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Med Mal Infect 2018 Dec 13. Epub 2018 Dec 13.

Département de médecine interne, hôpital Européen Georges Pompidou, AP-HP, 20, rue Leblanc, 75015 Paris, France.

Arch Pediatr 2018 Dec 13. Epub 2018 Dec 13.

UMR_A 1341, UMR_S 1241, Inra, Inserm, institut NUMECAN, université de Rennes, 2 rue Henri-le-Guilloux, 35000 Rennes, France; Service de chirurgie pédiatrique, université de Rennes, CHU de Rennes, hôpital Sud16, boulevard de Bulgarie, , 35203 Rennes cedex 2, France.

Introduction: Since April 2015, the French Society of Pediatrics has encouraged suprapubic aspiration (SA) and urethral catheterization (UC) for urine collection in non-toilet-trained children suspected of having urinary tract infections (UTIs) and has tried to reduce the use of urine bag (UB).

Objective: To analyze the medical practices concerning urine collection methods used for non-toilet-trained children in pediatric emergency departments in France.

Methods: We conducted a descriptive medical practice study in October 2017. Read More

Exp Ther Med 2018 Dec 25;16(6):4546-4552. Epub 2018 Sep 25.

Department of Ultrasound, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei 430030, P.R. China.

Vesicoureteral reflux (VUR) is one of the most common urinary tract anomalies in children. It has been reported that VUR may be associated with reflux nephropathy. Ultrasound contrast-enhanced voiding urosonography (CeVUS) has become a routine diagnostic method for VUR in a number of European countries; however, it is not widely used in China. Read More

JAMA Surg 2018 Dec 12. Epub 2018 Dec 12.

Department of Medicine, VA Boston Healthcare System, Boston, Massachusetts.

Importance: Limited data suggest that screening for asymptomatic bacteriuria (ASB) prior to nonurologic procedures is not useful. However, high-quality evidence to support consensus recommendations and influence clinical practice is lacking.

Objective: To characterize the association between detection and treatment of preoperative ASB and postoperative outcomes. Read More

World Neurosurg 2018 Nov 26. Epub 2018 Nov 26.

Department of Orthopaedic Surgery, Icahn School of Medicine at Mount Sinai, New York, NY, 10029. Electronic address:

Objective: The purpose of this study was to identify predictors of 30-day postoperative pulmonary complications following open reduction and internal fixation (ORIF) of vertebral fractures.

Methods: We performed a retrospective study using the American College of Surgeons National Surgical Quality Improvement Program (ACS-NSQIP) database from 2010 to 2014. Adult patients who underwent ORIF of vertebral fractures were included and divided into 2 groups based on the occurrence of 30-day postoperative pulmonary complications. Read More

J Pediatr Urol 2018 Nov 3. Epub 2018 Nov 3.

McMaster Pediatric Surgery Research Collaborative (MPSRC), McMaster University, Hamilton, Ontario, Canada; McMaster University/McMaster Children's Hospital, Department of Surgery, Division of Urology, Hamilton, Ontario, Canada. Electronic address:

Introduction: Multicystic dysplastic kidney (MCDK) is the most common type of renal cystic disease. It is associated with urinary tract abnormalities in the contralateral kidney in up to 30% of cases, most commonly vesicoureteral reflux (VUR).

Objectives: The objective of this study was to describe the incidence and selected issues in management and evolution for each VUR grade in the contralateral kidney of patients with unilateral MCDK, in order to strengthen the scientific basis regarding the need for voiding cystourethrography (VCUG) screening. Read More

Surg J (N Y) 2018 Oct 18;4(4):e201-e204. Epub 2018 Oct 18.

Department of Urology, Mater Dei Hospital, Msida, Malta.

Although fistulae between the urinary bladder and the gastrointestinal tract are not uncommon, those caused by carcinoma of the urinary bladder are rare. This report describes the case of an 85 years old male who was diagnosed with a mass involving the small bowel and the urinary bladder during the course of investigation for recurrent urinary tract infections. At laparotomy, the presence of an enterovesical fistula involving the ileum and bladder was confirmed. Read More

J Ayub Med Coll Abbottabad 2018 Jul-Sep;30(3):432-438

Department of Pathology, Ayub Medical College, Abbottabad, Pakistan.

