1,454 results match your criteria Urethral Catheterization Women


The First Injection: Rates of Urinary Retention in Women With Urgency Incontinence Treated With Intravesical OnabotulinumtoxinA Injection.

Female Pelvic Med Reconstr Surg 2020 Jun 1. Epub 2020 Jun 1.

From the Northwestern University, Chicago, IL.

Objective: The aim of the study was to describe the rate of symptomatic and asymptomatic urinary retention and catheterization in women undergoing initial intravesical onabotulinumtoxinA (BnTA) injection for urgency urinary incontinence (UUI).

Methods: This retrospective chart review included women receiving initial 100 U of BnTA injection for UUI for 5 years. Straight-catheterized postvoid residuals (PVRs) were performed 2 weeks after the injection. Read More

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http://dx.doi.org/10.1097/SPV.0000000000000847DOI Listing

Risk of urinary tract infection symptoms after post-hysterectomy cystoscopy with 50% dextrose as compared to saline cystoscopy with indigo carmine.

J Minim Invasive Gynecol 2020 May 28. Epub 2020 May 28.

Department of Obstetrics & Gynecology, Cedars-Sinai Medical Center, Los Angeles, CA.

Study Objective: compare odds of postoperative urinary symptoms in women who had cystoscopy following benign laparoscopic hysterectomy with 50% dextrose or normal saline solution with intravenous indigo carmine.

Design: Retrospective cohort study.

Setting: two tertiary care centers PATIENTS: All women who underwent benign laparoscopic hysterectomy and intra-operative cystoscopy by a single surgeon. Read More

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http://dx.doi.org/10.1016/j.jmig.2020.05.023DOI Listing

Underactive Bladder and Bladder Outlet Procedures in Women.

Curr Bladder Dysfunct Rep 2020 Mar 30;15(1):21-24. Epub 2020 Jan 30.

University of Pittsburgh Medical Center, Department of Urology, Pittsburgh, PA.

Purpose Of Review: This review outlines current options for women suffering from both stress urinary incontinence (SUI) and underactive bladder (UAB). This is often a challenging patient population; however, many treatment options are available including behavioral, pharmacologic, and surgical. Therapies can be divided into those specifically targeting either the bladder or the bladder outlet. Read More

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http://dx.doi.org/10.1007/s11884-019-00572-1DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7255415PMC

[Course of neurogenic bladder dysfunction in patients with spinal cord injury under homeopathic treatment].

Urologe A 2020 May 18. Epub 2020 May 18.

Amsler Consulting, Basel, Schweiz.

Background: Nearly all patients with spinal cord injury (SCI) suffer from neurogenic lower urinary tract dysfunction (NLUTD). Untreated NLUTD is a risk factor for renal damage and can significantly affect quality of life (QoL). Patients with SCI frequently use complementary medicine to alleviate symptoms, namely for urologic problems. Read More

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http://dx.doi.org/10.1007/s00120-020-01220-xDOI Listing

Lower urinary tract symptoms in patients with Mayer-Rokitansky-Kuster-Hauser syndrome after neo-vagina creation by Davydov's procedure.

Int Urogynecol J 2020 May 6. Epub 2020 May 6.

Department of Obstetrics and Gynecology, IRCCS San Raffaele Hospital, Vita-Salute San Raffaele University, Olgettina, 60, 20132, Milan, MI, Italy.

Introduction: Lower urinary tract symptoms (LUTS) in subjects with Mayer-Rokitansky-Küster-Hauser syndrome treated by Davydov's laparoscopic neo-vaginoplasty were measured.

Methods: Davydov's laparoscopic neo-vaginoplasty was undertaken at the Department of Obstetrics/gynecology, San Raffaele Hospital, Milan, Italy, from November 2015 to July 2017, by two highly qualified surgeons. All women completed the ICIQ-UI Short Form questionnaire before and after treatment. Read More

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http://dx.doi.org/10.1007/s00192-020-04311-7DOI Listing

Predictors of catheter-related bladder discomfort after gynaecological surgery.

BMC Anesthesiol 2020 Apr 28;20(1):97. Epub 2020 Apr 28.

Department of Anesthesiology, West China Second Hospital of Sichuan University, Key Laboratory of Birth Defects and Related Diseases of Women and Children, Ministry of Education, No.20, Section 3, Renmin Nanlu, Chengdu, China.

Background: Urinary catheterization is universally used during surgery, and the incidence of postoperative catheter-related bladder discomfort (CRBD) is very high during recovery. We conducted this study to identify the incidence and predictors of postoperative CRBD after gynaecological surgery in the post-anesthesia care unit (PACU).

Methods: This was a prospective observational study. Read More

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http://dx.doi.org/10.1186/s12871-020-01018-6DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7187521PMC

Traumatic catheterization as a precipitating factor for urethral prolapse in 4 years old child.

Urol Case Rep 2020 Sep 2;32:101159. Epub 2020 Apr 2.

Inkozi Albert Luthuli Central Hospital, Durban, South Africa.

