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Treatment strategies to minimize or prevent chronic allograft dysfunction in pediatric renal transplant recipients: an overview.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Long-term allograft survival poses a major problem in pediatric renal transplantation, with allograft nephropathy being the principal cause of graft failure after the first post-transplant year. The mechanisms of nephron loss resulting in graft dysfunction are multiple, comprising both immunologic factors such as acute and chronic antibody- or T-cell-mediated rejection and non-immunologic components. The latter include peri-transplant injuries and renovascular lesions (renal artery stenosis, thrombosis) as well as cardiovascular risk factors such as arterial hypertension and hyperlipidemia. Another relevant issue leadi...
Source: Paediatric Drugs - November 4, 2009 Category: Pediatrics Authors: Höcker B, Tönshoff B Tags: Paediatr Drugs Source Type: journals

Robot-assisted extraperitoneal laparoscopic radical prostatectomy: experience in a high-volume laparoscopy reference centreEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
To describe our current procedure of robot-assisted laparoscopic radical prostatectomy (RALP), and to assess the effect of the learning curve on perioperative data, early oncological outcomes and functional results, as RALP has increasingly become a treatment option for men with localized prostate cancer. In all, 206 consecutive men had a RALP between July 2001 and November 2008 for localized prostate cancer. Among the overall cohort, the 175 men operated on by the same surgeon were distributed into five groups according to the chronological order of the procedures. The mean follow-up after RALP was 18.3 months. Patient de...
Source: BJU International - November 3, 2009 Category: Urology & Nephrology Authors: Guillaume Ploussard, Evanguelos Xylinas, Laurent Salomon, Dimitri Vordos, Andras Hoznek, Claude-Clément Abbou, Alexandre de la Taille Source Type: journals

The Boari bladder flap: an effective continent stoma for the high-compliance neurogenic bladderEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
To determine if a continent urinary stoma can be created effectively using a Boari bladder flap (BBF) technique. Selected patients (15, eight women and seven men) with a neurogenic bladder and a bladder compliance of >20 mL/cmH2O had a procedure to create a BBF continent urinary stoma. The technique consisted of tubularising a trapezoidal, full-thickness detrusor flap 10 cm long, 5[ndash]6 cm wide at the base and 2 cm at the tip, over a 12 F catheter, and plication of detrusor muscle around the stomal base. Outcomes after surgery were assessed by reviewing stomal continence, stomal patency, and stability of the upper urina...
Source: BJU International - November 3, 2009 Category: Urology & Nephrology Authors: Egbert Baumgart, John T. Stoffel Source Type: journals

A case with spontaneous bladder rupture mimicking acute kidney injury.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We report a case with spontaneous bladder rupture mimicking acute kidney injury forty years after postoperative pelvic irradiation for uterine cancer. PMID: 19863882 [PubMed - in process] (Source: Clinical Nephrology)
Source: Clinical Nephrology - November 1, 2009 Category: Urology & Nephrology Authors: Horino T, Okazaki M, Nishikawa H, Takao T, Taniguchi Y, Morita T, Terada Y, Tags: Clin Nephrol Source Type: journals

Less Urinary Tract Infection by Earlier Removal of Bladder Catheter in Surgical Patients Receiving Thoracic Epidural AnalgesiaEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: Leaving the bladder catheter as long as the epidural analgesia is maintained results in a higher incidence of UTI and prolonged hospital stay. Removal of the bladder catheter on the morning after surgery does not lead to higher rate of catheterizations. (C)2009 American Society of Regional Anesthesia and Pain Medicine (Source: Regional Anesthesia and Pain Medicine)
Source: Regional Anesthesia and Pain Medicine - November 1, 2009 Category: Anesthesiology Tags: Original Articles Source Type: journals

[Case Report] Green urine, but no infectionEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
In September, 2007, an unconscious 88-year-old woman was brought to the emergency room. She had undergone a hysterectomy and radiotherapy because of carcinoma of the cervix 30 years previously; 10 years later she had developed neurogenic bladder dysfunction, requiring intermittent self-catheterisation. She had had mild renal insufficiency (creatinine 100 μmol/L) and mild hydronephrosis unilaterally, because of ureteric obstruction following the irradiation. Her medical history also included bilateral femoral artery angioplasty, a transient ischaemic attack, and group B streptococcal endocarditis with remaining mild mitral...
Source: LANCET - October 30, 2009 Category: Journals (General) Authors: Mattheus DM Bolmers, Gabor E Linthorst, Maarten R Soeters, Yung C Nio, Johannes J van Lieshout Tags: Case Report Source Type: journals

