1,015 results match your criteria Urethral Trauma Imaging


Controversies in the management of pelvic fracture urethral distraction defects.

Turk J Urol 2019 Jan 1;45(1):1-6. Epub 2019 Jan 1.

Kulkarni Reconstructive Urology Centre, Pune, India.

Pelvic fracture associated urethral injury (PFUI) is a sequel of blunt pelvic trauma. The published rate of urethral injury varies from 5-25% in different series. Management includes options from primary realignment to delayed anastomotic urethroplasty. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.5152/tud.2018.57699DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6342567PMC
January 2019

Intravesical migration of female urethral dilator: a case report of a new urologic emergency in the era of e-commerce.

BMC Urol 2018 Oct 3;18(1):85. Epub 2018 Oct 3.

Urology Unit, Department of Translational Research, University of Pisa, Via Paradisa 2, 56124, Pisa, Italy.

Background: The introduction of foreign bodies in the female urethra for auto-erotic stimulation or in case of psychiatric disorders is not uncommon. The occurrence of intravesical migration of these objects makes it necessary to remove it shortly after insertion, since after long term permanence complications are likely to occurr.

Case Presentation: A 47-year-old white female was referred at our Urology department for migration inside the bladder of a metallic urethral dilator used for sexual stimulation. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s12894-018-0398-4DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6171295PMC
October 2018
18 Reads
1.940 Impact Factor

Knotted electric wire in urinary bladder: Can such complex foreign body be retrieved endoscopically!

BMJ Case Rep 2018 Sep 27;2018. Epub 2018 Sep 27.

Department of Urology, King George's Medical University, Lucknow, Uttar Pradesh, India.

Various types of foreign bodies have been recovered from the urinary bladder and urethra including telephone cables, pocket battery, little fish, pen tips and so on. Management of such cases include either endoscopic removal or open surgery. We report the case of an 18-year-old boy who inserted an electric wire in the urethra for eroticism and was managed by endoscopic removal following fragmentation of wire under local anaesthesia using holmium laser. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1136/bcr-2018-225353DOI Listing
September 2018
2 Reads

Posterior urethral valve associated with a foreign body in posterior urethra: a first of its kind report.

BMJ Case Rep 2018 Sep 23;2018. Epub 2018 Sep 23.

Department of Urology, King George's Medical University, Lucknow, Uttar Pradesh, India.

Posterior urethral valve and foreign body are among the important causes of male urethral obstruction. Although one is congenital and the other is acquired, both entities are rare in children with only a few reported cases. Because of myriad of symptoms associated with both conditions, a conclusive diagnosis requires both physical examination and radiological imaging. Read More

View Article

Download full-text PDF

Source
http://casereports.bmj.com/lookup/doi/10.1136/bcr-2018-22625
Publisher Site
http://dx.doi.org/10.1136/bcr-2018-226257DOI Listing
September 2018
9 Reads

Characterization of a Standardized Postoperative Radiographic and Functional Voiding Trial after 1-Stage Bulbar Ventral Onlay Buccal Mucosal Graft Urethroplasty and the Impact on Stricture Recurrence-Free Survival.

J Urol 2019 03;201(3):563-572

Departments of Urology, University Medical Center Hamburg-Eppendorf , Hamburg.

Purpose: We sought to characterize a standardized postoperative radiographic and functional voiding trial, and determine its impact on outcomes after substitution urethroplasty.

Materials And Methods: This is an observational, monocenter study of men who underwent 1-stage ventral onlay buccal mucosal graft urethroplasty for bulbar urethral stricture between January 2009 and December 2016. Patients were stratified by voiding trial success vs failure, including radiographic (extravasation or residual narrowness) and functional (post-void residual volume greater than 100 ml) failure, 21 days postoperatively. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.juro.2018.09.041DOI Listing
March 2019
9 Reads

Post-traumatic bony impingement into vagina: a rare cause of urethrovaginal fistula.

BMJ Case Rep 2018 Aug 10;2018. Epub 2018 Aug 10.

Department of Urology, King George's Medical University, Lucknow, Uttar Pradesh, India.

A 22-year-old woman met with road traffic accident 6 months back following which she underwent exploratory laparotomy with intraperitoneal bladder rupture repair. She presented with urethrovaginal fistula due to a fragment of fractured pubic bone impinging into the anterior vaginal wall. The findings were confirmed on CT scan and cystoscopy. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1136/bcr-2018-226004DOI Listing
August 2018
8 Reads

Extravasation of contrast beneath the preputial skin due to improper technique of retrograde urethrogram.