Urethral prolapse is a circumferential protrusion of the distal urethra through the external urethral meatus. The incidence of Urethral prolapse was reported to be one in 3000, and it occurs most often in prepubertal Black females and postmenopausal White women. The possible causes and precipitating factors are not clear. Read More

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http://dx.doi.org/10.1016/j.eucr.2020.101159DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7170939PMC
September 2020

Temporal Dynamics of the Adult Female Lower Urinary Tract Microbiota.

mBio 2020 Apr 21;11(2). Epub 2020 Apr 21.

Department of Microbiology and Immunology, Stritch School of Medicine, Loyola University Chicago, Maywood, Illinois, USA

Temporal dynamics of certain human microbiotas have been described in longitudinal studies; variability often relates to modifiable factors or behaviors. Early studies of the urinary microbiota preferentially used samples obtained by transurethral catheterization to minimize vulvovaginal microbial contributions. Whereas voided specimens are preferred for longitudinal studies, the few studies that reported longitudinal data were limited to women with lower urinary tract (LUT) symptoms, due to ease of accessing a clinical population for sampling and the impracticality and risk of collecting repeated catheterized urine specimens in a nonclinical population. Read More

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http://dx.doi.org/10.1128/mBio.00475-20DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7175091PMC

Outcome of a 980-nm diode laser coagulation in women with radiation-induced hemorrhagic cystitis: a single-center retrospective study.

Lasers Med Sci 2020 Apr 18. Epub 2020 Apr 18.

Department of Urology, The Second People's Hospital of Lianyungang, 161 Xingfu Road, Lianyungang, 222023, Jiangsu, China.

The purpose of this study was to evaluate the efficacy of a 980-nm diode laser coagulation in women with radiation-induced hemorrhagic cystitis (RHC). We conducted a retrospective study of 21 RHC patients treated with a 980-nm diode laser between July 2014 and December 2017 at our institution. Data was collected with regard to age, sex, lower urinary tract symptoms, use of transfusions, a drop in hemoglobin levels, indication of radiotherapy, median time between radiation therapy and presentation, previous treatments, operative time, mean energy used, number of coagulated areas, catheterization time, discharge time after treatment, hospital stay, and surgical outcome. Read More

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http://dx.doi.org/10.1007/s10103-020-03005-2DOI Listing

Pilot Trial of Midstream Urine Collection Device Versus Transurethral Catheter in Women With Lower Urinary Tract Symptoms: Practicality of Use in a Clinical Setting, Patient Preferences, and Comparison of Laboratory Findings.

Female Pelvic Med Reconstr Surg 2020 Apr 6. Epub 2020 Apr 6.

Urology, Baylor Scott & White Health.

Objectives: This study aimed to evaluate successful use of a midstream urine collection device in women with lower urinary tract symptoms and to assess specimen contamination.

Methods: Nonpregnant women 18 years or older without use of antibiotics in the last 4 weeks were recruited. After using the midstream urine collection device to obtain a specimen in a private restroom, a paired specimen was obtained by transurethral catheterization. Read More

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http://dx.doi.org/10.1097/SPV.0000000000000865DOI Listing

The Urine Microbiome of Healthy Men and Women Differs by Urine Collection Method.

Int Neurourol J 2020 Mar 31;24(1):41-51. Epub 2020 Mar 31.

Division of Urology, Children's National Medical Center, George Washington University School of Medicine, Washington DC, USA.

Purpose: Compared to the microbiome of other body sites, the urinary microbiome remains poorly understood. Although noninvasive voided urine specimens are convenient, contamination by urethral microbiota may confound understanding of the bladder microbiome. Herein we compared the voiding- versus catheterization-associated urine microbiome of healthy men and women. Read More

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http://dx.doi.org/10.5213/inj.1938244.122DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7136448PMC

Impact of Cystotomy Location on Cystography Results.

Female Pelvic Med Reconstr Surg 2020 Jan 25. Epub 2020 Jan 25.

From the Division of Urogynecology and Reconstructive Pelvic Surgery, Women & Infants Hospital of Rhode Island/Warren Alpert Medical School of Brown University, Providence, RI.

Objectives: This study aimed to determine if the location of a repaired bladder injury (trigone vs dome) impacts the probability of an abnormal cystography result in obstetric/gynecologic surgical patients undergoing repair of an unanticipated cystotomy.

Methods: We conducted a retrospective review of adult obstetric and gynecologic surgical patients who underwent cystographic evaluation of bladder integrity after repair of iatrogenic cystotomy at a single institution between January 2006 and July 2018. We excluded patients who had undergone repair of genitourinary fistula or urethral diverticulum. Read More

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http://dx.doi.org/10.1097/SPV.0000000000000800DOI Listing
January 2020

The Real Daily Need for Incontinence Aids and Appliances in Patients with Neurogenic Bladder Dysfunction in a Community Setting in Germany.

J Multidiscip Healthc 2020 27;13:217-223. Epub 2020 Feb 27.

Centre for Spinal Cord Injuries, BG Klinikum Hamburg, Hamburg, Germany.

Purpose: For successful long-term rehabilitation of patients with neurogenic lower urinary tract dysfunction (NLUTD), it is necessary to define the objective requirement for urological aids based on a scientifically validated basis.