Urethral stricture Yemen experienceEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion Trauma is the commonest cause of urethral stricture in our country, therefore the control of it will decrease extremely the urethral stricture disease. No one technique is suitable for all types of the stricture, and the surgeon should be familiar with the different techniques and choose the most suitable one according to the case he deals with. Content Type Journal ArticleCategory Urology - Original PaperDOI 10.1007/s11255-009-9657-3Authors Tawfik H. Al-Ba’adani, Al-Thawra Modern General Teaching Hospital, Medical College-Sana’a University Urology Department, Urology and Nephrology Cen...
Source: International Urology and Nephrology - October 29, 2009 Category: Urology & Nephrology Tags: International Urology and Nephrology Source Type: journals

Ileovesicostomy Update: Changes for the 21st CenturyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions. Based on our experience, we suggest that patients with severe lower urinary tract symptoms and who are unable to perform clean intermittent catheterization and/or refractory to medical therapy ileovesicostomy should be the procedure of choice. (Source: Advances in Urology)
Source: Advances in Urology - October 27, 2009 Category: Urology & Nephrology Source Type: journals

Locoregional anesthesia and anticoagulationEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract: Spinal hematoma is a rare and potentially catastrophic complication of spinal or epidural anesthesia. Risk factors include traumatic needle/catheter placement, sustained anticoagulation in an indwelling neuraxial catheter, and catheter removal during therapeutic levels of anticoagulation. Generally, a patient’s coagulation status should be optimized at the time of spinal or epidural needle/catheter placement, and the level of anticoagulation should be monitored during epidural catheterization. Signs of cord compression, such as severe back pain, progression of numbness or weakness, and bowel and bladder dysfunc...
Source: European Journal of Pain Supplements - October 27, 2009 Category: Anesthesiology Authors: Terese T. Horlocker Source Type: journals

Rupture of the male membranous urethraEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions If the patient is stable and requires emergency laparotomy for other abdominal injuries, he should have immediate realignment of the urethra. Early realignment of the urethra at taparotomy at 1–2 weeks can be combined with orthopaedic fixation of pelvic fractures. Patients who remain unstable due to associated injuries should have delayed urethroplasty at three months. Content Type Journal ArticleCategory Original PaperDOI 10.1007/BF03167698Authors M. S. Khan, The Adelaide & Meath Hospital, Incorporating The National Children’s Hospital Urology Department Tallaght, Dublin IrelandJ. A. ...
Source: Irish Journal of Medical Science - October 23, 2009 Category: Journals (General) Tags: Irish Journal of Medical Science Source Type: journals

Are all Urethral Catheters Created Equal?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Although catheterization traces its historical roots approximately 5,000 years, innovations in catheter design remain sparse and clinical evidence comparing various types of commercially available catheters is limited. Intermittent catheterization was advocated following spinal cord injury as early as 1901 and after laminectomy in 1913. Nevertheless, indwelling catheterization remained the preferred technique for urinary drainage during World War I and World War II, despite its failure to prevent urosepsis, often resulting in death for patients with spinal cord injuries. (Source: The Journal of Urology)
Source: The Journal of Urology - October 19, 2009 Category: Urology & Nephrology Authors: Mikel Gray Tags: Editorials Source Type: journals

Safety and Tolerability of Solifenacin Add-on Therapy to α-Blocker Treated Men With Residual Urgency and FrequencyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Purpose: VICTOR was a 12-week, double-blind, placebo controlled trial assessing the safety and tolerability of solifenacin plus tamsulosin in men with residual overactive bladder symptoms after tamsulosin monotherapy. Efficacy of solifenacin plus tamsulosin vs placebo plus tamsulosin was also evaluated.Materials and Methods: A total of 398 men 45 years old or older were randomized to 12 weeks of solifenacin plus tamsulosin or placebo plus tamsulosin once daily. The study population had 8 or more micturitions per 24 hours and 1 or more urgency episode per 24 hours after taking tamsulosin for 4 or more weeks, a total Interna...
Source: The Journal of Urology - October 19, 2009 Category: Urology & Nephrology Authors: Steven A. Kaplan, Kurt McCammon, Roger Fincher, Allam Fakhoury, Weizhong He Tags: Voiding Dysfunction Source Type: journals

Alpha blockers prior to removal of a catheter for acute urinary retention in adult menEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Source: Cochrane Library Area: Evidence > Drug Class Focused Reviews Background Acute urinary retention is a urological emergency in men and requires urgent catheterisation. Any intervention which aims at increasing the rate of a successful trial without a catheter following an acute urinary retention episode would be considered potentially beneficial. Alpha blockers relax prostatic smooth muscle cells thereby decreasing the resistance to urinary flow and by doing so improve urinary symptoms. Objectives To assess the effects of alpha blockers on successful resumption of micturition following removal of a urethral urina...
Source: NeLM - Drug Class Focused Reviews - October 14, 2009 Category: Drugs & Pharmacology Source Type: organizations

