29,682 results match your criteria Urinary Obstruction


Thlaspi Bursa Pastoris in Treatment of Urinary Stones: A Case Series.

Homeopathy 2020 Jul 1. Epub 2020 Jul 1.

Homoeopathy University, Jaipur, Rajasthan, India.

Background:  Urinary stones are the most common cause of acute ureteral obstruction. The homeopathic medicine Thlaspi bursa pastoris (TBP) has many symptoms similar to the typical symptoms of urolithiasis, yet its clinical usefulness has not been well documented.

Patients:  In this study, the clinical symptoms of each of five patients, along with ultrasonographic evidence, were taken for the assessment of the outcome. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1055/s-0040-1709705DOI Listing

mary care anagement of lower rinary tract ymptoms in men: protocol for development and validation of a diagnostic and clinical decision support tool (the PriMUS study).

BMJ Open 2020 Jun 30;10(6):e037634. Epub 2020 Jun 30.

Division of Population Medicine, Cardiff University, Cardiff, South Glamorgan, UK.

Introduction: Lower urinary tract symptoms (LUTS) is a bothersome condition affecting older men which can lead to poor quality of life. General practitioners (GPs) currently have no easily available assessment tools to help effectively diagnose causes of LUTS and aid discussion of treatment with patients. Men are frequently referred to urology specialists who often recommend treatments that could have been initiated in primary care. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1136/bmjopen-2020-037634DOI Listing

Management of migrated or residual stones following laparoscopic pyelolithotomy and ureterolithotomy in abnormal kidneys - a prospective and randomized comparison.

J Endourol 2020 Jun 30. Epub 2020 Jun 30.

Peking University First Hospital, Urology, NO.8 Xi Shi Ku St., Xicheng District, Beijing, China, 100034;

Objective To conduct a prospective and randomized controlled trial comparing contemporaneous transabdominal rigid ureteroscopy (TRU) with postoperative shock wave lithotripsy (SWL) in the management of migrated or residual stones during laparoscopic pyelolithotomy and ureterolithotomy in kidneys with either intrinsic or extrinsic abnormalities. Methods From February 2016 to December 2019, 45 patients with migrated or residual stones following laparoscopic pyelolithotomy and ureterolithotomy were accrued and randomly divided into two groups. These patients all had either urinary tract obstruction distal to the stone or concomitant ipsilateral intrinsic or extrinsic pathology requiring laparoscopic intervention. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1089/end.2020.0296DOI Listing

Drugs or mechanical devices for obstructive LUTS?

Curr Drug Targets 2020 Jun 30. Epub 2020 Jun 30.

1 st Department of Urology, Aristotle University of Thessaloniki, "G. Gennimatas" General Hospital, Thessaloniki. Greece.

Lower urinary tract symptoms (LUTS) secondary to benign prostate obstruction (BPO), afflict a very large part of the population on a global scale. Urologists confront patients with a diversity of BPH-related symptoms in their daily practice. For years, the cornerstone of obstructive BPH treatment consisted of mostly medical and to a lesser extend surgical therapies. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.2174/1389450121666200630111723DOI Listing

A possible mechanism underlying mood disorders associated with LUTS: Chronic bladder outlet obstruction causes NLRP3-dependent inflammation in the hippocampus and depressive behavior in rats.

Neurourol Urodyn 2020 Jun 29. Epub 2020 Jun 29.

Division of Urology, Department of Surgery, Duke University Medical Center, Durham, North Carolina.

Aims: Reports link urinary dysfunction and mood disorders, such as depression, but a causative mechanism has never been postulated. Contemporary discoveries demonstrate a local inflammatory response in peripheral organs can trigger inflammation in the brain, particularly the hippocampus, mediated through the NLRP3 inflammasome. Critically, central inflammation causes depressive behavior. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1002/nau.24448DOI Listing

Application of Tissue Engineering and Regenerative Medicine in Maternal-Fetal Medicine.

Adv Exp Med Biol 2020 ;1249:161-171

Department of obstetrics and gynecology, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea.

A rapid development of ultrasonography has enabled physicians to make earlier prenatal diagnosis of various fetal congenital diseases, in maternal-fetal medicine. Due to the significant mortality and irreversible damage to fetal vital organs during pregnancy, fetal surgeries have been tried in some congenital disease including congenital diaphragmatic hernia, twin-to-twin transfusion syndrome (TTTS), myelomeningocele (MMC), and lower urinary tract obstruction. However, open fetal surgery requires laparotomy followed by hysterotomy, which can cause preterm premature rupture of membrane (pPROM), oligohydramnios, preterm delivery, dehiscence of uterine wall, and other maternal complications during pregnancy. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1007/978-981-15-3258-0_11DOI Listing
January 2020

Systemic inflammatory response syndrome in patients with acute obstructive upper tract urinary stone: a risk factor for urgent renal drainage and revisit to the emergency department.