Background: The growing antibiotic resistance against uropathogens has made its treatment a challenge for the physicians. This study was conducted to know the spectrum of bacteria responsible for urinary tract infection and their susceptibility and resistance to available antibiotics.

Methods: This hospital based cross-sectional study was carried out from May to October 2017. Read More

Medicine (Baltimore) 2018 Nov;97(47):e13196

Departments of Internal medicine.

A profound number of prophylactic antibiotics are used after radical cystectomy with an ileal orthotopic neobladder (RCIONB) despite a negative effect of infection control. We investigated the impact of short-term prophylactic antibiotic use on infectious complications after RCIONB.We retrospectively reviewed data from 287 patients who underwent RCIONB for bladder cancer between 2012 and 2016 at a tertiary hospital. Read More

Pan Afr Med J 2018 5;30:194. Epub 2018 Jul 5.

Ghana Police Hospital, Pharmacy Department, Accra, Ghana.

Introduction: Studies on urinary tract infections (UTIs) in West Africa from 1990 to 2012 have showed moderate to high antimicrobial resistance to commonly prescribed antibiotics. Fluoroquinolones have been the main stay in the management of UTIs, but recent reports show emergence of resistance. Levofloxacin and ciprofloxacin still remain the commonest fluoroquinolones prescribed for UTIs in many settings. Read More

J Pediatr Urol 2018 Sep 25. Epub 2018 Sep 25.

Division of Urology, Department of Surgery, Sidra Medical and Research Center, Doha, Qatar. Electronic address:

Introduction: Penile ischemic injury is a reported catastrophic complication after complete primary repair of exstrophy (CPRE). Aiming to improve the bladder exstrophy-epispadias repair outcomes, the study institution adopted a modified staged exstrophy repair to incorporate the advantages of CPRE by avoiding concurrent epispadias repair and adding bilateral ureteral re-implantation and bladder neck tailoring (staged repair of bladder exstrophy with bilateral ureteral re-implantation [SRBE-BUR]) at the initial repair. It was hypothesized that such modifications minimize penile complications and prevent upper tract deterioration while enhancing bladder resistance and consequent capacity. Read More

Swiss Med Wkly 2018 11 15;148:w14660. Epub 2018 Nov 15.

Division of Infectious Diseases and Hospital Epidemiology, University Hospital Basel, University of Basel, Switzerland.

Background: Antimicrobial resistance data from surveillance networks are frequently do not accurately predict resistance patterns of urinary tract infections at the bedside.

Ojective: To determine simple patient- and institution-related risk factors affecting antimicrobial resistance patterns of Escherichia coli urine isolates.

Methods: From January 2012 to May 2015 all consecutive urine samples with significant growth of E. Read More

Medicine (Baltimore) 2018 Nov;97(46):e13249

Department of Urology, Gangneung Asan Hospital, University of Ulsan College of Medicine, Gangneung.

Rationale: Periurethral abscess is a life-threatening disease, and the occurrence of a urethral defect with periurethral abscess is a rare finding. In this case, the patient had a lengthy urethral defect from the bulbous urethra to the membranous urethra accompanied by periurethral abscess that developed within a short time. Herein, we report a case of a pedicle-sparing tunica vaginalis flap utilized in urethral reconstruction which degenerated due to fibrotic changes and soft tissue defects in the urethral bed. Read More

IDCases 2018 3;14:e00464. Epub 2018 Nov 3.

Division of General Medicine, Department of Internal Medicine, Nihon University School of Medicine, Tokyo, 173-8610, Japan.

Emphysematous prostatic abscess is a rare clinical entity of uncomplicated urinary tract infections with high mortality rate. Here we report a case of hypermucoviscous causing emphysematous prostatic abscess, emphysematous cystitis, and renal abscess simultaneously in a 75-year-old Japanese male with diabetes mellitus and advanced gastric cancer. The patient was successfully treated with prolonged intravenous antimicrobial agents. Read More

BMC Infect Dis 2018 Nov 12;18(1):555. Epub 2018 Nov 12.