The Use of a Ureteral Access Sheath for the Urethral Dilatation and Catheterization of Difficult Urethral StricturesEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Urol Int 2009;83:359-361 (DOI:10.1159/000241683) (Source: Urologia Internationalis : Last 20 articles)
Source: Urologia Internationalis : Last 20 articles - October 12, 2009 Category: Urology & Nephrology Source Type: journals

Urinary fluorescence in situ hybridization assay for detecting urothelial carcinoma in Taiwanese patientsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
To investigate the cytogenetic marker detected by fluorescence in situ hybridization (FISH; UroVysionTM, Vysis, Inc., Abbott Laboratories, Des Plaines, IL, USA) in the diagnosis of bladder cancer and upper tract urothelial carcinoma (UC) in Taiwanese patients, as FISH has been used in Western countries for detecting UC, but there are limited results in Asian populations. We analysed polyploidy of chromosome 3, 7, 17 and aneuploidy of chromosome 21, using uroepithelial cells collected at the first void or by instrumental extraction of urine, for bladder cancer, and shedding cells from the upper tract flushed by normal salin...
Source: BJU International - October 9, 2009 Category: Urology & Nephrology Authors: Kun-Lung Chuang, Hun-Chang Chuang, Kwai-Fong Ng, Ying-Hsun Chang, Chun-Te Wu, Cheng-Keng Chuang, Shuen-Kuei Liao, See-Tong Pang Source Type: journals

Friendly FoleyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
When patients experience discomfort with Foley catheterization, fill a 2-mL syringe with lidocaine jelly and inject this (without using the needle!) through the urethral meatus and into the urethra. Wait several minutes, then insert the catheter. (Source: Consultant Live)
Source: Consultant Live - October 7, 2009 Category: Primary Care Source Type: info

A Modified Technique for Neourethral Anastomosis in Orthotopic Neobladder ReconstructionEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: The clinical outcome of our modified technique for urethral anastomosis in orthotopic neobladder substitution was excellent, but the advantage of this technique needs prospective controlled study. (Source: Urology)
Source: Urology - October 5, 2009 Category: Urology & Nephrology Authors: Guo-Liang Hou, Yong-Hong Li, Zhi-Ling Zhang, Yong-Hong Xiong, Xiao-Feng Chen, Kai Yao, Zhuo-Wei Liu, Hui Han, Zi-Ke Qin, Fang-Jian Zhou Tags: Surgical Techniques in Urology Source Type: journals

Coping with clean intermittent catherization – experiences from a patient perspectiveEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Scand J Caring Sci; 2009Coping with clean intermittent catherization [ndash] experiences from a patient perspectiveBackground: Poor bladder emptying is a well-known phenomenon in urology which increases the risk of urinary tract infection. Thus, it is important to insure effective bladder emptying for the patient. This may be performed by emptying the bladder intermittently by means of a disposable catheter. The method is called clean intermittent catheterization (CIC). The purpose of CIC is, apart from the scientific reasons, to give patients the opportunity to live the life they did prior to experiencing problems with bl...
Source: Scandinavian Journal of Caring Sciences - October 3, 2009 Category: Nursing Authors: Annette Jaquet, Jannie Eiskjær, Kirsten Steffensen, Birgitte Schantz Laursen Source Type: journals

Straddle injuries to the bulbar urethra: management and outcome in 53 patientsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: Suprapubic cystostomy is better than urethral realignment and catheterization as primary management after straddle injury to the bulbar urethra. Stricture excision and re-anastomosis is better than VIU as delayed management for strictures that develop after straddle injury to the bulbar urethra. (Source: International Braz J Urol)
Source: International Braz J Urol - October 2, 2009 Category: Urology & Nephrology Source Type: journals

Frequency of Pseudomonas aeruginosa Colonizations/Infections in Lung Transplant RecipientsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion: LT recipients in our center are at high risk for pseudomonal airway colonisation and lower respiratory tract infection that may have a significant impact on posttransplant follow-up. (Source: Transplantation Proceedings)
Source: Transplantation Proceedings - October 1, 2009 Category: Transplant Surgery Authors: S. Zeglen, J. Wojarski, E. Wozniak-Grygiel, M. Siola, D. Jastrzebski, E. Kucewicz-Czech, M. Zembala Tags: Thoracic Transplantation Source Type: journals

