scholarly journals Skene's glands abscess an overlooked diagnosis in acute lower urinary symptoms

2021 ◽  
Vol 16 (12) ◽  
pp. 3751-3756
Author(s):  
Stefania Tamburrini ◽  
Carmine Vascone ◽  
Valeria Marrone ◽  
Marco Catalano ◽  
Dario Del Biondo ◽  
...  
Keyword(s):  
Urinary Symptoms ◽  
Lower Urinary

scholarly journals Erratum to: Embolisation of prostatic arteries as treatment of moderate to severe lower urinary symptoms (LUTS) secondary to benign hyperplasia: results of short- and mid-term follow-up

2013 ◽  
Vol 23 (9) ◽  
pp. 2573-2574 ◽  
Author(s):  
Joao Martins Pisco ◽  
Hugo Rio Tinto ◽  
Luís Campos Pinheiro ◽  
Tiago Bilhim ◽  
Marisa Duarte ◽  
...  
Keyword(s):  
Urinary Symptoms ◽  
Benign Hyperplasia ◽  
Lower Urinary

STUDY OF PREVALENCE OF LOWER URINARY TRACT SYMPTOMS IN PATIENTS UNDERGOING INGUINAL HERNIA REPAIR AT SKMCH, MUZAFFARPUR, BIHAR

2021 ◽  
pp. 51-53
Author(s):  
Sanjay Kumar ◽  
Kumar Vikram ◽  
Manoj Kumar ◽  
Debarshi Jana
Keyword(s):  
Inguinal Hernia ◽  
Urinary Tract ◽  
Hernia Repair ◽  
Inguinal Hernia Repair ◽  
Lower Urinary Tract Symptoms ◽  
Lower Urinary Tract ◽  
Urinary Symptoms ◽  
Number Of Patients ◽  
Urinary Tract Symptoms ◽  
Lower Urinary

Background: Lower urinary tract symptoms (LUTS) are frequently associated with inguinal hernias. It is important to recognise and treat bladder outlet obstruction in patients before inguinal hernia repair to prevent recurrence of hernia. Methods: This prospective study was conducted at Department of Surgery, Sri Krishna Medical College and Hospital, Muzaffarpur, Bihar. Hundred patients who presented with inguinal hernia repair were evaluated for LUTS using AUA scoring for urinary symptoms, uroowmetry (Qmax) and post voidal residual urine using ultrasonography along with urine routine microscopic examination and urine culture and sensitivity. Results: Eleven patients out of 100 who came for hernia repair had clinically signicant LUTS due to benign enlargement of prostate (BEP) and required treatment for BEP but none of these 11 patients had urinary symptoms as primary complaint. Ten patients were found to have urinary tract infection without any urinary symptom. Three patients had urethral stricture out of which 2 had Qmax of <10 ml/second. Conclusions: Signicant number of patients (14 percent) with inguinal hernia had lower urinary tract symptoms. An effort should be made to identify LUTS in patients presenting with inguinal hernia before surgery and treat the cause of LUTS. Ten percent of patients had asymptomatic UTI with AUA score less than 8 but Qmax on uroowmetry was in between 10-15 ml/second.

scholarly journals Lower Urinary Tract Symptoms in Subjects with Subclinical Cerebral White Matter Lesions

2018 ◽  
Vol 2018 ◽  
pp. 1-5 ◽  
Author(s):  
Chi-Hang Yee ◽  
Ching Leung ◽  
Yuki Yu-Ting Wong ◽  
Sylvia Lee ◽  
Jenny Li ◽  
...  
Keyword(s):  
Urinary Tract ◽  
Lower Urinary Tract Symptoms ◽  
Lower Urinary Tract ◽  
White Matter Lesions ◽  
Community Dwelling ◽  
Urinary Symptoms ◽  
Cerebral White Matter ◽  
Mri Brain ◽  
Urinary Tract Symptoms ◽  
Lower Urinary

Aim. We assessed the impact of cerebral white matter lesions (WMLs) on lower urinary tract symptoms in subjects with normal neurological and cognitive function.Methods. A cohort of community-dwelling subjects aged ≥65 years were recruited to undergo MRI brain assessment. WMLs were graded using the Fazekas scale from 0 to 3. A separate telephone interview was carried out to assess the urinary symptoms in these subjects using the questionnaire Overactive Bladder-Validated 8-Question Awareness Tool (OAB-V8).Results. 800 community-dwelling elderly subjects were recruited to undergo MRI brain. In this cohort, 431 subjects responded to the telephone interview concerning their urinary symptoms. Among the respondents, 21.1% did not exhibit any WML on their MRI brain. Most of the subjects (52.6%) exhibited grade 1 WML. On logistic regression, age was found to be positively correlated with the Fazekas score (correlation coefficient 0.203,p≤0.01). Using a cutoff of 8 on OAB-V8, 22% of the respondents experienced OAB. Presence of WML, hypertension, or diabetes mellitus was not found to be correlated with storage urinary symptoms or OAB-V8 total score. Multiple logistic regression analysis did not show the presence of WML to be associated with the diagnosis of OAB (adjusted OR 1.13, 95% CI 0.65–1.96,p=0.659).Conclusions. WML is associated with age and is common in the elderly population. Mild WML is subclinical, with no obvious neurological and urinary symptoms. Our cohort did not demonstrate a relationship between WML and lower urinary tract symptoms.