BMC Urol 2020 Jun 29;20(1):77. Epub 2020 Jun 29.

Division of Urology Surgery, Washington University School of Medicine, 4960, Children's place, Campus Box 8242, St. Louis, MO, 63110, USA.

Background: In patients seen in the emergency department (ED) with acute stone obstruction many risk factors that indicate need for urgent renal drainage are known. However, in patients discharged from ED without renal drainage factors that can minimize revisit to the emergency department are not fully identified. We evaluated SIRS (systemic inflammatory response syndrome) as a risk factor for urgent renal drainage and revisit to the ED in patients with acute stone colic during their ED visit. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s12894-020-00644-zDOI Listing

The role of novel minimally invasive treatments for lower urinary tract symptoms associated with benign prostatic hyperplasia (LUTS/BPH).

BJU Int 2020 Jun 29. Epub 2020 Jun 29.

Department of Urology, St. Antonius Hospital, Gronau, Germany.

Objectives: To provide an update on novel minimally invasive LUTS/BPH treatments in a non-systematic review. To define potential target populations for the various new minimally invasive treatments.

Methods: Recent literature, meta-analyses and guideline recommendations for aquablation (AquaBeam ), water vapour thermal therapy (Rezūm ), prostate artery embolization (PAE), prostatic urethral lift (UroLift ) and the nitinol butterfly-like stent (i-TIND ) were reviewed. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1111/bju.15154DOI Listing

Feasibility of a single session retrograde endoscopic laser lithotripsy of two large stones located in a bifid urinary tract. Presentation of a rare case.

Arch Ital Urol Androl 2020 Jun 23;92(2). Epub 2020 Jun 23.

"Achillopoulio" General Hospital of Volos, Department of Urology, Volos; "Metropolitan General" Health Clinic, Department of Urology, Athens.

A 76 year-old male presented with urosepsis and acute renal injury secondary to obstruction by a 13 mm stone located in the common segment of a bifid left ureter. A second 10 mm stone was detected in the mid calyx of the lower moiety of the kidney. Drainage of both moieties with two double-J stents was initially performed. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.4081/aiua.2020.2.117DOI Listing

Holmium laser prostatectomy in a tertiary Italian center: A prospective cost analysis in comparison with bipolar TURP and open prostatectomy.

Arch Ital Urol Androl 2020 Jun 23;92(2). Epub 2020 Jun 23.

Department of Urology, University of Bologna; Department of Experimental, Diagnostic and Specialty Medicine (DIMES), Cardio-Nephro-Thoracic Sciences Doctorate, University of Bologna, Bologna.

Objective: To assess the economic impact of Holmium laser enucleation of prostate (HoLEP) in comparison with transurethral resection of prostate (TURP) and open prostatectomy (OP).

Methods: Between January 2017 and January 2018, we prospectively enrolled 151 men who underwent HoLEP, TURP or OP at tertiary Italian center, due to bladder outflow obstruction symptoms. Patients with prostate volume ≤ 70 cc and those with prostate volume > 70 cc were scheduled for TURP or HoLEP and OP or HoLEP, respectively. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.4081/aiua.2020.2.82DOI Listing

Rare case of pseudohypoaldosteronism in a neonate secondary to congenital hydrometrocolpos.

BMJ Case Rep 2020 Jun 28;13(6). Epub 2020 Jun 28.

Department of Paediatrics and Neonatology, Sandwell and West Birmingham Hospitals NHS Trust, Birmingham, UK.

Pseudohypoaldosteronism (PHA) due to obstructive uropathy, urinary tract infections and congenital urogenital malformations has been reported in the literature; however, there are no reports of PHA associated with hydrometrocolpos due to a common urogenital tract. Hydrometrocolpos is a condition resulting in distension of the vagina and uterus due to accumulation of secretions (other than blood), caused by increased oestrogenic stimulation and vaginal outflow obstruction. We report on a neonatal case of PHA caused by recurrent hydrometrocolpos presenting with vomiting and poor weight gain. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1136/bcr-2020-234813DOI Listing

Robot-assisted laparoscopic pyeloplasty (RALP) in children with complex pelvi-ureteric junction obstruction (PUJO): results of a multicenter European report.

World J Urol 2020 Jun 27. Epub 2020 Jun 27.

Division of Pediatric Urology, Federico II University of Naples, Via Pansini 5, 80131, Naples, Italy.