Predictors of postoperative urinary retention.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Postoperative urinary retention (PUR) rates vary greatly depending on the population studied. PUR leads to urinary tract instrumentation, which causes increased hospital costs and morbidity. We sought to determine our PUR rate and the risk factors that associated with it. One hundred seventy-six adult surgical inpatients were included in the study. Excluded were those receiving intraoperative catheterization, epidural anesthesia, and urologic procedures. The study population included 42 per cent spinal, 24 per cent laparoscopic abdominal, 20 per cent neck surgeries excluding the spine, and 14 per cent miscellaneous sur...
Source: The American Surgeon - October 1, 2009 Category: Surgery Authors: Shadle B, Barbaro C, Waxman K, Connor S, Von Dollen K Tags: Am Surg Source Type: journals

Intermittent self-catheterization and the risk of squamous cell cancer of the bladder: An emerging clinical entity?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We report on an eighth case, and the first case described in a patient with a Mitrofanoff continent appendicovesicostomy. A description of the case and review of the literature are presented. Risk factors for squamous cell cancer include recurrent urinary tract infections, keratinising squamous metaplasia (leukoplakia) and local mucosal trauma from intermittent self-catheterization. There is no recognized or validated monitoring program for patients performing ISC who may also have these risk factors. Reasonable protocols may include regular urinary cytology and cystoscopy with random or targeted bladder biopsies. Squamous...
Source: Canadian Urological Association Journal - September 30, 2009 Category: Urology & Nephrology Authors: Casey RG, Cullen IM, Crotty T, Quinlan DM Tags: Can Urol Assoc J Source Type: journals

A UK consensus on the management of the bladder in multiple sclerosis [Reviews]Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Bladder symptoms in multiple sclerosis (MS) are common and distressing but also highly amenable to treatment. A meeting of stakeholders involved in patients’ continence care, including neurologists, urologists, primary care, MS nurses and nursing groups was recently convened to formulate a UK consensus for management. National Institute for Health and Clinical Excellence (NICE) criteria were used for producing recommendations based on a review of the literature and expert opinion. It was agreed that in the majority of cases, successful management could be based on a simple algorithm which includes using reagent stick...
Source: Postgraduate Medical Journal - September 29, 2009 Category: Journals (General) Authors: Fowler, C J, Panicker, J N, Drake, M, Harris, C, Harrison, S C W, Kirby, M, Lucas, M, Macleod, N, Mangnall, J, North, A, Porter, B, Reid, S, Russell, N, Watkiss, K, Wells, M Tags: Reviews Source Type: journals

[Reviews] A UK consensus on the management of the bladder in multiple sclerosisEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Bladder symptoms in multiple sclerosis (MS) are common and distressing but also highly amenable to treatment. A meeting of stakeholders involved in patients’ continence care, including neurologists, urologists, primary care, MS nurses and nursing groups was recently convened to formulate a UK consensus for management. National Institute for Health and Clinical Excellence (NICE) criteria were used for producing recommendations based on a review of the literature and expert opinion. It was agreed that in the majority of cases, successful management could be based on a simple algorithm which includes using reagent stick...
Source: Postgraduate Medical Journal - September 28, 2009 Category: Journals (General) Authors: Fowler, C J, Panicker, J N, Drake, M, Harris, C, Harrison, S C W, Kirby, M, Lucas, M, Macleod, N, Mangnall, J, North, A, Porter, B, Reid, S, Russell, N, Watkiss, K, Wells, M Tags: Reviews Source Type: journals

Long-term lower urinary tract dysfunction after radical hysterectomy in patients with early postoperative voiding dysfunctionEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion High postvoid residual urine and abdominal straining increased significantly in patients with early postoperative voiding dysfunction without impairment on quality of life. Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s00192-009-0996-5Authors Tarinee Manchana, Chulalongkorn University Department of Obstetrics and Gynecology, Faculty of Medicine Bangkok 10330 ThailandChalisa Prasartsakulchai, Chulalongkorn University Department of Obstetrics and Gynecology, Faculty of Medicine Bangkok 10330 ThailandApirak Santingamkun, Chulalongkorn University Division of Urology, Departme...
Source: International Urogynecology Journal - September 17, 2009 Category: OBGYN Tags: International Urogynecology Journal Source Type: journals

Bladder Function After Total Urogenital Mobilization for Persistent CloacaEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: Most patients with persistent cloaca can achieve urinary continence after total urogenital mobilization. Two-thirds of patients display bladder dysfunction after the procedure. Detrusor overactivity can resolve with development of the bladder but persistent detrusor overactivity might delay the achievement of mechanisms of urinary continence. (Source: The Journal of Urology)
Source: The Journal of Urology - September 16, 2009 Category: Urology & Nephrology Authors: Futoshi Matsui, Kenji Shimada, Fumi Matsumoto, Takashi Obara, Akio Kubota Tags: Pediatric Urology Source Type: journals