BMJ Case Rep 2018 Jul 18;2018. Epub 2018 Jul 18.

Department of Urology, King George's Medical University, Lucknow, India.

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1136/bcr-2018-225822DOI Listing
July 2018
2 Reads

Imaging of Acute Conditions of the Perineum.

Radiographics 2018 Jul-Aug;38(4):1111-1130. Epub 2018 Jun 15.

From the Department of Radiology, Division of Emergency Radiology, Brigham and Women's Hospital, Harvard Medical School, 75 Francis St, Boston, MA 02115.

A wide range of acute conditions can affect the perineum, from self-limited disease to conditions that are potentially life threatening or contribute to substantial patient morbidity if not promptly diagnosed and appropriately treated. Imaging is essential in the clinical management of perineal disease because it allows accurate anatomic localization of the origin and extent of the disease to be determined. Familiarity with complex perineal anatomy, appropriate use of imaging modalities, and the spectrum of imaging findings seen in acute perineal conditions is crucial for radiologists to make a rapid and accurate diagnosis. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1148/rg.2018170151DOI Listing
October 2018
2 Reads

A Male Teenager With Dysuria.

Ann Emerg Med 2018 Apr;71(4):539-544

Yale-New Haven Hospital, Yale School of Medicine, New Haven, CT.

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.annemergmed.2017.10.026DOI Listing

Renal Trauma Increases Risk of Future Hypertension.

Urology 2018 06 12;116:198-204. Epub 2018 Mar 12.

Department of Urology, University of California San Francisco, San Francisco, CA; Department of Epidemiology and Biostatistics, University of California San Francisco, San Francisco, CA.

Objective: To determine if traumatic renal injuries or computed tomography (CT) findings are predictive of hypertension (HTN) development following injury.

Methods: A retrospective review of a renal trauma database was performed from 1995 to 2015. Renal injuries were graded by the American Association for the Surgery of Trauma system, with high-grade defined as IV or V. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.urology.2017.10.063DOI Listing
June 2018
4 Reads

British Association of Urological Surgeons (BAUS) consensus document for the management of male genital emergencies - penile fracture.

BJU Int 2018 07 2;122(1):26-28. Epub 2018 Apr 2.

Department of Urology and NIHR Biomedical Research Centre, University College London Hospital, London, UK.

Male genital emergencies relating to the penis and scrotum are rare and require prompt investigation and surgical intervention. Clinicians are often unfamiliar with the management of these conditions and may not work in a specialist centre with on-site expertise in genitourethral surgery. The aim of these consensus statements is to provide best practice guidance for urological surgeons based in the UK which are developed by an expert consensus. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1111/bju.14167DOI Listing
July 2018
1 Read

Incidence and immediate management of genitourinary injuries in pelvic and acetabular trauma: a 10-year retrospective study.

BJU Int 2018 07 8;122(1):126-132. Epub 2018 Mar 8.

Department of Trauma and Orthopaedics, Tallaght Hospital, Dublin, Ireland.

Objective: To report the incidence of genitourinary (GU) injuries in pelvic and acetabular (P + A) fractures, to investigate associations between P + A fractures and GU injury patterns, and, as a secondary objective, to evaluate prospectively P + A fracture referrals with regard to adherence to the British Orthopaedic Association Standards for Trauma (BOAST) guidelines over a 12-month period.

Methods: A retrospective review of GU injuries associated with P + A fractures was performed for the period January 2006 to December 2016 in a national pelvic trauma centre in Ireland. Patient demographics, mechanism of injury and details of injuries were recorded. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1111/bju.14161DOI Listing
July 2018
7 Reads

Urologic Emergencies.

Med Clin North Am 2018 Mar 20;102(2):373-385. Epub 2017 Dec 20.

Department of Urology, Northwestern University Feinberg School of Medicine, 303 East Chicago Avenue 16-703, Chicago, IL 60611, USA. Electronic address:

Urologic emergencies can involve the kidneys, ureters, bladder, urethra, penis, scrotum, or testicles. History and physical examination are essential to diagnosis, whereas imaging is increasingly used to confirm diagnoses. Acute urinary retention should be relieved with Foley placement. Read More

View Article

Download full-text PDF

Source
https://linkinghub.elsevier.com/retrieve/pii/S00257125173016
Publisher Site
http://dx.doi.org/10.1016/j.mcna.2017.10.013DOI Listing
March 2018
19 Reads

[A CASE OF PELVIC FRACTURE URETHRAL INJURY RECONSTRUCTED BY DEFERRED URETHROPLASTY].