Department of Orthopedics Surgery, Bone and Joint Research Center, Chang Gung Memorial Hospital, Chang Gung University, No.5, Fu-Shin Street Kweishian, Taoyuan, 333, Taiwan.

Background: Infection after vertebroplasty (VP) is a rare but serious complication. Previous literatures showed most pathogens for infection after VP were bacteria; tuberculosis (TB) induced infection after VP was extremely rare. We reported our treatment experiences of cases with infectious spondylitis after VP, and compared the differences between developed pyogenic and TB spondylitis. Read More

Knee Surg Sports Traumatol Arthrosc 2018 Nov 9. Epub 2018 Nov 9.

Escola Nacional de Saúde Pública, Universidade NOVA de Lisboa, Lisbon, Portugal.

Purpose: The goal of this systematic review and meta-analysis was to identify the main risk factors for periprosthetic joint infection (PJI) in patients undergoing total hip or knee arthroplasties.

Methods: A systematic review was conducted of the potential risk factors for PJI in total hip or total knee arthroplasty. Risk factors were compared and grouped according to demographics, comorbidities, behavior, infections, native joint diseases and other patient-related and procedure-related factors. Read More

J Endourol Case Rep 2018 7;4(1):186-189. Epub 2018 Nov 7.

Department of Urology, Koc University, Istanbul, Turkey.

Seminal vesicle cyst is an extremely rare condition, which is frequently congenital and associated with Zinner's syndrome. This syndrome represents a constellation of seminal vesicle cyst, ipsilateral or contralateral renal agenesis or renal dysplasia, ureteral ectopia, and ejaculatory duct obstruction. We report a young symptomatic patient undergoing robot-assisted laparoscopic excision of a huge seminal vesicle cyst during which an atrophic ipsilateral kidney was discovered incidentally and managed by nephroureterectomy in the same session without changing trocar positions. Read More

Cureus 2018 Aug 16;10(8):e3152. Epub 2018 Aug 16.

Biology, University of Central Florida, Orlando, USA.

Background Chronic urinary catheterization is commonly associated with chronic bacterial colonization and high rates of symptomatic infection that increase morbidity and mortality. This study describes the results of replacing chronic catheters with temporary prostatic stents (TPS) to reduce bacterial colonization rates. Methods Twenty-two chronically catheterized adult male patients were enrolled. Read More

J Pak Med Assoc 2018 Nov;68(11):1708-1710

Oncology Department, Bait-ul-Sukoon Cancer Hospital, Karachi, Pakistan.

The study aimed to record the prevalence of Urinary Tract Infection caused by E. coli, its antibiotic sensitivity and phenotypic detection of ESBL and MBL producer E. coli. Read More

Medicine (Baltimore) 2018 Nov;97(45):e11272

Department of Nephrology, Qilu Hospital of Shandong University (Qingdao).

Introduction: Emphysematous pyelonephritis (EPN) or cystitis (EC) is a severe infection of the urinary tract with high mortality. EPN is uncommon among the patients of end stage of renal failure (ESRD) CASE PRESENTATION:: A 38-year-old male with uremia and anuria who was on hemodialysis was found to have gas formation in the bilateral pelvis, ureters, and urinary bladder by CT scan. The diagnosis was emphysematous pyelonephritis and cystitis. Read More

Eur Urol Focus 2018 Nov 1. Epub 2018 Nov 1.

Department of Urology, Sheffield Teaching Hospitals, Sheffield, UK. Electronic address:

Background: Botulinum neurotoxin (BotN) is used to treat detrusor overactivity (DO) refractory to medical treatment. Catheterised patients with symptoms of bladder spasm and catheter bypass leakage are challenging to manage and the efficacy of BotN is not established.

Objective: To review our experience using intravesical BotN to treat refractory bladder pain and catheter bypass leakage in patients with long-term indwelling catheters. Read More

Med Mal Infect 2018 Oct 29. Epub 2018 Oct 29.

Unité des maladies infectieuses et tropicales, centre hospitalier Andrée-Rosemon, 97300 Cayenne, French Guiana; Équipe EA 3593, écosystèmes amazoniens et pathologie tropicale, université de la Guyane, 97300 Cayenne, French Guiana. Electronic address:

Objectives: Urinary tract infections (UTIs) have rarely been studied in the Amazon region. We aimed to describe the epidemiology of bacteria causing UTIs in French Guiana.

