47 results match your criteria s Urological Management in Neurological Disease

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Neurogenic bladder findings in patients with Congenital Zika Syndrome: A novel condition.

PLoS One 2018 1;13(3):e0193514. Epub 2018 Mar 1.

Department of Neonatology, Instituto Nacional de Saúde da Mulher, da Criança e do Adolescente Fernandes Figueira (IFF/FIOCRUZ), Rio de Janeiro, Rio de Janeiro, Brazil.

Introduction: Congenital Zika Syndrome (CZS) has been associated with microcephaly and other central nervous system abnormalities including areas that have been implicated in the control of the lower urinary tract. As such, this descriptive case series has aimed to investigate whether CZS is linked with neurogenic bladder. Identifying such an association is paramount in the effort to recognize CZS complications that have putative treatment options that could mitigate the impact of CZS in infected children. Read More

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http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0193514PLOS
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5832242PMC
July 2018
4 Reads

The validation of the Dutch SF-Qualiveen, a questionnaire on urinary-specific quality of life, in spinal cord injury patients.

BMC Urol 2017 Sep 19;17(1):88. Epub 2017 Sep 19.

Department of Urology, Erasmus MC, Wijtemaweg 80, Room Na 1724, 3015, CN, Rotterdam, The Netherlands.

Background: Optimizing the patients' quality of life is one of the main goals in the urological management of spinal cord injury (SCI) patients. In this study we validated the Dutch SF-Qualiveen, a short questionnaire that measures the urinary-specific quality of life, in SCI patients. No such measure is yet available for this patient group. Read More

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http://dx.doi.org/10.1186/s12894-017-0280-9DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5605985PMC
September 2017
9 Reads

Probiotics for preventing urinary tract infection in people with neuropathic bladder.

Cochrane Database Syst Rev 2017 09 8;9:CD010723. Epub 2017 Sep 8.

Spinal Medicine Department, Prince of Wales Hospital, Level 2, High Street Entrance, Randwick, NSW, Australia, 2031.

Background: Neuropathic or neurogenic bladder describes a process of dysfunctional voiding as the result of injury in the brain, spinal cord or nerves innervating the bladder. People with neuropathic bladder, such as from spinal cord injury (SCI), are at significant risk of morbidity from urinary tract infections (UTI). Effective methods to prevent UTI in people with SCI have been sought for many years. Read More

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http://doi.wiley.com/10.1002/14651858.CD010723.pub2
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http://dx.doi.org/10.1002/14651858.CD010723.pub2DOI Listing
September 2017
26 Reads

Design and Methodological Considerations of the Centers for Disease Control and Prevention Urologic and Renal Protocol for the Newborn and Young Child with Spina Bifida.

J Urol 2016 12 27;196(6):1728-1734. Epub 2016 Jul 27.

Department of Urology, University of Alabama-Birmingham, Birmingham, Alabama.

Purpose: Care of children with spina bifida has significantly advanced in the last half century, resulting in gains in longevity and quality of life for affected children and caregivers. Bladder dysfunction is the norm in patients with spina bifida and may result in infection, renal scarring and chronic kidney disease. However, the optimal urological management for spina bifida related bladder dysfunction is unknown. Read More

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http://dx.doi.org/10.1016/j.juro.2016.07.081DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5201100PMC
December 2016
15 Reads

Brain metastases in patients with EOC: Clinico-pathological and prognostic factors. A multicentric retrospective analysis from the MITO group (MITO 19).

Gynecol Oncol 2016 Dec 5;143(3):532-538. Epub 2016 Oct 5.

Department of Gynecological and Obstetrical Sciences and Urological Sciences, University of Rome "Sapienza" Rome, Italy.

Background: Brain metastases (BM) from epithelial ovarian cancer (EOC) are considered a rare and unfavourable event. There is no consensus regarding the best management of these patients.

Methods: A multicenter retrospective analysis of patients with BM from EOC treated between 1997 and 2014 in 18 institutions of the MITO (Multicenter Italian Trials in Ovarian cancer) group was conducted. Read More

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http://dx.doi.org/10.1016/j.ygyno.2016.09.025DOI Listing
December 2016
23 Reads

Assessment of Urologists' Knowledge of Intraoperative Floppy Iris Syndrome.

Urology 2016 11 21;97:40-45. Epub 2016 Jul 21.