Purpose: This study aimed to report a multi-institutional retrospective case series of outcomes after robot-assisted laparoscopic pyeloplasty (RALP) in pediatric patients with complex pelvi-ureteric junction obstruction (PUJO).

Methods: All patients undergoing complex RALP over the last 5 years were included. RALP was defined complex in the following cases of PUJO: anatomic variations including ectopic, malrotated, horseshoe, or duplex kidney and recurrent PUJO after failed open pyeloplasty. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1007/s00345-020-03331-8DOI Listing

Labial adhesion in a postmenopausal female: A case report.

Medicine (Baltimore) 2020 Jun;99(26):e20803

Department of Urology, China Medical University Hospital.

Rationale: Voiding difficulty is more common in males, although it is not uncommon in females. Female voiding difficulty can be caused by iatrogenic, anatomic, and neurogenic factors, and specifically urethra stricture, impaired detrusor contractility, primary bladder neck obstruction, and detrusor-external sphincter dyssynergia. Labial adhesion is a rare cause of female voiding difficulty. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1097/MD.0000000000020803DOI Listing

Antegrade insertion of a double J catheter in the treatment of malignant ureteral obstruction: a retrospective analysis of the results obtained with a modified technique at a university hospital.

Radiol Bras 2020 May-Jun;53(3):155-160

Universidade Federal de Mato Grosso do Sul (UFMS), Campo Grande, MS, Brazil.

Objective: To analyze the results obtained with a modified antegrade double J catheter insertion (JJ stenting) technique in patients with urinary tract obstruction due to malignancy.

Materials And Methods: This was a retrospective analysis of data collected from patients undergoing antegrade JJ stenting for malignant ureteral obstruction in the interventional radiology department of our institution between March 1, 2017 and May 31, 2019.

Results: Antegrade JJ stenting was performed in 32 patients (20 women and 12 men). Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1590/0100-3984.2019.0090DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7302903PMC

Rare Causes of Hydronephrosis in Adults and Diagnosis Algorithm: Analysis of 100 Cases During 15 Years.

Cureus 2020 May 21;12(5):e8226. Epub 2020 May 21.

Urology, Sisli Hamidiye Etfal Research and Training Hopsital, University of Health Sciences, Istanbul, TUR.

Introduction Hydronephrosis (HN) is a common pathology that is with/without obstruction. HN should be promptly addressed; otherwise, it progresses to cause impaired kidney function. This study was conducted to define the diagnosis algorithm and poor prognostic parameters used to evaluate unknown HN. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.7759/cureus.8226DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7306661PMC

Bipolar vs. monopolar transurethral resection of the prostate for lower urinary tract symptoms secondary to benign prostatic obstruction: A Cochrane review.

Can Urol Assoc J 2020 Jun 16. Epub 2020 Jun 16.

Academic Urology Unit, University of Aberdeen, Aberdeen, United Kingdom.

Introduction: There remains uncertainty regarding the differences in patient outcomes between monopolar transurethral resection of the prostate (MTURP) and bipolar TURP (BTURP) in the management of lower urinary tract symptoms (LUTS) secondary to benign prostatic obstruction (BPO).

Methods: A systematic literature search was carried out up to March 19, 2019. Methods in the Cochrane Handbook were followed. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.5489/cuaj.6464DOI Listing

UroCuff® Non-invasive Pressure Flow Studies in the Evaluation of Men with Lower Urinary Tract Symptoms Secondary to Benign Prostatic Hyperplasia: A Review of 50,000 Patients.

J Urol 2020 Jun 22:101097JU0000000000001195. Epub 2020 Jun 22.

Chesapeake Urology.

Purpose: The UroCuff Test is a non-invasive pressure-flow study (PFS) used to manage men with lower urinary tract symptoms (LUTS). UroCuff Tests were performed on men with LUTS to evaluate voiding characteristics and quantify changes in urodynamic parameters with age.

Materials And Methods: This cross-sectional study included all UroCuff Tests performed at 103 urology practices in the US. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1097/JU.0000000000001195DOI Listing

Renal salvage, an achievable goal in patients with emphysematous pyelonephritis: Outcomes of an algorithmic renal preserving strategy.

Urol Ann 2020 Apr-Jun;12(2):156-162. Epub 2020 Apr 14.

Department of Community Medicine, Kasturba Medical College, Mangalore, MAHE, Manipal, Karnataka, India.