Patients And Methods: We performed a monocenter retrospective study of adults consulting at the emergency department of Cayenne Hospital in 2014 with a diagnosis of UTI. Read More

Saudi J Kidney Dis Transpl 2018 Sep-Oct;29(5):1240-1244

Bombay Hospital and Research Center, Indore, Madhya Pradesh, India.

Vesicoureteric reflux (VUR) is the most common congenital anomaly of the urinary tract that occurs in 30%-50% of children presenting with recurrent urinary tract infections. Long-standing untreated VUR results in renal scarring and hydronephrotic changes ultimately leading to chronic renal failure and arterial hypertension. However, it may also result in diffuse tubulopathy compromising the concentrating capacity of tubules and urinary acidification defects. Read More

Vet Pathol 2018 Oct 31:300985818806963. Epub 2018 Oct 31.

2 School of Agriculture and Food Science, The University of Queensland, Queensland, Australia.

Chlamydiosis is the most documented and serious disease of koalas, characterized by ocular, urinary, and reproductive lesions. Since little attention has been paid to the pathological effects of this infection in the male reproductive system, we aimed to determine the incidence and severity of reproductive pathology associated with chlamydial infection in male koalas submitted to koala hospitals in southeast Queensland. The entire reproductive tract from 62 sexually mature male koalas not suitable for rehabilitation was evaluated and 677 tissue samples were collected for histology, immunohistochemistry (IHC), and real-time polymerase chain reaction (qPCR). Read More

Pan Afr Med J 2018 20;30:143. Epub 2018 Jun 20.

Service de Médecine Légale, 3100 CHU Ibn El Jazzar, Kairouan, Tunisie.

Although the number of ICU beds is generally limited, the incidence rates of nosocomial infections is high. Managing infectious risk in ICU is a priority today; one of the strategic aims is the establishment of systems for epidemiological control. The aim of our study is to determine the incidence and the clinical aspects in order to identify the risk factors. Read More

Ren Fail 2018 Nov;40(1):597-602

e Pure and Applied Biochemistry , Lund University , Lund , Sweden.

Objectives: The effects of regional characteristics of IgAN patients in different areas of China were investigated.

Methods: Patients who were identified to have primary IgAN by renal biopsy diagnosis were recruited both from Shaanxi province hospital of traditional Chinese medicine and Guangdong province hospital of traditional Chinese medicine. Besides renal histopathology data, a number of clinical and laboratory data were collected. Read More

Rev Paul Pediatr 2018 Jul-Sep;36(3):261-267

Universidade Federal Fluminense, Niterói, RJ, Brasil.

Objective: To describe the frequency, clinical profile and treatment of patients with urolithiasis in the Pediatric Nephrology Department of a public state hospital in Rio de Janeiro, Brazil.

Methods: Retrospective study. Data from pediatric patients (age: 1 month - 18 years) with urolithiasis admitted between January/2012 and December/2014 were reviewed from hospital charts. Read More

J Surg Case Rep 2018 Oct 22;2018(10):rjy275. Epub 2018 Oct 22.

General Surgery Department, Bokaro General Hospital, Bokaro Steel City, Jharkhand, India.

Condom catheters are known to be discrete, reliable, comfortable and very easy to use which makes them preferable to bladder catheter (Saint . (Urinary catheters: What type do men and their nursesprefer? 1999;47:1453-1457); Hirsh . (Do condom catheter collecting systems cause urinary tract infection? 1979;2:0-1)). Read More

Case Rep Surg 2018 30;2018:9705728. Epub 2018 Sep 30.

Department of General Surgery, Carlo Poma Hospital, Mantua, Italy.

Background: Inguinoscrotal herniation of the bladder is a rare clinical entity, with a frequency between 0.5% and 4% of all inguinal hernias. The bladder can partially or entirely herniate into the inguinal canal; when the whole bladder and ureters migrate into the scrotum, it may cause urinary disorders. Read More

J Antimicrob Chemother 2018 Oct 23. Epub 2018 Oct 23.

