scholarly journals Dysuria, Urinary Retention, and Inguinal Pain as Manifestation of Sacral Bannwarth Syndrome

2015 ◽  
Vol 2015 ◽  
pp. 1-4
Author(s):  
Josef Finsterer ◽  
Johannes Dauth ◽  
Kurt Angel ◽  
Mateusz Markowicz
Keyword(s):  
Borrelia Burgdorferi ◽  
Urinary Retention ◽  
Bladder Dysfunction ◽  
Urine Volume ◽  
Scrotal Pain ◽  
Continuous Increase ◽  
Elevated Protein ◽  
Spinal Mri ◽  
Urethral Pain ◽  
Detrusor Areflexia

Only few cases with sacral radiculitis due to infection withBorrelia burgdorferileading to neurogenic urinary dysfunction have been reported. A 57-year-old male developed urethral pain and urinary retention, requiring permanent catheterization. Extensive urological investigations did not reveal a specific cause, which was why neurogenic bladder dysfunction was suspected. Neurologic exam revealed only mildly reduced tendon reflexes. Cerebral and spinal MRI were noninformative. CSF investigations, however, revealed pleocytosis, elevated protein, and antibodies againstBorrelia burgdorferi. Intravenous ceftriaxone for three weeks resulted in immediate improvement of bladder dysfunction, with continuous decline of residual urine volume and continuous increase of spontaneous urine volume even after removal of the catheter and initiation of self-catheterization. Sacral radiculitis due to infection withBorrelia burgdorferiis a potential cause of detrusor areflexia and urethral, perineal, inguinal, and scrotal pain and may be misinterpreted as cystitis or urethritis. Ceftriaxone may result in progressive recovery of bladder dysfunction and pain. Neuroborreliosis may manifest exclusively as neurourological problem.

scholarly journals Neurogenic Bladder Dysfunction Presenting as Urinary Retention in Neuronopathic Gaucher Disease

2014 ◽  
Author(s):  
Erin R. McNamara ◽  
Jennifer Sullivan ◽  
Shashi K. Nagaraj ◽  
John S. Wiener ◽  
Priya S. Kishnani
Keyword(s):  
Urinary Retention ◽  
Neurogenic Bladder ◽  
Gaucher Disease ◽  
Bladder Dysfunction ◽  
Neurogenic Bladder Dysfunction

Assessment of bladder function after lumbar decompressive laminectomy for spinal stenosis: a prospective study

1994 ◽  
Vol 80 (6) ◽  
pp. 971-974 ◽  
Author(s):  
H. Gordon Deen ◽  
Richard S. Zimmerman ◽  
Scott K. Swanson ◽  
Thayne R. Larson
Keyword(s):  
Spinal Stenosis ◽  
Lumbar Spinal Stenosis ◽  
Bladder Dysfunction ◽  
Urine Volume ◽  
Bladder Function ◽  
Leg Pain ◽  
Residual Urine Volume ◽  
Decompressive Laminectomy ◽  
Spinal Segments ◽  
Lumbar Spinal

✓ Lumbar spinal stenosis is a common problem in elderly patients. In its more advanced forms, it typically causes intractable leg pain, but many patients also manifest varying degrees of bladder dysfunction. The goal of lumbar decompressive laminectomy is relief of leg pain and paresthesias, yet some patients also achieve improvement in bladder function. This study prospectively investigated patients with lumbar spinal stenosis to determine whether laminectomy had any effect on urological function. Of the 20 patients in the study, 10 were men and 10 women (average age 70.9 years). All patients had severe lumbar stenosis affecting between two and four spinal segments, and all reported some degree of bladder dysfunction. Cystoscopy and urodynamic testing were completed preoperatively. A standard decompressive laminectomy was performed over the appropriate number of spinal segments. Urodynamic studies were repeated at 2 and 6 months postoperatively. At the 6-month follow-up review, bladder function was subjectively improved in 12 patients (60%) and unchanged in eight (40%). Postvoiding residual urine volume was the urodynamic factor most likely to be improved by laminectomy. In nine patients (45%), baseline postvoiding residual urine volume was elevated and all nine had improvement postoperatively. In the remaining 11 patients (55%), this urine volume was normal before and after surgery. Maximum urine flow rates also improved, but the results of cytometrography and electromyography, urine flow pattern, and bladder capacity were unchanged postoperatively. Cystoscopy detected previously undiagnosed malignancy of the lower urinary tract in two patients (10%). It is concluded that lumbar decompressive laminectomy can have a beneficial effect on bladder function in a significant number of patients with advanced lumbar spinal stenosis.