Institute of Urology, Keck School of Medicine, University of Southern California, Los Angeles, CA. Electronic address:

Objectives: To assess urologists' awareness of intraoperative floppy iris syndrome.

Materials And Methods: A questionnaire composed of 21 questions was emailed to all of the Urology residency programs in the U.S. Read More

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http://dx.doi.org/10.1016/j.urology.2016.06.060DOI Listing
November 2016
3 Reads

Slow Gait Speed and Rapid Renal Function Decline Are Risk Factors for Postoperative Delirium after Urological Surgery.

PLoS One 2016 4;11(5):e0153961. Epub 2016 May 4.

Department of Urology, Hirosaki University Graduate School of Medicine, Hirosaki, Japan.

Objectives: The aim of this study was to identify risk factors associated with postoperative delirium in patients undergoing urological surgery.

Methods: We prospectively evaluated pre- and postoperative risk factors for postoperative delirium in consecutive 215 patients who received urological surgery between August 2013 and November 2014. Preoperative factors included patient demographics, comorbidities, and frailty assessment. Read More

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http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0153961PLOS
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4856409PMC
July 2017
21 Reads

Clinical Characteristics and Urodynamic Analysis of Urinary Dysfunction in Multiple Sclerosis.

Chin Med J (Engl) 2016 Mar;129(6):645-50

Department of Urology, Neurourology Research Division, Beijing Tian Tan Hospital, Capital Medical University, China National Clinical Research Center for Neurological Disease, Beijing 100050, China.

Background: Both lower urinary tract dysfunction and urinary symptoms are prevalent in patients with multiple sclerosis (MS). Although the significance of identifying and treating urinary symptoms in MS is currently well-known, there is no information about the real prevalence and therapeutic effect of urinary symptoms in patients with MS. The purpose of this study was to analyze the major symptoms and urodynamic abnormalities, and observe the therapeutic effect in different MS characteristics. Read More

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http://dx.doi.org/10.4103/0366-6999.177970DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4804409PMC
March 2016
2 Reads

Filum Section for Urinary Incontinence in Children with Occult Tethered Cord Syndrome: A Randomized, Controlled Pilot Study.

J Urol 2016 Apr 28;195(4 Pt 2):1183-8. Epub 2016 Feb 28.

Division of Neurosurgery, University of Alberta and Stollery Children's Hospital, Edmonton, Alberta, Canada.

Purpose: Occult tethered cord syndrome, in which there is normal neuroanatomic imaging despite clinical and urodynamic evidence of neuropathic bladder behavior, is controversial. Several uncontrolled series describe improvement in bladder function following section of the filum terminale. We performed a pilot randomized, controlled study comparing medical treatment to surgical section of the filum plus medical treatment in children with occult tethered cord syndrome. Read More

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http://dx.doi.org/10.1016/j.juro.2015.09.082DOI Listing
April 2016
6 Reads

Nationwide Trends and Variations in Urological Surgical Interventions and Renal Outcome in Patients with Spina Bifida.

J Urol 2016 Apr 28;195(4 Pt 2):1189-94. Epub 2016 Feb 28.

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

Purpose: Bladder dysfunction in patients with spina bifida can lead to significant morbidity due to renal insufficiency. Indications for surgery vary among institutions and the impact is unclear. We examined trends and variations in urological interventions and chronic renal insufficiency in patients with spina bifida. Read More

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http://dx.doi.org/10.1016/j.juro.2015.11.033DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4826303PMC
April 2016
1 Read

The Michigan Spine Surgery Improvement Collaborative: a statewide Collaborative Quality Initiative.

Neurosurg Focus 2015 Dec;39(6):E7

Departments of 1 Neurosurgery.

OBJECT Given the scrutiny of spine surgery by policy makers, spine surgeons are motivated to demonstrate and improve outcomes, by determining which patients will and will not benefit from surgery, and to reduce costs, often by reducing complications. Insurers are similarly motivated. In 2013, Blue Cross Blue Shield of Michigan (BCBSM) and Blue Care Network (BCN) established the Michigan Spine Surgery Improvement Collaborative (MSSIC) as a Collaborative Quality Initiative (CQI). Read More

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http://dx.doi.org/10.3171/2015.10.FOCUS15370DOI Listing
December 2015
9 Reads

Medical complications during pregnancy and childbirth in women with SCI in Switzerland.