Department of Clinical Microbiology and Infectious Diseases, Hadassah Medical Center, Jerusalem, Israel.

Objectives: Most studies addressing community-acquired urinary tract infections (UTIs) pertain to mixed cohorts, in which young healthy adults are under-represented. We aimed to dissect the intricate interrelation between exposures and subsequent antimicrobial resistance (AMR) patterns in a unique setting of young healthy adults, allowing further guidance in this group.

Methods: We carried out a retrospective cross-sectional study of all Enterobacteriaceae-associated outpatient UTIs during 2014-16 in soldiers, representing the young fit population in Israel. Read More

Ann Surg Oncol 2018 Oct 23. Epub 2018 Oct 23.

Division of Colon and Rectal Surgery, Mayo Clinic, Rochester, MN, USA.

Purpose: Early postoperative urinary catheter removal decreases urinary tract infection (UTI) rate and accelerates patient mobilization. The aim of this study is to determine the results of systematic urinary catheter removal on postoperative day (POD) 1 in patients undergoing rectal resection for cancer.

Patients And Methods: Using a prospectively maintained database of 469 patients who underwent rectal resection for cancer, a retrospective review of all patients with urinary catheter removal on POD1 was conducted. Read More

Parasit Vectors 2018 Oct 23;11(1):552. Epub 2018 Oct 23.

Wolfson Wellcome Biomedical Laboratories, Department of Life Sciences, Natural History Museum, Cromwell Road, London, SW7 5BD, UK.

Background: Urine filtration and microhaematuria reagent strips are basic standard diagnostic methods to detect urogenital schistosomiasis. We assessed their accuracy for the diagnosis of light intensity infections with Schistosoma haematobium as they occur in individuals living in Zanzibar, an area targeted for interruption of transmission.

Methods: Urine samples were collected from children and adults in surveys conducted annually in Zanzibar from 2013 through 2016 and examined with the urine filtration method to count S. Read More

Neurourol Urodyn 2018 Oct 23. Epub 2018 Oct 23.

Department of Urology, Hospital de Clínicas de Porto Alegre, Porto Alegre, Brazil.

Aims: To evaluate the accuracy of dynamic ultrasonography (DUS), as a feasible alternative diagnostic method to identify detrusor overactivity (DO) in patients with neurogenic bladder.

Methods: We performed concurrent analysis of 81 pairs of urodynamic study (UDS) and DUS, in 63 patients with myelomeningocele (MMC), from June 2014 to February 2017. The assessment focused on bladder behavior during the filling phase, DO evaluation, DO with leakage, compliance, and maximum cystometric capacity (MCC). Read More

Pediatr Int 2018 Oct;60(10):989-990

Department of Urology, Osaka Women's and Children's Hospital, Osaka, Japan.

BMC Infect Dis 2018 Oct 17;18(1):522. Epub 2018 Oct 17.

Brooke Army Medical Center, Department of Infectious Disease, 3551 Roger Brooke Drive, JBSA Fort Sam Houston, San Antonio, TX, 78234, USA.

Background: Aerococcus urinae is a gram-positive, alpha-hemolytic coccus bacterium primarily implicated in less than 1 % of all symptomatic urinary tract infections. Risk factors for disease include male gender, advanced age, and comorbid genitourinary tract pathology. Infections beyond the genitourinary tract are rare, though spondylodiscitis, perineal abscesses, lymphadenitis, bacteremia, meningitis, and endocarditis have been reported. Read More

Transplant Proc 2018 Oct 20;50(8):2553-2557. Epub 2018 Mar 20.

Department of Urology, Hirosaki University Graduate School of Medicine, Hirosaki, Japan; Department of Advanced Transplant and Regenerative Medicine, Hirosaki University Graduate School of Medicine, Hirosaki, Japan.

Background: Condyloma acuminatum (CA) is a common sexually transmitted disease associated with human papilloma virus (HPV). CA occurring in the urethra is rare and has not been reported in male renal transplant recipients. In addition, despite immunosuppressive conditions and increased risk of HPV-related malignant neoplasms in transplant recipients, HPV testing in male transplant recipients has been uncommon. Read More

Transplant Proc 2018 Oct 24;50(8):2493-2495. Epub 2018 May 24.