scholarly journals Association of Age With Lower Urinary Tract Function in Adult Men Presenting for Urodynamics: A Database Analysis

2021 ◽  
pp. 274-281
Author(s):  
Sanjay Sinha ◽  
Lavina Matina
Keyword(s):  
Urinary Tract ◽  
Lower Urinary Tract ◽  
Clinical Care ◽  
Multiple Hypothesis Testing ◽  
Urinary Symptoms ◽  
Adult Men ◽  
Tertiary Center ◽  
Lower Urinary Tract Function ◽  
Tract Function ◽  
Lower Urinary

Background: Knowledge regarding lower urinary tract function in adult men could help in making informed choices. Few studies have examined the entire spectrum of adult males. Methods: This is a retrospective analysis of all adult men with refractory non-neurogenic urinary symptoms presenting to a tertiary center over 9 years. International Continence Society defined indices bladder outlet obstruction index (BOOI) and bladder contractility index (BCI) were calculated with established classification. Storage abnormality was defined as presence of detrusor overactivity, poor compliance (< 20mL per cm H20) or both. Data were analyzed by non-parametric tests using SPSS (version 20.0.0, Armonk NY ) (P < 0.05 significant; 2-tailed). Where appropriate, correction for multiple hypothesis testing was applied. Results: A total of 1596 men (range 18 to 91 years, median 51.0 years; IQR 34 to 64 years) were eligible. Median BCI and BOOI were 99.5 and 37.0, respectively, and a storage abnormality was noted in 41.7%. On multivariate analysis, age was significantly associated with urodynamic findings. While not strictly linear, for each 10 years increase in age, on average, the BCI fell 2.4 points and the BOOI increased by 2.4 points. Increasing age was also associated with increasing odds of finding a storage abnormality (OR 1.015; 95%CI 1.008 to 1.022; P < 0.001). On post hoc analysis (Bonferroni correction), men under 30 years were least likely of any group to show obstruction (30.3%; median BOOI 26). Conclusions: Adult men with refractory urinary symptoms show age-associated differences in urodynamic findings. An awareness of these trends can help take more informed decisions in clinical care.

scholarly journals The Comprehensive Assessment of Self-Reported Urinary Symptoms: A New Tool for Research on Subtypes of Patients with Lower Urinary Tract Symptoms

2019 ◽  
Vol 201 (6) ◽  
pp. 1177-1183 ◽  
Author(s):  
Kevin P. Weinfurt ◽  
James W. Griffith ◽  
Kathryn E. Flynn ◽  
David Cella ◽  
Tamara Bavendam ◽  
...  
Keyword(s):  
Urinary Tract ◽  
Lower Urinary Tract Symptoms ◽  
Lower Urinary Tract ◽  
Comprehensive Assessment ◽  
Urinary Symptoms ◽  
Urinary Tract Symptoms ◽  
Lower Urinary

scholarly journals Evaluation of a community pharmacy-led test-and-treat service for women with uncomplicated lower urinary tract infection in England

2020 ◽  
Vol 2 (1) ◽  
Author(s):  
Tracey Thornley ◽  
Charlotte L Kirkdale ◽  
Elizabeth Beech ◽  
Philip Howard ◽  
Peter Wilson
Keyword(s):  
Urinary Tract ◽  
Community Pharmacy ◽  
Lower Urinary Tract ◽  
Self Care ◽  
Urinary Symptoms ◽  
National Guidelines ◽  
Test And Treat ◽  
Tract Infections ◽  
Safety Netting ◽  
Lower Urinary

Abstract Background Uncomplicated lower urinary tract infections (UTIs) are common in women consulting primary healthcare, taking up GP resources. Delayed consultation can increase the risk of serious infections such as pyelonephritis or bacteraemia. Objectives To evaluate the effectiveness and uptake of a lower UTI test-and-treat service for women presenting with urinary symptoms within a community pharmacy in supporting self-care and appropriate use of antibiotics and reducing demand on other NHS resources. Methods The service was aligned to national guidelines to diagnose and treat lower UTI in women aged 16–64 years and used national resources to provide safety-netting and self-care advice. Consultation included clinical assessment and a urine dipstick test alongside a novel smartphone app, with diagnosis informed by test results. Women were provided with safety-netting advice and either advised on self-care, supplied with antibiotics or referred to their GP. Results Data were analysed for 764 women who presented to 23 pharmacies during December 2018 to April 2019. Lower UTI was found to be likely in 372/496 (75.0%) women, most of whom purchased antibiotics on the same day. Had the service not been available, approximately three-quarters of women who had completed the service and responded to the question would have visited their GP (214/301) and more than one-third would have used self-care with or without going to see their GP (116/301). Conclusions A community pharmacy-led UTI test-and-treat service for women aged 16–64 years presenting with urinary symptoms provided accessible and timely care aligned to national guidance, with 75.0% of consultations requiring antibiotic treatment.

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