MedWorm: Bladder Catheterization

Urethral Catheterization Facilitates Preradiation Fiducial Marker Placement in Postprostatectomy Patients

Journal of Endourology — Sat, 04 Feb 2012 04:05:58 +0100

Journal of Endourology , Vol. 0, No. 0. (Source: Journal of Endourology)

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Urinary Catheter-Associated Infections

Infectious Diseases Clinics of North America — Sun, 29 Jan 2012 22:43:12 +0100

Catheter-acquired urinary infection is the most common device-associated healthcare-acquired infection. Although most patients are asymptomatic, symptomatic infection may occur and is associated with increased morbidity and costs. Long-term indwelling catheters are associated with more complex microbiology and greater morbidity than short-term catheters. The most effective way to prevent these infections is to restrict indwelling urinary catheter use to limited indications, and to discontinue use of a catheter as soon as feasible. Alternate means of managing bladder emptying, including external condom catheters for men and intermittent catheterization for patients with neurologic impairment of bladder emptying, should be used when possible. (Source: Infectious Diseases Clinics of North Ame...

Diode laser (980 nm) enucleation of the prostate: a promising alternative to transurethral resection of the prostate

Lasers in Medical Science — Thu, 26 Jan 2012 16:44:13 +0100

Abstract With good hemostatic ability, the end-firing continuous-wave diode laser at 980 nm was used to enucleate the prostate (DiLEP) for the treatment of benign prostatic obstruction (BPO). The study compared the patients’ demographics and surgical outcomes between DiLEP and transurethral resection of the prostate (TURP). Patients with significant BPO and a total prostatic weight of 40 g or more who had undergone DiLEP (n = 74) or TURP (n = 52) during the same period at our hospital were enrolled for analysis. DiLEP was performed by a single surgeon (Yang), and TURP by three surgeons (Yang, Hsieh and Chang). The 4-U incision technique was developed for DiLEP. The diode laser ensured bloodless incision followed by blunt dissection using the resectoscope...

Nerve-sparing laparoscopic eradication of deep endometriosis with segmental rectal and parametrial resection: the Negrar method. A single-center, prospective, clinical trial

Surgical Endoscopy — Thu, 26 Jan 2012 06:55:34 +0100

Conclusions Our technique appears to be feasible and offers good results in terms of reduced bladder morbidity and apparently higher satisfaction than the classical technique. Considering that this kind of surgery requires uncommon surgical skills and anatomical knowledge, we believe that it should be performed only in selected reference centers. Content Type Journal ArticlePages 1-17DOI 10.1007/s00464-012-2153-3Authors Marcello Ceccaroni, Division of Gynecologic Oncology, International School of Surgical Anatomy, Sacred Heart Hospital, “Ospedale Sacro Cuore-Don Calabria”, Via Don A.Sempreboni no. 5, 37024 Negrar, VR, ItalyRoberto Clarizia, Division of Gynecologic Oncology, International School of Surgical Anatomy, Sacred Heart Hospital, “Ospedale Sacro Cuore-...

Anterior suspension combined with posterior reconstruction during robot‐assisted laparoscopic prostatectomy improves early return of urinary continence: a prospective randomized multicentre trial

BJU International — Sat, 21 Jan 2012 12:35:36 +0100

CONCLUSION• Anterior suspension associated with posterior reconstruction during RALP improved the early return of continence, without increasing complications. (Source: BJU International)

[The relevance of catheterization in neurourology.]

Der Urologe. Ausg. A — Sat, 21 Jan 2012 05:00:00 +0100

Authors: Böthig R, Burgdörfer H Abstract Together with comprehension and therapy of neurogenic failure of the storage function of the urinary bladder, intermittent catheterization as a pressure-free voiding method without residual urine, represents a major principle of therapy in lower urinary tract dysfunction. Aseptic intermittent catheterization is recommended in Germany and Europe and seems to be acceptable even in long-term application with low complication rates. It is a precondition that patients are seen for clinical and urodynamic reevaluation at risk-adapted time intervals. The major focus is on early recognition and avoidance of threatening complications. The most important preventive measures are the motivation and compliance of the well-educated patient and the use o...

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An Indwelling Urethral Catheter Knotted Around a Double-J Ureteral Stent: An Unusual Complication after Kidney Transplantation

Journal of Cancer Epidemiology — Wed, 18 Jan 2012 17:01:46 +0100

We report an especially rare case where a urethral catheter formed a knot around a double-J ureteral stent after a kidney transplantation. We will discuss the various risk factors for knotting of a catheter and the methods to untangle a knot. (Source: Journal of Cancer Epidemiology)

GreenLight HPS™ 120‐W laser vaporization vs transurethral resection of the prostate (

BJU International — Wed, 18 Jan 2012 05:00:00 +0100

CONCLUSIONS• Bladder storage symptoms may represent a major concern, although they are of limited duration in patients undergoing PVP.• High‐power PVP can achieve and maintain the same results as TURP over a period of 24 months. (Source: BJU International)

Evidence of a functional effect of transient transurethral catheterization on micturition in women

International Urogynecology Journal — Tue, 17 Jan 2012 07:09:07 +0100

Conclusions This study showed a degradative effect of transient catheterization on uroflow parameters, suggesting that catheterization may cause more than simply a passive obstructive effect. Urethral stimulation due to catheterization may perturb detrusor urethral function, altering voiding and possibly filling performance. Content Type Journal ArticleCategory Original ArticlePages 1-4DOI 10.1007/s00192-011-1646-2Authors Anne M. Suskind, Division of Urology, University of Connecticut Health Center, 263 Farmington Ave, Farmington, CT 06030, USAPhillip P. Smith, Division of Urology, University of Connecticut Health Center, 263 Farmington Ave, Farmington, CT 06030, USA Journal International Urogynecology JournalOnline ISSN 1433-3023Print ISSN 0937-3462 (Source:...

Recovery after spinal cord infarcts: Long-term outcome in 115 patients

Neurology — Mon, 09 Jan 2012 05:00:00 +0100

Conclusions: Gradual improvement in not uncommon after spinal cord infarction and it may continue long after hospital dismissal. While severe impairment at nadir is the strongest predictor of poor functional outcome, meaningful recovery is also possible in a substantial minority of these patients. (Source: Neurology)

Prospective randomized trial of barbed polyglyconate suture to facilitate vesico‐urethral anastomosis during robot‐assisted radical prostatectomy: time reduction and cost benefit

BJU International — Thu, 05 Jan 2012 05:00:00 +0100

CONCLUSIONS• Compared with standard monofilament suture, the unidirectional barbed polyglyconate suture appears to provide safe, efficient and cost‐effective PR and VUA during RARP.• Use of the interlocked barbed polyglyconate suture technique prevents slippage, precluding the need for assistance, knot‐tying and constant reassessment of anastomosis integrity. (Source: BJU International)

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Acute bacterial prostatitis: how to prevent and manage chronic infection?

Journal of Infection and Chemotherapy — Wed, 04 Jan 2012 06:57:35 +0100

Abstract We conducted a retrospective analysis of acute bacterial prostatitis (ABP) to evaluate the factors of progressing to chronic infection and chronic pelvic pain syndrome IIIa (CPPS IIIa) from ABP. The clinical records of 480 cases compatible with a confirmed diagnosis of ABP from five urological centers between 2001 and 2010 were reviewed. We defined chronic infection (CI) as a progression to chronic bacterial prostatitis (II), epididymo-orchitis, and showing persistent pyuria and bacteriuria after treatment of ABP in admission periods when followed up at 3 months or more. Results were analyzed according to two categories: category I, developed to CI (group A, n = 49) versus recovered without CI or CPPS IIIa (group C, n = 385); and category I...

Dysfunctional voiding: A review of the terminology, presentation, evaluation and management in children and adults

Indian Journal of Urology — Wed, 04 Jan 2012 05:00:00 +0100

Sanjay SinhaIndian Journal of Urology 2011 27(4):437-447Dysfunctional voiding (DV) is a voiding disorder characterized by dyssynergic striated sphincteric activity in the absence of a proven neurological etiology. It can present at any age with a spectrum of storage and voiding symptoms that may resemble florid neurogenic bladder. There is a striking lack of clarity regarding what this entity represents, the diagnostic methodology and treatment. The limitations of existing guideline documents are analyzed. Specifically, use of the term "habitual", the assumption that bladder changes are secondary to the outlet, the emphasis on "staccato" voiding and the implication of striated urethral sphincter are discussed. Literature shows that DV may also present with continuous sl...

Addressing the problems of long-term urethral catheterization: part 2.

British Journal of Nursing — Sun, 01 Jan 2012 05:00:00 +0100

Authors: Wilson M Abstract This is the second of a two-part article and addresses the problems encountered throughout the life of a catheter from those relating to its insertion, through the time when it is in situ, to those associated with its removal. Catheters can cause discomfort and reasons for this are discussed including latex allergy, atrophic changes in women, blockage or bypass. The draft National Institute for Health and Clinical Excellence infection control guidance is discussed with reference to catheter maintenance solutions. Sexuality can be an unvoiced concern to patients with catheters in situ and clinicians are encouraged to discuss such issues with the patient, where relevant. Issues including catheter expulsion, bladder spasm and difficulties in catheter removal...

Spectrum of urodynamic abnormalities and renal function changes in adult men with non‐neurogenic urinary retention

Neurourology and Urodynamics — Sun, 01 Jan 2012 05:00:00 +0100

ConclusionThe urodynamic spectrum in men with urinary retention ranged from detrusor acontractility to varied degrees of contractility associated with outlet obstruction spanning from equivocal to severe. Moreover, prompt relief of retention restores renal function to baseline levels, regardless of age. This study indicates that prostatic obstruction may not be the only cause of urinary retention in adult men presumed to have BPH and illustrates the value of urodynamic assessment prior to potentially failure‐prone surgical interventions. Neurourol. Urodynam. Published 2012. This article is a U.S. Government work and is in the public domain in the USA. (Source: Neurourology and Urodynamics)

A technique for safe and smooth re‐catheterisation of a vesico‐urethral anastomosis after radical prostatectomy

BJU International — Mon, 26 Dec 2011 01:09:56 +0100

(Source: BJU International)

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Catheter policies for management of long term voiding problems in adults with neurogenic bladder disorders.

Cochrane Database of Systematic Reviews — Tue, 20 Dec 2011 01:00:04 +0100

CONCLUSIONS: Despite a comprehensive search no evidence from randomised or quasi-randomised controlled trials was found. It was not possible to draw any conclusions regarding the use of different types of catheter in managing the neurogenic bladder. PMID: 22161386 [PubMed - in process] (Source: Cochrane Database of Systematic Reviews)

Laparoscopic Repair of Vesico-Vaginal Fistula Without Intentional Cystotomy and Guided by Vaginal Transillumination.