Spinal Cord 2016 Mar 1;54(3):183-7. Epub 2015 Dec 1.

Neuro-Urology, Swiss Paraplegic Center (SPZ), Nottwil, Switzerland.

Study Design: A retrospective interview study of mothers with spinal cord injuries (SCIs) who gave birth over the last 15 years.

Objectives: To identify the medical complications of women with SCIs during pregnancy and childbirth in Switzerland and to describe how they dealt with these complications.

Settings: Swiss Paraplegic Research in Nottwil, the University of Lausanne and participants' homes. Read More

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http://dx.doi.org/10.1038/sc.2015.205DOI Listing
March 2016
3 Reads

Anticholinergic burden in Parkinson's disease inpatients.

Eur J Clin Pharmacol 2015 Oct 9;71(10):1271-7. Epub 2015 Aug 9.

Psychiatry Service, Bizkaia´s Mental Health Network, Portugalete, Spain.

Purpose: Anticholinergic toxicity can arise as a result of the cumulative burden of multiple medications and metabolites rather than be caused by a single compound. In this sense, prescribing drugs with anticholinergic properties to Parkinson's disease (PD) patients could contribute to aggravate some frequent problems of the disease, like dementia, urinary retention, falls, or constipation, among others. The main purpose of this article is to measure the total anticholinergic burden in a group of PD inpatients. Read More

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http://dx.doi.org/10.1007/s00228-015-1919-7DOI Listing
October 2015
55 Reads

A systematic review and comparison of questionnaires in the management of spinal cord injury, multiple sclerosis and the neurogenic bladder.

Neurourol Urodyn 2016 Mar 25;35(3):354-64. Epub 2015 Jan 25.

Department of Urological Sciences, University of British Columbia.

Aims: Validated questionnaires are increasingly the preferred method used to obtain historical information. Specialized questionnaires exist validated for patients with neurogenic disease including neurogenic bladder. Those currently available are systematically reviewed and their potential for clinical and research use are described. Read More

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http://dx.doi.org/10.1002/nau.22720DOI Listing
March 2016
1 Read

Spina bifida.

Nat Rev Dis Primers 2015 04 30;1:15007. Epub 2015 Apr 30.

Department of Pediatrics, Stanford University School of Medicine, Stanford, California, USA.

Spina bifida is a birth defect in which the vertebral column is open, often with spinal cord involvement. The most clinically significant subtype is myelomeningocele (open spina bifida), which is a condition characterized by failure of the lumbosacral spinal neural tube to close during embryonic development. The exposed neural tissue degenerates in utero, resulting in neurological deficit that varies with the level of the lesion. Read More

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http://dx.doi.org/10.1038/nrdp.2015.7DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4898641PMC
April 2015
9 Reads

Protocol for a randomized, placebo-controlled, double-blind clinical trial investigating sacral neuromodulation for neurogenic lower urinary tract dysfunction.

BMC Urol 2014 Aug 13;14:65. Epub 2014 Aug 13.

Neuro-Urology, Spinal Cord Injury Center & Research, University of Zürich, Balgrist University Hospital, Forchstrasse 340, 8008 Zürich, Switzerland.

Background: Sacral neuromodulation has become a well-established and widely accepted treatment for refractory non-neurogenic lower urinary tract dysfunction, but its value in patients with a neurological cause is unclear. Although there is evidence indicating that sacral neuromodulation may be effective and safe for treating neurogenic lower urinary tract dysfunction, the number of investigated patients is low and there is a lack of randomized controlled trials.

Methods And Design: This study is a prospective, randomized, placebo-controlled, double-blind multicenter trial including 4 sacral neuromodulation referral centers in Switzerland. Read More

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http://dx.doi.org/10.1186/1471-2490-14-65DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4139491PMC
August 2014
9 Reads

Surgical management of functional bladder outlet obstruction in adults with neurogenic bladder dysfunction.

Cochrane Database Syst Rev 2014 May 24(5):CD004927. Epub 2014 May 24.

Department of Urology, Erasmus Medical Center, Room Na-1708, 's-Gravendijkwal 230, Rotterdam, Zuid-Holland, Netherlands, 3015 CE.

Background: The most common type of functional bladder outlet obstruction in patients with neurogenic bladder is detrusor-sphincter dyssynergia (DSD). The lack of co-ordination between the bladder and the external urethral sphincter muscle (EUS) in DSD can result in poor bladder emptying and high bladder pressures, which may eventually lead to progressive renal damage.