Introduction: Emergency nephrectomy has been the time-honored treatment of choice for emphysematous pyelonephritis (EPN), a fatal gas-forming necrotizing infection. Recent years have seen a shift toward nonextirpative approach aimed to achieve higher rates of renal salvage, limiting the indications for nephrectomy to severe grades of the disease. This study aimed at analyzing the role of initial renal preserving measures algorithmically applied across grades of EPN. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.4103/UA.UA_67_19DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7292438PMC

Laparoscopic Vascular Hitch for Polar Vessels in Pyeloureteric Junction Obstruction: Medium-Term Follow-up of a Monocentric Experience.

Eur J Pediatr Surg 2020 Jun 21. Epub 2020 Jun 21.

Department of Pediatric Surgery, Children's Hospital, CHU de Toulouse, Toulouse, France.

Introduction:  To evaluate medium-term results of the management of patients with pyeloureteric junction obstruction (PUJO) secondary to lower pole vessels managed by a laparoscopic vascular hitch technique.

Materials And Methods:  We performed a retrospective monocentric study of all patients who were operated using this technique, transperitoneal laparoscopy (TL) or robotic surgery (RS), from 2011 to 2018. Description of the initial population, pre- and postoperative data was collected and analyzed. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1055/s-0040-1713177DOI Listing

Robot-assisted Pyeloureterostomy in the Treatment of the Lower Pole Ureteropelvic Junction Obstruction in an Incomplete Duplicated System.

Urology 2020 Jun 16. Epub 2020 Jun 16.

Division of Urology, University of São Paulo Medical School, Sao Paulo, Brazil; Hospital Moriah, São Paulo, Brazil.

Purpose: To describe the surgical treatment of a patient harboring a ureteropelvic junction obstruction (UPJO) in the lower unit of an incomplete duplicated collecting system.

Methods: A female patient with 32-years old presented a progressively increasing left lumbar pain for 1 year and urinary tract infections (UTI) for the past 10 years. Computed tomography demonstrated a UPJO in the lower unit of an incomplete duplicated urinary collecting system. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.urology.2020.05.071DOI Listing

The Cost-Effectiveness of Transurethral resection of the prostate versus Thulium laser transurethral vaporesection of the prostate in the UNBLOCS randomised controlled trial for benign prostatic obstruction.

BJU Int 2020 Jun 17. Epub 2020 Jun 17.

Bristol Randomised Trials Collaboration (BRTC), Bristol Trials Centre, University of Bristol, Canynge Hall, 39 Whatley Road, Bristol, BS8 2PS, UK.

Objective: To determine the cost-effectiveness of the current gold standard operation of transurethral resection of the prostate (TURP) compared to the new laser technique of thulium laser transurethral vaporesection of the prostate (ThuVARP) in men with benign prostatic obstruction (BPO) within the United Kingdom (UK) National Health Service (NHS).

Patients And Methods: The trial was conducted across seven UK centres (four university teaching hospitals and three district general hospitals). 410 men aged 18 years and older presenting with either bothersome lower urinary tract symptoms (LUTS) or urinary retention secondary to BPO, and suitable for surgery, were randomised (whilst under anaesthetic) 1:1 to receive the TURP or ThuVARP procedure. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1111/bju.15138DOI Listing

Endourology and Benign Prostatic Hyperplasia in COVID-19 Pandemic.

Int Braz J Urol 2020 Jun 10;46. Epub 2020 Jun 10.

Department of Urology, Hospital Italiano, Buenos Aires, Argentina.

The new disease COVID-19 pandemic has completely modified our lifestyle, changing our personal habits and daily activities and strongly our professional activity. Following World Health Organization (WHO) and health care authorities around the World recommendations, all elective surgeries from benign diagnose procedures must be postponed and imperatively continue working on emergent and oncological urgent pathologies. Surgical elective treatment of benign prostatic hyperplasia (BPH) is not considered as a priority. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1590/S1677-5538.IBJU.2020.S104DOI Listing

Laparoscopic Dismembered Repair in Two Patients with Retrocaval Ureter.

European J Pediatr Surg Rep 2020 Jan 23;8(1):e32-e34. Epub 2020 Apr 23.

Division of Pediatric Urology, Bambino Gesù Children's Hospital, IRCCS, Rome, Italy.

Retrocaval ureter (RCU) or circumcaval ureter is a rare cause of congenital hydronephrosis. The surgical correction of RCU should be performed in all patients with obstruction and hydronephrosis symptoms, lumbar pain, urinary tract infections, hematuria, or urolithiasis. Traditionally, an open surgical approach was used for the treatment of RCU. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1055/s-0040-1705156DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7180074PMC
January 2020

Renal disorders in rheumatologic diseases: the spectrum is changing (part 2. Arthridides).

J Nephrol 2020 Jun 16. Epub 2020 Jun 16.