Actas Urologicas Espanolas — Mon, 19 Dec 2011 05:00:00 +0100

CONCLUSIONS: The laparoscopic repair of VVF without intentional cystotomy, by direct dissection of the fistulous tract guided by vaginal transillumination is effective; because it quickly locates the fistula in all cases, reduces the size of the bladder opening, shortens operative times and reduces irritative symptoms. PMID: 22188749 [PubMed - as supplied by publisher] (Source: Actas Urologicas Espanolas)

Long‐term follow‐up of patients undergoing percutaneous suprapubic tube drainage after robot‐assisted radical prostatectomy (RARP)

BJU International — Fri, 16 Dec 2011 05:00:00 +0100

CONCLUSIONS• PST placement after RARP is safe and efficacious on long‐term follow‐up.• Splinting of the urethrovesical anastomosis is not a critical step of RP if a watertight anastomosis and excellent mucosal apposition are achieved. (Source: BJU International)

Addressing the problems of long-term urethral catheterization: part 1.

British Journal of Nursing — Sun, 11 Dec 2011 05:00:00 +0100

Authors: Wilson M Abstract This is that first of a two-part article looking at the indications for long-term urethral catheterization and good practice, including the use of aseptic non-touch technique used in insertion, and the choice of catheter length and Charrière size. The various routes that bacteria can take to the bladder are discussed, and the reduction in catheter-associated urinary tract infection (CAUTI) through the use of the closed drainage system is considered. It is essential that adequate information is kept relating to catheter care and catheter insertion; documentation, and what should be recorded in the casenotes is discussed. The article then examines the series of Department of Health initiatives aimed at reducing CAUTIs. Recent safety driving programmes rela...

A multicentre single-blind randomized controlled trial comparing bipolar and monopolar transurethral resection of the prostate.

Canadian Urological Association Journal — Thu, 01 Dec 2011 05:00:00 +0100

CONCLUSION: This trial suggests equivalent short-term outcomes for men undergoing monopolar or bipolar TURP. PMID: 22154630 [PubMed - in process] (Source: Canadian Urological Association Journal)

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Clean intermittent self-catheterization in neuro-urology.

European Journal of Physical and Rehabilitation Medicine — Thu, 01 Dec 2011 05:00:00 +0100

Authors: Di Benedetto P Abstract Neurogenic lower urinary tract dysfunction (NLUTD) is commonly encountered in rehabilitation settings, and is caused by a variety of pathologies. The management of spinal cord injury (SCI) has been the model of reference for the management of other pathologies with NLUTD. The introduction of intermittent catheterization (IC) led to decline in renal related mortality in SCI patients and allowed an improvement of quality of life (QoL) in all neurogenic patients with NLUTD. IC could be sterile, aseptic or clean. Sterile intermittent catheterization (SIC) is the preferred method of bladder drainage in emergency medicine units and during spinal shock in SCI patients, but it is costly and time-consuming. Catheterizations performed in institutions, such as...

Bladder Dysfunction after Gynecologic Laparoscopic Surgery for Benign Disease

The Journal of Minimally Invasive Gynecology — Mon, 28 Nov 2011 05:00:00 +0100

Conclusion: Postoperative bladder dysfunction appears idiosyncratic, with no single factor predictive of this problem. Possibilities for the demonstrated rate of dysfunction include normal bladder behavior, unmasking future bladder dysfunction, response to drugs, or neurologic issues. The implications of postoperative bladder dysfunction may have consequences for health care resource use and allocation, acute patient management, and possible long-term urinary function consequences and are worthy of further study. (Source: The Journal of Minimally Invasive Gynecology)

Management of acute urinary retention: a worldwide survey of 6074 men with benign prostatic hyperplasia

BJU International — Fri, 25 Nov 2011 05:00:00 +0100

CONCLUSIONS• TWOC has become a standard practice worldwide for men with BPH and AUR.• In most cases, an α1‐blocker is prescribed before TWOC and significantly increases the chance of success.• Prolonged catheterization is associated with an increased morbidity. (Source: BJU International)

Posterior urethral injuries associated with pelvic injuries in young adults: computerized finite element model creation and application to improve knowledge and prevention of these lesions

Surgical and Radiologic Anatomy — Thu, 24 Nov 2011 17:44:25 +0100

Conclusion The model’s application permitted us to analyze precisely the link between lateral impact trauma of the pelvic ring and lesions of the posterior urethra and to identify an urethra stretching prior to visualization of a pelvic fracture. Utilization of the model with other mechanisms of injury should allow for better comprehension of this associated trauma, improved prevention, iatrogenic aggravation of, and care for, these serious injuries. Content Type Journal ArticleCategory Original ArticlePages 1-7DOI 10.1007/s00276-011-0900-0Authors J. Bréaud, Service de Chirurgie Infantile, Hôpitaux Pédiatriques de Nice, 57 avenue de la Californie, 06200 Nice, FranceP. Baqué, Laboratoire d’Anatomie, Faculté de Médecine de Nice, Nice, FranceJ. Loeffler, Ser...

The utility of a bladder scan protocol using a portable ultrasonographic device in subacute stroke patients.

Disability and Rehabilitation — Wed, 16 Nov 2011 05:00:00 +0100

Conclusions: Our bladder scan protocol for urinary retention after stroke may be useful as this allows catheterization of an adequate urine volume and reduces unnecessary bladder scanning. [Box: see text]. PMID: 22087731 [PubMed - as supplied by publisher] (Source: Disability and Rehabilitation)

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Management of detrusor external sphincter dyssynergia in neurogenic bladder.

European Journal of Physical and Rehabilitation Medicine — Fri, 11 Nov 2011 05:00:00 +0100

Authors: Mahfouz W, Corcos J Abstract Spinal cord injury (SCI) affects 11.5 to 53.4 individuals per million of the population in developed countries each year. SCI is caused by trauma, although it can also result from myelopathy, myelitis, vascular disease or arteriovenous malformations and multiple sclerosis. Patients with complete lesions of the spinal cord between spinal cord level T6 and S2, after they recover from spinal shock, generally exhibit involuntary bladder contractions without sensation, smooth sphincter synergy, but with detrusor striated sphincter dyssynergia (DESD). Those with lesions above spinal cord level T6 may experience, in addition, smooth sphincter dyssynergia and autonomic hyperreflexia. DESD is a debilitating problem in patients with SCI. It carries a hig...

What makes hospitalized patients more vulnerable and increases their risk of experiencing an adverse event?

International Journal for Quality in Health Care — Mon, 07 Nov 2011 05:00:00 +0100

Conclusions The true risk resides in the number of exposures to potentially iatrogenic actions, rather than being intrinsic to age or the presence of certain comorbidities. (Source: International Journal for Quality in Health Care)

Anatomical features of the urethra and urinary bladder catheterization in female mice and rats. An essential translational tool.

Acta Cirurgica Brasileira — Fri, 04 Nov 2011 01:45:03 +0100

CONCLUSIONS: Although technical and anatomical pearls for rodent urethral and bladder access are presented as tackles to the advancement of lower urinary tract preclinical investigation in a broaden sight, restriction to female animals hampers the male microenvironment, demanding future advances. PMID: 22030824 [PubMed - in process] (Source: Acta Cirurgica Brasileira)

Efficacy and tolerability of combined medication of two different antimuscarinics for treatment of adults with idiopathic overactive bladder in whom a single agent antimuscarinic therapy failed.

Canadian Urological Association Journal — Wed, 02 Nov 2011 04:00:00 +0100

CONCLUSION: This retrospective study suggests that combined medication can help adults with refractory idiopathic OAB. Combined medication was tolerated in most of our patients. PMID: 22060734 [PubMed - as supplied by publisher] (Source: Canadian Urological Association Journal)

Reply

Urology — Tue, 01 Nov 2011 04:00:00 +0100

This is a retrospective study on the efficacy of the pubovaginal sling (PVS), with the inherent limitations of this type of study. However, even retrospective studies with large cohorts and adequate follow-up can offer some valuable results as a basis for future high-quality prospective studies, which are expected to give more robust and reliable results. We eventually decided to exclude a group of 33 patients with neuropathic bladder originally included in our series for several reasons. First, the treatment goal for these patients was to produce increased outlet resistance, so the patients could start intermittent catheterization. Second, this was a unique group of patients in terms of the underlying pathologic features and outcome that required extensive analysis. Therefore, for the sak...

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Aseptic Meningitis with Urinary Retention: A Case Report

Clinical and Developmental Immunology — Sun, 30 Oct 2011 22:52:59 +0100

Conclusion. There are few reports concerning aseptic meningitis together with acute urinary retention. A number of these cases concern so-called “meningitis-retention syndrome,” which implies an underlying CNS mechanism, while others concerned an underlying peripheral nervous system mechanism. (Source: Clinical and Developmental Immunology)

Use of Flexible Cystoscopy to Insert a Foley Catheter over a Guide Wire in Spinal Cord Injury Patients: Special Precautions to be Observed

Experimental Diabetes Research — Wed, 26 Oct 2011 19:24:29 +0100

When urethral catheterisation is difficult or impossible in spinal cord injury patients, flexible cystoscopy and urethral catheterisation over a guide wire can be performed on the bedside, thus obviating the need for emergency suprapubic cystostomy. Spinal cord injury patients, who undergo flexible cystoscopy and urethral catheterisation over a guide wire, may develop potentially serious complications. (1) Persons with lesion above T-6 are susceptible to develop autonomic dysreflexia during cystoscopy and urethral catheterisation over a guide wire; nifedipine 5–10 milligrams may be administered sublingually just prior to the procedure to prevent autonomic dysreflexia. (2) Spinal cord injury patients are at increased risk for getting urine infections as compared to able-bodied indiv...

Long‐term Follow‐up (18–35 years) of Male Patients with History of Bladder Exstrophy (BE) Repair in Childhood: Erectile Function and Fertility Potential Outcome

The Journal of Sexual Medicine — Mon, 24 Oct 2011 04:00:00 +0100

Conclusion. Long‐term outcome of bladder exstrophy repair in male patients showed fair results with respect to sexual function with more or less stable sexual relationship. We should do our best to solve the problem of those with restricted sexual lives. Salem HK and Eisa M. Long‐term follow‐up (18–35 years) of male patients with history of bladder exstrophy (BE) repair in childhood: Erectile function and fertility potential outcome. J Sex Med **;**:**–**. (Source: The Journal of Sexual Medicine)

Editorial Comment

The Journal of Urology — Mon, 24 Oct 2011 04:00:00 +0100

The introduction by Lapides et al of clean intermittent catheterization revolutionized urology. It made augmentation cystoplasty and neobladders practical. It also freed many patients, particularly those with neurogenic bladders, from the dangers of chronic urethral and suprapubic catheters. While most patients could safely perform CIC without risk of infection, some were observed to be more vulnerable. The current study confirms that CIC can be safely conducted in most patients with neurogenic bladders without antibiotic prophylaxis—but not all. It is intriguing that 43% of those who had discontinued prophylaxis later restarted it. The authors note that these children seemed to have a high number of pre-study UTIs per patient-year. Does this finding suggest that these patients are actua...

Teaching patients clean intermittent self-catheterisation prior to anti-incontinence or prolapse surgery: is it necessary in women with obstructive voiding dysfunction?