Methods: This was a cross-sectional multicenter study, based on a questionnaire. Data concerning bladder management and daily consumption of urological appliances for patients with NLUTD in a community setting were collected through a standardized survey. Read More

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http://dx.doi.org/10.2147/JMDH.S241423DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7051804PMC
February 2020

The role of clean intermittent catheterization in the treatment for detrusor underactivity.

Actas Urol Esp 2020 May 6;44(4):233-238. Epub 2020 Mar 6.

Servicio de Urología, Hospital Clínico San Carlos, Madrid, España.

Objective: To study the influence of clean intermittent catheterization (CIC) on the lower urinary tract function in patients with urinary retention (UR) due to detrusor underactivity (DU).

Material And Methods: A longitudinal study was carried out on 49 patients (28 men, 21 women) of mean age 55years, who underwent CIC for UR secondary to DU. The mean CIC frequency was 3. Read More

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http://dx.doi.org/10.1016/j.acuro.2019.11.002DOI Listing

Evaluation of single-incision apical vaginal suspension for treatment of pelvic organ prolapse.

Eur J Obstet Gynecol Reprod Biol 2020 Apr 14;247:198-202. Epub 2020 Feb 14.

Department of Obstetrics and Gynaecology, Kaohsiung Municipal Siaogang Hospital, Kaohsiung Medical University, Kaohsiung, Taiwan; Department of Obstetrics and Gynecology, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung, Taiwan. Electronic address:

Objective: To present a comprehensive evaluation of anterior/apical and/or posterior prolapse repair systems with a focus on safety and surgical efficacy.

Methods: Two hundred and twenty women with pelvic organ prolapse (POP) stage II-IV were referred for single-incision transvaginal mesh procedures in a single institution. Pre- and postoperative assessments included pelvic examination, urodynamic studies, and personal interviews about patients' quality of life and urinary symptoms. Read More

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http://dx.doi.org/10.1016/j.ejogrb.2020.02.013DOI Listing

Intrauterine Foley catheter for 48 versus 24 hours for cervical ripening: A randomized controlled trial.

Int J Gynaecol Obstet 2020 May 2;149(2):225-230. Epub 2020 Mar 2.

Department of Pathology, University of Colombo, Colombo, Sri Lanka.

Objective: To compare the safety of keeping an intrauterine Foley catheter for 48 hours versus 24 hours for cervical ripening.

Methods: A randomized controlled trial was conducted at the De Soysa Hospital for Women, Sri Lanka from April 1 to December 31, 2014 (trial registration: SLCTR/2014/006). Low-risk women with a Bishop score ≤5 at 40 weeks + 5 days of gestation were allocated to either 24-hour (n=107; Group A) or 48-hour (n=94; Group B) groups. Read More

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http://dx.doi.org/10.1002/ijgo.13109DOI Listing
May 2020
1.563 Impact Factor

Modeling the risk of fluoroquinolone resistance in non-severe community-onset pyelonephritis.

Eur J Clin Microbiol Infect Dis 2020 Jun 30;39(6):1123-1127. Epub 2020 Jan 30.

EE1701 Microbiotes Hôtes Antibiotiques et Résistances bactériennes, Université de Nantes, Nantes, France.

Estimating whether the individual probability of being infected by a fluoroquinolone resistant isolate is higher than 10% may help to choose the empirical treatment of pyelonephritis. We aimed to model the risk of fluoroquinolone resistance in women with community-onset pyelonephritis. Women with non-severe community-onset pyelonephritis were prospectively recruited in 4 French emergency departments of 2 districts. Read More

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http://dx.doi.org/10.1007/s10096-020-03830-xDOI Listing

A comparison of antibiotic prophylaxis regimens to decrease the risk of post-procedure urinary tract infection after onabotulinum toxin A injection.

Int Urogynecol J 2020 Jan 27. Epub 2020 Jan 27.

Department of Obstetrics and Gynecology, Duke University, Durham, NC, USA.

Introduction And Hypothesis: To evaluate the risk of post-injection urinary tract infection (UTI) after onabotulinumtoxin A (BTX-A) treatment based on the timing of when antibiotic prophylaxis is started.

Methods: This is a retrospective cohort study of 111 women with refractory idiopathic overactive bladder who underwent intradetrusor injection of BTX-A. Two cohorts were identified: (1) 67 women who started antibiotic prophylaxis with ciprofloxacin 1 day prior to injection; (2) 44 women who received antibiotic prophylaxis with ciprofloxacin after injection only. Read More

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http://dx.doi.org/10.1007/s00192-020-04230-7DOI Listing
January 2020

Subjective versus objective determination of bladder emptying following urogynecological surgery: "do you feel that you completely emptied your bladder?"

Int Urogynecol J 2020 Jan 27. Epub 2020 Jan 27.

Department of Obstetrics and Gynecology, Medical University of South Carolina, 96 Jonathan Lucas Street, Charleston, SC, MSC 619, USA.

Introduction And Hypothesis: We tested the hypothesis that women can subjectively determine if they have emptied their bladder after a spontaneous voiding attempt following urogynecological surgery to rule out post-operative urinary retention as determined by a voiding trial.

