Universitätsklinikum Hamburg-Eppendorf.

Urethral strictures in women are rare and patients may present with varying symptoms. Hence, clinical guidelines regarding diagnostic algorithms and treatment approaches are scarce. Several small case series have presented results for several operative techniques, but patient cohorts are generally heterogeneous and relatively small, which hampers reliable comparability across institutions. Read More

View Article and Full-Text PDF

Indwelling catheter increases the risk of urinary tract infection in total knee arthroplasty: A meta-analysis of randomized controlled trials.

Medicine (Baltimore) 2021 Apr;100(15):e25490

Department of Obstetric Nursing, West China Second University Hospital, Sichuan University/West China School of Nursing, Sichuan University.

Background: The purpose of this meta-analysis was to assess whether a urinary catheter is necessary for all patients in primary total knee arthroplasty (TKA).

Methods: PubMed, EMBASE, the Cochrane Library, Web of Science, and China National Knowledge Infrastructure were systematically searched for randomized controlled trials (RCTs). All RCTs were compared with receive either an indwelling urinary catheter or no urinary catheter in TKA. Read More

View Article and Full-Text PDF

The impact of midurethral sling surgery on the development of urinary tract infections.

Int Urogynecol J 2021 Apr 2. Epub 2021 Apr 2.

Department of OB/GYN, Division of Female Pelvic Medicine and Reconstructive Surgery, Kaiser Permanente, San Diego, CA, USA.

Purpose/objective: To measure the impact of the placement of a midurethral sling (MUS) on development of urinary tract infections (UTI) in women with stress urinary incontinence.

Methods: This is an analysis of a large managed care organization MUS database from 2005 to 2016. The database was queried to identify UTI and diagnosis of recurrent UTI. Read More

View Article and Full-Text PDF

Severe urinary tract damage secondary to primary bladder neck obstruction in women.

PLoS One 2021 19;16(3):e0248938. Epub 2021 Mar 19.

Department of Urology, University of Sao Paulo School of Medicine, Sao Paulo, SP, Brazil.

Objective: To present the clinical and radiological characteristics of women with severe structural deterioration of the bladder and upper urinary tract secondary to Primary Bladder Neck Obstruction (PBNO), and their outcomes after bladder neck incision (BNI).

Methods: Retrospective evaluation of adult women who underwent BNI for PBNO at one institution. Patients were assessed for symptoms, renal function, structural abnormalities of the urinary tract and video-urodynamics. Read More

View Article and Full-Text PDF

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

View Article and Full-Text PDF

A 30-Month Complete Urinary Obstruction Resulting from Trapped and Incarcerated Uterus: A Case Report.

Medicina (Kaunas) 2021 Feb 26;57(3). Epub 2021 Feb 26.

Department of Obstetrics and Gynecology, University of Ulsan College of Medicine, Asan Medical Center, 88, Olympic-ro 43-gil, Songpa-gu, Seoul 05505, Korea.

Uterine incarceration is rare, but it can caus e serious complications, in which the uterus is trapped in the pelvic cavity behind the sacral promontory. Fibroid uterus can cause urinary frequency and retention, which can result from compression of the urinary bladder with an enlarged fibroid uterus and the compression of the bladder neck or urethra, respectively. To our knowledge, there is no report on prolonged complete urinary obstruction because of an incarcerated uterus in nonpregnant women to date. Read More

View Article and Full-Text PDF
February 2021

Incidence of postpartum urinary retention in a tertiary hospital in Ibadan, Nigeria.

Int J Gynaecol Obstet 2021 Feb 24. Epub 2021 Feb 24.

Department of Obstetrics and Gynecology, Faculty of Clinical Sciences, College of Medicine/University College Hospital Ibadan, University of Ibadan, Ibadan, Oyo, Nigeria.

Objective: To determine the incidence of postpartum urinary retention (PUR) after vaginal delivery and associated risk factors.

Methods: A total of 250 women were recruited following vaginal delivery at the UCH, Ibadan. Sociodemographic and obstetrical data were collected using a pro forma. Read More

View Article and Full-Text PDF
February 2021

Twice-Daily Nitrofurantoin Administration Following Short-term Transurethral Catheterization After Pelvic Reconstructive Surgery: A Randomized Clinical Trial.

Female Pelvic Med Reconstr Surg 2021 Mar;27(3):202-207

Atrium Health Women's Care-Urogynecology and Pelvic Surgery Division.

Objective: The objective of this study was to evaluate if twice-daily nitrofurantoin for 5 days after discontinuation of transurethral catheterization decreases the rate of urinary tract infection (UTI) in women with postoperative urinary retention (POUR) after pelvic reconstructive surgery.

Methods: This was a double-blind, placebo-controlled, randomized trial conducted across 2 clinical sites between October 2017 and April 2019. Women with acute POUR after pelvic reconstructive surgery were included and randomized to nitrofurantoin (100 mg) or placebo twice-daily for 5 days. Read More

View Article and Full-Text PDF

Comparison of 100 U With 200 U of Intradetrusor OnabotulinumToxinA for Nonneurogenic Urgency Incontinence.