International Urology and Nephrology — Fri, 21 Oct 2011 16:00:20 +0100

Conclusions Routine teaching of the technique of CISC to ‘high risk’ patients prior to anti-incontinence and/or prolapse surgery appears to be an unnecessary use of valuable nursing time as well as being an invasive intervention which is unlikely to be required post-operatively. Content Type Journal ArticleCategory Urology - Original PaperPages 1-5DOI 10.1007/s11255-011-0072-1Authors Hassan M. Elbiss, Department of Obstetrics and Gynaecology, Faculty of Medicine and Health Sciences, United Arab Emirates University, Al Ain, UAEPaul A. Moran, Department of Obstetrics and Gynaecology, Worcestershire Royal Hospital NHS Trust, Worcester, UKFayez T. Hammad, Department of Surgery, Faculty of Medicine and Health Sciences, United Arab Emirates University, PO Box 17666, A...

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Wallace direct versus anti‐reflux Le Duc ureteroileal anastomosis: Comparative analysis in modified Studer orthotopic neobladder reconstruction

International Journal of Urology — Mon, 17 Oct 2011 04:00:00 +0100

Conclusions: Direct ureteroileal anastomosis using the Wallace method is effective for minimizing ureteroileal anastomosis stenosis and it represents a simple surgical procedure when combined with a modified Studer procedure. (Source: International Journal of Urology)

Twelve-year Experience With Hinman-Allen Syndrome at a Single Center

Urology — Wed, 12 Oct 2011 04:00:00 +0100

Conclusion: Close follow-up at a single institution and proactive treatment resulted in successful stabilization of HAS in most of our children with HAS. (Source: Urology)

Intravesical botox for overactive bladder

International Journal of Surgery — Thu, 06 Oct 2011 22:52:31 +0100

Aim: Overactive bladder (OAB) affects over 16% of those above 40 years. Intravesical Botox has been shown to reduce void frequency, incontinence episodes and improve quality of life in patients with OAB. Known complications include urinary retention and need for intermittent self catheterisation (ISC). (Source: International Journal of Surgery)

Add‐on fesoterodine for residual storage symptoms suggestive of overactive bladder in men receiving α‐blocker treatment for lower urinary tract symptoms

BJU International — Sat, 01 Oct 2011 04:00:00 +0100

CONCLUSIONS• Flexible‐dose fesoterodine was well tolerated as an add‐on treatment in men with persistent storage symptoms.• Changes in urgency episodes at week 12 (primary endpoint) and many secondary endpoints were not significantly different between fesoterodine and placebo add‐on treatment; however, improvements in frequency and symptom bother were significantly greater with fesoterodine.• These data suggest that there remains a limited understanding of the optimal evaluation and treatment of men with LUTS. (Source: BJU International)

[Complications of bladder catheterization to obtain a urine sample in the emergency department].

Anales de Pediatria — Sat, 01 Oct 2011 04:00:00 +0100

CONCLUSIONS: BC performed in ED to obtain a urine sample in non toilet-trained children is effective and safe. BC is an invasive method which needs to be quality controlled. PMID: 21536509 [PubMed - in process] (Source: Anales de Pediatria)

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Comparison of urine protein profiles in cats without urinary tract disease and cats with idiopathic cystitis, bacterial urinary tract infection, or urolithiasis.

American Journal of Veterinary Research — Sat, 01 Oct 2011 04:00:00 +0100

Conclusions and Clinical Relevance-Results indicated that urine fibronectin content in cats with IdC was greater than that in controls, cats with UTI, or cats with urolithiasis. In cats with IdC, increased permeability of damaged urothelium may result in detachment and leakage of fibronectin into urine. Urine fibronectin might serve as a biomarker for diagnosis of IdC in cats. PMID: 21962285 [PubMed - in process] (Source: American Journal of Veterinary Research)

Editorial Comment

Urology — Sat, 01 Oct 2011 04:00:00 +0100

This is an interesting report on using a wrap of detrusor muscle in an attempt to establish continence in the exstrophy population. Although 25% of the patients were voiding alone without catheterization or augmentation, the rest required catheterization through a continent stoma. The authors should inform us up front whether this is a procedure mainly to be used with augmentation or do they recommend it as a primary repair to establish voided continence. A major point of their report is that bladder neck injection does not increase the bladder capacity nor does it rescue a failed bladder neck. This is a major point to be understood for surgeons who do not perform a lot of exstrophy surgery. I clearly believe the authors' continence rate would have been better had they chosen a greater thr...

The benefits of intermittent self-catheterization.

British Journal of Nursing — Sat, 01 Oct 2011 04:00:00 +0100

Authors: Collis Pellatt G, Woodward S Abstract Intermittent self-catheterization (ISC) is the insertion of a catheter into one's own bladder; the bladder is drained and the catheter is removed(Logan, 2011). Intermittent self catheterization has developed over the past 30 years as a way of managing patients with voiding difficulties that cause the retention of urine (Winder, 2002a). PMID: 22067638 [PubMed - in process] (Source: British Journal of Nursing)

Efficacy of urethral catheterisation with a hydrophilic guidewire in patients with urethral trauma for treating acute urinary bladder retention after failed attempt at blind catheterisation

European Radiology — Thu, 29 Sep 2011 06:19:27 +0100

Conclusions Hydrophilic guidewire-assisted urethral catheterisation in patients with urethral trauma is a safe, simple technique for relieving acute bladder retention after a failed attempt at blind catheterisation. Key Points • Hydrophilic guidewire-assisted urethral catheterisation is useful following failed blind catheterisation. • Immediate management of urethral injury is important to reduce morbidity. • Hydrophilic guidewire-assisted urethral catheterisation can be applied immediately after diagnostic urethrography. Content Type Journal ArticleCategory Emergency RadiologyPages 1-7DOI 10.1007/s00330-011-2282-4Authors Sun Hye Jeong, Department of Radiology, Soonchunhyang University Hospital Bucheon, 1174, Jungdong, Wonmig...

Medical Interns' knowledge and training regarding urethral catheter insertion and insertion-related urethral injury in male patients

BMC Medical Education — Tue, 27 Sep 2011 04:00:00 +0100

Conclusions: More thorough training of incoming medical interns in urinary catheterization may help to reduce the risk of complications and injury. Training should be universal and thought given to its timing within the curriculum. Training should include step by step instruction in the process, emphasis on history taking and awareness of factors associated with increased risk of urethral injury. (Source: BMC Medical Education)

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Management of panurethral strictures

Indian Journal of Urology — Mon, 26 Sep 2011 04:00:00 +0100

Conclusions : Panurethral strictures are relatively less common. For successful results, the surgeon should be experienced and should be familiar with all the treatment modalities. (Source: Indian Journal of Urology)

The current role of direct vision internal urethrotomy and self-catheterization for anterior urethral strictures

Indian Journal of Urology — Mon, 26 Sep 2011 04:00:00 +0100

Conclusions : DVIU is associated with poor long-term cure rates. It remains as a treatment of first choice for bulbar urethral strictures <1 cm with minimal spongiofibrosis. There is no role for repeated urethrotomy as outcomes are uniformly poor. ISD, when used for more than a year on a weekly or biweekly basis may delay the onset of stricture recurrence. (Source: Indian Journal of Urology)

Acute Urinary Retention in Young Adult and Middle-Aged Males Due to Calculi in the Urethra: A Single Centre Experience From North India.

Actas Urologicas Espanolas — Mon, 26 Sep 2011 04:00:00 +0100

CONCLUSION: Endoscopic management is currently the treatment of choice for stone/s in the urethra which may cause AUR in young and middle-aged male. PMID: 21955563 [PubMed - as supplied by publisher] (Source: Actas Urologicas Espanolas)

Management of the Failed Transurethral Resection of the Prostate

Current Bladder Dysfunction Reports — Fri, 23 Sep 2011 05:45:14 +0100

Abstract Transurethral resection of the prostate (TURP) is the gold standard for treatment of symptomatic benign prostatic enlargement. Failure of TURP and other similar procedures may occur when a patient has poor bladder emptying postoperatively or has persistent or de novo bothersome postoperative lower urinary tract symptoms. Reasons for failure include inadequate resection, clot retention, anesthesia-related side effects, postoperative pain, hypo- or acontractile bladder, and/or poor patient selection. Patients initially can be managed conservatively or proactively. When clinically significant storage or voiding dysfunction persists, evaluation is necessary and may include cystoscopy and/or urodynamics. Depending on the diagnosis and etiology, patients can then be man...

Tissue Engineering Potential of Urothelial Cells From Diseased Bladders

The Journal of Urology — Fri, 23 Sep 2011 04:00:00 +0100

Conclusions: While normal human urothelium is highly regenerative and derived cells are highly proliferative in culture, our results with urothelium from abnormal pediatric bladders indicate a reduced capacity for proliferation and differentiation in vitro. This finding may indicate a need to identify alternative cell sources for engineered bladder reconstruction. (Source: The Journal of Urology)

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Phase IIb/III Dose Ranging Study of Tamsulosin as Treatment for Children With Neuropathic Bladder

The Journal of Urology — Fri, 23 Sep 2011 04:00:00 +0100

Conclusions: Tamsulosin was well tolerated but not efficacious in this pediatric population with neuropathic bladder. (Source: The Journal of Urology)

Transurethral bladder catheterization of male rhesus macaques: a refinement of approach

Journal of Medical Primatology — Thu, 22 Sep 2011 21:53:24 +0100

Conclusions The urinary bladder of male rhesus can be reliably and reproducibly catheterized with minimal complication using this approach. Successful catheterization was facilitated by thorough urethral lubrication and using suitable catheters. In addition, this approach may be performed without sedation on thoroughly conditioned animals. (Source: Journal of Medical Primatology)

Robotic Transperineal Prostate Biopsy: Pilot Clinical Study

Urology — Wed, 21 Sep 2011 04:00:00 +0100

Conclusion: This pilot study demonstrated BioXbot's safety and feasibility as a biopsy platform. It can potentially be used for image-guided PB and focal therapy. (Source: Urology)

CKD and Bladder Problems in Children

Advances in Chronic Kidney Disease — Thu, 01 Sep 2011 04:00:00 +0100

Approximately 35% of children with CKD who require renal replacement therapy have a significant urological abnormality, including posterior urethral valves, a neuropathic bladder, prune belly syndrome, Hinman syndrome, or severe vesicoureteral reflux. In such children, abnormal bladder function can have a significant deleterious effect on the renal function. In children with bladder outlet obstruction, bladder compliance and capacity often are abnormal, and a sustained intravesical pressure of >40 cm H2O impedes drainage from the upper urinary tract. Consequently, in these conditions, regular evaluation with renal sonography, urodynamics, urine culture, and serum chemistry needs to be performed. Pediatric urological care needs to be coordinated with pediatric nephrologists. Many boys with ...

Bidirectional Barbed Suture for Bladder Neck Reconstruction, Posterior Reconstruction and Vesicourethral Anastomosis During Robot Assisted Radical Prostatectomy.

Actas Urologicas Espanolas — Thu, 01 Sep 2011 04:00:00 +0100

CONCLUSION: The authors successfully modified their RARP technique to take advantage of the properties of the bidirectional barbed suture. Comparative studies that evaluate objective outcomes such as leakage rates and operative time are needed to definitely establish the benefits of this device in comparison to the traditional absorbable monofilament. PMID: 21889821 [PubMed - as supplied by publisher] (Source: Actas Urologicas Espanolas)

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Intraperitoneally Placed Foley Catheter via Verumontanum Initially Presenting as a Bladder Rupture.