Nihon Hinyokika Gakkai Zasshi 2017 ;108(1):52-55

Department of Urology, Osaka General Medical Center.

We report a case of pelvic fracture urethral injury reconstructed by anastomotic urethroplasty. A 24-year-old male was referred to our hospital because of pelvic trauma accompanying ischial fracture. Retrograde urethrography showed urethral disruption and suprapubic catheter was inserted. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.5980/jpnjurol.108.52DOI Listing
February 2019
3 Reads

Focal MRI-Guided Salvage High-Dose-Rate Brachytherapy in Patients With Radiorecurrent Prostate Cancer.

Technol Cancer Res Treat 2017 12 5;16(6):1194-1201. Epub 2017 Dec 5.

1 Department of Radiotherapy, University Medical Center Utrecht, Utrecht, the Netherlands.

Introduction: Whole-gland salvage treatment of radiorecurrent prostate cancer has a high rate of severe toxicity. The standard of care in case of a biochemical recurrence is androgen deprivation treatment, which is associated with morbidity and negative effects on quality of life. A salvage treatment with acceptable toxicity might postpone the start of androgen deprivation treatment, might have a positive influence on the patients' quality of life, and might even be curative. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1177/1533034617741797DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5762090PMC
December 2017
10 Reads

A review of the impact of pregnancy and childbirth on pelvic floor function as assessed by objective measurement techniques.

Int Urogynecol J 2018 Mar 13;29(3):327-338. Epub 2018 Jan 13.

University of Chicago, Chicago, IL, USA.

The objective of this narrative review is to study the impact of pregnancy and childbirth on pelvic floor function as assessed by objective measurement techniques with quantitative data carried out during pregnancy and after childbirth. A literature search in MEDLINE and relevant and up-to-date journals from 1960 until April 2017 was performed for articles dealing with the impact of pregnancy and childbirth on pelvic floor function as assessed by objective measurement methods. Only studies describing objective measurement techniques. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1007/s00192-017-3540-zDOI Listing
March 2018
4 Reads

Artificial urinary sphincter implantation: an important component of complex surgery for urinary tract reconstruction in patients with refractory urinary incontinence.

BMC Urol 2018 Jan 8;18(1). Epub 2018 Jan 8.

Department of Urology, China Rehabilitation Research Center, Beijing, 100068, China.

Background: We review our outcomes and experience of artificial urinary sphincter implantation for patients with refractory urinary incontinence from different causes.

Methods: Between April 2002 and May 2017, a total of 32 patients (median age, 40.8 years) with urinary incontinence had undergone artificial urinary sphincter placement during urinary tract reconstruction. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s12894-018-0314-yDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5759840PMC
January 2018
4 Reads

Effects of Anastomotic Posterior Urethroplasty (Simple or Complex) on Erectile Function: a Prospective Study.

Urol J 2018 Mar 18;15(2):33-37. Epub 2018 Mar 18.

Department of Radiology, Tajrish Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

Purpose: Although improvements in urological function have been less challenged, concern about andrological problems following urethral stricture surgeries has been growing in recent years. The aim of this study is to evaluate the role of the anastomotic urethroplasty itself on erectile function in patients with posterior urethral injuries.

Materials And Methods: In this prospective cohort study, patients with urethral strictures referring to Tajrish Hospital during October 2013 to August 2016 for anastomotic urethroplasty, were included. Read More

View Article

Download full-text PDF

Source
http://journals.sbmu.ac.ir/urolj/index.php/uj/article/view/3
Publisher Site
http://dx.doi.org/10.22037/uj.v0i0.3805DOI Listing
March 2018
4 Reads

Placement of an absorbable rectal hydrogel spacer in patients undergoing low-dose-rate brachytherapy with palladium-103.

Brachytherapy 2018 Mar - Apr;17(2):251-258. Epub 2017 Dec 11.

