1,159 results match your criteria Urethral Trauma Imaging


A Self Inserted Unusual Foreign Body "An Entire Pencil" in a Male Urethra and Bladder: A Case Report.

Cureus 2022 May 22;14(5):e25198. Epub 2022 May 22.

Urology, Super Speciality Hospital Rewa, Rewa, IND.

The incidence of lower urinary tract foreign body insertions is low. The motives for the insertion of objects are complex to comprehend and could be a result of exotic impulses, psychometric problems, or sexual curiosity. Here we discuss a case of a 21-year-old male who came to the emergency room with complaints of a painful protrusion from the perineum and a history of insertion of an unusual foreign body in the form of an approximately 15cm long pencil that was inserted out of sexual curiosity to achieve autoerotism which was impacted in the posterior urethra and the bladder. Read More

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Painless penile periurethral polymicrobial abscess causing urinary retention.

Urol Case Rep 2022 May 1;42:102037. Epub 2022 Mar 1.

Faculty of Medicine, The University of Queensland, Brisbane, Queensland, Australia.

In contemporary urological practice periurethral abscesses are rare. We report the case of a 61-year-old presenting with a painless penile mass and urinary retention. He underwent imaging with ultrasonography, targeted antibiotics and successful source control through open incision and drainage. Read More

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[A Case of Successful Selective Arterial Embolization for Traumatic Priapism].

Hinyokika Kiyo 2022 Mar;68(3):91-94

The Department of Urology, Osaka University Graduate School of Medicine.

The first-line treatment for arterial (traumatic) priapism is follow-up, but no recommended duration has been established. We report a case of traumatic priapism that did not improve after one year of follow-up and was cured by arterial embolization. The patient was a 21-year-old male with a urethral injury caused by traffic trauma, and a urethral catheter was placed under fluoroscopic guidance. Read More

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Primary bladder neck obstruction in female: 'an enigmatic disorder'.

BMJ Case Rep 2022 Apr 6;15(4). Epub 2022 Apr 6.

Department of Urology, Post Graduate Institute of Medical Education and Research, Chandigarh, India

A 36-year-old woman presented with problems of lower urinary tract symptoms for 2 years duration. Patient was being managed as a case of urethral stricture with routine calibration. Micturating cystourethrogram showed failure of bladder neck to open. Read More

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Spontaneous ureteric rupture due to high pressure chronic retention.

JRSM Open 2022 Mar 9;13(3):20542704221077556. Epub 2022 Mar 9.

Department of Urology, Princess Royal University Hospital, King's College Hospital NHS Foundation Trust, Farnborough Common, Orpington BR6 8ND, UK.

Spontaneous ureteric rupture is a rare phenomenon which can be traumatic or non-traumatic that may arise from ureteric obstruction, trauma, mucosal inflammation from urolithiasis, connective tissue disease or retroperitoneal fibrosis. High pressure chronic retention is characterised by noctural enuresis, a tense palpable bladder, hypertension, progressive renal impairment, bilateral hydronephrosis and hydroureter on imaging. Obstructive urological symptoms are typically absent in uncomplicated cases. Read More

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Impact of pushing timing on occult injury of levator ani: secondary analysis of a randomized trial.

Am J Obstet Gynecol 2022 05 22;226(5):718.e1-718.e10. Epub 2022 Feb 22.

Department of Obstetrics and Gynecology, The University of Alabama at Birmingham, Birmingham, AL; Center for Women's Reproductive Health, The University of Alabama at Birmingham, Birmingham, AL.

Background: Evidence of detachment of the levator ani muscle system is seen more frequently in patients with pelvic floor disorders. It has been suggested that passive descent of the fetus before pushing could be used to decrease operative vaginal delivery and levator ani muscle injury.

Objective: This planned analysis aimed to determine whether immediate or delayed pushing was associated with an increased proportion of injury to the levator ani muscle system after the first delivery among nulliparous women. Read More

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What do X-ray images of the bladder during video urodynamics show us in patients with spinal cord injury?

Spinal Cord 2022 05 23;60(5):408-413. Epub 2022 Feb 23.

University of British Columbia, Vancouver, BC, Canada.

Study Design: Retrospective anonymized cohort study.

Objectives: To study X-ray images of video urodynamics (VUD) in patients with spinal cord injury (SCI).

Setting: Single-center study. Read More

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Electric wire as a urethral foreign body: A case report.