J Korean Med Sci — Thu, 01 Sep 2011 04:00:00 +0100

Authors: Raheem OA, Jeong YB Abstract Since urethral Foley catheterization is usually easy and safe, serious complications related to this procedure have been rarely reported. Herein, we describe a case of intraperitoneally placed urethral catheter via verumontanum presenting as intraperitoneal bladder perforation in a chronically debilitated elderly patient. A 82-yr-old male patient was admitted with symptoms of hematuria, lower abdominal pain after traumatic Foley catheterization. The retrograde cystography showed findings of intraperitoneal bladder perforation, but emergency laparotomy with intraoperative urethrocystoscopy revealed a tunnel-like false passage extending from the verumontanum into the rectovesical pouch between the posterior wall of the bladder and the anterior wa...

Masked urinary bladder injury with a bullet expulsed spontaneously during voiding.

Turkish Journal of Trauma and Emergency Surgery : TJTES — Thu, 01 Sep 2011 04:00:00 +0100

We report a case with gunshot to the pelvis. The injury site was the soft tissue between the rectum and urinary bladder. Several days later, the bullet was expulsed spontaneously during voiding. In the literature, only a few case reports have described spontaneous expulsion of an intravesical bullet. A 19-year-old male was wounded on the left hip by gunshot. Radiographic examinations showed a bullet in the pelvis, which was localized in the soft tissue between the rectum and urinary bladder, with no accompanying visceral injury on abdominopelvic computerized tomography. Macroscopic hematuria was noticed after urethral catheterization. Rectosigmoidoscopy and retrograde cystoscopic examinations were both negative. The patient was monitored closely and treated conservatively with no surgical ...

Self‐reported competence of urethral catheterization in interns

ANZ Journal of Surgery — Wed, 31 Aug 2011 23:00:00 +0100

(Source: ANZ Journal of Surgery)

Quality of life and urological morbidity in tetraplegics with artificial ventilation managed with suprapubic or intermittent catheterisation

Spinal Cord — Mon, 29 Aug 2011 23:00:00 +0100

Authors: R Böthig, S Hirschfeld & R Thietje (Source: Spinal Cord)

FDA approves botulinum toxin A (Botox®) to treat specific forms of urinary incontinence

NeLM - News — Wed, 24 Aug 2011 23:00:00 +0100

Source: FDA Area: News The FDA has approved botulinum toxin A injection (Botox®) to treat urinary incontinence in people with neurological conditions such as spinal cord injury and multiple sclerosis who have an overactive bladder. The approval was based on data from two clinical studies in 691 patients which showed statistically significant decreases in the weekly frequency of incontinence episodes in the Botox group compared with placebo. The most common adverse reactions observed following injection were urinary tract infection and urinary retention. Those who develop urinary retention after Botox treatment may require self-catheterisation to empty the bladder. Botox is currently not approved for this indication in the UK. (Source: NeLM - News)

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The diagnosis of acute urethral trauma

Injury — Wed, 24 Aug 2011 19:56:23 +0100

Discussion: Reliance on clinical features alone to predict urethral injury results in a substantial proportion of missed injuries in major trauma patients. RUGs did not appear to be needed in patients with no disruption of the pubic symphysis on initial pelvis X-ray or where no signs of urethral injury are present. In the absence of clinical signs and pubic symphysis disruption, blind urethral catheterisation may be attempted. (Source: Injury)

Safer urethral catheters: how study of catheter balloon pressure and force can guide design

BJU International — Sun, 21 Aug 2011 23:00:00 +0100

CONCLUSIONS• Iatrogenic complications from improper urethral catheter use is common.• Catheter balloon pressures and manual extraction forces associated with urethral injury are significantly greater than those found with normal use.• The differences in pressure and force may be incorporated into a safer urethral catheter design, which may significantly reduce iatrogenic urethral injury associated with catheterization. (Source: BJU International)

Urinary Tract Infections in Patients with Spinal Cord Injuries

Current Infectious Disease Reports — Fri, 19 Aug 2011 06:23:16 +0100

Abstract Spinal cord injuries (SCI) result in different lower urinary tract dysfunctions. Because of both the disease and the bladder drainage method, urinary tract infections (UTIs) are one of the most frequent conditions seen in SCI patients. Diagnosis is not always easy due to lack of symptoms. Asymptomatic bacteriuria needs no treatment. If symptoms occur, antibiotherapy is indicated. Duration depends mainly on severity of illness and upper urinary tract or prostatic involvement. Choice of antibiotherapy should be based on local resistance profiles, but fluoroquinolones seems to be an adequate empirical treatment. Prevention of UTI is important, as lots of complications can be foreseen. Catheter care, permanent low bladder pressure and clean intermittent catheterizatio...

Decreased Urethral Mucosal Damage and Delayed Bacterial Colonization During Short-Term Urethral Catheterization Using a Novel Trefoil Urethral Catheter Profile in Rabbits

The Journal of Urology — Fri, 19 Aug 2011 04:00:00 +0100

Purpose: We evaluated the efficacy of a novel catheter with a trefoil profile to decrease urothelial irritation and delay catheter associated urinary tract infections by comparing it with a conventional catheter in the rabbit model.Materials and Methods: A novel catheter was made of medical silicone with a trefoil profile design. A total of 66 male New Zealand White rabbits were anesthetized and equally randomized into a control or a novel trefoil profile catheter group. Of the animals 10 per group were sacrificed at days 2, 4 and 8 of catheterization, respectively. Urine samples were cultured and urethral tissues were histopathologically evaluated. The remaining 6 rabbits were selected for urethral endoscopic assessment at day 10.Results: After 4 days of catheterization the novel trefoil ...

Urinary Retention After Orthotopic Neobladder Substitution in Females

The Journal of Urology — Thu, 18 Aug 2011 04:00:00 +0100

Conclusions: Urinary retention in female patients with a neobladder can be functional, anatomical or multifactorial. In our series common anatomical findings associated with urinary retention were neocystocele formation and urethral kinking. (Source: The Journal of Urology)

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Preoperative urodynamic predictors of short-term voiding dysfunction following a transobturator tension-free vaginal tape procedure

International Journal of Gynaecology and Obstetrics — Fri, 12 Aug 2011 04:00:00 +0100

Conclusion: Preoperative urodynamic parameters did not predict the development of short-term voiding dysfunction after a TO-TVT procedure. (Source: International Journal of Gynaecology and Obstetrics)

Factors predicting continence recovery 1 month after radical prostatectomy: Results of a multicenter survey

International Journal of Urology — Wed, 10 Aug 2011 23:00:00 +0100

Conclusions: Age and nerve sparing are not significant predictors of continence recovery 1 month after RP. Preoperative erectile function can predict post‐prostatectomy incontinence. Bladder neck preservation has a significant effect on early continence recovery after RP. (Source: International Journal of Urology)

A qualitative study exploring the emotional responses of female patients learning to perform clean intermittent self‐catheterisation

Journal of Clinical Nursing — Sun, 31 Jul 2011 23:00:00 +0100

Conclusion. Loss of normal bladder function may represent a devastating event and trigger emotional responses associated with grief and loss. Patients may experience a range of reactions whilst learning CISC, including embarrassment and aversion, which may not dissipate over time. However, psychological distress is not inevitable and varies enormously between individuals. The nursing approach is vital, as individualised, empathic care is recognised and valued.Relevance to clinical practice. This study adds to an emerging body of knowledge providing an enhanced understanding of the lived experiences of patients learning CISC. Nurses need to be alert to a range of potential emotional responses. This will facilitate the adoption of individualised teaching and learning strategies, design...

Patient preferences for clean intermittent catheterisation and transurethral indwelling catheterisation for treatment of abnormal post‐void residual bladder volume after vaginal prolapse surgery

BJOG: An International Journal of Obstetrics and Gynaecology — Fri, 29 Jul 2011 16:18:13 +0100

Conclusions Most patients with abnormal PVR prefer CIC to TIC. The results of a recent randomised controlled trial showed that CIC resulted in a 2 days shorter catheterisation and more than 20% reduced risk of UTI. These conditions correspond to a preference of 99% of patients for CIC. (Source: BJOG: An International Journal of Obstetrics and Gynaecology)

Bipolar Plasma Vaporization vs Monopolar and Bipolar TURP–A Prospective, Randomized, Long-term Comparison

Urology — Fri, 29 Jul 2011 04:00:00 +0100

Conclusion: BPVP represents a valuable endoscopic treatment alternative for BPH patients, with superior efficacy and satisfactory complication rate. The long-term follow-up emphasized durable improvements of the postoperative parameters for BPVP. (Source: Urology)

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Feasibility and early outcomes of robotic‐assisted laparoscopic Mitrofanoff appendicovesicostomy in patients with prune belly syndrome

BJU International — Wed, 27 Jul 2011 23:00:00 +0100

CONCLUSION• In our initial experience, RALMA is a feasible option with encouraging early experience for creating a continent catheterizable channel into the urinary bladder in patients with prune belly syndrome. (Source: BJU International)

Megacystis microcolon intestinal hypoperistalsis syndrome: systematic review of outcome

Pediatric Surgery International — Tue, 26 Jul 2011 15:57:48 +0100

Conclusions The survival in MMIHS in recent years has improved. The majority of survivors are either maintained by TPN or have undergone multiorgan transplantations. Content Type Journal ArticlePages 1-6DOI 10.1007/s00383-011-2954-9Authors Jan-Hendrik Gosemann, National Children’s Research Centre, Our Lady’s Children’s Hospital, Crumlin, Dublin 12, IrelandPrem Puri, National Children’s Research Centre, Our Lady’s Children’s Hospital, Crumlin, Dublin 12, Ireland Journal Pediatric Surgery InternationalOnline ISSN 1437-9813Print ISSN 0179-0358 (Source: Pediatric Surgery International)

Extraperitoneal Laparoscopic Millin Prostatectomy Using Finger Enucleation

The Journal of Urology — Sun, 24 Jul 2011 23:00:00 +0100

Conclusions: This procedure is safe and fast with excellent functional outcomes. However, prolonged catheterization and hospitalization are still required. (Source: The Journal of Urology)

The effects of long-term medical treatment combined with clean intermittent catheterization in children with neurogenic detrusor overactivity

International Urology and Nephrology — Thu, 21 Jul 2011 18:07:46 +0100

Conclusions In children with NDO, conservative medical treatment combined with CIC is feasible and provides an improved pattern of bladder function, which could help avoid bladder surgery. Content Type Journal ArticlePages 1-7DOI 10.1007/s11255-011-0030-yAuthors Thomas Lehnert, Department of Pediatric Surgery, University of Leipzig, Leipzig, GermanyMargit Weisser, Department of Pediatric Surgery, University of Leipzig, Leipzig, GermanyHolger Till, Department of Pediatric Surgery, University of Leipzig, Leipzig, GermanyUdo Rolle, Department of Pediatric Surgery, Goethe-University Frankfurt/M, Theodor-Stern-Kai 7, 60590 Frankfurt, Germany Journal International Urology and NephrologyOnline ISSN 1573-2584Print ISSN 0301-1623 (Source: International Urology and Neph...

