A modified technique of simple suprapubic prostatectomy: no bladder drainage and no bladder neck or hemostatic sutures.
CONCLUSION: Transurethral prostate resection has been introduced as the surgical treatment of choice in patients with benign prostatic hyperplasia. However, open prostatectomy still has a place. Suprapubic prostatectomy with no bladder drainage and no bladder neck suture appeared to be successful in decreasing convalescence and hospitalization times, with no significant complication, major blood loss, or bladder neck contracture.
PMID: 20209457 [PubMed - indexed for MEDLINE] (Source: Urology Journal)...
POSTED 08/07/2010 at 10:39 AM --
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Laparoscopic nerve-sparing surgery of deep infiltrating endometriosis: description of the technique and patientsâ outcome
We describe the technique step by step and compare the patientsâ outcome with patients who had undergone a non-nerve-sparing
surgical technique. In 12 patients, a double-sided and in four patients, a single-sided identification of the inferior hypogastric
nerve and plexus were performed.
Results In all patients at least single-sided resection of the uterosacral ligaments were performed. Postoperatively dysmenorrhoea,
pelvic pain, and dyspareunia disappeared in all patients. The average operating time was 82 min (range 45â185). Postoperatively,
the overall time to resume voiding function was 2 days. The residual urine volume was in all patients <50 ml at two ultrasound
measurements.
Discussion Identification of the inferior ......
POSTED 08/02/2010 at 02:19 PM --
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In Vitro Multicompartmental Bladder Model for Assessing Blockage of Urinary Catheters: Effect of Hydrogel Coating on Dynamics of Proteus mirabilis Growth
Conclusions: The hydrogel layer can increase aggregation of the planktonic cells and newly nucleated crystals, leading to even faster catheter blockage than in the case of uncoated silicone. However, the addition of active agents were able to suppress this negative effect. (Source: Urology)...
POSTED 07/31/2010 at 06:00 PM --
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Original Study: Determination of normal intraâabdominal pressure using urinary bladder catheterization in clinically healthy cats
Abstract (Source: Journal of Veterinary Emergency and Critical Care)...
POSTED 07/31/2010 at 06:00 PM --
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Accuracy of post-void residual urine volume measurement using a portable ultrasound bladder scanner with real-time pre-scan imaging
To evaluate whether the bladder scanner with real-time pre-scan imaging (RPI) is superior to the conventional bladder scanner in measuring post-void residual urine (PVR) volume.Sixty-seven patients with voiding dysfunction were subjected to PVR volume measurements. The PVR volume was measured three times by two experienced examiners using bladder scanners with (BioCon-500, Mcube Technology, Seoul, Korea) or without (BVI-3000 BladderScan, Verathon, WA) RPI. Immediately after the procedure, urethral catheterization was performed to obtain true volume. The accuracy and variability of measurements were compared between the two devices and correlation coefficients were obtained.The Pearson correlation coefficients between the PVR volume measured by each device and the true volume were 0.932 for......
POSTED 07/22/2010 at 06:00 PM --
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Use of Cutaneous Flap for Continent Cystostomy (Daoud Technique)
Conclusions: We present a novel approach to continent cystostomy that is safe and easy to perform. This technique is a less invasive and more efficient alternative to other commonly used approaches. (Source: The Journal of Urology)...
POSTED 07/20/2010 at 06:00 PM --
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Etiology and management of urinary retention in women
Amit Mevcha, Marcus J DrakeIndian Journal of Urology 2010 26(2):230-235Urinary retention (UR) can be defined as inability to achieve complete bladder emptying by voluntary micturition, and categorized as acute UR, chronic UR or incomplete bladder emptying. UR is common in elderly men but symptomatic UR is unusual in women. The epidemiology of female UR is not well documented. There are numerous causes now recognized in women, broadly categorized as infective, pharmacological, neurological, anatomical, myopathic and functional; labeling symptoms as having a "psychogenic basis" should be avoided. Detrusor failure is often an underlying factor that complicates interpretation. Initial management includes bladder drainage (intermittent or indwelling catheterization) if t......
POSTED 07/13/2010 at 02:07 AM --
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'Egg shell' in bladder: A calculus around neglected Foley balloon catheter
Dharamveer Singh, Pawan Vasudeva, Apul GoelIndian Journal of Urology 2010 26(2):299-300Suprapubic catheterization of the bladder is used as a short- or long-term alternative to urethral catheterization. As with any indwelling urinary catheter, proper care is vitally important to minimize complications. (Source: Indian Journal of Urology)...
POSTED 07/13/2010 at 02:07 AM --
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Selective Strategy for Urethral Catheterization in Febrile Young Girls to Confirm Urinary Tract Infection Diagnosis
Nephron Clin Pract 2010;116:c235âÂÂc240 (DOI:10.1159/000317204) (Source: Nephron Clinical Practice)...
POSTED 07/01/2010 at 06:00 PM --
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Rehabilitation in practice: neurogenic lower urinary tract dysfunction and its management.
Authors: Panicker JN, de Sèze M, Fowler CJ
This series of articles for rehabilitation in practice aims to cover a knowledge element of the rehabilitation medicine curriculum. Nevertheless they are intended to be of interest to a multidisciplinary audience. The competency addressed in this article is 'the trainee consistent demonstrates a knowledge of the pathophysiology of various specific impairments including bladder dysfunction' and 'management approaches for specific impairments including bladder dysfunction'. The lower urinary tract (bladder and urethra) has two roles: storage of urine and emptying at appropriate times. The optimal and coordinated activity of the lower urinary tract is subject to a complex neural control which involves all levels of the nervous system, from cor......