Department of Radiation Oncology, Memorial Sloan Kettering Cancer Center, New York, NY. Electronic address:

Purpose: Rates of rectal toxicity after low-dose-rate (LDR) brachytherapy for prostate cancer are dependent on rectal dose, which is associated with rectal distance from prostate and implanted seeds. Placement of a hydrogel spacer between the prostate and rectum has proven to reduce the volume of the rectum exposed to higher radiation dose levels in the setting of external beam radiotherapy. We present our findings with placing a rectal hydrogel spacer in patients following LDR brachytherapy, and we further assess the impact of this placement on dosimetry and acute rectal toxicity. Read More

View Article

Download full-text PDF

Source
https://linkinghub.elsevier.com/retrieve/pii/S15384721173052
Publisher Site
http://dx.doi.org/10.1016/j.brachy.2017.11.006DOI Listing
January 2019
21 Reads

[Bulbar urethral strictures : A trivial urological disease or a surgical challenge?]

Urologe A 2018 Jan;57(1):17-20

Urologische Klinik und Poliklinik, Klinikum Großhadern, LMU München, München, Deutschland.

Urethral strictures are often located in the bulbar urethra, and bulbar strictures are commonly due to urethral trauma. Diagnosis is confirmed by radiographic imaging of the urethra. In cases of short primary bulbar strictures, a simple internal urethrotomy may be curative. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1007/s00120-017-0545-7DOI Listing
January 2018
5 Reads

Urethral Rest with Suprapubic Cystostomy for Obliterative or Nearly Obliterative Urethral Strictures: Urethrographic Changes and Implications for Management.

J Urol 2018 May 6;199(5):1289-1295. Epub 2017 Dec 6.

Department of Urology, University of Minnesota, Minneapolis, Minnesota.

Purpose: Precise preoperative characterization of urethral stricture is important for surgical planning. A period of urethral rest by a suprapubic cystostomy tube may aid in stricture characterization and affect the surgical approach. In this study fellowship trained reconstructive urologists compared the radiographic characterization of anterior urethral strictures before and after a period of urethral rest. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.juro.2017.11.110DOI Listing
May 2018
10 Reads

Incidence of Stress Urinary Incontinence After Posterior Urethroplasty for Radiation-induced Urethral Strictures.

Urology 2018 Apr 27;114:188-192. Epub 2017 Nov 27.

Department of Urology, University of Washington Medical Center, Seattle, WA.

Objective: To identify the frequency of de novo stress urinary incontinence (SUI) after posterior excision and primary anastomotic (EPA) urethroplasty in patients with radiation-induced urethral strictures (RIUS) and compare with patients with pelvic fracture urethral injuries (PFUIs).

Materials And Methods: A retrospective review was conducted among patients who underwent successful posterior EPA urethroplasty between 2008 and 2016 for RIUS from prostate cancer or PFUI from blunt trauma. Only patients with an intact bladder neck on imaging were included. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.urology.2017.11.024DOI Listing
April 2018
6 Reads

Necrotizing fasciitis after high-dose rate brachytherapy and external beam radiation for prostate cancer: a case report.

BMC Urol 2017 Nov 21;17(1):107. Epub 2017 Nov 21.

Department of Urology, Wakayama Medical University, 811-1 Kimiidera, Wakayama, 641-8509, Japan.

Background: In recent years, the delayed side effects associated with radiotherapy for prostate cancer have drawn the interest of urologists. Although urosymphyseal fistula is one of these delayed side effects, this serious complication is rarely described in literature and is poorly recognized.

Case Presentation: We report our experience in treating a 77-year-old male patient with necrotizing fasciitis after high-dose rate brachytherapy plus external beam radiation for prostate cancer. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s12894-017-0299-yDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5697232PMC
November 2017
13 Reads

Pubourethral Stump Angle Measured on Preoperative Magnetic Resonance Imaging Predicts Urethroplasty Type for Pelvic Fracture Urethral Injury Repair.

Urology 2018 02 20;112:198-204. Epub 2017 Nov 20.

Department of Plastic Surgery, National Defense Medical College, Saitama, Japan.

Objective: To examine whether the type of delayed urethroplasty required for pelvic fracture urethral injury, which is not easily predicted from conventional urethrography findings, can be predicted from preoperative magnetic resonance imaging (MRI) results.

Patients And Methods: Records of 74 male patients with pelvic fracture urethral injury who underwent MRI of the pelvis at least 3 months after injury and, subsequently, delayed anastomotic urethroplasty were retrospectively analyzed. Pubourethral stump length (PUL) was defined as the distance between the distal end of the proximal urethral stump and the lower border of the inferior pubic ramus. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.urology.2017.09.038DOI Listing
February 2018
4 Reads

Fracture With Urethral Injury: Evaluation by Retrograde Urethrogram.