Objectives: To assess the effectiveness of different surgical therapies for the treatment of functional bladder outlet obstruction (i. Read More

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http://www.update-software.com/BCP/WileyPDF/EN/CD004927.pdf
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http://doi.wiley.com/10.1002/14651858.CD004927.pub4
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http://dx.doi.org/10.1002/14651858.CD004927.pub4DOI Listing
May 2014
12 Reads

Urologists' referral attitude for sacral neuromodulation for treating refractory idiopathic overactive bladder syndrome: discrete choice experiment.

Neurourol Urodyn 2014 Nov 11;33(8):1240-6. Epub 2013 Oct 11.

Neuro-Urology, Spinal Cord Injury Center & Research, University of Zürich, Balgrist University Hospital, Zürich, Switzerland.

Aims: To investigate urologists' referral attitude for sacral neuromodulation (SNM) for treating refractory idiopathic overactive bladder syndrome (OAB) and to quantify the weight they attribute to clinical parameters to refrain from SNM referral.

Methods: We set up a vignette study using a discrete-choice design. The questionnaires were distributed at two national urological meetings. Read More

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http://dx.doi.org/10.1002/nau.22490DOI Listing
November 2014
5 Reads

Uroflowmetry in the management of lower urinary tract symptoms of children and adolescents with cerebral palsy.

J Pediatr Urol 2014 Jun 9;10(3):413-7. Epub 2013 Aug 9.

Division of Urology, Pedro Ernesto Memorial Hospital, State University of Rio de Janeiro, Boulevard Vinte e Oito de Setembro, 77 - Vila Isabel, Rio de Janeiro 55-20551-030, Brazil.

Objective: To evaluate uroflow measurements in the initial management of lower urinary tract dysfunction in children and adolescents with cerebral palsy.

Materials And Methods: A total of 54 patients was enrolled in this study. All patients reported their urinary symptoms and underwent a physical examination, renal and urinary tract ultrasonography, and uroflow assessment. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S14775131130018
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http://dx.doi.org/10.1016/j.jpurol.2013.07.004DOI Listing
June 2014
3 Reads

First-line urological evaluation in multiple sclerosis: validation of a specific decision-making algorithm.

Mult Scler 2013 Dec 22;19(14):1931-7. Epub 2013 May 22.

Service de Neuro-Urologie et d'Explorations Périnéales, Hôpital TENON, APHP, France, GREEN UPMC, GRC 01 UPMC.

Background: Urinary disorders that lead to urological complications are frequent in multiple sclerosis, resulting in diminished quality of life. Urinary management guidelines are scarce and targeted to neuro-urology specialists.

Objective: This study aimed to construct and validate an algorithm dedicated to neurologists and general practitioners to facilitate first-line evaluation and treatment of urinary disorders associated with multiple sclerosis. Read More

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http://msj.sagepub.com/content/early/2013/05/22/135245851348
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http://msj.sagepub.com/cgi/doi/10.1177/1352458513489758
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http://dx.doi.org/10.1177/1352458513489758DOI Listing
December 2013
28 Reads

Pain in the upper anterior-lateral part of the thigh in women affected by endometriosis: study of sensitive neuropathy.

Fertil Steril 2013 Jul 27;100(1):122-6. Epub 2013 Mar 27.

Department of Obstetrics, Gynecological, and Urological Sciences, University of Rome Sapienza, Rome, Italy.

Objective: To assess whether pain in the anterior-lateral part of the thigh in women affected by endometriosis is due to femoral nerve invasion by endometriotic implants.

Design: Case-control study.

Setting: Hospital. Read More

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http://dx.doi.org/10.1016/j.fertnstert.2013.02.045DOI Listing
July 2013
7 Reads
4 Citations
4.590 Impact Factor

Efficacy of sacral neuromodulation on urological diseases: a multicentric research project.

Urologia 2012 Apr-Jun;79(2):90-6

Urology Clinic, Policlinico G.B. Rossi, University of Verona, Italy.