Catheter balloon-related urethral trauma in childrenEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Aim: To review urethral injuries arising from incorrect balloon inflation in children undergoing urinary catheterisation.Method: Retrospective review from 1995[ndash]2006. Children who sustained catheter-related injury at The Children's Hospital at Westmead were identified through medical records database and reviewed.Results: Six patients were identified over the 11-year period. All six were boys. Age ranged from (Source: Journal of Paediatrics and Child Health)
Source: Journal of Paediatrics and Child Health - September 13, 2009 Category: Pediatrics Authors: Rachel D'Cruz, Soundappan SV Soundappan, Daniel T Cass, Grahame Smith Source Type: journals

Posttraumatic ventral urethral fistula: case report and review of literatureEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion: Self retraction of the urethral catheter with balloon may result with clinically important urethral fistula. A wide range of possible options such as complete excision of the fistula tract and primary closure may be considered for individual cases. (Source: Cases Journal)
Source: Cases Journal - September 8, 2009 Category: Journals (General) Source Type: journals

Transurethral incision of the bladder neck to treat bladder neck dysfunction and voiding dysfunction in patients with high-level spinal cord injuriesEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We report the surgical outcomes in patients with high-level SCI who underwent transurethral incision of the bladder neck (TUI-BN).Twenty-two patients with SCI at or above the mid-thoracic level who presented with voiding dysfunction due to BND with different types of DSD received TUI-BN. Surgical outcome was determined by comparing preoperative with postoperative urodynamic parameters and clinical presentations. Satisfactory outcome was defined as having improvement of AUA/IPSS quality-of-life (QoL) index by [ge]2.Among the patients, 19 (86.4%) were men and 3 (13.6%) were women. Thirteen patients had cervical and nine had ...
Source: Neurourology and Urodynamics - September 2, 2009 Category: Urology & Nephrology Authors: Qian-Sheng Ke, Hann-Chorng Kuo Source Type: journals

Acute urinary retention in a neonate due to a mucus plugEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
A 12-hours postpartum male newborn with urinary retention was referred to us for assessment. There was no history of oligohydramnios, and there had been no witnessed micturition after birth. On examination, the neonate was in distress and crying. His abdomen was distended, tense, and tender. The external genitalia were normal. On gentle retraction of the foreskin, a plug of mucus-like substance was revealed, blocking the external urethral meatus (). After cleansing the foreskin with chlorhexidine solution, catheterization of the urethra was attempted with a 6F feeding catheter lubricated with Lignocaine gel 2%. The tip of ...
Source: Journal of Pediatric Surgery - August 31, 2009 Category: Surgery Authors: Xenofon S. Roussis, Constantinos A. Hajivassiliou Tags: Correspondence Source Type: journals

Postoperative Urinary RetentionEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Postoperative urinary retention (PUR) is a common complication of surgery and anesthesia. The risk of retention is especially high after anorectal surgery, hernia repair, and orthopedic surgery and increases with advancing age. Certain anesthetic and analgesic modalities, particularly spinal anesthesia with long-acting local anesthetics and epidural analgesia, promote the development of urinary retention. Portable ultrasound provides rapid and accurate assessment of bladder volume and aids in the diagnosis and management of PUR. Catheterization is recommended when bladder volume exceeds 600 mL to prevent the negative seque...
Source: Anesthesiology Clinics - August 31, 2009 Category: Anesthesiology Authors: Daniela M. Darrah, Tomas L. Griebling, Jeffrey H. Silverstein Source Type: journals

Lidocaine Jelly and Plain Aqueous Gel for Urethral Straight Catheterization and the Q-tip Test: A Randomized Controlled Trial.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
CONCLUSION:: When compared with plain aqueous gel, 2% lidocaine jelly significantly reduces pain perception during evaluation of postvoid residual volume and the Q-tip test. CLINICAL TRIAL REGISTRATION:: ClinicalTrials.gov, www.clinicaltrials.gov, NCT00883103. LEVEL OF EVIDENCE:: I. PMID: 19701033 [PubMed - in process] (Source: Obstetrics and Gynecology)
Source: Obstetrics and Gynecology - August 26, 2009 Category: OBGYN Authors: Harmanli OH, Okafor O, Ayaz R, Knee A Tags: Obstet Gynecol Source Type: journals