Eurasian J Med 2017 Oct;49(3):217-219

Department of Urology, Necmettin Erbakan University, Meram Medical Faculty, Konya, Turkey.

Penile fracture is a rare condition. It primarily involves the rupture of the corpus cavernosum during erection, which may also affect the corpus spongiosum and urethra. We describe the case of a 35-year-old man who presented with acute penile pain, penile swelling, and a hematuria after a blunt trauma during sexual intercourse. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.5152/eurasianjmed.2017.17033DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5665635PMC
October 2017
10 Reads

Migration of ventriculoperitoneal shunt to urethral and rectal orifices.

BMJ Case Rep 2017 Nov 8;2017. Epub 2017 Nov 8.

Department of Urology, University Hospital of Wales, Heath Hospital, Cardiff, UK.

Ventriculoperitoneal (VP) shunt surgery remains the most widely used neurosurgical procedure for the management of hydrocephalus. However, shunt complications are common and may require multiple surgical procedures during a patient's lifetime. We report the case of a 29-year-old patient with a background of Dandy-Walker malformation, occipital encephalocele, recurrent hydrocephalus, spina bifida and epilepsy presented with VP shunt migration into urinary and gastrointestinal tracts. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1136/bcr-2017-220187DOI Listing
November 2017
7 Reads

Intentional cyanoacrylate ingestion: A rare cause of delayed gastric perforation requiring gastric wedge resection.

Am J Emerg Med 2018 Jan 7;36(1):169.e5-169.e7. Epub 2017 Oct 7.

Department of Emergency Medicine, Sanggye Paik Hospital, Inje University College of Medicine, 1342 Dongil-ro, Nowon-gu, Seoul, 139-707, Republic of Korea.

Cyanoacrylate (LOCTITE® 401™) is a fast-acting adhesive available nationwide, with medical and household uses. Most cases of cyanoacrylate exposure are accidental and occur in children less than 5years old. Various routes of exposure have been reported including the dermal, oral, ocular, otic, nasal, and urethral routes; however, very few result in serious complication and mortality. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.ajem.2017.10.017DOI Listing
January 2018
16 Reads

Primary urethral reconstruction results in penile fracture.

Ann R Coll Surg Engl 2018 Jan 15;100(1):21-25. Epub 2017 Sep 15.

Souza Aguiar Hospital Municipal and State University , Rio de Janeiro , Brazil.

Objective This study assessed primary urethral reconstruction results in patients with a penile fracture. Materials and methods Between January 2005 and April 2016, patients who underwent primary urethral reconstruction due to penile fracture were called for a follow-up. Epidemiological and clinical presentation data and operative findings were reviewed retrospectively. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1308/rcsann.2017.0098DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5838661PMC
January 2018
25 Reads

[Rupture of the albuginea of the corpora cavernosa].

Pan Afr Med J 2017 20;27:210. Epub 2017 Jul 20.

Université Mohammed 5, Faculté de Médecine et de Pharmacie de Rabat, Hopital Ibn Sina, Service d'Urologie A, Maroc.

The fractures of the penis are rare in our context and are most often secondary to false penile fracture. A more common cause has been described in the countries of the Middle East where people interrupt the erection due to a violent bending of their penis called "Taqaandan". We here report the case of a 21-year old patient with no particular previous history, presenting to the emergency department at the Medical Center Avicenna with pain and deformation of the penis following "Taqaandan" manoeuvre. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.11604/pamj.2017.27.210.13104DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5622845PMC
October 2017
15 Reads

Microbubble-enhanced ultrasound to demonstrate urethral transection in a case of penile fracture.

BMJ Case Rep 2017 Sep 23;2017. Epub 2017 Sep 23.

Department of Imaging, University College London Hospitals NHS Foundation Trust, London, UK.

A 47-year-old man attended the emergency department following trauma during sexual intercourse after which he developed penile swelling and haematuria several hours later. A penile fracture was suspected but given the slightly atypical history, ultrasound was performed to look for a fracture. Given the history of haematuria, both a standard Doppler ultrasound and a microbubble-enhanced retrograde ultrasound urethrogram were performed. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1136/bcr-2017-220073DOI Listing
September 2017
39 Reads

Novel pericatheter retrograde urethrogram technique is a viable method for postoperative urethroplasty imaging.

Int Urol Nephrol 2017 Dec 14;49(12):2157-2165. Epub 2017 Sep 14.