Female Pelvic Med Reconstr Surg 2021 Mar;27(3):140-146

Division of Female Pelvic Medicine and Reconstructive Surgery, Department of Obstetrics, Gynecology and Reproductive Sciences, UC San Diego, San Diego, CA.

Objectives: The objective of this study was to compare efficacy and adverse events between 100 U and 200 U of onabotulinumtoxinA for 6 months in women with nonneurogenic urgency incontinence.

Methods: This is a secondary analysis of 2 multicenter randomized controlled trials assessing efficacy of onabotulinumtoxinA in women with nonneurogenic urgency incontinence; one compared 100 U to anticholinergics and the other 200 U to sacral neuromodulation. Of 307 women who received onabotulinumtoxinA injections, 118 received 100 U, and 189 received 200 U. Read More

View Article and Full-Text PDF

Gender differences in progressive supranuclear palsy.

Acta Neurol Belg 2021 Feb 17. Epub 2021 Feb 17.

Department of Neurology, Sree Chitra Tirunal Institute of Medical Sciences and Technology (SCTIMST), Comprehensive Care Centre for Movement Disorders, 695011, Trivandrum, Kerala, India.

The gender differences in progressive supranuclear palsy (PSP) are not extensively studied. The objective of this study was to determine the gender differences in the phenotypic expression and progression in PSP. We did a retrospective review of medical records of patients diagnosed with PSP over a 21-year period. Read More

View Article and Full-Text PDF
February 2021

Postoperative interventions for preventing bladder dysfunction after radical hysterectomy in women with early-stage cervical cancer.

Cochrane Database Syst Rev 2021 01 25;1:CD012863. Epub 2021 Jan 25.

Department of Obstetrics and Gynaecology, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand.

Background: Bladder dysfunction is a common complication following radical hysterectomy, caused by the damage to pelvic autonomic nerves that innervate the muscles of the bladder, urethral sphincter, and pelvic floor fasciae. Bladder dysfunction increases the rates of urinary tract infection, hospital visits or admission, and patient dissatisfaction. In addition, bladder dysfunction can also negatively impact patient quality of life (QoL). Read More

View Article and Full-Text PDF
January 2021

Predictive Factors for Voiding Dysfunction after Surgery for Deep Infiltrating Endometriosis.

J Minim Invasive Gynecol 2021 Jan 18. Epub 2021 Jan 18.

Department of Gynecology and Obstetrics, University Hospital of Bern and University of Bern, Bern, Switzerland (all authors).

Study Objective: To evaluate the prognostic value of pre- and perioperative factors for voiding dysfunction after surgery for deep infiltrating endometriosis (DIE).

Design: Single-center retrospective cohort study.

Setting: University hospital. Read More

View Article and Full-Text PDF
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

View Article and Full-Text PDF
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

View Article and Full-Text PDF

Long-term effectiveness and safety of open Burch colposuspension vs retropubic midurethral sling for stress urinary incontinence-results from a large comparative study.

Am J Obstet Gynecol 2020 Dec 13. Epub 2020 Dec 13.

Department of Urogynaecology, Mercy Health, Melbourne, Victoria, Australia.

Background: There are few adequately powered long-term trials comparing midurethral sling and Burch colposuspension. Recent concerns about synthetic mesh with new stringent clinical and research governance support the need for evidence to facilitate shared decision making.

Objective: This study aimed to compare long-term outcomes of open Burch colposuspension with the retropubic midurethral sling. Read More

View Article and Full-Text PDF
December 2020

Fecal impaction is associated with postoperative urinary retention after hip fracture surgery.

Ann Phys Rehabil Med 2020 Dec 4:101464. Epub 2020 Dec 4.

Sorbonne Université, GRC 001, GREEN Groupe de recherche en Neuro-Urologie, Assistance Publique-Hôpitaux de Paris (APHP), Hôpital Rothschild 5 rue Santerre, 75012 Paris, France; Department of Urology, Ghent University Hospital, Corneel Heymanslaan 10, 9000 Ghent, Belgium; Faculty of Medicine and Health Sciences, Department of Human Structure and Repair, Ghent University, St Pietersnieuwstraat 33, 9000 Ghent, Belgium.

Background: Postoperative urinary retention (POUR) is a common hip fracture (HF) complication. Although fecal impaction (FI) is one of the oft-cited causes of POUR in clinical practice, evidence regarding this association is scarce.

Objective: The aim of this study was to determine whether FI was associated with POUR after HF surgery in older patients. Read More

View Article and Full-Text PDF
December 2020

Concurrent Retropubic Midurethral Sling and OnabotulinumtoxinA for Mixed Urinary Incontinence: A Randomized Controlled Trial.