Detrusor Wraparound for Bladder Neck Reconstruction in Cohort of Children With Bladder Exstrophy

Urology — Wed, 20 Jul 2011 04:00:00 +0100

Conclusion: The detrusor wraparound bladder neck technique is a viable option for bladder neck reconstruction for incontinent children after exstrophy closure. However, bladder augmentation and continent outlet construction are the pillars of optimal success. Injection of bulking agent at the bladder neck for failure has had poor success. (Source: Urology)

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WOCA, Botulinum Toxin Considered for Neurogenic Bladder

Ob.Gyn. News — Thu, 30 Jun 2011 23:00:00 +0100

WASHINGTON – How should one manage a 35-year-old woman with multiple sclerosis on self-clean intermittent catheterization who complains of pelvic pain and cloudy urine? Such a patient with “neurogenic bladder” and possible urinary tract infection needs careful diagnosis, catheterization review, and possibly other management considerations, said Dr. Stephen R. Kraus during a panel discussion of recurrent UTIs at the meeting. (Source: Ob.Gyn. News)

Urinary tract infection associated with conditions causing urinary tract obstruction and stasis, excluding urolithiasis and neuropathic bladder

World Journal of Urology — Thu, 30 Jun 2011 17:49:43 +0100

Conclusions In patients with UTI and urinary tract obstruction, targeted antibiotic treatment according to urine culture should be complemented with urgent drainage (bladder catheterization, percutaneous nephrostomy or ureteric stenting) followed by definitive surgery to remove the cause of obstruction or stasis once infection is under control. Content Type Journal ArticlePages 1-7DOI 10.1007/s00345-011-0725-9Authors C. F. Heyns, Department of Urology, Faculty of Health Sciences, University of Stellenbosch, PO Box 19063, Tygerberg, 7505 South Africa Journal World Journal of UrologyOnline ISSN 1433-8726Print ISSN 0724-4983 (Source: World Journal of Urology)

Effect of repeated detrusor onabotulinumtoxinA injections on bladder and renal function in patients with chronic spinal cord injuries

Neurourology and Urodynamics — Tue, 28 Jun 2011 23:00:00 +0100

ConclusionThis pilot study revealed that repeated detrusor injections of 200 U onabotulinumtoxinA could reduce incontinence grade, increase bladder capacity, and decrease intravesical pressure but this study did not demonstrate an improvement in GFR over a 24‐month period in patients with chronic SCI. Neurourol. Urodynam. © 2011 Wiley‐Liss, Inc. (Source: Neurourology and Urodynamics)

Surgical classification of different types of en bloc resection for primary malignant sacral tumors

European Spine Journal — Tue, 28 Jun 2011 15:50:20 +0100

Conclusion Our classification system and the corresponding surgical approaches are helpful in dealing with primary malignant sacral tumors. Better oncologic results could be expected if free margin without tumor rupture was accomplished. Content Type Journal ArticlePages 1-7DOI 10.1007/s00586-011-1883-6Authors Dasen Li, Musculoskeletal Tumor Center, People’s Hospital, Peking University, Xizhimen Nan 11#, Xicheng District, Beijing, 100044 ChinaWei Guo, Musculoskeletal Tumor Center, People’s Hospital, Peking University, Xizhimen Nan 11#, Xicheng District, Beijing, 100044 ChinaXiaodong Tang, Musculoskeletal Tumor Center, People’s Hospital, Peking University, Xizhimen Nan 11#, Xicheng District, Beijing, 100044 ChinaTao Ji, Musculoskeletal Tumor Center, People’s H...

Low Incidence of Urinary Tract Infections Following Renal Transplantation in Children With Bladder Augmentation

The Journal of Urology — Thu, 16 Jun 2011 23:00:00 +0100

Conclusions: In our series there was no increase in urinary tract infection rate following renal transplantation in patients with augmented bladders compared to controls. This finding may be due to the use of gastric augmentation, antirefluxing reimplantation and gentamicin irrigations. (Source: The Journal of Urology)

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Nonvoiding Activity of the Guinea Pig Bladder

The Journal of Urology — Thu, 16 Jun 2011 23:00:00 +0100

Conclusions: Nonvoiding contractions are present in the anesthetized guinea pig. Under normal physiological conditions they increase in amplitude and frequency with the increase in the filling rate and in intravesical volume. Small and large nonvoiding contractions differ in frequency pattern and occur at different bladder filling periods. This may illustrate different afferents functioning during bladder filling, which could be important for understanding bladder pathology. (Source: The Journal of Urology)

Intermittent self‐catheterization service provision: perspectives of people with spinal cord injury

International Journal of Urological Nursing — Thu, 16 Jun 2011 16:34:25 +0100

Intermittent self‐catheterization (ISC) is a recommended treatment for people with a neuropathic bladder due to spinal injury. The majority of the literature to date has focused on the safety and the complication rates of ISC and use of different catheters. The aim of this paper explores the lived experience of people with spinal cord injury carrying ISC and the impact of service provision on rehabilitation. A qualitative approach was used based on grounded theory. Fifteen users (11 men and 4 women) of ISC took part in semi‐structured interviews during 2009. Ages ranged from 24 to 68 years. The sample was recruited from the regional spinal unit. Thematic analysis was used to analyse the emergent themes. The results of the core theme, the patients' journey, related to the patients' pers...

Bladder Care Postvaginal Delivery: How 2 Hour Recovery Decreased Bladder Catheterization

Journal of Obstetric, Gynecologic, and Neonatal Nursing — Tue, 31 May 2011 23:00:00 +0100

(Source: Journal of Obstetric, Gynecologic, and Neonatal Nursing)

Bladder dysfunction in peripheral neuropathies

Muscle and Nerve — Fri, 27 May 2011 21:08:06 +0100

AbstractNormal bladder function depends on the complex interaction of sensory and motor pathways. Bladder dysfunction can develop as a result of several neurological conditions. It can happen in a number of ways including diabetic cystopathy, detrusor overactivity, bladder outlet obstruction, and urge and stress urinary incontinence. Diabetic neuropathy is the most common cause for peripheral neuropathy‐associated bladder dysfunction. Guillain‐Barre Syndrome (GBS), Human immunodeficiency virus (HIV) ‐associated neuropathy, chronic inflammatory demyelinating polyneuropathy (CIDP), and amyloid neuropathy are other important causes. The diagnosis of bladder dysfunction should be established by the history of neurologic symptoms, neurologic examination, and urological evaluation. Functio...

Advances in non-surgical treatments for urinary tract infections in children

World Journal of Urology — Wed, 25 May 2011 16:01:53 +0100

Conclusion The published reports usually included small number of patients and were lacking of randomization and controlled group. Further well-designed studies are warranted to support the concepts of non-operative management for pediatric UTI. Content Type Journal ArticlePages 1-7DOI 10.1007/s00345-011-0700-5Authors Stephen Shei-Dei Yang, Division of Urology, Buddhist Tzu Chi General Hospital, Taipei Branch, No. 289 Chienkuo Road, Xindian City, Taipei 231, TaiwanI-Ni Chiang, Division of Urology, Department of Surgery Keelung Hospital, Keelung, TaiwanChia-Da Lin, Division of Urology, Buddhist Tzu Chi General Hospital, Taipei Branch, No. 289 Chienkuo Road, Xindian City, Taipei 231, TaiwanShang-Jen Chang, Division of Urology, Buddhist Tzu Chi General Hospital, Taipei ...

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A survey of the practice of nurses’ skills in Wenchuan earthquake disaster sites: implications for disaster training

Journal of Advanced Nursing — Tue, 24 May 2011 23:00:00 +0100

Conclusion. The core nursing skills for disaster response training are: mass casualty transportation; emergency management; haemostasis, bandaging, fixation, manual handling; observation and monitoring; mass casualty triage; controlling specific infection; psychological crisis intervention; cardiopulmonary resuscitation; debridement and dressing; central venous catheter insertion; patient care recording. (Source: Journal of Advanced Nursing)

Staged Male Urethroplasty Transferring Megalourethra Tissue as Free Graft Dorsal Inlay to Proximal Urethral Atresia in VACTERL Association

Urology — Mon, 23 May 2011 04:00:00 +0100

Megalourethra is a rare spectrum of urologic malformations of penile corporal structures frequently associated with multiple congenital anomalies, such as prune belly syndrome or vertebral, anorectal, cardiac, trachea-esophageal, renal, and limb (VACTERL association) defects. A 6-year-old boy with VACTERL association and proximal urethral atresia with distal fusiform megalourethra underwent staged reconstruction, including appendicovesicostomy, perineal urethrostomy, and first-stage urethroplasty with a dorsal inlay free graft of megalourethra tissue to the proximal urethral atretic region, followed by second-stage urethroplasty. At 2.6 years of follow-up, he was continent, voids per urethra without postvoid residual urine volume, and no longer performs clean intermittent catheterization b...

Urethral catheters: can we reduce use?

BMC Urology - Latest articles — Sun, 22 May 2011 23:00:00 +0100

Background: Indwelling urinary catheters are the main cause of healthcare-associated urinary tract infections. It can be expected that reduction of the use of urinary catheters will lead to decreased numbers of urinary tract infection. Methods: The efficacy of an intervention programme to improve adherence to recommendations to reduce the use of urethral catheters was studied in a before-after comparison in ten Dutch hospitals. The programme detected barriers and facilitators and each individual facility was supported with developing their own intervention strategy. Outcome was evaluated by the prevalence of catheters, alternatives such as diapers, numbers of urinary tract infections, the percentage of correct indications and the duration of catheterization. The costs of the implementation...

For the time being, routine indwelling catheterisation of the bladder for caesarean section remains recommended.

BJOG : An International Journal of Obstetrics and Gynaecology — Wed, 18 May 2011 04:01:13 +0100

Authors: Page AS, Page G PMID: 21564479 [PubMed - in process] (Source: BJOG : An International Journal of Obstetrics and Gynaecology)

Management of the bladder in traumatic injuries of the spinal cord during the First World War and its implications for the current practice of urology

BJU International — Tue, 17 May 2011 23:00:00 +0100

What’s known on the subject? and What does the study add?Prior to the First World War, Traumatic injuries to the spinal cord rapidly led to death from severe infections of the bladder. During the Second World War, Ludwig Guttmann resurrected the use of intermittent catheterisation at Stoke Mandeville Hospital, by meticulous attention to detail and was so successful, that this method was introduced into general urological practice.Historical review of the management of the bladder in patients with spinal injuries. Spinal injury patients – literature review – personal experience at Stoke Mandeville Hospital. Review of the different methods of catheterisation from the 19th century to today. Methods learned from the management of the bladder of spinal injuries patients were adopted into ...