Methods: This is a prospective observational study of women undergoing urogynecological surgery at two academic institutions from June 2016 to March 2019. Following surgery, subjects underwent a voiding trial followed by measurement of the PVR via ultrasound bladder scan or straight catheterization. Read More

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http://dx.doi.org/10.1007/s00192-019-04216-0DOI Listing
January 2020

Worsening disability status in multiple sclerosis predicts urologic complications.

Int Urol Nephrol 2020 May 25;52(5):859-863. Epub 2020 Jan 25.

Department of Surgery, Division of Urology, Beth Israel Deaconess Medical Center, Harvard Medical School, 330 Brookline Avenue, Rabb 440, Urology, Boston, MA, 02215, USA.

Purpose: Multiple sclerosis (MS) causes voiding dysfunction and might predispose to urologic complications. However, long-term complications and risk factors for complications are unknown. We aim to assess long-term changes in voiding function and to determine risk factors for urologic complications during MS follow-up. Read More

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http://dx.doi.org/10.1007/s11255-020-02381-6DOI Listing

Short-term surgical complications after radical hysterectomy-A nationwide cohort study.

Acta Obstet Gynecol Scand 2020 Jan 18. Epub 2020 Jan 18.

Department of Research & Development, Netherlands Comprehensive Cancer Organization (IKNL), Utrecht, the Netherlands.

Introduction: Centralization has, among other aspects, been argued to have an impact on quality of care in terms of surgical morbidity. Next, monitoring quality of care is essential in identifying areas of improvement. This nationwide cohort study was conducted to determine the rate of short-term surgical complications and to evaluate its possible predictors in women with early-stage cervical cancer. Read More

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http://dx.doi.org/10.1111/aogs.13812DOI Listing
January 2020

Prevalence and Management of Urinary Incontinence in a Brazilian Hospital: A Prospective, Descriptive Study.

Wound Manag Prev 2019 Dec;65(12):12-20

Hospital das Clínicas of the Federal University of Minas Gerais State; and at the Hospital da Polícia Militar, Minas Gerais State, Brazil.

Although urinary incontinence (UI) in hospitalized patients is a frequent health problem, research on the subject is limited.

Purpose: A prospective, descriptive study was conducted to evaluate the prevalence of UI, care implemented among hospitalized adult patients, and impact of UI on quality of life (QoL) in a large private institution in Brazil.

Methods: All patients admitted during November 2018 who were at least 18 years of age, sufficiently conscious and oriented to answer questions, able to undergo skin inspection, and had the ability to urinate (ie, did not use an indwelling bladder catheter or have a nephrostomy, cystostomy, urostomy, or vesicostomy) were eligible to participate. Read More

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December 2019

Excision versus colorectal resection in deep endometriosis infiltrating the rectum: 5-year follow-up of patients enrolled in a randomized controlled trial.

Hum Reprod 2019 12;34(12):2362-2371

Department of Public Health and Management, Carol Davila University of Medicine and Pharmacy Bucharest, Romania.

Study Question: Is there a difference in functional outcomes and recurrence rate between conservative versus radical rectal surgery in patients with large deep endometriosis infiltrating the rectum 5 years postoperatively?

Summary Answer: No evidence was found that long-term outcomes differed when nodule excision was compared to rectal resection for deeply invasive endometriosis involving the bowel.

What Is Known Already: Functional outcomes of nodule excision and rectal resection for deeply invasive endometriosis involving the bowel are comparable 2 years after surgery. Despite numerous previously reported case series enrolling patients managed for colorectal endometriosis, long-term data remain scarce in the literature. Read More

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http://dx.doi.org/10.1093/humrep/dez217DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6936722PMC
December 2019

Mid-urethral sling in a day surgery setting: is it possible?

Int Urogynecol J 2020 Apr 29;31(4):817-821. Epub 2019 Nov 29.

Department of Obstetrics and Gynecology, Del Ponte Hospital, University of Insubria, Varese, Italy.

Introduction And Hypothesis: Several studies have shown that immediate catheter removal following pelvic surgery is associated with several advantages. The aim of this case-control study is to compare immediate versus delayed catheter removal following mid-urethral sling surgery, to determine if indwelling catheterisation is necessary after this procedure. The secondary outcomes were subjective and objective cure rate after at least a 1-year follow-up. Read More

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http://dx.doi.org/10.1007/s00192-019-04159-6DOI Listing

Surgical results in women with detrusor underactivity and stress urinary incontinence undergoing suburethral sling procedure-Predictive factors for successful outcome.

Low Urin Tract Symptoms 2020 May 5;12(2):143-149. Epub 2019 Nov 5.

School of Medicine, Tzu Chi University, Hualien, Taiwan.

Objectives: To elucidate the treatment results and predictors for successful outcome in women with detrusor underactivity (DU) and stress urinary incontinence (SUI) undergoing suburethral sling procedure.

Methods: Medical records of women with coexistent SUI and DU treated with a suburethral sling were retrospectively reviewed and we analyzed the association between treatment outcome and baseline demographics including etiology of DU and urodynamic variables. Patients who were dry and could urinate spontaneously were considered successful. Read More

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http://dx.doi.org/10.1111/luts.12293DOI Listing
May 2020
0.543 Impact Factor

A Randomized Controlled Trial of Enhanced Recovery After Surgery Versus Standard of Care Recovery for Emergency Cesarean Deliveries at Mbarara Hospital, Uganda.