Introduction And Aim Of The Study: Sacral neuromodulation has been used as a safe, effective treatment option for patients with lower urinary tract dysfunction (LUTD). Several clinical studies demonstrated its positive effects on refractory urge incontinence, non-osbstructive urinary retention, urgency frequency syndrome, as well as on other non- urological disorders, such as fecal incontinence and chronic constipation. The aim of this research project was to evaluate the efficacy and safety of sacral neuromodulation on the management of LUTD refractory to the standardized first line treatment options. Read More

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http://dx.doi.org/10.5301/RU.2012.9278DOI Listing
October 2012
10 Reads

[Myelomeningocoele - how did the procedure during the first stage of surgical treatment change. Analysis of two groups of patients treated in the years 1986-1992 and 1999-2005].

Med Wieku Rozwoj 2009 Oct-Dec;13(4):260-9

Klinika Chirurgii Dzieci i Młodziezy, Instytut Matki i Dziecka w Warszawie, 01-211 Warszawa.

Unlabelled: Myelomeningocoele is a serious congenital deformity requiring multidisciplinary medical care, and parent' s aware cooperation. The accessibility and popularity of foetal ultrasonography enables early prenatal diagnosis which makes possible optimal management during pregnancy and treatment after birth.

Aim: Evaluation of the treatment of newborns with myelomeningocoele in the last 20 years in relation to the changes in diagnostics and operative procedures. Read More

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April 2010
3 Reads

A lower risk of dying from urological cancer in Down syndrome: clue for cancer protecting genes on chromosome 21.

Urol Int 2009 11;82(3):296-300. Epub 2009 May 11.

Laboratoire d'Anatomie Pathologique, Centre Hospitalier, Tulle, France.

Objective: It was the aim of this study to evaluate the risk of dying from bladder and kidney cancer in persons with Down syndrome (DS), as compared with the general population.

Methods: Using data of the French national mortality statistics (INSERM) during a 21-year period, 1979-1999, we compared the observed number of deaths from renal and bladder cancer in DS subjects with the expected number of deaths from these cancers. The expected number of deaths was calculated taking into account the prevalence of DS at birth and the life expectancy of persons with DS, assuming the risk was identical to the one of the general population. Read More

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http://dx.doi.org/10.1159/000209361DOI Listing
July 2009
1 Read

Health system factors associated with rehospitalizations after traumatic spinal cord injury: a population-based study.

Spinal Cord 2009 Aug 10;47(8):604-9. Epub 2009 Mar 10.

Department of Physical Therapy, University of Toronto, Ontario, Canada.

Study Design: This is a cohort study with 1-year follow-up.

Objectives: The aim of this study was to examine 1-year rehospitalization rates following spinal cord injury (SCI) onset and health system factors affecting rehospitalization.

Methods: All persons who had an acute care hospitalization for traumatic SCI in Ontario between 1 April 2003 and 31 March 2006 were identified according to International Classification of Diseases, Tenth Revision codes and followed for 1 year following acute care discharge through record linkage of administrative databases. Read More

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http://dx.doi.org/10.1038/sc.2009.9DOI Listing
August 2009
1 Read

[Management of brain metastases from urological malignancies].

Prog Urol 2008 Nov;18 Suppl 7:S234-8

Service de Neurochirurgie, Hôpital Foch, Frances.

Brain metastases account for 30 to 40% of all brain tumors in adults. Even if urological carcinomas are not very common, anti-angiogenic drugs have transformed their prognosis, leading physicians to consider their specific treatment. For the majority of cases, surgery is quite simple with low associated morbidity. Read More

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http://dx.doi.org/10.1016/S1166-7087(08)74549-4DOI Listing
November 2008
2 Reads

Evaluating outcomes of enterocystoplasty in patients with spina bifida: a review of the literature.

J Urol 2008 Dec 18;180(6):2323-9. Epub 2008 Oct 18.

Duke University Medical Center, Durham, North Carolina 27710, USA.

Purpose: The urological complications of spina bifida impose a significant burden of disability and disease. Therapy is focused on the bladder to achieve the primary goals of maintaining normal renal function and attaining urinary continence. When medical management fails, surgical intervention, including enterocystoplasty, is frequently performed. Read More

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http://dx.doi.org/10.1016/j.juro.2008.08.050DOI Listing
December 2008
2 Reads

Non-obstructive prosthetic aortic valve thrombosis presenting with acute myocardial infarction and stroke in a patient with inadequate low-molecular-weight heparin treatment. The unlucky patient and the (pseudo)prudent physician.

J Cardiovasc Med (Hagerstown) 2007 Apr;8(4):277-80

Division of Cardiovascular Diseases, S. Chiara Hospital, AOUP, and Universitaria Pisana, Pisa, Italy.

