scholarly journals A Case of Urethral Diverticulum with Surgical Repair Using Cadaveric Pericardial Tissue

2018 ◽  
Vol 2018 ◽  
pp. 1-5 ◽  
Author(s):  
Loren Custer ◽  
Morris Jessop ◽  
Stanley Zaslau ◽  
Robert Shapiro
Keyword(s):  
Differential Diagnosis ◽  
Urinary Tract ◽  
Vaginal Discharge ◽  
Surgical Repair ◽  
Urethral Diverticulum ◽  
Surgical Correction ◽  
Definitive Treatment ◽  
Needle Localization ◽  
Vaginal Mass ◽  
Tract Infections

A urethral diverticulum is a relatively uncommon finding. The estimated prevalence is approximately 1-5% in the general population. While the definitive treatment is surgical correction, there are limited studies guiding the best approach to repair. This is the case of a 48-year-old female who initially presented with vaginal discharge, dysuria, and dyspareunia. MRI revealed the diagnosis of suspected urethral diverticulum. The patient was treated with surgical correction with the aid of needle localization prior to the procedure. After the diverticulum was excised, the resulting defect in the urethra was successfully closed with cadaveric pericardial tissue. A urethral diverticulum should be considered in the differential diagnosis when a patient presents with symptoms such as recurrent urinary tract infections (UTIs) vaginal mass, dysuria, dyspareunia, or vaginal discharge. The use of cadaveric tissue augments the surgical technique for repair.

scholarly journals Clinical Impact of Revised Ciprofloxacin Breakpoint in Patients with Urinary Tract Infections by Enterobacteriaceae

Antibiotics ◽  
2021 ◽  
Vol 10 (4) ◽  
pp. 469
Author(s):  
Ga-Eun Park ◽  
Jae-Hoon Ko ◽  
Sun-Young Cho ◽  
Hee-Jae Huh ◽  
Jin-Yang Baek ◽  
...  
Keyword(s):  
Urinary Tract ◽  
Clinical Outcomes ◽  
Urinary Tract Infections ◽  
Inhibitory Concentration ◽  
Clinical Impact ◽  
Definitive Treatment ◽  
Primary Endpoints ◽  
Tract Infections ◽  
Susceptible Group ◽  
Selection Of

In 2018, the Clinical and Laboratory Standards Institute (CLSI) revised ciprofloxacin (CIP)-susceptible breakpoint for Enterobacteriaceae from ≤1 μg/mL to ≤0.25 μg/mL, based on pharmacokinetic-pharmacodynamic (PK-PD) analysis. However, clinical data supporting the lowered CIP breakpoint are insufficient. This retrospective cohort study evaluated the clinical outcomes of patients with bacteremic urinary tract infections (UTIs) caused by Enterobacteriaceae, which were previously CIP-susceptible and changed to non-susceptible. Bacteremic UTIs caused by Enterobacteriaceae with CIP minimal inhibitory concentration (MIC) ≤ 1 μg/mL were screened, and then patients treated with CIP as a definitive treatment were finally included. Patients in CIP-non-susceptible group (MIC = 0.5 or 1 μg/mL) were compared with patients in CIP-susceptible group (MIC ≤ 0.25 μg/mL). Primary endpoints were recurrence of UTIs within 4 weeks and 90 days. A total of 334 patients were evaluated, including 282 of CIP-susceptible and 52 of CIP-non-susceptible. There were no significant differences in clinical outcomes between two groups. In multivariate analysis, CIP non-susceptibility was not associated with recurrence of UTIs. CIP non-susceptibility based on a revised CIP breakpoint, which was formerly susceptible, was not associated with poor clinical outcomes in bacteremic UTI patients were treated with CIP, similar to those of the susceptible group. Further evaluation is needed to guide the selection of definitive antibiotics for UTIs.

Pelvic organ prolapse: surgical repair – Helpful as a therapy for urinary tract infections?

2002 ◽  
Vol 59 (9) ◽  
pp. 469-474
Author(s):  
Eberhard ◽  
Geissbühler
Keyword(s):  
Urinary Tract ◽  
Pelvic Organ Prolapse ◽  
Urinary Tract Infections ◽  
Operative Therapie ◽  
Konservative Therapie ◽  
Surgical Repair ◽  
Pelvic Organ ◽  
Anatomische Rekonstruktion ◽  
Rezidivierende Harnwegsinfekte ◽  
Tract Infections