Anesth Analg 2020 03;130(3):769-776

From the Departments of Anaesthesia and Critical Care.

Background: Enhanced recovery after surgery (ERAS) expedites return to patient baseline and functional status by reducing surgical trauma, stress, and organ dysfunction. Despite the potential benefits of enhanced recovery protocols, limited research has been done in low-resource settings, where 95% of cesarean deliveries are emergent and could possibly benefit from the application of ERAS protocols.

Methods: In a prospective, randomized, single-blind, controlled trial, mothers delivering by emergency cesarean delivery were randomly assigned to either an ERAS or a standard of care (SOC) recovery arm. Read More

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http://dx.doi.org/10.1213/ANE.0000000000004495DOI Listing
March 2020
2 Reads
3.472 Impact Factor

Predictors of Poor Response and Adverse Events Following Botulinum Toxin-A for Refractory Idiopathic Overactive Bladder.

Urology 2020 01 15;135:32-37. Epub 2019 Oct 15.

Department of Urology, Guy's and St Thomas' NHS Foundation Trust, Guy's Hospital, London, UK. Electronic address:

Objective: To ascertain whether a poor response and adverse events (voiding dysfunction and urinary tract infection) were predictable for first time botulinum toxin-A (BTX-A) injections in a patient cohort of refractory idiopathic overactive bladder with detrusor overactivity.

Methods: Patients who received BTX-A injections for the first time between the dates of March 2004-August 2017 were analyzed in this single center study. Urogenital Distress Inventory short form (UDI-6) questionnaires were collected both preinjection and postinjection prospectively. Read More

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http://dx.doi.org/10.1016/j.urology.2019.08.054DOI Listing
January 2020
3 Reads

Self-Removal of a Urinary Catheter After Urogynecologic Surgery: A Randomized Controlled Trial.

Obstet Gynecol 2019 11;134(5):1027-1036

Division of Female Pelvic Medicine and Reconstructive Surgery, Department of Obstetrics & Gynecology, Good Samaritan Hospital TriHealth, and the TriHealth Hatton Research Institute, Division of Female Pelvic Medicine and Reconstructive Surgery, Cincinnati, Ohio.

Objective: To evaluate whether self-discontinuation of a transurethral catheter is noninferior to office discontinuation in patients requiring indwelling catheterization for postoperative urinary retention after pelvic reconstructive surgery.

Methods: In this randomized noninferiority trial, patients with postoperative urinary retention after pelvic reconstructive surgery were assigned to self-discontinuation or office discontinuation of their catheter 1 week after surgery. The primary outcome was a noninferiority comparison of postoperative urinary retention at 1 week. Read More

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http://dx.doi.org/10.1097/AOG.0000000000003531DOI Listing
November 2019
1 Read

A Comparison of Two Methods of Catheter Management After Pelvic Reconstructive Surgery: A Randomized Controlled Trial.

Obstet Gynecol 2019 11;134(5):1037-1045

Department of Urogynecology, Hartford Hospital, and the Department of Research Administration, Hartford HealthCare, Hartford, Connecticut.

Objective: To compare effects on activity between two catheter management systems after failed voiding trial after pelvic reconstructive surgery.

Methods: Women with a failed postoperative voiding trial after reconstructive pelvic surgeries were randomized to plug-unplug or continuous drainage catheters. The primary outcome was a mean activity assessment scale score. Read More

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http://dx.doi.org/10.1097/AOG.0000000000003525DOI Listing
November 2019
1 Read

Profiles of the bacterial community in short-term indwelling urinary catheters by duration of catheterization and subsequent urinary tract infection.

Am J Infect Control 2020 02 17;48(2):178-183. Epub 2019 Sep 17.

Department of Epidemiology, University of Michigan School of Public Health, Ann Arbor, MI. Electronic address:

Background: Urinary catheterization, even of short duration, increases the risk of subsequent urinary tract infection (UTI). Whether the bacteria found on the surface of catheters placed for <3 days are associated with UTI risk is unknown.

Methods: We screened the biofilms found on the extraluminal surface of 127 catheters placed for <3 days in women undergoing elective gynecologic surgery, using targeted quantitative polymerase chain reaction and an untargeted 16S rRNA taxonomic screen. Read More

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http://dx.doi.org/10.1016/j.ajic.2019.08.005DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6980980PMC
February 2020
1 Read

The Challenge of Asymptomatic Bacteriuria and Symptomatic Urinary Tract Infections in Patients with Neurogenic Lower Urinary Tract Dysfunction.

J Urol 2020 03 17;203(3):579-584. Epub 2019 Sep 17.

Department of Neuro-Urology, Balgrist University Hospital, University of Zürich, Zürich, Switzerland.

Purpose: We investigated the prevalence of asymptomatic bacteriuria and the incidence of symptomatic urinary tract infections in patients with neurogenic lower urinary tract dysfunction undergoing urodynamics. We also assessed predictors of symptomatic urinary tract infections.