Department of Nephrology and Transplant Medicine, Tribhuvan University Teaching Hospital, Kathmandu, Nepal.

Background: Kidney transplant recipients are always at risk of infections because they are on lifelong immunosuppressive medications. The spectrum of infections in this special population is not the same as in the general population. Post-transplant infections are extensively studied in the developed world. Read More

Pharmacotherapy 2018 Dec 9;38(12):e87-e91. Epub 2018 Nov 9.

St. Christopher's Hospital for Children, Philadelphia, Pennsylvania.

Meropenem-vaborbactam is a new β-lactam/β-lactamase inhibitor combination designed to target Klebsiella pneumoniae carbapenemase (KPC)-producing Enterobacteriaceae. Meropenem-vaborbactam was United States Food and Drug Administration-approved for complicated urinary tract infections in patients 18 years of age or older. An understanding of the pharmacokinetics of meropenem when given in combination with vaborbactam is important to understanding the dosing of meropenem-vaborbactam. Read More

J Pediatr 2018 Oct 2. Epub 2018 Oct 2.

Division of Pediatric Emergency Medicine, Department of Pediatrics, University of Pittsburgh School of Medicine, Children's Hospital of Pittsburgh, Pittsburgh, PA.

Objective: To compare the risk of serious bacterial infection between infants aged ≤60 days who are febrile in the emergency department (ED) and those who have only a history of fever and are afebrile on arrival to the ED.

Study Design: In this secondary analysis of a multicenter prospective study using data collected between December 2008 and May 2013, we compared the rate of serious bacterial infection (urinary tract infection [UTI], bacteremia, and/or bacterial meningitis) between infants who have a history of fever but are afebrile on arrival to the ED and those with fever documented in the ED (rectal temperature ≥38.0 °C) using relative risk (RR) with 95% CI. Read More

Aging Male 2018 Oct 5:1-6. Epub 2018 Oct 5.

a Department of Urology , Okmeydanı Training and Research Hospital , Istanbul , Turkey.

Background: To investigate the usefulness of serum procalcitonin (PCT) in the early diagnosis of urinary tract infection (UTI) and urosepsis following transrectal prostate biopsy.

Methods: In this prospective observational study, 227 patients who underwent transrectal ultrasound-guided prostate biopsy were evaluated. The relationship between urosepsis and age, serum PCT, C-reactive protein, prostate-specific antigen (PSA), prostate volume, PSA density and pathologic results following biopsy was assessed. Read More

Am J Case Rep 2018 Oct 4;19:1179-1183. Epub 2018 Oct 4.

Division of Urology, Department of Surgery, Al Wakra Hospital, Hamad Medical Corporation, Al Wakra, Qatar.

BACKGROUND Urinary tract candida infection can be due either to hematogenous dissemination of the organism or a retrograde infection. In debilitated or immunosuppressed septic patients, who have upper urinary tract obstruction with renal filling defect, fungal infection should be considered. We report on a patient with sepsis and renal fungal ball who was treated with percutaneous nephrostomy and intravenous antifungal agent, but the patient did not respond so instillation of fluconazole through nephrostomy was given. Read More

Medicine (Baltimore) 2018 Sep;97(39):e12459

Departments of Anesthesiology, Medical Research, Obstetrics and Gynecology, Management Office for Health Data, and Urology, China Medical University Hospital.

Benign prostatic hyperplasia (BPH) is a common disorder in the aging male population. Despite evidence that thyroid status impacts the prostate, the objective of this study was to examine whether patients with hyperthyroidism were at a greater risk for BPH.This study is a retrospective nationwide population-based cohort study of the Chinese population. Read More

J Spinal Cord Med 2018 Oct 2:1-7. Epub 2018 Oct 2.

b Department of Trauma , Baylor University Medical Center , Dallas , Texas , USA.

Objective: The purpose was to describe the prevalence and characteristics of healthcare utilization among individuals with spinal cord injury (SCI) from a Level I trauma center.

