scholarly journals Obstetric-associated lower urinary tract injuries: A case series from a tertiary centre in a low-resource setting

2020 ◽  
Vol 27 ◽  
pp. e00218
Author(s):  
Shantel Naicker ◽  
Thinagrin D. Naidoo ◽  
Jagidesa Moodley
2018 ◽  
Vol 2018 ◽  
pp. 1-5 ◽  
Author(s):  
Alexis Rompré-Brodeur ◽  
Sero Andonian

Ureterocele is a well-known pathologic entity in the pediatric urology population but remains a diagnostic and treatment challenge in the adult population. Adult ureteroceles remain a diagnostic challenge for the adult urologist. Its prevalence is estimated between 1/500 and 1/4000 patients with a wide variety of clinical presentations. We present the case of a 30-year-old female patient who presented with severe lower urinary tract symptoms (LUTS) and acute urinary retention secondary to prolapsing bilateral single-system orthotopic ureteroceles. She was successfully treated with transurethral unroofing of her bilateral ureteroceles and she is currently asymptomatic. This case represents the first reported case of bilateral ureteroceles presenting with severe LUTS and subsequent urinary retention from the prolapse of one of the ureteroceles. We provide a review of the most recent case series of adult ureteroceles and their outcomes. Transurethral unroofing of the ureterocele is a safe and minimally invasive approach for this disease.


2019 ◽  
Vol 5 (2) ◽  
pp. 20
Author(s):  
Francis Chinegwundoh ◽  
Esther Oluseyi Bamigboye

We describe the phenomenon of the development of lower urinary tract symptoms (storage) following accidents in which there is no direct bladder trauma or pelvic fracture and propose the term “Whiplash bladder”. That bladder symptoms may develop in such circumstances is under appreciated in the urological and medical legal literature.


2014 ◽  
Vol 8 (11-12) ◽  
pp. 853 ◽  
Author(s):  
Sailaja Pisipati ◽  
Christian Bach ◽  
Datesh Daneshwar ◽  
Edward W Rowe ◽  
Anthony J Koupparis

The da Vinci Surgical System (Intuitive Surgical Inc.) continues to develop as a platform in urological surgery. Synchronous upper and lower urinary tract tumours requiring extirpative surgery are not uncommon. We report the first case robotic series of combined complex upper and lower urinary tract surgery. Six high-risk anaesthetic patients with a median age of 71 years and apparent synchronous upper and lower urinary tract pathologies underwent concurrent robotic surgery. Five underwent robotic nephroureterectomyand robotic-assisted radical cystectomy (RARC); 1 had combined robotic nephroureterectomy and robotic-assisted radical prostatectomy (RALP). The mean length of stay was 10 days, with an average blood loss of 416.7 mL. The median console time for nephroureterectomy, RALP and RARC was 90, 90 and 210 minutes, respectively. Four patients had intra-corporeal ileal conduit urinary diversion. There were no Clavien grade 3, 4, or 5 complications. In all patients, 30- and 90-day mortality was nil. Margins were clear in the entire cohort. We concluded that combined upper and lower urinary tract robotic surgery is safe and technically feasible with acceptable complications and oncological outcomes.


2019 ◽  
Vol 32 (04) ◽  
pp. 235-250
Author(s):  
Ruchira Sharma ◽  
Abhishek Kumar Sharma ◽  
Shishir Mathur

Abstract Background Patients with lower urinary tract infection report with unknown aetiology as a frequently encountered clinical problem. Aims To treat the patients suffering from acute symptoms of lower urinary tract infection as an add-on to standard urological care. Materials and Methods After exclusion of morphologic abnormalities, all patients with acute lower urinary tract infection who filled urinary tract infection questionnaire were offered additional homoeopathic care as an add-on to standard urological care. Standard urological care included in this study were to have adequate fluid intake to ensure the passage of 1.5 to 2 L of urine per day and maintain hygiene, especially in case of women. Symptoms were fever, incontinence, increased spasticity, decreased bladder capacity or pain, or decreased general health combined with significant bacteriuria. Seven patients were enrolled who fulfilled all the above inclusion criteria. The potencies were used according to disease grading and patient susceptibility. Descriptive statistics was used for analysis and repertory of the urinary organs and prostate gland including condylomata compiled by A.R. Morgan used for homoeopathic medicine selection. Result Seven patients were followed up for a period of 2 years. Six patients were free of urinary tract infection (UTI), whereas UTI symptoms were reduced in one patient. Conclusion Our initial experience with curing of UTI with homoeopathy according to repertory of the urinary organs and prostate gland including condylomata compiled by A.R. Morgan as add on to standard urologic care was encouraging. For an evidence-based evaluation of this concept, prospective studies are required.


2020 ◽  
Vol 8 (8) ◽  
pp. 1413-1418
Author(s):  
David Alele ◽  
Bernice Dahn ◽  
Sia Camanor ◽  
Edet Ikpi ◽  
Molly Lieber ◽  
...  

2015 ◽  
Vol 24 (4) ◽  
pp. 329-334 ◽  
Author(s):  
L.A. Muñoz ◽  
G.J. Mendoza ◽  
M. Gomez ◽  
L.E. Reyes ◽  
J.J. Arevalo

2019 ◽  
Vol 26 (08) ◽  
pp. 1289-1295
Author(s):  
Salman Manzoor Qureshi ◽  
Muhammad Ali Sohail ◽  
Mujeeb ur Rehman Sahito ◽  
Aijaz Hussain Memon

To see the frequency of prostatic malignancy in patients presenting with clinically benign prostate. Study Design: Descriptive case series. Setting: Department of Urology at Peoples University of Medical and Health Sciences for Women / Hospital Nawabshah. Period: Fifteen Months, From October 2016 to December 2017. Materials and Methods: A total of 100 patients who presented with the clinically benign prostate in Urology OPD were enrolled. All concern data regarding Age, mode of presentation (lower urinary tract symptoms with IPSS score/ Acute retention of urine), comorbid, clinical examination findings, pre voided and post-void residual urine determination (on ultrasonography) were entered. The laboratory investigation includes complete blood count, urea, creatinine, random blood sugar (RBS), urine DR and CS, coagulation profile were performed before TURP.TURP performed under spinal anesthesia. After TURP the prostatic tissue chips were sent for histopathology as a routine. Data was analyzed through SPSS Version 20.0. Results: The average age of males was 71.38± 7.19 yrs. Most of the patients with (IPSS 20-35) BPH have lower urinary tract symptoms (both obstructive and irritative). DRE was done in all patients to estimate the size of the prostrate, it was varying from grade 1 enlarged n= 27(27%), grade 2 enlarged n= 36(36%), to grade 3 enlarged in n=37(37%). There were 3 (3%) cases reported to have prostate cancer, with findings confirmed by biopsy of TURP Specimen. There was no mortality seen in our study. The clinical presentation of patients, grades of enlargements on DRE and IPSS however, demonstrated no correlation. Conclusion: BPH is more common between 60-80yrs. When patient undergo TURP or open prostatectomy, every specimen should be sent for biopsy because prostate cancer is only confirmed by biopsy, so that prostate cancer is detected early Radiology & PSA values are supportive in their role but are not true diagnostic. Prostatic cancer is a significant morbid condition, so effective measures should be taken to detect prostatic cancer, so that patient can be properly treated according to the stage.


Sign in / Sign up

Export Citation Format

Share Document