Materials And Methods: We evaluated a prospective consecutive series of 317 patients, including 106 women and 211 men, with neurogenic lower urinary tract dysfunction. Read More

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http://dx.doi.org/10.1097/JU.0000000000000555DOI Listing
March 2020
2 Reads

Antibiotic Prophylaxis During Catheter-Managed Postoperative Urinary Retention After Pelvic Reconstructive Surgery: A Randomized Controlled Trial.

Obstet Gynecol 2019 10;134(4):727-735

UPMC Magee-Womens Hospital, Pittsburgh, Pennsylvania; MedStar Washington Hospital Center, Washington, DC; Washington University in St. Louis, St. Louis, Missouri; UT Southwestern Medical Center, Dallas, Texas; the University of Iowa Hospitals and Clinics, Iowa City, Iowa; and Advantia Health, Silver Spring, Maryland.

Objective: To estimate whether nitrofurantoin prophylaxis decreases the incidence of culture-documented urinary tract infection for women with catheter-managed urinary retention after pelvic reconstructive surgery.

Methods: This double-blind, placebo-controlled, randomized trial was conducted at five academic institutions. Women with urinary retention after surgery for prolapse or incontinence were randomized to oral nitrofurantoin 100 mg daily during indwelling or clean intermittent self-catheterization. Read More

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http://dx.doi.org/10.1097/AOG.0000000000003462DOI Listing
October 2019
6 Reads

Randomized Controlled Trial to Assess the Impact of High Concentration Intraurethral Lidocaine on Urodynamic Voiding Parameters.

Urology 2019 Nov 26;133:72-77. Epub 2019 Aug 26.

Department of Biomedical Engineering, Duke University, Durham, NC. Electronic address:

Objective: To assess whether intraurethral anesthesia decreased voiding efficiency (VE), reduced catheterization pain, and impacted urodynamic parameters in healthy adult females.

Methods: In a randomized, double-blind, placebo-controlled trial, participants received two 5 mL doses of either intraurethral aqueous gel or 4% lidocaine gel. The primary outcome was VE during randomized condition uroflow, defined as voided volume/(voided volume + residual volume). Read More

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http://dx.doi.org/10.1016/j.urology.2019.08.020DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6842692PMC
November 2019
4 Reads

Detrusor underactivity in women: A current understanding.

Neurourol Urodyn 2019 11 20;38(8):2070-2076. Epub 2019 Aug 20.

Department of Urology, Vanderbilt University Medical Center, Nashville, Tennessee.

Aims: To examine the current understanding and management of detrusor underactivity (DUA) and underactive bladder (UAB) in women.

Methods: A review of the current literature was performed with a specific focus on new management strategies and treatment options for women with DUA and UAB.

Results: DUA has become an area of increased interest in recent years. Read More

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http://dx.doi.org/10.1002/nau.24147DOI Listing
November 2019
5 Reads

Three-dimensional bladder ultrasonography with the BladderScan overestimates post void residual one week after delivery.

Eur J Obstet Gynecol Reprod Biol X 2019 Jul 14;3:100030. Epub 2019 May 14.

Amphia Hospital, Department of Obstetrics and Gynecology, Breda, the Netherlands.

Objective: Postpartum urinary retention is a frequent complication after childbirth. It is usually a temporary condition. However, unrecognised urinary retention can lead to considerable morbidity due to bladder over distention, detrusor atony and long term voiding dysfunction. Read More

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http://dx.doi.org/10.1016/j.eurox.2019.100030DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6687368PMC
July 2019
2 Reads

The effect of amniotomy on urine protein creatinine ratio test accuracy.

Int J Womens Health 2019 10;11:371-375. Epub 2019 Jun 10.

St. Luke's University Health Network, Department of Obstetrics and Gynecology, Bethlehem, PA, USA.

While the gold standard for evaluation of maternal urinary protein is a 24-hr urine collection, spot urine protein/creatinine ratio has been instituted as an alternative for quantification proteinuria. Though it seems intuitive to obtain a catheterized urine sample on patients with ruptured amniotic membranes, it is a common practice to forgo this step under the argument that there is no data to show its necessity. Data on the effect of amniotomy, spontaneous or artificial, on the accuracy of the protein/creatinine ratio are scant. Read More

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http://dx.doi.org/10.2147/IJWH.S201210DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6580135PMC
June 2019
3 Reads

Perioperative outcomes after robotic versus vaginal surgery for pelvic organ prolapse.

J Robot Surg 2020 Jun 22;14(3):415-421. Epub 2019 Jul 22.

Department of Research and Evaluation, Kaiser Permanente Southern California, Pasadena, CA, USA.

The objectives of the study were to compare post-anesthesia care unit opioid use and pain scores, surgical and hospitalization times, and perioperative adverse events rates following robotic sacrocolpopexy (RSC) versus transvaginal uterosacral ligament suspension (USLS). This was a retrospective analysis of women 18 years and older who underwent either robotic sacrocolpopexy (n = 87) or transvaginal uterosacral ligament suspension (n = 103) between January 1, 2015 to December 31, 2017 at Downey Medical Center by two surgeons. Data including nurses' verbal pain scores and opioid use were abstracted from electronic medical records. Read More

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http://dx.doi.org/10.1007/s11701-019-01006-0DOI Listing
June 2020
2 Reads

Does a Recent Urinary Tract Infection Increase the Risk of Postprocedure Urinary Tract Infection After Onabotulinum Toxin A?