POSTED 06/30/2010 at 06:00 PM --
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Editorial Comment
The data in this report demonstrate that injection of botulinum toxin into both the external urethral sphincter and the detrusor may be more beneficial than injection into the detrusor alone. One might have thought that relaxation of the external urethral sphincter would result in more incontinence between catheterizations, but that does not seem to be the case. A significant advantage is that postvoid residuals are lower in children who voluntarily void, which could decrease the incidence of recurrent urinary infections in some children. There were also slightly better improvements in the level of continence and grade of vesicoureteral reflux. However, the effect of these injections is temporary, which limits the practicality of this approach. Therefore, children who fail maximal antichol......
POSTED 06/30/2010 at 06:00 PM --
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Editorial Comment
Our experience with off-label use of botulinum toxin continues to grow. As our experience using this treatment for neurogenic and non-neurogenic overactive bladder increases, we find that, while certain questions are being answered, more questions are surfacing. The pediatric urological literature has shown that patients injected with botulinum toxin demonstrate a reduction in incontinence episodes, an increase in bladder capacity, and a reduction in dangerous detrusor pressuresâresults that appear to last 6-9 months. The questions that remain to be answered center on technique, location of injection, risk of incomplete bladder emptying, and need for clean intermittent catheterization, the risk of systemic side effects, and the long-term outcome of repeat injections. In a recent review, ......
POSTED 06/30/2010 at 06:00 PM --
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Incomplete Bladder Emptying in Patients With Stroke: Is Detrusor External Sphincter Dyssynergia a Potential Cause?
Abstract: Meng NH, Lo SF, Chou LW, Yang PY, Chang CH, Chou EC. Incomplete bladder emptying in patients with stroke: is detrusor external sphincter dyssynergia a potential cause?Objectives: To delineate the frequency, clinical risk factors, and urodynamic mechanisms of incomplete bladder emptying (IBE) among patients with recent stroke.Design: Retrospective study.Setting: Inpatient setting in the rehabilitation ward of a university hospital.Participants: All patients with acute stroke admitted for rehabilitation between January and December 2005, excluding those with a history of lower-urinary tract symptoms and urologic diseases. Eighty-two patients (42 women and 40 men; mean age, 65.5y) were included.Interventions: Not applicable.Main Outcome Measures: We measured postvoid residual (PVRs)......
POSTED 06/29/2010 at 01:47 AM --
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Effects of thoracic epidural analgesia on lower urinary tract function in women
Conclusions: TEA has a significant effect on bladder emptying with clinically relevant postvoid residual (PVR) necessitating (indwelling or intermittent) catheterization or monitoring of PVR. Neurourol. Urodyn. © 2010 Wiley-Liss, Inc. (Source: Neurourology and Urodynamics)...
POSTED 06/28/2010 at 06:00 PM --
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Determination of normal intra-abdominal pressure using urinary bladder catheterization in clinically healthy cats
To establish a reference interval for intra-abdominal pressure (IAP) measured by urinary bladder catheterization in normal cats and determine if IAP is affected by observer variation, volume of saline instillation before measurement, or subject variables of gender, positioning, body condition score, and sedation. Prospective experimental study. Private referral center. Twenty healthy adult cats. Sedation with butorphanol, midazolam, and propofol for catheterization of the urinary bladder and measurement of IAP. A 5-Fr red rubber urinary catheter was placed under sedation, and IAP was determined using a water manometer with the cats in right lateral and sternal recumbency. Three readings were taken in each position by 2 observers. The cats were allowed to recover with the urinary catheter i......
POSTED 06/21/2010 at 06:00 PM --
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Outcomes of Lumbar to Sacral Nerve Rerouting for Spina Bifida
Conclusions: At 1 year a novel reflex arc with stimulation of the appropriate dermatome was seen in the majority of subjects. Improvements in voiding and bowel function were noted. Lower extremity weakness was mostly self-limited, except in 1 subject with a persistent foot drop. More patients and longer followup are needed to assess the risk/benefit ratio of this novel procedure. (Source: The Journal of Urology)...
POSTED 06/20/2010 at 06:00 PM --
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[Quality of life evaluation in spinal cord injured patients comparing different bladder management techniques]
CONCLUSION: Patients treated with condom catheters reported the best quality of life according to KHQ scores, although there were no significant differences versus the other urinary management techniques. The patients' main concern was related to sexuality.
PMID: 20510117 [PubMed - in process] (Source: Actas Urologicas Espanolas)...
POSTED 05/31/2010 at 06:00 PM --
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Determination of normal intraâabdominal pressure using urinary bladder catheterization in clinically healthy cats
(Source: Journal of Veterinary Emergency and Critical Care)...
POSTED 05/31/2010 at 06:00 PM --
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A randomized comparison between three types of irrigating fluids during transurethral resection in benign prostatic hyperplasia.
Conclusion:
Endoscopic TURP performed using either glucose 5% or saline 0.9% irrigating solution during and after surgery is associated with lower incidence of TUR syndrome, lower catheterization period, shorter hospital stay and no cardiac toxicity in comparison with glycine 1.5% solution.This clinical trail had been approved and registered in PACT Registry; with identification number for the registry is ATMR2010010001793131. (Source: BMC Anesthesiology)...
POSTED 05/27/2010 at 06:00 PM --
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The supraspinal neural correlate of bladder cold sensation - An fMRI study
In conclusion, bladder cooling caused a different supraspinal activation pattern compared to what is known to occur during bladder distention. This supports our hypothesis that cold sensation is processed differently from bladder distension at the supraspinal level. Hum Brain Mapp, 2010. © 2010 Wiley-Liss, Inc. (Source: Human Brain Mapping)...
POSTED 05/24/2010 at 06:00 PM --
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