Division of Nephrology, Fondazione Ca' Granda IRCCS Ospedale Maggiore Policlinico Milano, Milano, Italy.

This review is devoted to rheumatologic diseases mainly characterized by different types of arthritis. They may involve also different organs, including the kidney, but renal disease is more frequently caused by the nephrotoxicity of drugs to relieve pain or to interfere with the pathophysiology of the underlying disease. Rheumatoid arthritis is the prototype of arthropathies. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1007/s40620-020-00776-3DOI Listing

A practical guide to diagnosis and assessment of chronic kidney disease for the non-nephrologist.

J R Coll Physicians Edinb 2020 03;50(1):67-74

Aberdeen Royal Infirmary, Foresterhill, Aberdeen AB25 2ZN, UK, Email:

Chronic kidney disease (CKD) is common. People with CKD have a wide range of comorbidities and, therefore, the majority of non-nephrologists will care for people with CKD. This paper aims to provide a brief overview of the diagnosis and management of CKD for the non-nephrologist. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.4997/JRCPE.2020.119DOI Listing

Use of percutaneous transvenous coil embolization in the treatment of intrahepatic portosystemic shunts in four cats.

J Am Vet Med Assoc 2020 Jul;257(1):70-79

Case Description: 4 cats (6 to 9 months old) were evaluated because of clinical signs consistent with a portosystemic shunt (PSS).

Clinical Findings: Among the 4 cats, 3 had neurologic abnormalities including ataxia, head pressing, disorientation, and obtundation. One cat was evaluated because of urethral obstruction; a retrieved urethral stone was determined to have urate composition. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.2460/javma.257.1.70DOI Listing

Role of Dual-Energy Computed Tomography in Characterization of Ureteric Calculi and Urinary Obstruction.

Cureus 2020 May 7;12(5):e8002. Epub 2020 May 7.

Radiology, Era's Lucknow Medical College and Hospital, Lucknow, IND.

Objective The present study was carried out to assess the accuracy of dual-energy computed tomography (DECT) in the morphological and chemical characterization of ureteric calculi along with the prediction of the grade of urinary obstruction. Methods This was a prospective observational study that included 100 cases with ultrasonography (USG)-diagnosed ureteric calculi that underwent surgery or had spontaneous expulsion of ureteric calculi. At enrolment, DECT was performed for an in vivo evaluation of volume, chemical composition, and grade of obstruction by subjective assessment of the perinephric edema. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.7759/cureus.8002DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7279691PMC

Urinary biomarkers of inflammation and tissue remodeling may predict bladder dysfunction in patients with benign prostatic hyperplasia.

Int Urol Nephrol 2020 Jun 10. Epub 2020 Jun 10.

Division of Urology, University of São Paulo Medical School, São Paulo, Brazil.

Purpose: To evaluate the expression of urinary biomarkers of inflammation and tissue remodeling in patients with BPH undergoing surgery and evaluate the association of biomarkers with postoperative urodynamic outcomes MATERIALS AND METHODS: We analyzed urine samples from 71 patients treated with TURP from 2011 to 2017. Urinary levels of epidermal growth factor (EGF), matrix-metalloproteinase-1 (MMP-1), interleukin-6 (IL-6), nerve growth factor (NGF) and monocyte-chemoattractant protein-1 (MCP-1) (by commercial ELISA kit) were measured, adjusted by urinary creatinine (Cr) and analyzed according to patients clinical and urodynamic characteristics (baseline and 12-month postoperative urodynamic) RESULTS: MMP-1/Cr levels were significantly higher among subjects with higher detrusor pressure on preoprative urodynamic. MCP-1/Cr levels were significantly higher amongs subjects with preoperative DO. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1007/s11255-020-02537-4DOI Listing

Rectus Sheath Hematoma Causing Bladder Outlet Obstruction.

Cureus 2020 May 5;12(5):e7974. Epub 2020 May 5.

General Surgery, Boca Raton Regional Hospital, Boca Raton, USA.

A 93-year-old woman on Coumadin with history of atrial fibrillation and chronic obstructive pulmonary disease (COPD) presented with urinary retention for one day. Computed tomography (CT) of abdomen and pelvis demonstrated grade 3 rectus sheath hematoma (RSH), with the hematoma dissecting between the transversalis fascia and muscle into the prevesical space. The large-sized hematoma caused compression at the bladder outflow tract causing urinary retention. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.7759/cureus.7974DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7273386PMC

Urinary kidney injury molecule-1: a novel biomarker to monitor renal function in patients with unilateral ureteral obstruction.

Int Urol Nephrol 2020 Jun 7. Epub 2020 Jun 7.