MedStar Washington Hospital Center, Washington, DC, USA.

Purpose: The purpose of this study is to describe our technique for pericatheter retrograde urethrogram (pcRUG) and to evaluate the utility of a pcRUG to detect a clinically significant leak after urethral reconstruction.

Methods: We retrospectively reviewed our prospective IRB-approved database of patients undergoing urethral reconstruction. pcRUG was performed at 3-4 weeks after surgery, in standardized fashion. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1007/s11255-017-1701-0DOI Listing
December 2017
24 Reads

Urethral calculi with a urethral fistula: a case report and review of the literature.

BMC Res Notes 2017 Sep 6;10(1):444. Epub 2017 Sep 6.

Department of Urology, Xiangya Hospital, Central South University, 87 Xiangya Road, Changsha, 410008, Hunan, China.

Background: To explore and summarize the reasons why urethral calculi cause a urethral fistula.

Case Presentation: We retrospectively studied 1 patient in Xiangya hospital and all relevant literature published in English between 1989 and 2015. The patients (including those reported in the literature) were characterized by age, origin, location of calculus, size of calculus, fistulous track, and etiological factors. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s13104-017-2798-zDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5585950PMC
September 2017
8 Reads

A novel urethral sparing technique for high-dose-rate prostate brachytherapy after transurethral resection of the prostate.

Brachytherapy 2017 Nov - Dec;16(6):1113-1118. Epub 2017 Aug 30.

Department of Radiation Oncology, University of California San Francisco, San Francisco, CA. Electronic address:

Purpose: The purpose of this study was to assess retrospectively the variability of the urethral dose optimized using a Foley catheter versus urethral contrast injected using a new modified triple-lumen catheter, in CT-based high-dose-rate (HDR) prostate brachytherapy of posttransurethral resection of prostate (TURP) patients.

Methods And Materials: At our institution, there were six post-TURP patients with prostate carcinoma between July 2014 and April 2016 who underwent transperineal interstitial HDR brachytherapy (16 needles). A custom modified triple-lumen catheter was placed to inject contrast into the TURP defect. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.brachy.2017.07.017DOI Listing
June 2018
32 Reads

Emergency management of renal and genitourinary trauma: best practices update [digest].

Emerg Med Pract 2017 Aug 22;19(8 Suppl Points & Pearls):S1-S2. Epub 2017 Aug 22.

Department of Emergency Medicine, Icahn School of Medicine at Mount Sinai, New York, NY.

In up to 10% of patients who experience abdominal trauma, renal and urogenital systems will be involved. In polytrauma patients with other potentially life-threatening injuries, renal and genitourinary trauma may be overlooked initially, but a delayed or missed diagnosis of these injuries may result in preventable complications. This review provides a best-practice approach to the diagnosis and management of renal and genitourinary injuries, with an emphasis on the systematic approach needed to identify subtle injuries and avoid long-term urinary sequelae such as hypertension, incontinence, erectile dysfunction, chronic kidney disease, and nephrectomy. Read More

View Article

Download full-text PDF

Source
August 2017
70 Reads

[An unusual intraurethral foreign body: a case report].

Pan Afr Med J 2017 26;27:58. Epub 2017 May 26.

Service d'Urologie, Centre Hospitalier de Soissons, Soissons, France.

In medical literature there are several case reports of foreign bodies introduced into the urethra. Foreign bodies are usually inserted as result of erotic activities, psychiatric disorders and, rarely, in an attempt to evacuate the urine. Diagnosis is based on clinical examination and imaging tests. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.11604/pamj.2017.27.58.12644DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5554675PMC
September 2017
12 Reads

Unusual genitourinary tract activity.

BMJ Case Rep 2017 Jul 24;2017. Epub 2017 Jul 24.

Department of Urology, Beaumont Hospital, Dublin, Ireland.

A 23-year-old woman presented to the emergency department after manually inserting foreign bodies into the urinary bladder through her urethra. A plain abdominal film of the kidneys, ureters and bladder confirmed three radio-opaque densities in the urinary bladder. She was taken to the operating room where cystourethroscopy was performed. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1136/bcr-2017-220297DOI Listing
July 2017
8 Reads

Magnetic Resonance Imaging and Pelvic Fracture Urethral Injuries.

Urology 2017 Dec 10;110:9-15. Epub 2017 Jul 10.

Department of Urology, Hospital Santa Maria, Centro Hospitalar Lisboa Norte, Lisbon, Portugal.