Design: Retrospective data analysis utilizing a local acute trauma registry for initial hospitalization and merged with the Dallas-Fort Worth Hospital Council registry to obtain subsequent health care utilization in the first post-injury year.

Setting: Dallas, TX, USA. Read More

Andrologia 2018 Oct 1:e13165. Epub 2018 Oct 1.

Department of Dermatology and Allergology, Städtisches Klinikum, Academic Teaching Hospital of the Technical University of Dresden, Dresden, Germany.

Schistosomiasis (bilharziasis) is an endemic parasitic disease of a major source of morbidity and mortality for developing countries. It is caused by different species of blood flukes (trematode worms) of the genus Schistosoma, the most important of which are S. haematobium which infests the genitourinary tract and S. Read More

Spinal Cord Ser Cases 2018 21;4:85. Epub 2018 Sep 21.

7Division of Urology, Children's National Health System, Washington, DC USA.

Introduction: People with neuropathic bladder (NB) secondary to spinal cord injury (SCI) are at risk for multiple genitourinary complications, the most frequent of which is urinary tract infection (UTI). Despite the high frequency with which UTI occurs, our understanding of the role of urinary microbes in health and disease is limited. In this paper, we present the first prospective case study integrating symptom reporting, urinalysis, urine cultivation, and 16S ribosomal ribonucleic acid (rRNA) sequencing of the urine microbiome. Read More

JMM Case Rep 2018 Jul 5;5(7):e005157. Epub 2018 Jul 5.

Case Western Reserve, University School of Medicine, Cleveland, OH 44106, USA.

Introduction: Although more often recognized as a culprit in female urinary tract infection, coagulase-negative staphylococci (CoNS) can cause severe genitourinary infections in men. While positive blood cultures with CoNS are usually thought to be contaminants, in the setting of a severe genito-urinary infection they can represent true infection.

Case Presentation: We present the case of a 70-year-old male without a central venous catheter or urinary catheter who developed bloodstream infection secondary to epididymo-orchitis. Read More

Clin Interv Aging 2018 13;13:1747-1754. Epub 2018 Sep 13.

Karolinska Institutet, Department of Molecular Medicine and Surgery, Karolinska University Hospital Solna, Stockholm, Sweden,

Purpose: The Physiological and Operation Severity Score for the enUmeration of Mortality and Morbidity (POSSUM) and P (Portsmouth)-POSSUM predict the risks of complications and mortality 30 days after surgery. The purpose of this study was to evaluate the POSSUM and P-POSSUM scoring systems in patients who underwent surgery for a total hip or knee replacement.

Patients And Methods: A total of 227 patients with an elective primary total hip or knee replacement were included. Read More

Bull Cancer 2018 Oct 26;105(10):857-861. Epub 2018 Sep 26.

Saint-Joseph university, faculty of medicine, oncology department, Beirut, Lebanon.

According to the latest data of the World Cancer Research Fund International (2012), Lebanon has the second highest age-standardized incidence rate of bladder cancer worldwide, both for "men" and "both-sexes" categories. This study was designed to assess bladder cancer knowledge among the Lebanese population. Between November 2017 and January 2018, a cross-sectional study was directed, including patients and visitors of one of the largest university hospitals in the capital Beirut. Read More

World Neurosurg 2019 Jan 26;121:e389-e397. Epub 2018 Sep 26.

Department of Neurosurgery, The University of Illinois at Chicago, Chicago, Illinois, USA. Electronic address:

Objective: The purpose of the present study was to characterize the acute (30-day) surgical risk profile of pediatric patients undergoing surgical resection of intramedullary spinal cord tumors (IMSCTs).

Methods: Preoperative factors were collected from the Pediatric American College of Surgeons National Surgical Quality Improvement Program database for patients identified by Current Procedural Terminology codes for laminectomy and International Classification of Diseases codes for IMSCTs from 2012 to 2016. The postoperative outcomes were compared by tumor location and type. Read More

Acta Clin Croat 2018 Mar;57(1):161-165

Department of Pediatrics, Sestre milosrdnice University Hospital Centre, Zagreb, Croatia.

Adrenal hemorrhage is a rare clinical entity in the neonatal period, with an incidence of 1.7-2.1/1000 births. Read More