scholarly journals Diethylstilbestrol 1 mg in the Treatment of Acute Urinary Retention due to Prostatic Obstruction in the Elderly: A Preliminary Study

2014 ◽  
Vol 2014 ◽  
pp. 1-4 ◽  
Author(s):  
Leonardo Oliveira Reis ◽  
Gustavo Borges De Mendonça ◽  
Bruno D. Carneiro ◽  
Edson Schneider ◽  
Eduardo Varella Gewehr ◽  
...  
Keyword(s):  
Urinary Tract ◽  
Urinary Retention ◽  
Acute Urinary Retention ◽  
Prostate Volume ◽  
Urine Volume ◽  
The Elderly ◽  
Upper Urinary Tract ◽  
Transurethral Resection Of Prostate ◽  
Free Trial ◽  
Tract Dilation

Patients who failed a catheter-free trial after acute urinary retention and one week of full dose alpha-blocker and 5-alpha-reductase inhibitor were offered Diethylstilbestrol 1 mg plus Aspirin 100 mg over 4 weeks. Prostate volume, age, serum creatinine, and initial retention drained urine volume were recorded. After excluding cardiovascular morbidity (n=7), upper urinary tract dilation (n=3), compromised renal function (n=2), urinary tract infection (n=2), neurological diagnosis (n=2), or preferred immediate channel transurethral resection of prostate (n=5), 48 of 69 consecutive patients ≥70 years were included. Mean age was 76.6 years (70–84), mean prostate volume 90 cm3(42–128), and mean follow-up 204 days; 58% (28/48) were passing urine and 42% (20/48) were catheter dependent after 4 weeks Diethylstilbestrol trial. Mean age and drained urine volume of catheter dependent patients were 82.4 years and 850 mL compared with 74.6 years and 530 mL in catheter-free men, respectively. Age and drained urine volume were independent predictors of catheter-free trial (bothP<0.01). Seventy-five percent (6/8) of patients 80 years and older were catheter dependent. Transient nipple/breast tenderness and gynecomastia were the only adverse effects reported by 21% (10/48) and 4% (2/48), respectively. No patient presented severe complications.

scholarly journals Parity and Duration of Labor Affects the Risk of Urinary Retention in post C-Section Patients

2016 ◽  
Author(s):  
Yulia I. Nurullah
Keyword(s):  
Risk Factors ◽  
Urinary Retention ◽  
Transvaginal Ultrasound ◽  
Urine Volume ◽  
Residual Urine Volume ◽  
Retention Factors ◽  
Residual Urine ◽  
Labor Duration ◽  
The Mean

Objective: To determine the rate of urinary retention cases and contributing risk factors in Department of Obstetrics and Gynecology Dr. Mohammad Hoesin Hospital (RSMH), Palembang. Methods: The study conducted on 111 patients who met our study criteria. After CS, urinary catheter were inserted for 24 hours, and then it was opened for 6 hour, after that patients were asked to urinate spontaneously, then we examined the residual urine volume with transvaginal ultrasound. If residual urine volume post CS was >200 ml, it categorized as urinary retention. Result: During the follow up we found that the rate of urinary retention after CS was 3.6% (4 subject). All subject has a covert urinary retention. Factors contribute to post CS urinary retention was duration of labor and parity. The mean of labor duration in group with urinary retention is 8.75±13.04 hour, and 7.55±7.28 hour in the normal group (p = 0.003 RP= 106.00 CI 95%= 6.587-1705.778). All case with urinary retention were primipara (p = 0.045). Conclusion: Our study found that the rate of post CS urinary retention was 3.6%. Risk factors for post CS urinary retention were duration of labor more than 24 hours and primipara. [Indones J Obstet Gynecol 2013; 37-1: 46-50] Keyword: caesarean section, residual urine, urinary retention