Department of Urology, Xinhua Hospital, School of Medicine, Shanghai Jiao Tong University, 1665 Kongjiang Road, Yangpu, Shanghai, 200092, China.

Purpose: This study aimed to investigate the clinical significance of urinary kidney injury molecule-1 (KIM-1) to monitor renal function in patients with obstructive unilateral ureteral calculi.

Methods: Kidneys of 12 male C57BL/6J mice, as well as their urine and plasma specimens, were extracted to detect KIM-1 expressions 24 h after unilateral ureteral obstruction (UUO) construction or sham surgery. Meanwhile, a cohort of 89 patients with unilateral ureteral calculi was retrospectively reviewed. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1007/s11255-020-02528-5DOI Listing

Single-port Robot-assisted Dismembered Pyeloplasty with Mini-Pfannenstiel or Peri-Umbilical access: Initial Experience in a Single Center.

Urology 2020 Jun 4. Epub 2020 Jun 4.

Glickman Urological and Kidney Institute, Cleveland Clinic, Cleveland, OH, USA. Electronic address:

Objective: To assess the feasibility and describe the surgical technique for single-port robotic-assisted laparoscopic pyeloplasty using the new da Vinci® SP surgical platform (Intuitive Surgical Inc., Sunnyvale, CA, USA), and to describe the approach through a mini-pfannenstiel incision.

Methods: Data from a prospectively maintained single-institution database on all patients undergoing single-port robotic-assisted pyeloplasty between November 2018 and November 2019 were reviewed. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.urology.2020.05.041DOI Listing

Emergency management in epidermolysis bullosa: consensus clinical recommendations from the European reference network for rare skin diseases.

Orphanet J Rare Dis 2020 Jun 6;15(1):142. Epub 2020 Jun 6.

Dermatology Department, reference Centre MAGEC, Necker- Enfants Malades Hospital, Paris-Centre University, Paris, France.

Epidermolysis bullosa (EB) comprises a group of genetic disorders with the hallmark of fragility of the skin and mucosal surfaces. The severity of different types of EB varies markedly as does the occurrence of extra-cutaneous involvement and complications. A number of emergency situations may occur in the context of EB including obstruction to oral intake from oral or esophageal blisters or scarring, acute airway obstruction, acute urinary retention, sepsis and corneal erosions. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s13023-020-01403-xDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7276067PMC

Delayed Decompression of Obstructing Stones with Urinary Tract Infection is Associated with Increased Odds of Death.

J Urol 2020 Jun 5:101097JU0000000000001182. Epub 2020 Jun 5.

Columbia University Irving Medical Center Department of Urology, New York, New York.

Purpose: Obstructive pyelonephritis is considered a urologic emergency, but there is limited evidence regarding the importance of prompt decompression. We sought to investigate whether delay in decompression is an independent predictor of in-hospital mortality. Secondarily, we aimed to determine the impact of patient, hospital, and disease factors on the likelihood of receipt of delayed vs prompt decompression. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1097/JU.0000000000001182DOI Listing

Utility of urinary organic anion transporter 5 as an early biomarker of obstructive nephropathy.

Clin Exp Pharmacol Physiol 2020 Jun 4. Epub 2020 Jun 4.

Pharmacology Area, Faculty of Biochemistry and Pharmaceutical Sciences, National University of Rosario, CONICET, Rosario, Argentina.

Ureteral obstruction is a relevant cause of kidney damage. The traditional parameters used in clinical practice for the detection of renal injury are insensitive and non-specific for the diagnosis of obstructive renal disease. The organic anion transporter 5 (Oat5) is a carrier expressed exclusively in the kidney. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1111/1440-1681.13360DOI Listing

Do voiding urodynamic parameters predict the success of adjustable transobturator male system (ATOMS) to treat postprostatectomy urinary incontinence?

Neurourol Urodyn 2020 Jun 4. Epub 2020 Jun 4.

Department of Urology, Hospital Universitario de Getafe, Madrid, Spain.

Objective: To evaluate whether urodynamic voiding risk factors can be predictive of failure of postprostatectomy urinary incontinence (PPI) treatment with adjustable transobturator male system (ATOMS).

Materials And Methods: We carried out a longitudinal study on 77 males treated for PPI with ATOMS. Patients were submitted preoperatively to a urodynamic study. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1002/nau.24416DOI Listing

Comparison of electrocautery versus holmium laser energy source for transurethral ureterocele incision: an outcome analysis from a tertiary care institute.

Lasers Med Sci 2020 Jun 3. Epub 2020 Jun 3.

King George's Medical University, Lucknow, India.