Female Pelvic Med Reconstr Surg 2019 Jul 8. Epub 2019 Jul 8.

Biostatistics and Bioinformatics, Duke University, Durham, NC.

Objectives: The objective of this study was to evaluate the risk of postprocedure urinary tract infection (UTI) after injection of onabotulinum toxin A (BTX-A) in women who had a UTI within 30 days before procedure.

Methods: This was a retrospective cohort study of women who underwent their first injection of BTX-A from 2010 to 2016. Two cohorts were identified: (1) recent UTI (within 30 days before injection) and (2) no recent UTI. Read More

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http://dx.doi.org/10.1097/SPV.0000000000000753DOI Listing
July 2019
3 Reads

Validity of bladder volume measurement by ultrasound in women postpartum.

Int Urogynecol J 2020 Mar 5;31(3):643-649. Epub 2019 Jul 5.

Department of Obstetrics and Gynecology, Herlev Hospital, Herlev and Gentofte University Hospital, Copenhagen, Denmark.

Introduction: Vaginal birth increases the risk of urinary retention and overdistention of the bladder. To avoid unnecessary discomfort by catheterization, it is preferable to use ultrasound for diagnosis of these conditions. The aim of this study was to determine the validity of transabdominal ultrasound and a portable ultrasound system, Biocon-700, to measure bladder volume in women postpartum. Read More

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http://dx.doi.org/10.1007/s00192-019-04037-1DOI Listing
March 2020
3 Reads

Lessons from Literature: Nephrostomy Versus Double J Ureteral Catheterization in Patients with Obstructive Urolithiasis-Which Method Is Superior?

J Endourol 2019 10 28;33(10):777-786. Epub 2019 Aug 28.

Department of Urology, LUMC, University of Leiden, Leiden, The Netherlands.

To review the literature on optimal methods of drainage for obstructive urolithiasis in adult patients, comparing percutaneous nephrostomy (PCN) with retrograde ureteral catheterization (Double J [JJ]) regarding success of procedure, efficacy, complications, quality of life (QoL), and costs. Web of Science and the Medline, Embase, Emcare, and Cochrane controlled trial databases were searched for all relevant publications until November 2018. A review protocol was created, using the PRISMA statement. Read More

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http://dx.doi.org/10.1089/end.2019.0309DOI Listing
October 2019
5 Reads

Risk factors for overt postpartum urinary retention-the effect of the number of catheterizations during labor.

Int Urogynecol J 2020 Mar 20;31(3):529-533. Epub 2019 Jun 20.

Department of Obstetrics and Gynecology, Mount Sinai Hospital, University of Toronto, Toronto, ON, Canada.

Introduction And Hypothesis: Our aim was to examine the effect of the number of catheterizations during labor on the development of overt postpartum urinary retention (PUR) in women who had a vaginal delivery with epidural anesthesia.

Methods: A single-center retrospective matched case-control study between 1 January 2015 and 31 December 2016. Women who developed overt PUR were compared with those who did not following a singleton vaginal delivery with epidural anesthesia. Read More

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http://dx.doi.org/10.1007/s00192-019-04010-yDOI Listing
March 2020
11 Reads

Mycobacterium abscessus urinary tract infection: case report.

J Bras Nefrol 2020 Mar 30;42(1):124-126. Epub 2019 May 30.

Hospital das Forças Armadas, Brasília, DF, Brasil.

Urinary tract infection is a serious public health issue that predominantly affects women. In men, it is more often associated with prostatic hyperplasia and bladder catheterization. Urogenital tuberculosis presents with nonspecific with nonspecific symptoms and the diagnosis can be made in the presence of sterile leukocyturia and recurrent infection with acid urine. Read More

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http://dx.doi.org/10.1590/2175-8239-JBN-2018-0260DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7213923PMC
March 2020
6 Reads

A Project to Increase Nurses' Comfort in Offering Bedpans to Women Laboring With Epidural Analgesia.

Authors:
Sharon K McLain

Nurs Womens Health 2019 Jun;23(3):200-216

Objective: To improve nurses' comfort in helping laboring woman void on a bedpan after initiation of epidural analgesia, to increase the frequency of bedpan use in the labor and birth unit, and to decrease the use of continuous indwelling Foley catheters during the intrapartum period.

Design: Quality improvement project.

Setting: A single large, midwestern U. Read More

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http://dx.doi.org/10.1016/j.nwh.2019.04.001DOI Listing
June 2019
17 Reads

Is a Postvoid Residual Necessary? A Randomized Trial of Two Postoperative Voiding Protocols.

Female Pelvic Med Reconstr Surg 2019 May 30. Epub 2019 May 30.

Department of OB/GYN, Division of Female Pelvic Medicine and Reconstructive Surgery, University of California, Irvine, Irvine, CA.

Objectives: This study aimed to compare a backfill-assisted voiding trial (VT) with and without a postvoid residual (PVR) after pelvic reconstructive surgery.