Medicine (Baltimore) 2021 Dec;100(48):e28103

Department of Ultrasound, Hebei General Hospital, Shijiazhuang, China.

Rationale: Most self-insertion of urethral foreign bodies is the result of exotic impulses, psychometric problems, sexual curiosity, or sexual practice while intoxicated. Ultrasound has been proven to be an effective tool for determining the presence, location, and characteristics of the urethral foreign body.

Patient Concerns: A 48-year-old man presented with a mass in the urethra for 2 years. Read More

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December 2021

Small spherical foreign bodies in the genitourinary tract and their management.

BMC Pediatr 2022 01 15;22(1):42. Epub 2022 Jan 15.

Department of Pediatric Urology, Wuhan Children's Hospital (Wuhan Maternal and Child Healthcare Hospital), Tongji Medical College, Huazhong University of Science and Technology, No.100, Hongkong Road, Jiang'an District, Wuhan, 430016, Hubei, China.

Background: Urogenital small foreign bodies (FBs) have rarely been reported in children, and their management is still challenging. This study aimed to describe the characteristics and treatment of spherical FBs no larger than 0.6 cm in the children's genitourinary tracts. Read More

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January 2022

A multimodality review of male urethral imaging: pearls and pitfalls with an update on urethral stricture treatment.

Br J Radiol 2022 Jun 5;95(1134):20211034. Epub 2022 May 5.

Department of Radiology, Vanderbilt University, Nashville, Tennessee, United States.

Optimum radiological assessment of the male urethra requires knowledge of the normal urethral anatomy and ideal imaging techniques based on the specific clinical scenario. Retrograde urethrography is the workhorse examination for male urethral imaging, usually utilized as the initial, and often solitary, modality of choice not only in the setting of trauma, but also in the pre- and post-operative evaluation of urethral strictures. There is, however, growing interest in utilization of ultrasound and magnetic resonance for evaluation of the male urethra owing to lack of ionizing radiation and improved delineation of the adjacent tissue. Read More

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Role of magnetic resonance imaging in the management of male pelvic fracture urethral injury.

Int J Urol 2022 Jan 5. Epub 2022 Jan 5.

Department of, Radiology, National Defense Medical College, Tokorozawa, Saitama, Japan.

The management of male pelvic fracture urethral injury remains a urological challenge. Pelvic fracture urethral injury can be associated with sequelae, such as urethral gap, erectile dysfunction and urinary incontinence. Delayed anastomotic urethroplasty, the gold standard treatment for urethral gaps caused by pelvic fracture urethral injuries, is technically demanding, and reconstructive urologists should preoperatively obtain as much detailed anatomical information as possible. Read More

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January 2022

Urethral and bladder dose-effect relations for late genitourinary toxicity following external beam radiotherapy for prostate cancer in the FLAME trial.

Radiother Oncol 2022 02 28;167:127-132. Epub 2021 Dec 28.

University Medical Center Utrecht, Radiation Oncology, The Netherlands; Radboud University Medical Center, Radiation Oncology, Nijmegen, The Netherlands. Electronic address:

Purpose Or Objectives: The FLAME trial (NCT01168479) showed that by adding a focal boost to conventional fractionated EBRT in the treatment of localized prostate cancer, the five-year biochemical disease-free survival increased, without significantly increasing toxicity. The aim of the present study was to investigate the association between radiation dose to the bladder and urethra and genitourinary (GU) toxicity grade ≥2 in the entire cohort.

Material And Methods: The dose-effect relations of the urethra and bladder dose, separately, and GU toxicity grade ≥2 (CTCAE 3. Read More

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February 2022

High rising flames: a sign of complex extraperitoneal bladder rupture.

Ann R Coll Surg Engl 2022 Feb 20;104(2):e35-e36. Epub 2021 Dec 20.

PGIMER, Chandigarh, India.

Extraperitoneal bladder rupture is the most common type of bladder injury following pelvic trauma and is seen in 80-90% of cases. Generally, the contrast extravasation seen on computed tomography (CT) cystography is confined to the perivesical space, giving a characteristic flame-shaped appearance. Occasionally contrast extravasation can extend to the scrotum, thigh or anterior abdominal wall, depending on the extent of injury. Read More

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February 2022

Trauma, and Genital and Urethral Reconstruction.

Authors:
Sean P Elliott

J Urol 2022 03 15;207(3):726-727. Epub 2021 Dec 15.

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High rising flames: a sign of complex extraperitoneal bladder rupture.

