scholarly journals Rectal duplication cyst causing acute urinary retention with bladder outlet obstruction: an unusual presentation

2019 ◽  
Vol 12 (3) ◽  
pp. e226338
Author(s):  
Ashish Sharma ◽  
Samarth Agarwal ◽  
Manoj Kumar ◽  
Satyanarayan Sankhwar
Keyword(s):  
Urinary Retention ◽  
Bladder Outlet Obstruction ◽  
Acute Urinary Retention ◽  
Outlet Obstruction ◽  
Surgical Excision ◽  
Duplication Cyst ◽  
Extrinsic Compression ◽  
Bleeding Per Rectum ◽  
Rectal Duplication ◽  
Laparoscopic Assisted

Anterior rectal duplication cyst is rare entity with <50 reported cases to date. It has myriad presentations like bleeding per rectum, constipation, rectal prolapsed and intestinal obstruction due to extrinsic compression of rectum. However, the association of enlarged duplication cyst compressing the bladder neck or ureter, and leading to bladder outlet obstruction or hydroureteronephrosis is extremely rare with only a handful of reported cases. We report a rare case of large anterior rectal duplication cyst in a young girl leading to acute urinary retention with bladder outlet obstruction which was eventually managed by laparoscopic-assisted transabdominal surgical excision of the cyst. The authors believe that such an association has not been previously reported in this age group.

SIGNIFICANCE OF NON-INVASIVE SONO-MORPHOLOGICAL MARKERS IN THE EVALUATION OF BLADDER OUTLET OBSTRUCTION AND ACUTE URINARY RETENTION SECONDARY TO BENIGN PROSTATIC HYPERPLASIA

2021 ◽  
pp. 5-9
Author(s):  
Prasenjit Bhowmik ◽  
Soumendranath Mandal ◽  
Gaurav Sharma ◽  
Bandhan Bahal ◽  
Prashant Gupta ◽  
...  
Keyword(s):  
Benign Prostatic Hyperplasia ◽  
Diagnostic Accuracy ◽  
Urinary Retention ◽  
Bladder Outlet Obstruction ◽  
Acute Urinary Retention ◽  
Bladder Wall ◽  
Outlet Obstruction ◽  
Threshold Value ◽  
Prostatic Hyperplasia ◽  
Control Group

Objectives: To dene the diagnostic accuracy of intravesical protrusion of prostate (IPP), bladder wall thickness (BWT) and prostate volume (PV) in diagnosis of bladder outlet obstruction (BOO) and prediction of future acute urinary retention (AUR). A prospective Materials and methods: study of 127 patients, presenting with lower urinary tract symptoms suggestive of benign prostatic hyperplasia (BPH) were enrolled with 50 patients among them manifesting AUR. 35 normal persons were selected as control group. After inclusion, all patients underwent transabdominal ultrasound and pressure ow urodynamic study (UDS). UDS parameter, BOO index (BOOI) were used as a reference standard for stratifying the patients into two groups, BOO and non-BOO. The sono-morphological parameters, IPP, BWT and PV were used to compare between these two groups with calculating the diagnostic accuracy for each individual index. IPP, BWT Results: and PV had statistically signicant difference between group 1 (BOOI < 40) and 2 ( BOOI > 40) with strong correlation with BOOI. The Pearson's correlation coefcient (r) for IPP, BWT and PV were 0.762, 0.702 and 0.660 respectively. The AUC for IPP, BWT and PV were 0.824, 0.786 and 0.650 with highest accuracy for IPP (79.2%) at cutoff value of 7 mm. Using the same threshold value, IPP had higher statistical difference than BWT in predicting AUR with similar diagnostic accuracy of IPP and BWT together. IPP and BWT in conjunction with PV in place Conclusions: of UDS had good clinical utility in diagnosis of BOO due to BPH and future AUR prediction.