An adjustable sling in the management of recurrent urodynamic stress incontinence after previous failed midurethral tapeEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The aim of this prospective study was to evaluate the feasibility and outcome of an adjustable sling system AMI in patients with recurrent urinary stress incontinence after failed suburethral sling insertion.Twenty-five patients with recurrent urinary stress incontinence treated with an adjustable sling system AMI were analyzed for feasibility and outcome. Patients' incontinence bother was quantified using the Visual Analogue Scale (VAS) from 0 to 10. Multichannel urodynamics and pad tests were pre- and postoperatively performed. Time of adjustment, time of the surgical intervention, and clinical outcome were also recorded...
Source: Neurourology and Urodynamics - August 18, 2009 Category: Urology & Nephrology Authors: Corina Schmid, Emmanuel Bloch, Esther Amann, Michael D. Mueller, Annette Kuhn Source Type: journals

Indwelling catheters and neurogenic bladder: Are they really that bad?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract Indwelling catheters are one viable option in treatment of neurogenic bladder. Indwelling catheters require appropriate and regular follow-up to avoid associated complications, which may be severe. However, even if a high rate of complications was reported with the use of indwelling catheters, they still have their place in neurogenic bladder management. The most common complications associated with their use are catheter blockage, catheter-associated urinary tract infection (CAUTI), and stone formation. Indwelling catheters violate the sterile bladder environment by providing a route for bacterial ...
Source: Current Bladder Dysfunction Reports - August 17, 2009 Category: Urology & Nephrology Tags: Current bladder Dysfunction Reports Source Type: journals

Overactive bladder symptoms following urethrolysis proceduresEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract Female bladder outlet obstruction following stress urinary incontinence surgery is well described but requires a high index of suspicion given that patients often present clinically with both overactive bladder (OAB) and voiding symptoms. Furthermore, only 25% of patients have frank urinary retention that requires indwelling or clean intermittent catheterization. Historically, urethrolysis and sling lysis procedures ameliorate obstructive voiding symptoms with a success rate approaching 85% to 90%. In reviewing the literature, it has been my experience as well as those of other experts that OAB symp...
Source: Current Bladder Dysfunction Reports - August 17, 2009 Category: Urology & Nephrology Tags: Current bladder Dysfunction Reports Source Type: journals

Botulinum Toxin A for Overactive Bladder and Detrusor Muscle Overactivity in Patients With Parkinson's Disease and Multiple System AtrophyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: The new beneficial effect that we report in a small study sample encourages larger trials to confirm botulinum toxin type A injection into the detrusor muscle as an effective and safe treatment for refractory overactive bladder symptoms and detrusor overactivity related to Parkinson's disease and multiple system atrophy. (Source: The Journal of Urology)
Source: The Journal of Urology - August 16, 2009 Category: Urology & Nephrology Authors: Antonella Giannantoni, Aroldo Rossi, Ettore Mearini, Michele Del Zingaro, Massimo Porena, Alfredo Berardelli Tags: Voiding Dysfunction Source Type: journals

Robotic Assisted Laparoscopic Mitrofanoff Appendicovesicostomy: Preliminary Experience in a Pediatric PopulationEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: The robotic assisted laparoscopic Mitrofanoff procedure is feasible to perform, is associated with satisfactory outcomes and minimal complications, and has the benefits of a minimally invasive approach. (Source: The Journal of Urology)
Source: The Journal of Urology - August 16, 2009 Category: Urology & Nephrology Authors: Hiep T. Nguyen, Carlo C. Passerotti, Frank J. Penna, Alan B. Retik, Craig A. Peters Tags: Pediatric Urology Source Type: journals

Editorial CommentEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The authors describe the outcome of reflux in patients with posterior valves who not only were diagnosed in a heterogeneous manner, but also were treated differently. The article contains an array of historical data on the nature of posterior urethral valve pathology. However, given the lack of adequate collection of preoperative and postoperative variables in the surgical patients, flaws in interpreting the data are possible. For instance it is compelling to think of patients with posterior urethral valves as needing ancillary treatment such as clean intermittent catheterization or anticholinergic therapy. However, few of...
Source: The Journal of Urology - August 16, 2009 Category: Urology & Nephrology Authors: Walid A. Farhat Tags: Pediatric Urology Source Type: journals

Spontaneous intra-peritoneal perforation of the bladder secondary to peritoneal tuberculosisEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
A 28-year-old Indian female presented to the Urology department with acute urinary retention, having being diagnosed 4 weeks previously with peritoneal tuberculosis. Prior to this episode of retention, she had complained of urinary frequency and poor stream for 3 days. Her post-catheterisation residual volume was 1500ml. She failed a subsequent trial without catheter due to large post-micturition residual volumes, and therefore commenced intermittent self-catheterisation. After 2 weeks of self-catheterisation her residuals became insignificant, and this was discontinued. Spinal magnetic resonance imaging (MRI) to investiga...
Source: British Journal of Medical and Surgical Urology - August 14, 2009 Category: Urology & Nephrology Authors: Raj P. Pal, Tim R. Terry, Masood A. Khan Tags: Case Reports Source Type: journals