Methods: This was a nonblinded randomized controlled trial of women undergoing pelvic organ prolapse and/or stress incontinence surgery. Participants were randomized immediately after surgery to either a PVR VT or a PVR-free VT. Read More

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http://dx.doi.org/10.1097/SPV.0000000000000743DOI Listing
May 2019
21 Reads

[Clinical trials of treatment of post-stroke neurogenic bladder by plum-blossom needle tapping plus moxibustion].

Zhen Ci Yan Jiu 2019 May;44(5):363-6

Department of Encephalopathy, Wuhan Hospital of Traditional Chinese Medicine, Wuhan 430014, China.

Objective: To observe the therapeutic effect of plum-blossom needle tapping plus moxibustion in the treatment of post-stroke neurogenic bladder(PSNB).

Methods: A total of 60 PSNB patients were equally randomized into control group (16 men and 14 women, 65.6±7. Read More

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http://dx.doi.org/10.13702/j.1000-0607.180155DOI Listing
May 2019
8 Reads

Variables associated with an inability to learn clean intermittent self-catheterization after urogynecologic surgery.

Int Urogynecol J 2019 May 23. Epub 2019 May 23.

Division of Urogynecology, Department of Obstetrics, Gynecology & Reproductive Sciences, University of Pittsburgh Medical Center, Magee-Womens Hospital, 300 Halket Street, Pittsburgh, PA, 1528, USA.

Introduction And Hypothesis: Post-operative urinary retention is a common problem affecting close to half of all women undergoing pelvic reconstructive surgery. This was an exploratory analysis that was aimed at identifying factors associated with an inability to learn clean intermittent self-catheterization (CISC) after a failed post-operative retrograde voiding trial (RGVT).

Methods: We performed a retrospective case-control study of women who underwent pelvic organ prolapse or urinary incontinence surgery within a single division from 2016 to 2018. Read More

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http://dx.doi.org/10.1007/s00192-019-03974-1DOI Listing
May 2019
7 Reads

Catheter burden following urogynecologic surgery.

Am J Obstet Gynecol 2019 11 20;221(5):507.e1-507.e7. Epub 2019 May 20.

Division of Urogynecology and Reconstructive Pelvic Surgery, The University of North Carolina at Chapel Hill, Chapel Hill, NC.

Background: Data on the experience that women who undergo urogynecologic surgery have with postoperative catheterization are severely limited. As the importance of our patients' perioperative experience becomes more valued, assessment of the burden of postoperative catheterization, which has not yet been performed, is increasingly needed.

Objective: The aim of this study was to compare catheter burden in women who self-selected use of an indwelling Foley catheter vs clean intermittent self-catheterization for voiding dysfunction after reconstructive pelvic surgery. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S00029378193067
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http://dx.doi.org/10.1016/j.ajog.2019.05.014DOI Listing
November 2019
19 Reads

Appendix or Ileum-Which is the Best Material for Mitrofanoff Channel Formation in Adults?

J Urol 2019 10 6;202(4):757-762. Epub 2019 Sep 6.

Departments of Urology, University College Hospital at Westmoreland Street, Marylebone.

Purpose: We report long-term data on a large cohort of adults who underwent formation of a continent catheterizable channel for various indications. We examined outcomes according to the tissue used for channel formation.

Materials And Methods: We retrospectively reviewed the case notes of 176 consecutive adult patients in whom a continent catheterizable channel was created using the Mitrofanoff principle for a broad range of indications a median of 142 months (range 54 to 386) previously. Read More

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http://dx.doi.org/10.1097/JU.0000000000000356DOI Listing
October 2019
4 Reads

Urinary tract infection prevention after midurethral slings in pelvic floor reconstructive surgery: A systematic review and meta-analysis.

Acta Obstet Gynecol Scand 2019 12 20;98(12):1514-1522. Epub 2019 Jun 20.

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

Introduction: Synthetic midurethral slings are the most common procedures currently performed for stress urinary incontinence in women. Infection is a frequent complication of urogynecologic surgery. We performed a systematic review and meta-analysis to identify interventions that successfully prevent infections, including urinary tract infection (UTI) and/or bacteriuria, compared with no intervention, in women undergoing midurethral sling surgery with or without concomitant pelvic reconstructive procedures for prolapse. Read More

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http://dx.doi.org/10.1111/aogs.13661DOI Listing
December 2019
19 Reads

An introduction to the epidemiology and burden of urinary tract infections.

Ther Adv Urol 2019 Jan-Dec;11:1756287219832172. Epub 2019 May 2.

Department of Obstetrics and Gynecology, School of Medicine, University of the Republic, Hospital de Clínicas, Av Italia, 11600 Montevideo, Uruguay.

Urinary tract infections (UTIs) are the most common outpatient infections, with a lifetime incidence of 50-60% in adult women. This is a narrative review aimed at acting as an introduction to the epidemiology and burden of UTIs. This review is based on relevant literature according to the experience and expertise of the authors. Read More

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http://journals.sagepub.com/doi/10.1177/1756287219832172
Publisher Site
http://dx.doi.org/10.1177/1756287219832172DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6502976PMC
May 2019
6 Reads