Bladder outlet obstruction in men with acute urinary retention: an urodynamic study

2013 ◽  
Vol 31 (5) ◽  
pp. 1045-1050 ◽  
Author(s):  
Maximilian Rom ◽  
Matthias Waldert ◽  
Hans Christoph Klingler ◽  
Tobias Klatte
Keyword(s):  
Urinary Retention ◽  
Bladder Outlet Obstruction ◽  
Acute Urinary Retention ◽  
Outlet Obstruction ◽  
Urodynamic Study

scholarly journals Magnitude and Pattern of Associated Complications of Bladder Outlet Obstruction Secondary to Benign Prostatic Hyperplasia at Yekatit 12 Hospital, Ethiopia: A Retrospective Descriptive Study

2021 ◽  
Author(s):  
Zelalem Asefa
Keyword(s):  
Urinary Tract Infection ◽  
Urinary Tract ◽  
Benign Prostatic Hyperplasia ◽  
Tract Infection ◽  
Urinary Retention ◽  
Bladder Outlet Obstruction ◽  
Acute Urinary Retention ◽  
Outlet Obstruction ◽  
Prostatic Hyperplasia ◽  
Elderly Males

Abstract Background: Benign prostatic hyperplasia (BPH) is the commonest cause of bladder outlet obstruction (BOO) in elderly males. It is characterised by lower urinary tract symptoms (LUTS) that include voiding/obstructive and storage/irritative symptoms. If untreated, patients could suffer from different associated complications such as hydronephrosis, urinary tract infection and even renal failure. Little is known about the magnitude and pattern of associated complications of BOO secondary to BPH.Objectives: To assess the clinical profile, magnitude and pattern of associated complications of BOO among patients with BPH at Yekatit 12 hospital, Addis Ababa, Ethiopia.Methods: A retrospective crossectional hospital based analysis of 225 patients who underwent prostatectomy for BOO secondary to BPH over a five year period, from January 1, 2015 to December 31, 2019 was done. Data were analysed using SPSS version 20. Results: Frequency of micturition, dysuria and nocturia were the commonest presenting symptoms observed in 94.2%, 89.3% and 84.9% of the patients, respectively. One hundred and thirty (57.8%) patients presented to the hospital 2 years after the onset of their symptoms. History of prehospital antibiotic treatment for recurrent urinary tract infection (UTI) was found in 64.4% of the patients. Associated complications of BOO secondary to BPH were observed in 44% of the patients. Acute urinary retention (AUR) and urinary tract infection (UTI) were the commonest associated complications observed in 50.7% and 30.7% of the patients, respectively. Hydronephrosis (21.8%), renal impairment (19.1%), urinary tract stones (13.3%) and frank haematuria (4.4%) were other complications observed in this series. Conclusion: Storage/irritative LUTS predominate among our patients with BPH. Associated complications of BOO secondary to BPH were prevalent in the study. Acute urinary retention (AUR) and urinary tract infection (UTI) were the commonest associated complications observed. In order to avoid late diagnosis and reduce the occurrence of possible complications, clinicians should be aware of the possibility of BPH even if the storage/ irritative symptoms predominate in elderly males.

scholarly journals Posterior urethral valve and anterior rectal duplication: a new combination

2019 ◽  
Vol 12 (7) ◽  
pp. e229648
Author(s):  
Kailas P Bhandarkar ◽  
Nordeen Bouhadiba ◽  
Massimo Garriboli
Keyword(s):  
Rare Case ◽  
Posterior Urethral Valve ◽  
Duplication Cyst ◽  
New Combination ◽  
Acute Renal Injury ◽  
Urinary Stream ◽  
Urethral Valve ◽  
Rectal Duplication ◽  
Laparoscopic Assisted

We present a rare case of association of anterior rectal duplication and posterior urethral valve (PUV). A term neonate with no antenatal concerns was admitted with urosepsis and acute renal injury at 18 days of age. History revealed a poor urinary stream and dribbling. After resuscitation and stabilisation, renal tract ultrasound and micturating cysto-urethrogram were performed. Cystourethroscopy showed PUV and a mass indenting the bladder posteriorly. MRI confirmed the presence of a cystic lesion anterior to the rectum suspicious of rectal duplication. Laparoscopic-assisted excision of the anterior rectal duplication cyst was then performed. The infant recovered uneventfully. Creatinine normalised postoperatively and has been stable at follow-up.

scholarly journals Multiple Vesical Calculi Complicating Uterine Prolapsed

2015 ◽  
Vol 12 (1) ◽  
pp. 55-56
Author(s):  
P Basnet ◽  
A Agrawal ◽  
A Thakur ◽  
D K Uprety ◽  
R Bhatta ◽  
...  
Keyword(s):  
Pelvic Floor ◽  
Bladder Outlet Obstruction ◽  
Acute Urinary Retention ◽  
Stone Formation ◽  
Outlet Obstruction ◽  
Uterovaginal Prolapse ◽  
Vesical Calculus ◽  
Pelvic Floor Repair ◽  
X Ray ◽  
Casual Relationship