Pelvic fracture urethral injuries (PFUI) are devastating lesions that lead to fibrosis and urethral disruption, which result in recurrent strictures, urinary incontinence, fistulae, and even erectile dysfunction, representing a management problem for the urologist. Magnetic resonance imaging (MRI) may be a valuable tool in establishing or confirming the diagnosis by providing detailed anatomy and estimating disease extent. We present a comprehensive review of the current literature on the role of MRI on diagnostic evaluation and surgical management of patients with PFUI. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.urology.2017.06.041DOI Listing
December 2017
6 Reads

Differences in urethral dosimetry between CT and MR imaging in multichannel vaginal cylinder brachytherapy.

Brachytherapy 2017 Sep - Oct;16(5):964-967. Epub 2017 Jul 8.

Department of Radiation Oncology, University of Pittsburgh Cancer Institute, Pittsburgh, PA. Electronic address:

Purpose: In image-based brachytherapy (IBBT), the dosimetry of small structures may be particularly sensitive to changes in contouring between imaging modalities. We therefore sought to characterize differences in urethral dosimetry in vaginal brachytherapy based on contouring on MRI vs. CT. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.brachy.2017.06.002DOI Listing
April 2018
14 Reads

Radiographic gapometry score: A simple predictor for surgical approach in pediatric traumatic posterior urethral strictures.

J Pediatr Urol 2017 Dec 16;13(6):624.e1-624.e5. Epub 2017 Jun 16.

Pediatric Urology, Department of Urology and Renal Transplantation, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, India. Electronic address:

Background: Post-traumatic posterior urethral injuries in children are rare events. Their management algorithms are extrapolations from adult literature and they continue to pose a difficult challenge for pediatric urologists. Not much data for age-related feasibility of an end-to-end urethroplasty are available. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.jpurol.2017.05.016DOI Listing
December 2017
3 Reads

Urinary tract infection after retrograde urethrogram in children: A multicenter study.

J Pediatr Urol 2017 Dec 17;13(6):623.e1-623.e5. Epub 2017 Jun 17.

Center for Healthcare Studies, Northwestern University Feinberg School of Medicine, Chicago, IL, USA; Division of Urology, Ann & Robert H. Lurie Children's Hospital of Chicago, Chicago, IL, USA; Department of Urology, Northwestern University Feinberg School of Medicine, Chicago, IL, USA. Electronic address:

Introduction: The risk of post-procedural urinary tract infection (ppUTI) after retrograde urethrogram (RUG) has not been well quantified. Prophylactic antibiotics may reduce the risk, but must be weighed against the risks of antibiotic resistance. Prior research has shown that this risk is variable after voiding cystourethrogram (0-42% reported ppUTI rate) and appears to be low after urodynamics (0-4. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.jpurol.2017.04.026DOI Listing
December 2017
26 Reads

Sonographic localization of a retained urethral foreign body in an elderly patient.

J Clin Ultrasound 2018 May 27;46(4):296-298. Epub 2017 Jun 27.

Section of Emergency Sonography, Department of Emergency Medicine, George Washington University Medical Center, 2120 L Street NW, Suite 450, Washington, DC, 20037.

A retained urethral foreign body is an uncommon presentation in the Emergency Department. The diagnosis and treatment of retained urethral foreign bodies are determined by their size, location, shape, and mobility and often require specialty consultation and operative intervention. In this case of a 74-year-old man with a self-inserted, retained urethral foreign body, we present the utility of a bedside ultrasound to detect the depth, size, and distance from the meatus of the object to guide the approach to extraction of the object at the bedside in the Emergency Department. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1002/jcu.22515DOI Listing
May 2018
5 Reads

Effects of barbed suture during robot-assisted radical prostatectomy on postoperative tissue damage and longitudinal changes in lower urinary tract outcome.

Surg Endosc 2018 Jan 22;32(1):145-153. Epub 2017 Jun 22.

Department of Urology, Fukushima Medical University School of Medicine, 1 Hikarigaoka, Fukushima, 960-1295, Japan.

Objective: To compare the postoperative tissue damage and longitudinal changes in functional and patient-reported outcomes after vesicourethral anastomosis with barbed suture and nonbarbed suture in robot-assisted laparoscopic radical prostatectomy (RARP).