Transurethral endoscopic incision is an established treatment option for management of obstructing ureterocele. It can be performed using monopolar electrocautery or holmium laser as an energy source. The present study was carried out to evaluate outcomes of transurethral ureterocele incision (TUI) by two different energy sources, i. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1007/s10103-020-03051-wDOI Listing
June 2020
2.489 Impact Factor

Pelvic exenteration associated with future renal dysfunction.

Surg Today 2020 Jun 1. Epub 2020 Jun 1.

Division of Surgical Oncology, Department of Surgery, Nagoya Graduate School of Medicine, Nagoya, Japan.

Purpose: This study aimed to clarify the long-term change in the renal function after pelvic exenteration (PE) and to evaluate the risk factors for any future dysfunction.

Methods: This study comprised 40 patients. A greater than 25% decline in the estimated glomerular filtration rate (eGFR) at 3 years was defined as early renal function disorder (ERFD), possibly predicting future chronic kidney disease (CKD). Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1007/s00595-020-02036-0DOI Listing

Dapagliflozin-associated euglycemic diabetic ketoacidosis in a patient with type 2 diabetes mellitus: A case report.

Medicine (Baltimore) 2020 May;99(21):e20228

Department of Internal Medicine, Hansung Union Internal Medicine Clinic and Dialysis Center, Daegu, Republic of Korea.

Rationale: Rare cases of euglycemic diabetic ketoacidosis (eu-DKA) have been reported after the administration of sodium-glucose cotransporter-2 (SGLT-2) inhibitors. No reports have described eu-DKA complicated by hypernatremia due to SGLT-2 inhibitors.

Patient Concerns: A 76-year-old woman with a 40-year history of type 2 diabetes mellitus (DM), for which metformin (1000 mg/day) and dapagliflozin (10 mg/day) were prescribed, presented with malaise, fever, and oliguria. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1097/MD.0000000000020228DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7249933PMC

Ehlers-Danlos syndrome with huge bladder diverticulum in pregnancy - A rare and interesting case report.

Eur J Obstet Gynecol Reprod Biol 2020 May 15;250:231-234. Epub 2020 May 15.

Department of Orthopaedics, Sri Sathya Sai Institute of Higher Medical Sciences, Whitefield, Bengaluru, India.

Ehlers-Danlos syndrome (EDS) is one of the commonest inheritable connective tissue disorders (CTD) affecting one in 5000 people globally. The incidence of bladder diverticula (BD) is reported to be 1.7% seen more commonly in children without any bladder outlet obstruction. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.ejogrb.2020.05.001DOI Listing

The Clinical Features and Predictive Factors of Nocturnal Enuresis in Adult Men.

BJU Int 2020 May 31. Epub 2020 May 31.

Bristol Urological Institute, Southmead Hospital, Bristol, UK.

Objectives: To characterize the clinical features and to discover predictive factors of adult male with nocturnal enuresis (NE).

Subjects And Methods: Forty-three eligible adult male subjects (mean age was 57.8 years), were recruited prospectively over a 2-year period. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1111/bju.15126DOI Listing

Urinary protein biomarkers for pediatric medulloblastoma.

J Proteomics 2020 May 28;225:103832. Epub 2020 May 28.

Department of Pediatric Neurosurgery, Beijing Tiantan Hospital, Capital Medical University, China National Clinical Research Center for Neurological Diseases, Center of Brain Tumor, Beijing Institute for Brain Disorders, Beijing Key Laboratory of Brain Tumor, China. Electronic address:

Objective: To identify candidate urinary protein biomarkers to distinguish medulloblastoma (MB) patients from healthy patients or benign brain disease control patients.

Methods: The tandem mass tag (TMT)-labeled quantitative proteomics approach was used to identify differential proteins in the urinary proteome of 9 pre- and postsurgery MB patients and 9 healthy control patients, respectively. Ingenuity pathway analysis was used for functional annotation of differential proteins. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.jprot.2020.103832DOI Listing

MiR-542-3p drives renal fibrosis by targeting AGO1 in vivo and in vitro.

Life Sci 2020 Aug 26;255:117845. Epub 2020 May 26.

Department of endocrinology and metabolism, The First People's Hospital of Qujing City, Kunming Medical University, Yunnan Province, China. Electronic address:

Aims: Renal fibrosis is the typical manifestation of progressive kidney disease and causes a severe threat to human health. Surging evidence has illustrated that miRNA plays a core role in the genesis and development of kidney fibrosis. MiR-542-3p has been testified to function as a facilitator in hepatic stellate cell activation and fibrosis. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.lfs.2020.117845DOI Listing

Ureteroenteric anastomosis in orthotopic neobladder creation: do urinary tract infections impact stricture rate?