Vesical calculus associated with uterovaginal prolapse is very rare. We report a case of a 70–year –old multiparous lady with third degree uterovaginal prolapse for twenty years .Presence of multiple vesical calculus in the cystocele was noted on ultrasonography and x-ray pelvis while undergoing investigation for acute urinary retention. Vaginal hysterectomy with pelvic floor repair followed by suprapubic cystolithotomy was done in the patient. Multiple vesicle calculus were removed. Post operative course was uneventful. Bladder outlet obstruction resulting from prolapse is suspected to be the inciting factor in stone formation though the casual relationship between prolapse and vesical calculus is not established.DOI: http://dx.doi.org/10.3126/hren.v12i1.11989Health Renaissance 2014;12(1):55-56

BLADDER DIVERTICULA CAUSING URINARY RETENTION IN A WOMAN WITHOUT BLADDER OUTLET OBSTRUCTION

1998 ◽  
Vol 160 (6 Part 1) ◽  
pp. 2146-2147 ◽  
Author(s):  
MICHAEL H. SAFIR ◽  
ANGELO E. GOUSSE ◽  
SHLOMO RAZ
Keyword(s):  
Urinary Retention ◽  
Bladder Outlet Obstruction ◽  
Outlet Obstruction ◽  
Bladder Diverticula

scholarly journals Urodynamic Pressure-Flow Study (Pfs) for the Prediction of Surgical Outcome in Bph With Urinary Retention

2020 ◽  
Vol 19 (2) ◽  
pp. 74-77
Author(s):  
Md Monowarul Islam ◽  
ATM Aman Ullah ◽  
Mohammad Abdus Salam ◽  
Tohid Mohammad Saiful Hossain ◽  
AKM Khurshidul Alam ◽  
...  
Keyword(s):  
Urinary Retention ◽  
Bladder Outlet Obstruction ◽  
Outlet Obstruction ◽  
Pressure Flow ◽  
Detrusor Contractility ◽  
Number Of Patients ◽  
Pressure Flow Study ◽  
Group A ◽  
Group B ◽  
Flow Study

Introduction: Urinary retention can be either chronic or acute in onset. Urinary retention can result from impaired detrusor contractility or obstruction of bladder outlet. Twenty five to 30% of men with decreased flow are not obstructed 1. Either uroflowmetry or post-void residue (PVR) can not differentiate obstruction from impaired detrusor contractility. In this study, an effort has been paid to know the usefulness of pressure-flow study in urinary retention due to suspected benign prostatic hyperplasia(BPH) cases for predicting the outcome of surgery. Methods: This is a before after clinical study, conducted in Bangabandhu Sheikh Mujib Medical University, Dhaka. Total 32 patients were selected for the study. Patients age ranges from 49-78 years.Patients with chronic and refractory urinary retention due to BPH were enrolled for the study. They were divided into group A (pre-operative) and group B (Post-operative). TURP was done in all 32 patients by single surgeon. Study variables were detrusor pressure at maximum flow (Pdet@Qmax), bladder outlet obstruction index(BOOI), bladder contractility index( BCI) and post void residue (PVR). Result: Total number of patients was 32. Age ranges from 49-78 years. Twenty one (65.6%) had BPH with chronic retention and 11 (34.4%) had BPH with refractory retention.Pdet@Qmax between Group A and Group B was highly significant (p=0.001). But difference is not significant in Pdet@Qmax d” 40 subgroup of patients (p=0.673). Bladder outlet obstruction index between Group A and Group B is highly significantly (p=0.001), but, that does not observed in BOOI <20 subgroup(p=0.600). Bladder contractility index in both Normal (BCI 100-150) and strong ( BCI >150 ) subgroups are significant ( p=0.001 and 0.001 respectively ). But it is not significant in BCI<100 sub group (p=0.021). Post void residue between Group A and Group B is highly significant (p=0.001). But in PVR >300m subgroup, difference is insignificant (p=0.120). Conclusion: In this study, overall favorable outcome observed in all patients after TURP but Pdet@Qmax <40 cm of water, BOOI <20, BCI <100 and PVR >300 ml groups of patients are at high risk of unfavorable clinical outcome after TURP. With the help of presence flow study (PFS) prior knowledge of these factors, it is possible to predict postoperative outcome. Bangladesh Journal of Urology, Vol. 19, No. 2, July 2016 p.74-77

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