Health-Related Quality of Life in Patients Reliant Upon Mitrofanoff Catheterisation

European Journal of Pediatric Surgery — Mon, 16 May 2011 23:00:00 +0100

Eur J Pediatr SurgDOI: 10.1055/s-0031-1275748AbstractObjective: Aim of the study was determine health care outcomes from the patients' perspective in patients reliant on Mitrofanoff catheterisation for bladder emptying.[...]© Georg Thieme Verlag KG Stuttgart · New YorkArticle in Thieme eJournals:Table of contents | Abstract | Full text (Source: European Journal of Pediatric Surgery)

The safety and efficacy of botulinum toxin‐A in the management of bladder oversensitivity: a randomised double‐blind placebo‐controlled trial

International Journal of Clinical Practice — Fri, 13 May 2011 18:43:09 +0100

Conclusions: This is the first randomised, double blind, placebo‐controlled trial examining the effects of botn‐A exclusively in patients with BO. A significant increase in MCC was observed but this did not translate to clinical benefit with no change observed in the symptoms and quality of life for the majority of patients. (Source: International Journal of Clinical Practice)

For the time being, routine indwelling catheterisation of the bladder for caesarean section remains recommended

BJOG: An International Journal of Obstetrics and Gynaecology — Fri, 13 May 2011 13:55:19 +0100

(Source: BJOG: An International Journal of Obstetrics and Gynaecology)

Risk factors for urinary tract infection following incontinence surgery

International Urogynecology Journal — Wed, 11 May 2011 06:27:41 +0100

Conclusions Pre-operative rUTI is the strongest risk factor for post-operative UTI. Content Type Journal ArticlePages 1-11DOI 10.1007/s00192-011-1429-9Authors Ingrid Nygaard, Department of OB/GYN, University Utah, Salt Lake City, UT, USALinda Brubaker, Departments of OB/GYN and Urology, Loyola, Chicago, IL, USAToby C. Chai, Division of Urology, University of Maryland Baltimore, Baltimore, MD, USAAlayne D. Markland, Department of Medicine, Division of Geriatrics, Gerontology, and Palliative Care, University of Alabama at Birmingham, Birmingham, AL, USAShawn A. Menefee, Department of OB/GYN, Kaiser Permenente San Diego, San Diego, CA, USALarry Sirls, Department of Urology, William Beaumont Hospital, Royal Oak, MI, USAGary Sutkin, Department of OB/GYN, Magee Women’s Hosp...

Washout policies in long‐term indwelling urinary catheterization in adults: A short version cochrane review

Neurourology and Urodynamics — Tue, 10 May 2011 23:00:00 +0100

ConclusionsThe data from five trials comparing differing washout policies were sparse and trials were generally of poor quality or poorly reported. The evidence was too scant to conclude whether or not washouts were beneficial. Further rigorous, high quality trials with adequate power to detect any benefit from washout rather than no washout being performed are required in the first instance. After that, trials comparing different washout solutions, washout volumes, frequencies/timings, and routes of administration are needed. Neurourol. Urodynam. © 2011 Wiley‐Liss, Inc. (Source: Neurourology and Urodynamics)

Perineal surface electromyography does not typically demonstrate expected relaxation during normal voiding

Neurourology and Urodynamics — Mon, 09 May 2011 23:00:00 +0100

ConclusionsPerineal surface patch EMG did not measure expected pelvic floor and urethral sphincter relaxation during voiding. Preoperative EMG did not predict patients at risk for postoperative voiding dysfunction. Neurourol. Urodynam. © 2011 Wiley‐Liss, Inc. (Source: Neurourology and Urodynamics)

Lubrication and female catheterization.

British Journal of Nursing — Sun, 08 May 2011 23:00:00 +0100

Authors: Kyle G Catheter-associated urinary tract infections (CAUTIs) are the most common nosocomial (hospital-acquired) infections worldwide (Tambyah, 2004). These infections can arise through trauma to the urethra during catheterization and from the catheter itself, providing a pathway for bacteria to enter the bladder. CAUTIs can result in substantial costs to the healthcare service with delayed hospital discharge of up to 3-10 days (Kiernan, 2007), increased community nursing input costing a trust an extra £4000-£10000 per patient (Plowman et al, 2000) and antibiotic therapy (Kunin et al, 1992). Antibiotic therapy is costly, often unnecessary, and leads to increased problems with antibiotic-resistant pathogens (Maki and Tambyah, 2001). Numerous strategies have been devised in an ...

120-W GreenLight Laser Photoselective Vaporization of Prostate for Benign Prostatic Hyperplasia: Midterm Outcomes

Urology — Sun, 08 May 2011 23:00:00 +0100

Conclusions: PVP with a 120-W HPS laser for benign prostatic hyperplasia has been proved to be a safe and effective procedure for our patients, including those treated with oral anticoagulants. The functional outcome in larger prostates was similar to that in smaller glands. (Source: Urology)

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Efficacy of bladder irrigation and surveillance program in prevention of urinary tract infections and bladder calculi in children with an ileocystoplasty and bladder neck repair

Pediatric Surgery International — Sat, 07 May 2011 15:44:57 +0100

Conclusion Our bladder irrigation regime resulted in a low incidence of calculi by preventing recurrent UTI. The surveillance program resulted in high compliance rates in children with an augmented bladder with or without BNR. Content Type Journal ArticlePages 1-5DOI 10.1007/s00383-011-2913-5Authors Marleen van den Heijkant, Department of Paediatric Urology, Leeds Teaching Hospitals NHS Trust, Leeds, UKNadeem Haider, Department of Paediatric Urology, Leeds Teaching Hospitals NHS Trust, Leeds, UKCraig Taylor, Department of Paediatric Urology, Leeds Teaching Hospitals NHS Trust, Leeds, UKRamnath Subramaniam, Department of Paediatric Urology, Leeds Teaching Hospitals NHS Trust, Leeds, UK Journal Pediatric Surgery InternationalOnline ISSN 1437-9813Print ISSN 0179-...

The “Bladder sign”—An important early marker of retroperitoneal hemorrhage

Catheterization and Cardiovascular Interventions — Tue, 03 May 2011 04:00:00 +0100

We report six cases of retroperitoneal hemorrhage featuring a “bladder sign.” The compression of the bladder described in this series can be visualized on the incidental cystogram that results from contrast given during catheterization. Its significance as a highly specific marker of retroperitoneal hemorrhage should be appreciated. © 2011 Wiley‐Liss, Inc. (Source: Catheterization and Cardiovascular Interventions)

The “bladder sign” – An important early marker of retroperitoneal hemorrhage

Catheterization and Cardiovascular Interventions — Mon, 02 May 2011 23:00:00 +0100

We report 6 cases of retroperitoneal hemorrhage featuring a “bladder sign”. The compression of the bladder described in this series can be visualized on the incidental cystogram that results from contrast given during catheterization. Its significance as a highly specific marker of retroperitoneal hemorrhage should be appreciated.Vascular complications remain the most common adverse events associated with cardiac and peripheral intervention, occurring in approximately 0.5 ‐ 4% of cases1. The reported range is highly variable, and is affected by a host of factors, including anticoagulation levels, antiplatelet therapy and sheath size. Among adverse events, hematoma is the most common while retroperitoneal hemorrhage (RPH) has the highest associated mortality(2‐18%)2. RPH has been re...

[Latest Trends and Recommendations on Epidemiology, Diagnosis, and Treatment of Benign Prostatic Hyperplasia (BPH).]

Aktuelle Urologie — Sat, 30 Apr 2011 23:00:00 +0100

CONCLUSIONS: Current guidelines have integrated the latest knowledge and developments on BPH and are likely to improve assessment and treatment. PMID: 21604233 [PubMed - as supplied by publisher] (Source: Aktuelle Urologie)

[Complications of bladder catheterization to obtain a urine sample in the emergency department.]

Anales de Pediatria — Fri, 29 Apr 2011 23:00:00 +0100

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Pelvic fracture urethral distraction defects in children managed by anterior sagittal trans anorectal approach: A facilitating and safe acess

Journal of Pediatric Urology — Wed, 27 Apr 2011 23:00:00 +0100

Conclusion: This access, which is increasingly being used to approach posterior urethral diseases, has proved to be safe and effective in the treatment of pelvic fracture urethral distraction defects. (Source: Journal of Pediatric Urology)

Urethral Rest: Role and Rationale in Preparation for Anterior Urethroplasty

Urology — Wed, 20 Apr 2011 23:00:00 +0100

Conclusions: The results of our study have shown that recently manipulated anterior urethral strictures often declare themselves to be obliterative within several months of urethral rest, thus enabling successful urethroplasty by focal or complete excision. (Source: Urology)

Urinary Diversion/Reconstruction for Cases of Catheter Intolerant Secondary Progressive Multiple Sclerosis With Refractory Urinary Symptoms

The Journal of Urology — Sun, 17 Apr 2011 23:00:00 +0100

Conclusions: Patients with secondary progressive multiple sclerosis treated with urinary diversion/reconstruction who cannot tolerate catheters had improved continence and fewer urinary tract infections. However, patients with secondary progressive multiple sclerosis with preoperative indwelling catheters, diabetes, increased body mass index and increasing operative blood loss were at greatest risk for postoperative morbidity. (Source: The Journal of Urology)

Management of Pediatric Urolithiasis Induced by Melamine-contaminated Powdered Formula (Report of 619 Cases)

Urology — Thu, 14 Apr 2011 23:00:00 +0100

Conclusions: Most children with melamine-induced urolithiasis were treated successfully with an infusion of fluids, urine basification, and diuresis. Extracorporeal shock wave lithotripsy is a safe and effective technique for patients in whom conservative treatment fails. However, for patients who have presented with obstructive renal failure, surgical intervention should be considered as early as possible to relieve the obstruction. (Source: Urology)

Potential New Strategy To Reduce Catheter Blockage

Health News from Medical News Today — Wed, 13 Apr 2011 08:00:00 +0100

Bacterial genes that make urine less acidic could be good targets to prevent catheter blockage, according to research presented at the Society for General Microbiology's Spring Conference in Harrogate. The findings could lead to new strategies to prevent serious infections, particularly in long-term catheterization patients. Urinary catheters are devices used in hospitals and community care homes to manage a range of bladder conditions, and are commonly used to manage incontinence in elderly individuals for long periods of time... (Source: Health News from Medical News Today)

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Botulinum toxin A submucosal injection for refractory non‐neurogenic overactive bladder: Early outcomes

International Journal of Urology — Tue, 12 Apr 2011 23:00:00 +0100

The objective of the present study was to assess the short‐term effects of botulinum toxin A (BTX‐A) injection for refractory non‐neurogenic overactive bladder (OAB) in the setting of a prospective multicenter clinical trial. Refractory OAB was defined as persistent urgency urinary incontinence (UUI) ≥once a week despite taking anticholinergic agents, or the incapability to continue the agents because of the adverse effects. A total of 100 U of BTX‐A were reconstituted in 15 mL of normal saline and an aliquot of 0.5 mL was injected at 30 submucosal sites of the bladder wall. Nine men and eight women aged 67 ± 12 years were included. Subjective daytime frequency, urgency and UUI significantly decreased after treatment. On a 3‐day frequency‐volume chart, the daytim...

Hemangioma of the prostate - an unusual cause of lower urinary tract symptoms : Case report

BMC Urology - Latest articles — Tue, 12 Apr 2011 23:00:00 +0100

Conclusion: Hemangioma of prostate gland is extremely rare and symptomatic prostatic hemangioma should be treated either by transurethral resection of prostate or laser evaporation. (Source: BMC Urology - Latest articles)

The efficacy of a novel antibacterial hydroxyapatite nanoparticle-coated indwelling urinary catheter in preventing biofilm formation and catheter-associated urinary tract infection in rabbits

Urological Research — Tue, 12 Apr 2011 05:59:16 +0100

In conclusion, it was observed that Ag+ + HA nanoparticle coating significantly lowered the incidence of catheter-related bacteriuria and decreased biofilm formation, at the end of 7 days study period. The novel antimicrobial urethral catheter coating appeared to have a potential in the prophylaxis of catheter-induced urinary tract infections. Content Type Journal ArticlePages 1-7DOI 10.1007/s00240-011-0379-5Authors Yalçın Evliyaoğlu, Department of Urology, Adana Numune Training and Research Hospital, Adana, TurkeyMurat Kobaner, Şırnak State Hospital, Sirnak, TurkeyHande Çelebi, Department of Chemical Engineering, Anadolu University, Eskisehir, TurkeyKazım Yelsel, Viranşehir State Hospital, Viransehir, Urfa, TurkeyAydın Doğan, Material Science and Engineer...