World J Urol 2020 May 28. Epub 2020 May 28.

Department of Urology, University of Texas MD Anderson Cancer Center, 1515 Holcombe Blvd, Houston, TX, 77030, USA.

Purpose: Radical cystectomy (RC) and urinary diversion in the treatment of muscle-invasive bladder cancer is associated with peri-operative complication rates as high as 60%. Ureteroenteric anastomotic stricture (UEAS) is a potential source significant morbidity often requiring secondary interventions. We sought to evaluate our experience with benign UEAS in our open ileal orthotopic neobladder (ON) population. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1007/s00345-020-03266-0DOI Listing

Postrenal Acute Renal Failure Due to Giant Fecaloma-related Bilateral Hydronephrosis: A Case Report and Brief Literature Review.

Cureus 2020 Apr 24;12(4):e7815. Epub 2020 Apr 24.

Urology, Bakirkoy Dr. Sadi Konuk Training and Research Hospital, Istanbul, TUR.

An 88-year-old woman presented to the emergency department with abdominal distention, fever, and constipation of about a week's duration. Laboratory tests showed impaired kidney function tests and fluid electrolyte values. Bilateral hydroureteronephrosis was observed on non-contrasted abdominal CT. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.7759/cureus.7815DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7249776PMC

[Bladder cancer - complications related to urinary diversion].

Aktuelle Urol 2020 May 27. Epub 2020 May 27.

Heinrich-Heine-Universität, Medizinische Fakultät, Klinik für Urologie, Düsseldorf.

Even today, radical cystectomy with urinary diversion is one of the most complicated procedures in uro-oncology. Particularly in the long-term course, but also perioperatively, problems caused by urinary diversion play a significant role.Perioperatively, gastrointestinal problems such as an ileus, but also infections and early complications of the different anastomoses are most important. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1055/a-1134-6642DOI Listing

Percutaneous Nephrostomy in the Neonatal Period: Indications, Complications, and Outcome-A Single Centre Experience.

Cardiovasc Intervent Radiol 2020 May 27. Epub 2020 May 27.

Department of Radiology, University Medical Centre, Children's Hospital Ljubljana, Bohoričeva 20, 1000, Ljubljana, Slovenia.

Purpose: The purpose of this study was to evaluate the indications, technique for percutaneous nephrostomy (PCN) insertion, the complications related to PCN, duration of PCN, and outcome following PCN removal regarding the kidney function.

Material And Methods: Medical charts of 31 neonates (22 boys and 9 girls, mean age 13.9 days) treated with 43 PCN were reviewed. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1007/s00270-020-02528-zDOI Listing

Safety and Efficacy of Retrograde Pyeloperfusion for Ureteral Protection during Renal Tumor Cryoablation.

J Vasc Interv Radiol 2020 May 23. Epub 2020 May 23.

Department of Urology, Mayo Clinic, 200 First Street SW, Rochester, MN 55905.

Purpose: To determine safety and efficacy of retrograde pyeloperfusion for ureteral protection during cryoablation of adjacent renal tumors.

Materials And Methods: Retrospective review of 155 patients treated with renal cryoablation, including adjunctive retrograde pyeloperfusion, from 2005 to 2019 was performed. Ice contacted the ureter in 67 of the 155 patients who represented the study cohort. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.jvir.2019.11.039DOI Listing

Standardization for reliable uroflowmetry testing in adults.

Low Urin Tract Symptoms 2020 May 26. Epub 2020 May 26.

Department of Urology, Sanliurfa Training and Research Hospital, Sanliurfa, Turkey.

Objectives: To assess if a standard hydration protocol will achieve voided volumes over 150 mL and more reliable uroflowmetry results.

Methods: This is a single-blinded crossover study of 40 patients with benign prostatic obstruction and 34 healthy volunteers. Subjects were enrolled prospectively between January and March 2019. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1111/luts.12323DOI Listing

Unusual presentation of female bladder outlet obstruction- female hypospadias with urethral stenosis.

Urol Case Rep 2020 Sep 8;32:101243. Epub 2020 May 8.

Vivekananda Institute of Medical Science (VIMS) and Ramakrishna Mission Seva Pratishthan (RKMSP), Kolkata, West Bengal, India.

Hypospadias is a rare birth deformity characterised by shortening of urethra with dorsal ectopia of the urethral meatus. The occurrence of hypospadias in female patients is extremely rare. We present a young female complaining of recurrent urinary tract infection and voiding difficulty caused by hypospadias. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.eucr.2020.101243DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7235932PMC
September 2020