Intraprostatic Endoprosthesis

1992 ◽  
Vol 59 (1) ◽  
pp. 53-57
Author(s):  
V. De Luca ◽  
E. Frego ◽  
L Giambroni ◽  
A. Cozzoli ◽  
C. Simeone ◽  
...  
Keyword(s):  
Urinary Retention ◽  
Urine Volume ◽  
Residual Urine Volume ◽  
Residual Urine ◽  
Stop Test ◽  
Endoscopic Guidance

The indications and advantages of an intraprostatic endoprosthesis (IPEP) in the case of obstructive symptoms and urinary retention in patients with BPH are well known. The aim of this study is to report our preliminary experience in the use of a new IPEP which has been developed at our Institute. This prosthesis can be easily positioned, shows little invasiveness and does not require ultrasonic, radiological or endoscopic guidance. The IPEP consists of three detachable parts, which are assembled coaxially to form an ordinary catheter. This procedure is made easier by a knob on the catheter which can be localized by inserting a finger into the rectum. The unit is compact, flexible and smooth. While positioning the IPEP, it is also possible to insert it and draw it back without causing any change to its shape. It is positioned by following the same procedure used for catheters. From November 1989 to April 1991, IPEP prototypes were inserted, with patients’ permission, in 16 patients with BPH and a residual urine volume of 150 cc (mean age 67 years; range 52 to 83 years). In all cases the procedure lasted only a few minutes. In 11 patients the prosthesis was correctly positioned, their stop test and uroflowmetry being valid. In 2 (12%) the procedure was not immediately successful and an additional catheter had to be used. In 3 (19%), it was repositioned.

scholarly journals Electroacupuncture for Bladder Function Recovery in Patients Undergoing Spinal Anesthesia

2014 ◽  
Vol 2014 ◽  
pp. 1-6 ◽  
Author(s):  
Yinqiu Gao ◽  
Xinyao Zhou ◽  
Xichen Dong ◽  
Qing Jia ◽  
Shen Xie ◽  
...  
Keyword(s):  
Adverse Events ◽  
Spinal Anesthesia ◽  
Urinary Retention ◽  
Urine Volume ◽  
Bladder Function ◽  
Control Group ◽  
Postoperative Urinary Retention ◽  
Function Recovery ◽  
Significant Difference ◽  
Secondary Endpoints

Purpose. To determine the efficacy of electroacupuncture on recovering postanesthetic bladder function.Materials and Methods. Sixty-one patients undergoing spinal anaesthesia were recruited and allocated into electroacupuncture or control group randomly. Patients in electroacupuncture group received electroacupuncture therapy whereas ones in control group were not given any intervention. Primary endpoint was incidence of bladder overdistension and postoperative urinary retention. Secondary endpoints included time to spontaneous micturition, voided volume, and adverse events.Results. All patients (31 in electroacupuncture group and 30 in control group) completed the evaluation. During postoperative follow-up, patients in electroacupuncture group presented a significant lower proportion of bladder overdistension than counterparts in control group (16.1% versus 53.3%,P< 0.01). However, no significant difference was found in incidence of postoperative urinary retention between the two groups (0% versus 6.7%,P> 0.05). Furthermore, a shorter time to spontaneous micturition was found in electroacupuncture group compared to control group (228 min versus 313 min,P< 0.001), whereas urine volume and adverse events had no significant difference between the two groups.Conclusions. Electroacupuncture reduced the proportion of bladder overdistension and shortened the time to spontaneous micturition in patients undergoing spinal anesthesia. Electroacupuncture may be a therapeutic strategy for postanesthetic bladder dysfunction.

scholarly journals Acupuncture for Chronic Urinary Retention due to Spinal Cord Injury: A Systematic Review

2016 ◽  
Vol 2016 ◽  
pp. 1-9
Author(s):  
Jia Wang ◽  
Yanbing Zhai ◽  
Jiani Wu ◽  
Shitong Zhao ◽  
Jing Zhou ◽  
...  
Keyword(s):  
Systematic Review ◽  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Urinary Retention ◽  
Urine Volume ◽  
Intermittent Catheterization ◽  
Rehabilitation Training ◽  
Cord Injury ◽  
Chronic Urinary Retention ◽  
Better Than