The additional value of ambulatory urodynamic measurements compared with conventional urodynamic measurementsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
To study the additional diagnostic value of ambulatory urodynamic measurements/monitoring (AUM) in patients with lower urinary tract symptoms (LUTS). We reviewed the urodynamic data, collected at the urology department of our University Hospital between 2002 and 2007. During this period, 2393 urodynamic investigations were conducted. In 108 patients both conventional urodynamic measurements (CUM) and AUM were conducted. In 25 patients an AUM was conducted for bladder evacuation problems due to absent bladder contractility, seen on CUM. In 21 cases, AUM showed the presence of contractility of the bladder under normal condit...
Source: BJU International - August 10, 2009 Category: Urology & Nephrology Authors: Gommert A. van Koeveringe, Mohammad S. Rahnama'i, Bary C.M. Berghmans Source Type: journals

Marked hydronephrosis and hydroureter after distigmine therapy in an adult male patient with paraplegia due to spinal cord injury: a case reportEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion: Distigmine therapy resulted in marked bilateral hydronephrosis and hydroureter. Persistence of hydronephrosis after omitting distigmine, and presence of residual urine in bladder over many years probably predisposed to formation of polypoid cystitis and follicular cystitis, and contributed to prolonged haematuria, which occurred after an episode of urine infection. This case illustrates the dangers of prescribing distigmine to promote spontaneous voiding in spinal cord injury patients. Instead of using distigmine, spinal cord injury patients should be advised to consider intermittent catheterisation together wi...
Source: Cases Journal - August 5, 2009 Category: Journals (General) Source Type: journals

Enterovesical Fistula: A Rare Complication of Urethral CatheterizationEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This report describes the case of an eighty-two-year old lady with an indwelling urethral catheter inserted eight years prior to her presentation to manage her urinary incontinence. She underwent radiotherapy for muscle-invasive bladder cancer (stage T2b) in 1991 and had a laparotomy and drainage of an appendicular abscess in her early twenties. She presented with a short history of fecaluria, pneumaturia, and passage of urine per rectum. On laparotomy she was found to have an inflated catheter balloon that has eroded through the bladder wall into the lumen of a terminal ileal segment. To our knowledge this is the first re...
Source: Advances in Urology - August 3, 2009 Category: Urology & Nephrology Source Type: journals

Multilayer Transducer for Acoustic Bladder Volume Assessment on the Basis of Nonlinear Wave PropagationEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract: Catheterization remains the gold standard for bladder volume assessment, but it is invasive, uncomfortable to the patient and introduces the risk of infections and traumas. Acoustic measurement of the bladder volume reduces the need for a urinary catheter. Recently, a new method to non-invasively measure the volume of liquid filled cavities in vivo on the basis of nonlinear wave propagation has been introduced. To implement this method, two different multilayer ultrasound transducers were developed. Both transducers consisted of a first piezo-electric layer of lead zirconate titanate (PZT) to transmit waves at a ...
Source: Ultrasound in Medicine and Biology - August 2, 2009 Category: Radiology Authors: Egon J.W. Merks, Paul van Neer, Nicolaas Bom, Antonius F.W. van der Steen, Nico de Jong Tags: Original Contributions Source Type: journals

Dystrophic calcification and stone formation on the entire bladder neck after potassium-titanyl phosphate laser vaporization for the prostate: a case report.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Dystrophic calcification can be defined as a calcification that occurs in degenerated or necrotic tissue. It is associated with multiple clinical conditions, such as collagen vascular diseases. It involves the deposition of calcium in soft tissues despite no generalized disturbance in the calcium or phosphorus metabolism, and this is often seen at sites of previous inflammation or damage. Potassium-titanyl phosphate (KTP) laser vaporization of the prostate is safe and relatively bloodless procedure that results in a shorter catheterization, immediate symptomatic improvement, and less severe postoperative irritative sym...
Source: J Korean Med Sci - July 31, 2009 Category: Journals (General) Authors: Jeon SW, Park YK, Chang SG Tags: J Korean Med Sci Source Type: journals