Ann R Coll Surg Engl 2022 Feb 26;104(2):35-36. Epub 2021 Nov 26.

PGIMER, Chandigarh, India.

Extraperitoneal bladder rupture is the most common type of bladder injury following pelvic trauma and is seen in 80-90% of cases. Generally, the contrast extravasation seen on computed tomography (CT) cystography is confined to the perivesical space, giving a characteristic flame-shaped appearance. Occasionally contrast extravasation can extend to the scrotum, thigh or anterior abdominal wall, depending on the extent of injury. Read More

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February 2022

Trauma, and Genital and Urethral Reconstruction.

Authors:
Sean P Elliott

J Urol 2022 02 16;207(2):458-460. Epub 2021 Nov 16.

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February 2022

Pelvic Fracture Urethral Distraction Defects in Preschool Boys: How to Recognize and Manage?

Urology 2022 01 12;159:191-195. Epub 2021 Nov 12.

Department of Urology, Shanghai Jiaotong University Affiliated Sixth People's Hospital, Shanghai, China; Shanghai Eastern Institute of Urologic Reconstruction, Shanghai, China. Electronic address:

Objective: To share the cases of pelvic fracture urethral distraction defect (PFUDD) in preschool boys and evaluate the transperineal anastomotic urethroplasty strategy for the treatment of these cases.

Materials And Methods: Between January 2010 and May 2021, 8 preschool boys (<6 years) with PFUDD underwent the transperineal anastomotic urethroplasty in our center were retrospectively reviewed. Etiology was traumatic pelvic fracture in all boys. Read More

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January 2022

Diphallia: a case report of a rare anomaly evaluated by magnetic resonance imaging.

Turk J Pediatr 2021;63(5):917-921

WEBIMAGEM Telerradiologia, São Paulo, São Paulo, Brazil.

Background: Diphallus, also known as penile duplication, is a rare malformation, seen once in every 5 to 6 million births. Newborns showing this condition present higher mortality rates due to malformations and infections. The underlying etiology of this malformation is uncertain, but it is thought to be associated with trauma, drug use, or infections that may affect fetal the mesoderm between the 23rd and 25th day of pregnancy. Read More

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January 2022

Fractures of the penis.

Br J Hosp Med (Lond) 2021 Oct 26;82(10):1-9. Epub 2021 Oct 26.

Department of Urology, London North West University Healthcare NHS Trust, London, UK.

A penile fracture is a traumatic rupture of the tunica albuginea of the corpora cavernosa in an erect penis, usually as a result of blunt trauma during sexual activity. The aetiology varies with geographical region, with the USA and Europe having a higher incidence of sexual trauma and the Middle East having a higher rate of self-manipulation. Diagnosis is usually clinical, but numerous imaging modalities have been used to confirm the fracture site and to help plan appropriate surgical management. Read More

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October 2021

Delayed Diagnosis and Treatment of Traumatic Testicular Dislocation: A Case Report and Literature Review.

Front Surg 2021 4;8:721192. Epub 2021 Oct 4.

Department of Urology, The Second Hospital of Dalian Medical University, Dalian, China.

Traumatic testicular dislocation is a rare complication secondary to different kinds of accidents. A 61-year-old man, who was injured by wall collapse and was diagnosed as pelvic fracture and posterior urethral rupture 5 months ago, came to the urologic department to seek urethral reconstruction. However, thorough physical examination and imaging examination confirmed a round mass in the right inguinal region and an empty right scrotum, which support diagnosis of testicular dislocation. Read More

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October 2021

Trauma, and Genital and Urethral Reconstruction.

Authors:
Sean P Elliott

J Urol 2022 01 18;207(1):221-223. Epub 2021 Oct 18.

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January 2022

The effects of primary realignment or suprapubic cystostomy on prostatic displacement in patients with pelvic fracture urethral injury: a clinical study based on MR urethrography.

Injury 2022 Feb 2;53(2):534-538. Epub 2021 Oct 2.

Department of Urology, Shanghai Jiao Tong University Affiliated Sixth People's Hospital, Shanghai, 200233, China; Shanghai Eastern Institute of Urologic Reconstruction, Shanghai, 200233, China. Electronic address:

Background: To provide direct evidence of whether primary realignment (PR) or suprapubic cystostomy (SPC) had different effects on the prostatic displacement and prognosis in patients with pelvic fracture urethral injury who needed delay anastomotic urethroplasty based on Magnetic Resonance (MR) urethrography.