Non-obstructive prosthetic valve thrombosis is a rare and underestimated complication in patients with left-sided mechanical heart valves. Systemic embolisation, mainly involving the cerebral circulation, often represents the first clinical manifestation. We report a case of multiple, successive embolizations in the coronary and cerebral circulation, presenting with an acute myocardial infarction and stroke in a patient with latent, non-obstructive thrombosis of a mechanical bileaflet aortic valve. Read More

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http://dx.doi.org/10.2459/01.JCM.0000263498.59748.f2DOI Listing
April 2007
6 Reads

A multicentre follow-up of clinical aspects of traumatic spinal cord injury.

Spinal Cord 2007 Jun 14;45(6):404-10. Epub 2006 Nov 14.

Spinal Cord Injury Unit, Silvestrini Hospital, Perugia, Italy.

Study Design: Prospective, multicentred follow-up (FU) observational study.

Objectives: Prospectively evaluate survival, complications, re-admissions and maintenance of clinical outcome in people experiencing traumatic spinal cord injury (SCI).

Setting: Seven spinal units and 17 rehabilitation centres participating in the previous GISEM (ie Italian Group for the Epidemiological Study of Spinal Cord Injuries) study. Read More

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http://dx.doi.org/10.1038/sj.sc.3101991DOI Listing
June 2007
1 Read

Patient-reported outcomes in overactive bladder: the influence of perception of condition and expectation for treatment benefit.

Urology 2006 Aug;68(2 Suppl):29-37

Urological Consultancy, Oberursel, Germany.

Patient perceptions of overactive bladder (OAB) symptoms, expectations for treatment benefit, and overall treatment satisfaction share complex relations. Multiple studies have demonstrated associations between factors, such as age, sex, and ethnicity, and patient perceptions of OAB symptoms, especially urgency urinary incontinence. Perceptions of OAB are also shaped by symptom severity and impact on health-related quality of life, as well as by perceptions of family members, caregivers, and clinicians. Read More

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http://dx.doi.org/10.1016/j.urology.2006.02.046DOI Listing
August 2006
1 Read

Improving the global management of the neurogenic bladder patient: part I. The complexity of patients.

Curr Med Res Opin 2006 Feb;22(2):359-65

Affiliation Hôpital Raymond Poincaré, Garches, France.

Background: The management of urinary incontinence in patients with neurological disease is complex. Physicians face a multitude of challenges related to progression of the primary condition, the presence of a diversity of other related and unrelated symptoms, the safety, efficacy and tolerability issues associated with multiple therapies being required and the changing need for collaboration with other specialities.

Scope: Current guidelines produced by the urological communities, as well as the disease-focused organizations, aim to standardize care in their specific group of patients. Read More

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http://dx.doi.org/10.1185/030079906X89702DOI Listing
February 2006
2 Reads

Practice patterns of Japanese physicians in urologic surveillance and management of spinal cord injury patients.

Spinal Cord 2006 Jun 6;44(6):362-8. Epub 2005 Dec 6.

Department of Urology, Koshigaya Hospital, Dokkyo University School of Medicine, Koshigata, Japan.

Study Design: Analysis of answers to a new questionnaire.

Objective: To examine current practice patterns of physicians in the urological surveillance and management of spinal cord injury (SCI) patients in Japan.

Setting: Nationwide questionnaire survey to physicians in Japan. Read More

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http://dx.doi.org/10.1038/sj.sc.3101854DOI Listing
June 2006
2 Reads

Prospective evaluation of urological effects of aging in chronic spinal cord injury by method of bladder management.

Neurourol Urodyn 2005 ;24(2):111-6

School of Surgical Sciences, University of Newcastle, United Kingdom.

Aims: Risk of treatment-related problems in spinal cord injury (SCI) mandates assessment of complication rates of different bladder management methods (BMMs). The current study evaluated aging-related complications of various BMMs over a 6-year period in a population with spinal cord injury for at least 20 years.

Materials And Methods: Clinical parameters were compared using a linear mixed effects model, controlling for various confounding variables, to establish complication trends with aging and their association with BMM. Read More

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http://dx.doi.org/10.1002/nau.20091DOI Listing
April 2005
2 Reads

Reused silicone catheter for clean intermittent catheterization (CIC): is it safe for spinal cord-injured (SCI) men?