Editorial CommentEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This study evaluates 30 children with myelomeningocele (MMC) (mean age 5.6 ± 2.7 years) and refractory neurogenic detrusor overactivity using pelvic floor electrostimulation with interferential (IF) current. The children had moderate to severe retractable incontinence, detrusor overactivity, and a high maximal detrusor end-fill pressure. Each child required anticholinergic therapy (oxybutynin or baclofen) and clean intermittent catheterization. They were randomly allocated to the treatment (IF stimulation, n = 20) and control (sham stimulation, n = 10) groups with a 2:1 ratio (balanced block randomization). The patients w...
Source: Urology - July 31, 2009 Category: Urology & Nephrology Authors: Raymond Bologna Tags: Pediatric Urology Source Type: journals

Proof of principle: The effect of antimuscarinics on bladder filling sensations in healthy subjects - A placebo controlled double blind investigation using 4 and 8 mg tolterodine extended releaseEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
There is evidence that antimuscarinic drugs have depressant influence not only on bladder muscle activity, but also on bladder sensations. The aim of this study was to evaluate the effect of a single dose tolterodine extended release (ER) 4 and 8 mg on bladder sensations during filling cystometry.After approval of the local ethics committee, 30 healthy female subjects (23.7 ± 2.3 years) were included and randomly assigned to three groups: (A) placebo, (B) tolterodine ER 4 mg, and (C) tolterodine ER 8 mg in a double blind manner. Measurements were performed at baseline and 4 hr postmedication in each group, consisting of: ...
Source: Neurourology and Urodynamics - July 27, 2009 Category: Urology & Nephrology Authors: Ulrich Mehnert, André Reitz, Sumaya Abo Youssef, Brigitte Schurch Source Type: journals

Efficacy and Safety of Oxybutynin Transdermal System in Spinal Cord Injury Patients With Neurogenic Detrusor Overactivity and Incontinence: An Open-label, Dose-titration StudyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: Oxybutynin-TDS was efficacious in spinal cord injury patients with neurogenic detrusor overactivity and was well tolerated at up to 3 times the standard dose. (Source: Urology)
Source: Urology - July 21, 2009 Category: Urology & Nephrology Authors: Michael J. Kennelly, Gary E. Lemack, Jenelle E. Foote, Cynthia S. Trop Tags: Ambulatory and Office Urology Source Type: journals

Protocol for the value of urodynamics prior to stress incontinence surgery (VUSIS) study: a multicenter randomized controlled trial to assess the cost effectiveness of urodynamics in women with symptoms of stress urinary incontinence in whom surgical treatment is considered.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Background: Stress urinary incontinence (SUI) is a common problem. In the Netherlands, yearly 64.000 new patients, of whom 96% are women, consult their general practitioner because of urinary incontinence. Approximately 7500 urodynamic evaluations and approximately 5000 operations for SUI are performed every year. In all major national and international guidelines from both gynaecological and urological scientific societies, it is advised to perform urodynamics prior to invasive treatment for SUI, but neither its effectiveness nor its cost-effectiveness has been assessed in a randomized setting.The Value of Urodynamics pri...
Source: BMC Women's Health - Latest articles - July 20, 2009 Category: OBGYN Authors: Sanne van LeijsenKirsten KluiversBen Willem MolSuzan BroekhuisFred MilaniC Huub Van der vaartJan-Paul RooversMarlies BongersJan den BoonWilbert SpaansJan Willem de LeeuwViviane DietzJan KleinjanHans BrolmannEveline RoosJudith SchaafstraJohn HeesakkerMark Source Type: journals

Etiology of Urethral Stricture Disease in the 21st CenturyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: Of strictures treated with urethroplasty today iatrogenic causes account for about half of the urethral stricture cases in the developed world. In about 1 of 3 cases no obvious cause could be identified. The etiology is significantly different in younger vs older patients and among stricture sites. (Source: The Journal of Urology)
Source: The Journal of Urology - July 20, 2009 Category: Urology & Nephrology Authors: Nicolaas Lumen, Piet Hoebeke, Pieter Willemsen, Bart De Troyer, Ronny Pieters, Willem Oosterlinck Tags: Infection/Inflammation Source Type: journals

Combination Drug Therapy Improves Compliance of the Neurogenic BladderEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Purpose: Typical management of increased bladder storage pressures and decreased compliance related to neurogenic bladder dysfunction consists of antimuscarinic therapy with or without clean intermittent catheterization. However, these measures are often unsuccessful. In this patient group we commonly use combination therapy consisting of antimuscarinics combined with imipramine and/or an α-blocker.Materials and Methods: A retrospective chart review was performed identifying all patients with neurogenic bladder dysfunction who were initially on no drug therapy or antimuscarinic therapy alone and were later switched to 2 o...
Source: The Journal of Urology - July 20, 2009 Category: Urology & Nephrology Authors: Anne P. Cameron, J. Quentin Clemens, Jerilyn M. Latini, Edward J. McGuire Tags: Voiding Dysfunction Source Type: journals