The efficacy of a novel antibacterial hydroxyapatite nanoparticle-coated indwelling urinary catheter in preventing biofilm formation and catheter-associated urinary tract infection in rabbits.

Urological Research — Mon, 11 Apr 2011 23:00:00 +0100

In conclusion, it was observed that Ag(+) + HA nanoparticle coating significantly lowered the incidence of catheter-related bacteriuria and decreased biofilm formation, at the end of 7 days study period. The novel antimicrobial urethral catheter coating appeared to have a potential in the prophylaxis of catheter-induced urinary tract infections. PMID: 21484419 [PubMed - as supplied by publisher] (Source: Urological Research)

Silicone Catheters May Be Superior to Latex Catheters in Difficult Urethral Catheterization After Urethral Dilation

Journal of Endourology — Mon, 11 Apr 2011 02:11:04 +0100

Journal of Endourology , Vol. 0, No. 0. (Source: Journal of Endourology)

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Comparing clean intermittent catheterisation and transurethral indwelling catheterisation for incomplete voiding after vaginal prolapse surgery: a multicentre randomised trial

BJOG: An International Journal of Obstetrics and Gynaecology — Sun, 10 Apr 2011 23:00:00 +0100

Conclusion Clean intermittent catheterisation is preferable over indwelling catheterisation for 3 days in the treatment of abnormal PVR following vaginal prolapse surgery. (Source: BJOG: An International Journal of Obstetrics and Gynaecology)

Urological litigation in the UK National Health Service (NHS): an analysis of 14 years of successful claims

BJU International — Sun, 10 Apr 2011 23:00:00 +0100

CONCLUSION• The present study once again emphasizes the importance of thorough clinical assessment, record keeping and follow‐up as well as informed consent and good communication with patients.• Recognising the areas of highest risk and improving practice should limit future claims. (Source: BJU International)

Comparing clean intermittent catheterisation and transurethral indwelling catheterisation for incomplete voiding after vaginal prolapse surgery: a multicentre randomised trial.

BJOG : An International Journal of Obstetrics and Gynaecology — Sun, 10 Apr 2011 23:00:00 +0100

Conclusion Clean intermittent catheterisation is preferable over indwelling catheterisation for 3 days in the treatment of abnormal PVR following vaginal prolapse surgery. PMID: 21481147 [PubMed - as supplied by publisher] (Source: BJOG : An International Journal of Obstetrics and Gynaecology)

Short-term safety and effectiveness of tension-free vaginal tape (TVT) sling insertion for urodynamic stress incontinence alongside other gynaecological operations

Gynecological Surgery — Thu, 07 Apr 2011 17:09:07 +0100

Abstract The aim of this study was to assess the safety, effectiveness and pattern of inserting tension-free vaginal tape (TVT) slings alongside other gynaecological operations. It was a retrospective case note review of 116 patients who had a range of minor and major vaginal, laparoscopic and abdominal procedures at the same time as having TVT sling insertion at five district general hospitals in the UK. It showed an overall incidence of complications of 22.4% and laparotomy was not required. A patient had bladder perforation, another had blood transfusion, a third had infection at the site of needle passing, and three patients had urinary tract infection. The overall incidence of complications in this series was significantly higher in those having major concomitant surg...

Upper urinary tract trauma from urethral catheterisation in spinal cord injury patients

British Journal of Medical and Surgical Urology — Thu, 07 Apr 2011 04:00:00 +0100

We present two cases where urethral catheterisation caused ureteric and renal pelvic trauma. (Source: British Journal of Medical and Surgical Urology)

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Failed exstrophy closure

Seminars in Pediatric Surgery — Wed, 30 Mar 2011 21:27:52 +0100

Children with bladder exstrophy present a formidable surgical challenge. Like all major reconstructive surgeries, the best hope for a favorable outcome lies in achieving success in the first operative attempt. Regardless of the surgical approach, however, complications do occur. A failed exstrophy closure is a major complication with significant implications on the long-term surgical outcome and ultimate fate of the urinary tract. Successful repeat exstrophy closure can be accomplished in most cases when performed in conjunction with pelvic osteotomy and proper postoperative immobilization. Modern staged repair of exstrophy, complete primary repair of exstrophy, and immediate continent urinary diversion have been advocated by different groups in the management of a failed exstrophy closure...

Continent urinary diversion in the epispadias-exstrophy complex

Seminars in Pediatric Surgery — Wed, 30 Mar 2011 21:27:52 +0100

Despite improvements in modern surgical reconstructive techniques, many patients with epispadias-exstrophy continue to experience urinary incontinence. Continent diversion is commonly performed to achieve urinary continence and improve quality of life. In this work we describe the population that can be considered for continent urinary diversion, consider the benefits and implications of concurrent augmentation and bladder neck closure, and review recent literature regarding continence outcomes and common complications. Even in this complex patient population, urinary continence can be reliably achieved by bladder augmentation and the use of intermittent catheterization via a catheterizable cutaneous stoma with or without closure of the bladder neck. (Source: Seminars in Pediatric Surgery)

Laparoscopic Simple Prostatectomy (Adenomectomy): Experience in 59 Consecutive Patients.

Actas Urologicas Espanolas — Sun, 27 Mar 2011 23:00:00 +0100

CONCLUSIONS: Laparoscopic extraperitoneal simple prostatectomy is an effective procedure for the treatment of large prostatic adenomas. There seems to be less perioperative morbidity and, in our experience, this technique seems to be feasible and reproducible; however, its learning curve is a complicated matter to deal with. PMID: 21450371 [PubMed - as supplied by publisher] (Source: Actas Urologicas Espanolas)

The use of urinary sheaths in male incontinence.

British Journal of Nursing — Tue, 22 Mar 2011 00:00:00 +0100

Authors: Kyle G Overall prevalence of urinary incontinence in men is 17%, rising to 31% in those men aged 85 years old or older (Anger et al, 2006). Penile sheaths, sometimes referred to as 'condom catheters', provide a reliable form of management for those men with intractable urinary incontinence. A penile sheath is a soft, flexible sleeve that fits over the penis with an anti-reflux bulbous end which culminates as a short tube that attaches to any standard urinary drainage system. Penile sheaths provide clinicians with a useful alternative to long-term urethral catheterization as they are non-invasive and consequently associated with a lower incidence of bacteraemia (Tenke et al, 2008). PMID: 21471887 [PubMed - in process] (Source: British Journal of Nursing)

Surgical Outcomes of Laparoscopic Hysterectomy for Enlarged Uteri

The Journal of Minimally Invasive Gynecology — Thu, 17 Mar 2011 00:00:00 +0100

Abstract: Study Objective: To compare surgical outcomes of laparoscopic hysterectomy for benign diseases according to the uterine weight.Design: Retrospective study (Canadian Task Force classification II-3).Setting: Teaching and research hospital, a tertiary center.Patients: Women undergoing laparoscopic hysterectomy for benign diseases.Interventions: Patients were divided into three groups according to the uterine weight: 500 g (n = 178).Measurements and Main Results: Primary outcomes were differences in conversion rates, operating time, and blood loss. Secondary outcomes were differences in length of hospital stay, time to first bowel movement, time of bladder catheterization, and complications. Operating time increased according to the uterine weight (116.5 vs 124.1 vs 133 minutes; p 50...

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The Effect of Urinary Bladder Catheterization on Patient Care in an Internal Medicine Department.

The American Journal of the Medical Sciences — Tue, 15 Mar 2011 00:00:00 +0100

CONCLUSION:: Over 50% of the patients had acceptable indications for catheterization but no demonstrable benefit from the procedure. In such patients, the uncertain benefits of catheterization should be balanced by potential complications. Additional studies are warranted to determine the effect of acute urinary catheterization on patient care. PMID: 21412136 [PubMed - as supplied by publisher] (Source: The American Journal of the Medical Sciences)

Assessment of Postoperative Postvoid Residual Bladder Volume Using Three-Dimensional Ultrasound Volumetry

Ultrasound in Medicine and Biology — Mon, 07 Mar 2011 00:00:00 +0100

Abstract: The aim of our prospective study was to assess the concordance between postvoid residual volumes (PVR) of the urinary bladder obtained by two different three-dimensional (3-D) ultrasound (US) volumetric methods (VOCAL and XI VOCAL) and with measurement by the catheter in postoperative patients who have undergone radical hysterectomy. The 3-D sonographic volume-determination of PVR with both methods correlated significantly with the actual amount of PVR by the catheter. The accuracy of both 3-D US volumetric methods was significantly higher under 300 mL of PVR. Bland–Altman plots were generated to examine limits of agreement. Both noninvasive 3-D sonographic methods are appropriate for the correct volume-determination of PVR following radical hysterectomy. Thus, we may avoid rou...

One-day versus 3-day suprapubic catheterization after vaginal prolapse surgery: a prospective randomized trial

International Urogynecology Journal — Thu, 03 Mar 2011 07:32:38 +0100

Conclusion Starting a voiding trial 1 day after vaginal prolapse surgery leads to shorter duration of catheterization and hospital stay. Content Type Journal ArticlePages 1-5DOI 10.1007/s00192-011-1358-7Authors Annemarie Van Der Steen, Isala Klinieken, Zwolle, The NetherlandsRenee Detollenaere, Isala Klinieken, Zwolle, The NetherlandsJan Den Boon, Isala Klinieken, Zwolle, The NetherlandsHugo Van Eijndhoven, Isala Klinieken, Zwolle, The Netherlands Journal International Urogynecology JournalOnline ISSN 1433-3023Print ISSN 0937-3462 (Source: International Urogynecology Journal)

The Impact of Sacral Sensory Sparing in Motor Complete Spinal Cord Injury

Archives of Physical Medicine and Rehabilitation — Tue, 01 Mar 2011 00:00:00 +0100

Abstract: Kirshblum S, Botticello A, Lammertse DP, Marino RJ, Chiodo AE, Jha A. The impact of sacral sensory sparing in motor complete spinal cord injury.Objective: To determine the effect of sensory sparing in motor complete persons with spinal cord injury (SCI) on completion of rehabilitation on neurologic, functional, and social outcomes reported at 1 year.Design: Secondary analysis of longitudinal data collected by using prospective survey-based methods.Setting: Data submitted to the National SCI Statistical Center Database.Participants: Of persons (N=4106) enrolled in the model system with a motor complete injury (American Spinal Injury Association Impairment Scale [AIS] grade A or B) at the time of discharge between 1997 and 2007, a total of 2331 (56.8%) completed a 1-year follow-up ...