Spinal Cord 2004 Nov;42(11):638-42

Department of Rehabilitation Medicine, Faculty of Medicine, Chiang Mai University, Chiang Mai, Thailand.

Study Design: Study of reusable catheter.

Objective: To investigate whether a silicone cathether reused over years for clean intermittent catheterization (CIC) was safe for spinal cord injured (SCI) men.

Setting: Maharaj Hospital, Chiang Mai, Thailand. Read More

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http://dx.doi.org/10.1038/sj.sc.3101646DOI Listing
November 2004
4 Reads

Management of the neuropathic bladder.

Hosp Med 2003 Aug;64(8):468-72

Institute of Urology and Nephrology, London.

Neurological injury and disease are common, and intimately related to abnormalities of the urinary system. The prevention and treatment of urological sequelae in patients with neurological injury or disease requires a clear multidisciplinary management strategy. Read More

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August 2003
3 Reads

Successful use of transureteroureterostomy in children: a clinical study.

Eur J Pediatr Surg 2001 Dec;11(6):395-8

Division of Pediatric Surgery, S. Bortolo Hospital, Vicenza, Italy.

The purpose of this review of patients was to look at the current role of transureteroureterostomy in children. In addition, this study should give an indication of the long-term safety of transureteroureterostomy in children with neurogenic bladder. From 1972 on, 70 subjects between the ages of 2 and 13 underwent transureteroureterostomy. Read More

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http://www.thieme-connect.de/DOI/DOI?10.1055/s-2001-19730
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http://dx.doi.org/10.1055/s-2001-19730DOI Listing
December 2001
6 Reads

Quality of life after active urological management of chronic spinal cord injury in eastern Taiwan.

Authors:
H C Kuo

Eur Urol 1998 ;34(1):37-46

Department of Urology, Buddhist Tzu Chi General Hospital, Hualien, Taiwan.

Objective: Motor cycle accidents are the major cause of head injury and spinal cord injury (SCI) in Taiwan. The incidence of SCI in Hualien county is the highest in the world. In a community hospital in Hualien, active urological management was carried out for SCI patients with voiding dysfunctions and urological complications. Read More

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September 1998
7 Reads

Long-term catheterization of the bladder: prevalence and morbidity.

Br J Urol 1996 Mar;77(3):347-51

Bristol Urological Institute, Southmead Hospital, UK.

Objective: To estimate the prevalence and morbidity of long-term catheterization (LTC) of the urinary bladder.

Patients And Methods: A postal survey was conducted over two successive years from February 1989 to determine the incidence of LTC in three Bristol Health Districts with a total population of 827,595. During the first year the number of patients requiring emergency treatment for complications of LTC was also monitored over a 6-month period. Read More

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March 1996
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Urological and sexual problems in multiple sclerosis.

Clin Neurosci 1994 ;2(3-4):189-95

Thomas Jefferson University, Jefferson Medical College, Philadelphia, PA 19107, USA.

Urologic dysfunction is a common and devastating feature of multiple sclerosis (MS). For many MS patients, urinary symptoms may be the most socially disabling features of the illness. In this chapter, we describe the urologic dysfunctions seen in MS, and discuss appropriate management for patients with MS. Read More

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June 1995
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Urological long-term follow-up in women with spinal cord injuries.

Arch Phys Med Rehabil 1992 Nov;73(11):1029-35

Spain Rehabilitation Center, Department of Physical Medicine and Rehabilitation, University of Alabama, Birmingham 35233.

One hundred eight women and 434 men admitted with spinal cord injuries between 1973 and 1987 were observed prospectively to determine the effects of age, sex, neurological classification, and method of bladder management method on renal function and urological complications. The primary method of bladder management for women throughout the study period was indwelling urethral catheterization as compared to condom drainage for their male counterparts. Renal function was determined by effective renal plasma flow and urological complications were determined by clinical symptoms and/or objective findings on intravenous pyelography (IVP). Read More

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November 1992
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Management of the neuropathic bladder by clean intermittent catheterisation: 5 year outcomes.