Materials And Methods: This was a prospective cohort study involving 88 consecutive patients who underwent RARP. These patients were categorized into the barbed suture group (n = 50) and the nonbarbed suture group (n = 38). Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1007/s00464-017-5649-zDOI Listing
January 2018
18 Reads

Primary Realignment for Pelvic Fracture Urethral Injury Is Associated With Prolonged Time to Urethroplasty and Increased Stenosis Complexity.

Urology 2017 Oct 9;108:184-189. Epub 2017 Jun 9.

Department of Plastic Surgery, National Defense Medical College, Saitama, Japan.

Objective: To compare the clinical courses of patients with pelvic fracture urethral injury (PFUI) according to initial management strategy.

Methods: We reviewed the clinical courses of 63 patients with PFUI who were initially treated elsewhere and underwent delayed anastomotic urethroplasty by a single surgeon between 2008 and 2015. Patients were grouped according to their initial treatment: by suprapubic tube placement alone (49 patients, SPT group) or primary realignment (14 patients, PR group). Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.urology.2017.06.001DOI Listing
October 2017
16 Reads

[Spontaneous renal rupture of fornix due to obstructing urethral stone].

Ugeskr Laeger 2017 Jun;179(24)

A 53-year-old man was hospitalized due to acute right-sided flank pain. The pain went from right flank to right fossa. A non-contrast computed tomography (CT) of the abdomen showed pronounced stranding, hydronephrosis and proximal hydroureter. Read More

View Article

Download full-text PDF

Source
June 2017
10 Reads

Isolated Spongy Urethral Rupture from Abrupt Coital Distractive Force.

J Radiol Case Rep 2017 Feb 28;11(2):23-27. Epub 2017 Feb 28.

Division of Urology, Cook County Health and Hospitals System, Chicago, IL, USA.

The classic presentation of penile fracture is a cracking or snap sound, with sharp pain, immediate detumescence, swelling, deformation and ecchymosis. A penile fracture involves rupture of the tunica albuginea of one or both corpora cavernosa. Concomitant urethral rupture is reported to occur in 10% to 20% of penile fracture cases. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.3941/jrcr.v11i2.2907DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5443636PMC
February 2017
14 Reads

Intermittent Projectile Urethraggia: An Unusual Sequela of a Skateboarding Accident in an Adolescent Male.

Urology 2017 Sep 29;107:229-231. Epub 2017 May 29.

Stanford University School of Medicine, Stanford, CA; Santa Clara Valley Medical Center, San Jose, CA.

Our patient suffered a perineal straddle injury, resulting in right cavernosal artery pseudoaneurysm in combination with a cavernosal-urethral fistula. The urethra failed to heal after several weeks, and the patient presented with severe intermittent urethral bleeding. The pseudoaneurysm was successfully treated by coil embolization, with resolution of the bleeding. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.urology.2017.04.051DOI Listing
September 2017
3 Reads

Urethral Foreign Body: An Uncommon Cause for Hematuria.

Acta Med Port 2017 03 31;30(3):251. Epub 2017 Mar 31.

Department of Urology. Santa Maria University Hospital. Lisbon Medical Academic Center. Lisbon. Portugal.

View Article

Download full-text PDF

Source
http://dx.doi.org/10.20344/amp.7699DOI Listing
March 2017
5 Reads

Penile fracture epidemiology, diagnosis and management in Iran: a narrative review.

Transl Androl Urol 2017 Apr;6(2):158-166

Infertility and Reproductive Health Research Center (IRHRC), Shahid Beheshti Medical Science University, Tehran Iran.

Penile fracture (PF) is considered an emergency in urology. In the literature there are some case series reporting considerable incidence of PF in some parts of Iran. There are no accurate data about the incidence of PF all around Iran. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.21037/tau.2016.12.03DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5422687PMC
April 2017
35 Reads

Penile Fracture Following a Fall in a 7-Year-Old Male.

Urology 2017 Aug 8;106:200-202. Epub 2017 May 8.

Children's Hospital at OU Medical Center, Oklahoma City, OK.

We report a rare case of isolated penile fracture in a prepubescent male caused by an accidental fall. The patient presented with swelling and ecchymosis on the base of the penis and along the penile shaft. A flexible cystoscopy was performed, which did not reveal any concomitant urethral injury. Read More

View Article

Download full-text PDF

Source
https://linkinghub.elsevier.com/retrieve/pii/S00904295173036
Publisher Site
http://dx.doi.org/10.1016/j.urology.2017.04.013DOI Listing
August 2017
32 Reads