Bladder management methods and urological complications in spinal cord injury patients

Table of Contents : Indian Journal of Orthopaedics : 2007 - 41(1) — Sat, 26 Feb 2011 00:00:00 +0100

Conclusions: Urinary tract complications largely appeared to be confined to the lower urinary tract. The incidence of UTI and other urological complications is lower in patients on CIC in comparison to the patients on indwelling catheterizations. Encouraging CIC; early recognition and treatment of the UTI and urological complications; and a regular follow up is necessary to reduce the medical morbidity. (Source: Table of Contents : Indian Journal of Orthopaedics : 2007 - 41(1))

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Safety of a new compact catheter for men with neurogenic bladder dysfunction: a randomised, crossover and open-labelled study

Spinal Cord — Tue, 22 Feb 2011 00:00:00 +0100

Authors: E Chartier-Kastler, I Lauge, A Ruffion, D Goossens, K Charvier & F Biering-Sørensen (Source: Spinal Cord)

Long-Term Effect on Quality of Life of Repeat Detrusor Injections of Botulinum Neurotoxin-A for Detrusor Overactivity in Patients With Multiple Sclerosis

The Journal of Urology — Mon, 21 Feb 2011 00:00:00 +0100

Conclusions: Repeated detrusor botulinum neurotoxin type A injections for refractory neurogenic detrusor overactivity in patients with multiple sclerosis have a consistent effect on bladder control, resulting in sustained improvement in quality of life. (Source: The Journal of Urology)

Promoting Major Pediatric Surgical Care in a Low-Income Country: A 4-Year Experience in Eritrea

World Journal of Surgery — Wed, 16 Feb 2011 07:08:00 +0100

Conclusions On the basis of our experience, major pediatric surgery in many under-resourced areas of sub-Saharan Africa can be developed, taking care to adapt surgical options to local conditions. Late referral of many congenital abnormalities, the impact of local culture, difficulties to establish regular follow-up, and shortage of facilities and medical devices must always be kept in mind before transferring modern protocols of management. Strong efforts have been devoted to train local medical and nursing staff to establish pediatric surgical manpower to cope with a still largely unanswered demand of care in this area of Africa. Content Type Journal ArticlePages 1-7DOI 10.1007/s00268-011-0992-zAuthors Alessandro Calisti, Pediatric Surgery and Urology Unit, San ...

Recovery After Tetraplegia Caused by Dermal Sinus Infection: Intramedullary Abscess and Tetraparesis

Pediatric Neurology — Sat, 12 Feb 2011 18:31:19 +0100

We report on a 16-month-old child with tetraplegia secondary to intramedullary abscesses because of a dermoid cyst infection associated with a dermal sinus. The abscesses were drained, and the dermoid cyst was removed. Antibiotics were administered for 6 weeks after neurosurgery. The child was followed at a pediatric rehabilitation department. After 1 year, he was able to walk quickly and had regained appropriate upper limb motor function for his age. However, bladder sphincter dyssynergia persisted, requiring intermittent catheterization. This case highlights the importance of early diagnosis for surgical intervention and prolonged antibiotic therapy. Long-term follow-up by a multidisciplinary team allowed for the effective management of related neurologic, orthopedic, and bladder disorde...

Buried penis in super obesity: a technique for urethral catheterization under direct vision

Surgery for Obesity and Related Diseases — Tue, 08 Feb 2011 00:00:00 +0100

Urethral catheterization in superobese patients undergoing surgery can be challenging. The large abdominal apron and prepubic fat pad can result in a buried penis that is inaccessible, despite manual retraction. The techniques for difficult catheterization, such as using guidewires, ureteroscopes, or suprapubic access, might not be possible or appropriate . (Source: Surgery for Obesity and Related Diseases)

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Impact of urinary catheterization on dosimetry after prostate implant brachytherapy with palladium-103 or iodine-125

Brachytherapy — Tue, 08 Feb 2011 00:00:00 +0100

Abstract: Purpose: Postoperative dosimetry is integral to quality assurance for prostate brachytherapy. Images on Day 0 are typically obtained with a contrast-filled urinary catheter in place for urethral dose calculations. However, expansion of the urethra and perhaps the prostate by the catheter may affect target coverage. We assessed the effect of urinary catheterization on target dosimetry after implantation with palladium-103 (103Pd) or iodine-125 (125I) seeds.Methods and Materials: Patients were 29 consecutive men with postimplant dosimetry calculated with and without a urinary catheter after brachytherapy seed implantation; 19 patients received 103Pd seeds and 10 patients received 125I seeds. In each case, 14-French caude tip urinary catheters were placed before implantation, and ax...

Single-centre study comparing standard apical dissection with a modified technique to facilitate vesico-urethral anastomosis during laparoscopic radical prostatectomy.

Asian Journal of Andrology — Mon, 07 Feb 2011 00:00:00 +0100

Authors: Gao X, Pu XY, Si-Tu J, Huang WT A modified apical dissection of the prostate to improve the efficiency of vesico-urethral anastomosis (VUA) in laparoscopic radical prostatectomy (LRP) was reported. A total of 42 patients were randomly selected and enrolled in this study. A standard LRP was performed in 21 patients (group 1), whereas a novel, modified apical dissection of the prostate in LRP was performed in another 21 patients (group 2). Surgical data, total operative time, VUA time, extravasation rate, catheterisation time, occurrence of anastomotic strictures, and the early and late continence rates were analysed statistically. No differences in clinical or pathological characteristics were determined between the two groups. The total operative time, VUA time, blood loss and...

Management of Rectal Injury During Robotic Radical Prostatectomy

Urology — Mon, 07 Feb 2011 00:00:00 +0100

Conclusions: We found a low incidence of rectal injury during robotic radical prostatectomy. We have also demonstrated that rectal injuries can be managed primarily with meticulous closure with minimal morbidity. (Source: Urology)

Buried penis in super obesity: a technique for urethral catheterization under direct vision.

Fri, 04 Feb 2011 00:00:00 +0100

Authors: Hewes JC, Kelly J, Hashemi M PMID: 21429819 [PubMed - as supplied by publisher] (Source: Surgery for Obesity and Related Diseases : official journal of the American Society for Bariatric Surgery)

Coccygeal epidural with local anesthetic for catheterization and pain management in the treatment of feline urethral obstruction

Journal of Veterinary Emergency and Critical Care — Tue, 01 Feb 2011 00:00:00 +0100

Conclusion – Coccygeal epidurals can be used safely to provide analgesia to the penis and urethra and to the authors' knowledge, is a novel treatment modality to aid in the relief of urethral obstructions in male cats. (Source: Journal of Veterinary Emergency and Critical Care)

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HIFU as salvage first-line treatment for palpable, TRUS-evidenced, biopsy-proven locally recurrent prostate cancer after radical prostatectomy: A pilot study.

Urologic Oncology — Tue, 01 Feb 2011 00:00:00 +0100

CONCLUSIONS:: Salvage first-line HIFU for palpable, TRUS-evidenced, biopsy-proven local recurrence of CaP is a feasible, minimally invasive day-case procedure, with an acceptable morbidity profile. It seems to have a good cancer control in the short- and mid-term. Patients with lower pre-HIFU PSA level and favorable pathologic Gleason score presented better oncologic outcomes. A prospective randomized trial with an adequate recruitment and follow-up is necessary to confirm our preliminary oncologic results. PMID: 21292508 [PubMed - as supplied by publisher] (Source: Urologic Oncology)

Encrusting Cystitis Due to Corynebacterium urealyticum in a Patient with ANCA-Associated Vasculitis: Case Report and Review of the Literature

Seminars in Arthritis and Rheumatism — Mon, 31 Jan 2011 05:00:00 +0100

Conclusion: Physicians should be aware of this unusual but potentially emerging infectious complication that can be challenging in ANCA-associated vasculitis, because the urinary tract can be affected by the vasculitis or as a complication of previous cyclophosphamide therapy. (Source: Seminars in Arthritis and Rheumatism)

Medical and Psychosocial Complications Associated With Method of Bladder Management After Traumatic Spinal Cord Injury

Archives of Physical Medicine and Rehabilitation — Mon, 31 Jan 2011 00:00:00 +0100

Conclusions: Indwelling catheterization was associated with more medical complications and lower levels of participation than other bladder management methods, but more research is required to ascertain the causality of these complications. (Source: Archives of Physical Medicine and Rehabilitation)

Predictors of catheter-related bladder discomfort in the post-anaesthesia care unit.

Annales Francaises d'Anesthesie et de Reanimation — Fri, 28 Jan 2011 00:00:00 +0100

CONCLUSION: This observational study identified the incidence and predictive factors of moderate and severe CRBD in the PACU. Future studies are warranted to assess the impact of preoperative antimuscarinic drugs or Gabapentin on males or patients with 18 G Fr Foley catheters. PMID: 21277735 [PubMed - as supplied by publisher] (Source: Annales Francaises d'Anesthesie et de Reanimation)

Simple Test Predicts Self-Catheterization Ability

Medscape Urology Headlines — Thu, 27 Jan 2011 20:55:23 +0100

In patients with neurogenic bladder with chronic urinary retention, manipulation of a paper and pencil can help predict the ability to perform clean intermittent self-catheterization (CISC), French researchers report in the February 11th issue of the Journal of Urology. Reuters Health Information (Source: Medscape Urology Headlines)

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The approach to the difficult urethral catheterization among urology residents in the United States

International Braz J Urol — Tue, 25 Jan 2011 06:51:35 +0100

CONCLUSIONS: The most common approach to the DUC among UR in the US involves using an 18F Coude catheter first. After trying one or more urethral catheters, UR most commonly resort to flexible cystoscopy as opposed to the blind placement of glide wires or filiforms/followers. (Source: International Braz J Urol)

Botulinum toxin A in the treatment of spinal cord injury patients with refractory neurogenic detrusor overactivity

International Braz J Urol — Tue, 25 Jan 2011 06:51:35 +0100

CONCLUSION: The use of botulinum toxin in the treatment of neurogenic detrusor overactivity refractory to anticholinergics is an option before more invasive treatments, such as augmentation cystoplasty, are attempted. In our study as well as in the literature, there was improvement in most urodynamic parameters. Overall, 40.9% of patients underwent augmentation cystoplasty and 81.8% of patients needed anticholinergic agents to reach urinary continence. Further studies are necessary to improve the procedure and to achieve better clinical results. (Source: International Braz J Urol)

Catheterizable Serous Lined Urinary Outlet in Children and Adolescents: A Choice When Other Treatments Fail

The Journal of Urology — Fri, 21 Jan 2011 00:00:00 +0100

Conclusions: The serous lined continent outlet seems to be a durable and efficient technique for treating children with incontinence, with an acceptable complication rate. (Source: The Journal of Urology)

Injection of Botulinum Toxin (BTX-A) in Children with Bladder Dysfunction due to Detrusor Overactivity.

Actas Urologicas Espanolas — Thu, 20 Jan 2011 00:00:00 +0100

CONCLUSIONS: repeated botulinum toxin injection in the detrusor is a therapeutic instrument for high pressure and low accommodation bladders in children. It could replace bladder augmentation in some cases, however further studies with long-term follow-up care are required to appropriately evaluate its safety and effectiveness. PMID: 21256633 [PubMed - as supplied by publisher] (Source: Actas Urologicas Espanolas)