No systematic review has been published on the use of acupuncture for the treatment of chronic urinary retention (CUR) due to spinal cord injury (SCI). The aim of this review was to assess the effectiveness and safety of acupuncture for CUR due to SCI. Three randomized controlled trials (RCTs) including 334 patients with CUR due to SCI were included. Meta-analysis showed that acupuncture plus rehabilitation training was much better than rehabilitation training alone in decreasing postvoid residual (PVR) urine volume (MD −109.44, 95% CI −156.53 to −62.35). Likewise, a combination of acupuncture and aseptic intermittent catheterization was better than aseptic intermittent catheterization alone in improving response rates (RR 1.23, 95% CI 1.10 to 1.38). No severe adverse events were reported. In conclusion, acupuncture as a complementary therapy may have a potential effect in CUR due to SCI in decreasing PVR and improving bladder voiding. Additionally, acupuncture may be safe in treating CUR caused by SCI. However, due to the lack of high quality RCTs, we could not draw any definitive conclusions. More well-designed RCTs are needed to provide strong evidence.

scholarly journals Acceptable Postvoid Residual Urine Volume after Vaginal Delivery and Its Association with Various Obstetric Parameters

2018 ◽  
Vol 2018 ◽  
pp. 1-7 ◽  
Author(s):  
Wen Sze Choe ◽  
Beng Kwang Ng ◽  
Ixora Kamisan Atan ◽  
Pei Shan Lim
Keyword(s):  
Urinary Retention ◽  
Urine Volume ◽  
Active Phase ◽  
Perineal Pain ◽  
Residual Urine Volume ◽  
Residual Urine ◽  
Second Stage Of Labour ◽  
Postpartum Urinary Retention ◽  
Labour Epidural Analgesia ◽  
Postvoid Residual Urine

Background. Urinary retention and voiding dysfunction is a distressing event and relatively common in immediate postpartum period. This study aims at investigating the range of postvoid residual urine volume after vaginal delivery and its association with various obstetric parameters. Methods. This was a prospective observational study of women who delivered vaginally in Universiti Kebangsaan Malaysia Medical Centre from March 2017 to September 2017. Those who were able to void within 6 hours after delivery, the voided volume measurements were taken at their second void followed by measurement of residual urine using a transabdominal ultrasound scan. For those unable to void at 6 hours postpartum, the bladder volume was measured. If the bladder volume was 500 ml or more, an indwelling catheter would be inserted and kept for 24 hours. Results. A total of 155 patients who fulfilled the inclusion were recruited. There were 143 (92.3%) patients who had residual urine volume of less than 150 ml at second void. Out of these 143 patients, 138 (96.5%) had residual urine volume of less than 100 ml, and among the 138 patients, 119 (86.2%) had residual urine volume of less than 50 ml. The median residual urine volume was 10 ml (2, 42). The overall rate of postpartum urinary retention (PPUR) was 7.7%; 6 (3.85%) had overt retention and 6 (3.85%) had covert retention. Primiparity, duration of active phase of labour, duration of second stage of labour, epidural analgesia, episiotomy, instrumental delivery, and perineal pain score were independent risk factors associated with postpartum urinary retention. Conclusion. Postpartum urinary retention complicates approximately 7.7% of vaginal deliveries. Majority (86.2%) of them had residual urine volume less than 50 ml. Obstetrics factors independently associated with PPUR include primiparity, duration of active phase of labour, duration of second stage of labour, epidural analgesia, episiotomy, instrumental delivery, and degree of perineal pain.

Neurogenic bladder dysfunction causing urinary retention

1992 ◽  
Vol 4 (4) ◽  
pp. 45-60
Author(s):  
Diane Kaschak Newman ◽  
Diane A. Smith ◽  
Gail Goetz
Keyword(s):  
Urinary Retention ◽  
Neurogenic Bladder ◽  
Bladder Dysfunction ◽  
Neurogenic Bladder Dysfunction
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