Methods: We screened the urethral stenosis database of our single institution from January 2016 to June 2020. Patients who underwent delayed anastomotic urethroplasty with a preoperative MR urethrography and no treatment history of urethra were included. Read More

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February 2022

Imaging review of penile pathologies encountered in the emergency department.

Emerg Radiol 2022 Feb 1;29(1):147-159. Epub 2021 Oct 1.

Department of Radiology, University of Cincinnati Medical Center, 234 Goodman Street, Cincinnati, OH, 45267-0761, USA.

While penile pathology is uncommon, prompt diagnosis and treatment of emergent and urgent penile pathology are necessary to prevent complications. This paper will review the imaging findings of the most common critical penile pathologies, including traumatic, vascular, infectious, foreign body-related, and urethral pathology, in addition to penile prosthesis complications. Each entity will be discussed in the context of presentation and treatment and complications of each pathology will be discussed. Read More

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February 2022

Membranous urethral length on magnetic resonance imaging as a novel predictor of urinary continence after delayed anastomotic urethroplasty for pelvic fracture urethral injury.

World J Urol 2022 Jan 21;40(1):147-153. Epub 2021 Sep 21.

Department of Radiology, National Defense Medical College, 3-2 Namiki, Tokorozawa-City, Saitama, 359-8513, Japan.

Purpose: We studied the impact of membranous urethral length (MUL) on magnetic resonance imaging (MRI) on post-urethroplasty continence in male patients with pelvic fracture urethral injury (PFUI).

Methods: Of 169 male patients with PFUI who underwent delayed anastomotic urethroplasty between 2008 and 2020, 85 who underwent preoperative MRI, had no recurrent stenosis on cystoscopy, and underwent a 1-h pad test 1 year after surgery were included. MUL was defined as the distance from the distal end of the disrupted proximal urethra to the apex of the prostate, as measured using T2-weighted MRI. Read More

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January 2022

Focused Ultrasound Examination of Canine and Feline Emergency Urinary Tract Disorders.

Vet Clin North Am Small Anim Pract 2021 Nov 14;51(6):1233-1248. Epub 2021 Sep 14.

Clinical Science and Services, The Royal Veterinary College, The University of London, Hawkshead Lane, Hatfield, AL9 7TA.

This article discusses the usefulness of ultrasound examinations in the management of the patient with an emergency urinary tract disorder. It discusses the use of previously described point-of-care ultrasound protocols such as the abdominal focused assessment with sonography for trauma, triage, and tracking protocol in the unstable azotemic patient. Point-of-care ultrasound examination can help direct investigations and expedite the diagnosis of specific causes of azotemia. Read More

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November 2021

Trauma, and Genital and Urethral Reconstruction.

Authors:
Sean P Elliott

J Urol 2021 12 7;206(6):1509-1511. Epub 2021 Sep 7.

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December 2021

Ultrasonographic diagnosis of a hair foreign body in the urinary bladder of a dog.

Vet Radiol Ultrasound 2021 Nov 26;62(6):e25-e28. Epub 2021 Aug 26.

Department of Veterinary Clinical Sciences, College of Veterinary Medicine, Purdue University, West Lafayette, Indiana, USA.

A 13-year-old male neutered mixed-breed dog with a history of gallbladder mucocele and urolithiasis was evaluated by ultrasound. Two hyperechoic, linear foreign bodies with no distal acoustic shadowing were detected in the urinary bladder and urethra. Following the ultrasound examination, the patient underwent cystoscopy, and two single hairs were found and successfully retrieved. Read More

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November 2021

Trauma, and Genital and Urethral Reconstruction.

Authors:
Sean P Elliott

J Urol 2021 11 16;206(5):1317-1319. Epub 2021 Aug 16.

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November 2021

Trauma, and Genital and Urethral Reconstruction.

Authors:
Sean P Elliott

J Urol 2021 10 20;206(4):1056-1057. Epub 2021 Jul 20.

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October 2021

Update on female urethral reconstruction.

Curr Opin Urol 2021 09;31(5):486-492

Department of Urology, Finis Terrae University, Santiago, Chile.

Purpose Of Review: Female urethral stricture (FUS) is not frequent but can be the cause of significant morbidity. A somewhat overlooked condition for years, it has received significant attention in recent times. In this review, we update the current evidence surrounding FUS management. Read More

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September 2021