Obstet Gynecol 2021 01;137(1):12-20

Department of Obstetrics and Gynecology, the Division of Female Pelvic Medicine and Reconstructive Surgery, and the Feinberg School of Medicine, Northwestern University, Chicago, Illinois.

Objective: To evaluate whether retropubic midurethral sling combined with onabotulinumtoxinA is more effective than sling alone in improving mixed urinary incontinence symptoms.

Methods: We conducted a prospective, double-blind, randomized, controlled trial of women with mixed urinary incontinence, planning to undergo midurethral sling. Women were randomly assigned to receive 100 unites of intradetrusor onabotulinumtoxinA or placebo during surgery. Read More

View Article and Full-Text PDF
January 2021

Feasibility, tolerability, and safety of hysterosalpingo-foam sonography (hyfosy). multicenter, prospective Spanish study.

J Gynecol Obstet Hum Reprod 2021 May 23;50(5):102004. Epub 2020 Nov 23.

Clínica Universitaria De Navarra, Spain.

Objective: To determine the feasibility,tolerability, and safety of the ultrasound assessment of tubal patency using foam as contrast.

Methods: This was a prospective multicenter study of 915 infertile nulliparous women scheduled for sonohysterosalpingography with foam instillation (HYFOSY) for tubal patency testing as a part of the fertility workup. Clinical and sonographic data were recorded into a web-shared database. Read More

View Article and Full-Text PDF

Do you really want to deactivate your sacral neuromodulation device during pregnancy? A single center case series.

Int Urogynecol J 2021 Mar 11;32(3):709-717. Epub 2020 Nov 11.

SC Neuro-Urologia, A.O.U. Città della Salute e della Scienza, Torino, Italy.

Introduction And Hypothesis: The main objective of the study is to assess the efficacy and safety of sacral neuromodulation (SNM) during pregnancy.

Methods: We retrospectively enrolled patients who underwent SNM implantation in our center and subsequently became pregnant. The indication for SNM, timing of device de-activation (if performed), course of pregnancy and urological complications, duration of labor, childbirth term, delivery mode, congenital abnormalities and SNM dysfunctions after delivery were recorded. Read More

View Article and Full-Text PDF

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

View Article and Full-Text PDF

Systematic Nerve Sparing during Surgery for Deep-infiltrating Posterior Endometriosis Improves Immediate Postoperative Urinary Outcomes.

J Minim Invasive Gynecol 2020 Oct 31. Epub 2020 Oct 31.

Department of Gynecology and Obstetrics, Centre Hospitalier Intercommunal de Poissy-Saint-Germain-en-Laye (Drs. Soares, Mimouni, Fauconnier, and Mr. du Cheyron), Poissy; EA 7285 Research Unit: Risk and Safety in Clinical Medicine for Women and Perinatal Health, Versailles-Saint-Quentin University (Drs. Oppenheimer and Fauconnier), Montigny-le-Bretonneux.

Study Objective: Evaluate the feasibility and risk-benefit ratio of systematic nerve sparing by complete dissection of the inferior hypogastric nerves and afferent pelvic splanchnic nerves during surgery for deep-infiltrating endometriosis (DIE) on the basis of complication rates and postoperative bladder morbidity.

Design: Observational before (2012-2014)-and-after (2015-2017) study based on a prospectively completed database of all patients treated medically or surgically for endometriosis.

Setting: Unicentric study at the Centre Hospitalier Intercommunal de Poissy-St-Germain-en-Laye. Read More

View Article and Full-Text PDF
October 2020

Postoperative Outcomes after Surgery for Deep Endometriosis of the Sacral Plexus and Sciatic Nerve: A 52-patient Consecutive Series.

J Minim Invasive Gynecol 2020 Oct 31. Epub 2020 Oct 31.

Department of Digestive Surgery (Dr. Tuech), Rouen University Hospital, Rouen, France.

Study Objective: To assess 1-year postoperative outcomes of surgery for deep endometriosis involving the sacral roots and sciatic nerve.

Design: Retrospective case series.

Setting: Three referral centers. Read More

View Article and Full-Text PDF
October 2020

A Randomized Clinical Trial to Evaluate the Effect of Canephron N in Comparison to Ciprofloxacin in the Prevention of Postoperative Lower Urinary Tract Infections after Midurethral Sling Surgery.

J Clin Med 2020 Oct 22;9(11). Epub 2020 Oct 22.

2nd Department of Gynecology, Medical Faculty, Medical University of Lublin, ul. Jaczewskiego 8, 20-954 Lublin, Poland.

Urinary tract infections (UTIs) are one of the most common reasons for antibiotic prescriptions among women worldwide. UTIs are also associated with intra- and postoperative catheterization, which is an essential component of many gynecological surgical procedures, including midurethral sling (MUS) placement. The aim of this study was to compare the incidence of UTI subsequent to a MUS procedure. Read More

View Article and Full-Text PDF
October 2020