Authors:
F M Maynard J Glass

Paraplegia 1987 Apr;25(2):106-10

Based on a telephone interview and medical record review of the urological outcomes among 40 spinal cord injury patients with a neuropathic bladder at discharge who were an average of 60 months post-injury and who were all initially managed by chronic clean intermittent catheterisation (CCIC), the following conclusions were made: Over 80% of patients using CCIC at discharge continued to use it, suggesting low morbidity and high patient acceptance; Urological complications in patients using CCIC were more frequent in the lower urinary tract than in the upper urinary tract, were more frequent in men than women, and had a low morbidity; Urological complications and hospitalisations were more frequent among the 41% of patients using CCIC who had frequent SxUTIs; SxUTIs were common in patients using CCIC but rates may be comparable with other methods; Although 44% of CCIC patients were hospitalised at least once in 5 years for urological complications, this is comparable to reported multi-centre outcomes in the U.S.A. Read More

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http://dx.doi.org/10.1038/sc.1987.19DOI Listing
April 1987
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Prediction of pyelocaliectasis in follow-up of patients with spinal cord injury.

Br J Urol 1987 Feb;59(2):122-6

Two hundred and fifty spinal cord injury patients were studied on each of two occasions, 12 to 24 months apart, to determine which urological findings could be used to predict the subsequent development of clinically significant pyelocaliectasis. An equation was developed which correctly classified 90% of the patients who remained free of clinically significant pyelocaliectasis and 82% of the patients who subsequently developed clinically significant pyelocaliectasis. The statistically significant risk factors were renal calculi, bladder diverticula and a decrease in effective renal plasma flow. Read More

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February 1987
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Clinical versus urodynamic diagnosis in an incontinent geriatric female population.

J Urol 1987 Jan;137(1):68-71

The clinical presentation of incontinence was compared to diagnoses based on urological and urodynamic evaluation in 135 elderly women assessed consecutively in an outpatient clinic. Most patients (64 per cent) presented with mixed symptoms: 16 per cent presented with pure stress and 16 per cent with pure urge incontinence. After evaluation 46 per cent of the patients had stress incontinence with a stable bladder, 27 per cent had detrusor instability or hyperreflexia without sphincter weakness and 19 per cent had mixed urodynamic abnormalities. Read More

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January 1987
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Urological management of patients with von Hippel-Lindau's disease.

J Urol 1986 Oct;136(4):789-91

We present our experience with 7 patients with von Hippel-Lindau's disease. Five patients had bilateral renal tumors and 2 had pheochromocytomas. Staging is accomplished best with abdominal computerized tomography and renal angiography. Read More

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October 1986
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Initial bladder management in spinal cord injury: does it make a difference?

J Urol 1986 Mar;135(3):523-7

We classified 204 patients with acute spinal cord injury into 1 of 5 groups according to the initial form of urological management. Group A patients were placed on an intermittent catheterization program within 36 hours of injury, group B received a suprapubic trocar within 36 hours of injury, group C had urethral catheters in place for more than 36 hours before intermittent catheterization was begun, group D was on indwelling urethral catheter drainage throughout the hospitalization and discharged from the hospital with indwelling catheters, and group E was placed on intermittent catheterization in a community hospital. There were no statistically significant differences among the groups in the incidence of chills and fever, rate of urinary infections (excluding group D), incidence of upper tract changes, genitourinary complications or frequency of urological procedures at 1 year after injury. Read More

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March 1986
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Urological management of the patient with spinal cord injury.

S Afr Med J 1980 Oct;58(17):682-6

A total of 515 patients with spinal cord injuries were admitted to the Conradie Hospital's Spinal Cord Injuries Centre during a 3-year period from September 1974 to September 1977. Intermittent catheterization was used for urinary drainage in all patients with incomplete lesions as initially assessed neurologically, and indwelling catheterization in those with complete lesions. Transcutaneous suprapubic Bonnano (stab) continuous catheter drainage was used in a random group of 24 male patients with complete neurological lesions. Read More

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October 1980
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Intermittent catheterisation: follow-up studies [proceedings].

Paraplegia 1977 May;15(1):38-46

One hundred twenty-six male spinal cord injury patients whose acute bladder management included indwelling urethral catheters were converted to an intermittent catheterisation programme and most of them subsequently achieved a catheter-free state. A higher prevalence of pyelocaliectasis was observed in these patients compared to previous reports of similar changes in patients upon whom intermittent catheterisation was initiated immediately after injury. Right side predominance of pyelocaliectasis was demonstrated but requires further study. Read More

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http://www.nature.com/articles/sc19777
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http://dx.doi.org/10.1038/sc.1977.7DOI Listing
May 1977
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