Urogynäkologische Deszensusbeschwerden und chronisch rezidivierende Harnwegsinfekte kommen häufig gemeinsam vor. Zurückzuführen ist dies auf gleiche ätiologische Faktoren (hormonmangelbedingte Atrophie, neurogene Erkrankungen, Stoffwechselstörungen) und auf direkte mechanische Einflüsse des Deszensus auf die Harnröhrenfunktion (Abknicken mit Miktionsstörungen und Restharnanstieg bei großer Zystozele oder Stressinkontinenz und Drangsymptomatik bei großer Urethrozele). Die Therapie soll konservativ beginnen und möglichst alle ätiologischen Faktoren angehen. Bausteine der konservativen Therapie sind Östrogene, Beckenbodentraining, Pessare, Trink- und Miktionstraining und Sanierung der urogenitalen Infektkette [1]. Führt die konservative Therapie innert einiger Monate nicht zur Heilung oder zur befriedigenden Besserung, ist in der Regel eine operative Therapie zu empfehlen. Dabei sind moderne Operationsmethoden zu wählen, die nicht nur eine anatomische Rekonstruktion sondern auch eine funktionelle Restitution zum Ziel haben, d.h. Kontinenz, gute Blasenentleerung und Defäktion und schmerzfreie Kohabitation.

scholarly journals [NO TITLE AVAILABLE]

2013 ◽  
Vol 65 (6) ◽  
pp. 1647-1650 ◽  
Author(s):  
L.D. Guimarães ◽  
E. Bourguignon ◽  
L.C. Santos ◽  
T.S. Duarte ◽  
E.C. Andrade ◽  
...  
Keyword(s):  
Urinary Incontinence ◽  
Urinary Tract ◽  
Urinary Tract Infections ◽  
Surgical Repair ◽  
Rare Condition ◽  
Male And Female ◽  
Recurrent Urinary Tract Infections ◽  
Mongrel Dog ◽  
Tract Infections

Canine hypospadias is a rare condition that can occur in male and female dogs. Affected animals may present signs of urinary incontinence, recurrent urinary tract infections, periurethral dermatitis or can remain asymptomatic. Periurethral hypospadias in a 14-week-old mongrel dog and its surgical repair are addressed.

Urinary Incontinence in a Dog With an Ectopic Ureterocele

2002 ◽  
Vol 38 (1) ◽  
pp. 29-32 ◽  
Author(s):  
Sarah J. Lautzenhiser ◽  
Dale E. Bjorling
Keyword(s):  
Urinary Tract Infection ◽  
Urinary Incontinence ◽  
Urinary Tract ◽  
Urethral Diverticulum ◽  
Excretory Urography ◽  
Ectopic Ureter ◽  
Ectopic Ureterocele ◽  
Distal Ureter ◽  
Tract Infections

A 7-month-old, female English cocker spaniel was examined because of a complaint of urinary incontinence. Excretory urography revealed a small right kidney and right-sided hydroureter, ectopic ureter, and ureterocele. Ureteronephrectomy and ovariohysterectomy were performed, but the distal ureter and ureterocele were left in situ. Recurrent urinary tract infections and intermittent urinary incontinence persisted after surgery. Vaginourethrography demonstrated the presence of a urethral diverticulum associated with the ureterocele. Ureterocelectomy was performed, and the dog remains continent 4 years after ureterocelectomy. Persistent urinary incontinence and urinary tract infection were attributed to failure to resect the ureterocele.

A CRITICAL EVALUATION OF URETHRAL OBSTRUCTION IN FEMALE CHILDREN

PEDIATRICS ◽  
1973 ◽  
Vol 51 (2) ◽  
pp. 272-277
Author(s):  
Dixon Walker ◽  
George A. Richard
Keyword(s):  
Urinary Tract ◽  
Urinary Tract Infections ◽  
Bladder Neck ◽  
Bladder Outlet Obstruction ◽  
Critical Evaluation ◽  
Outlet Obstruction ◽  
Significant Degree ◽  
Surgical Correction ◽  
Female Children ◽  
Tract Infections

In this article we have attempted to partially review the literature in regard to bladder outlet obstruction in female children. It should be reiterated that, despite the great amount of information available and the number of studies done, when subjected to critical evaluation, there is no distinctive study at this time which clearly indicates that routine surgical correction, either by bladder neck revision, dilation, urethrotomy, or meatotomy, alters the course of recurrent urinary tract infections to any significant degree.

New Self-Reporting Questionnaire to Assess Urinary Tract Infections and Differential Diagnosis: Acute Cystitis Symptom Score

2014 ◽  
Vol 92 (2) ◽  
pp. 230-236 ◽  
Author(s):  
Jakhongir F. Alidjanov ◽  
Ulugbek A. Abdufattaev ◽  
Saidamin A. Makhsudov ◽  
Adrian Pilatz ◽  
Farkhad A. Akilov ◽  
...  
Keyword(s):  
Differential Diagnosis ◽  
Urinary Tract ◽  
Symptom Score ◽  
Urinary Tract Infections ◽  
Acute Cystitis ◽  
Tract Infections ◽  
Self Reporting Questionnaire

scholarly journals Ultrasound Imaging of Cystic Nephroma

2017 ◽  
Vol 4 (3) ◽  
pp. 1-9 ◽  
Author(s):  
Federico Greco ◽  
Eliodoro Faiella ◽  
Domiziana Santucci ◽  
Delia De Lisi ◽  
Gianguido Lo Vullo ◽  
...  
Keyword(s):  
Differential Diagnosis ◽  
Abdominal Pain ◽  
Urinary Tract ◽  
Ultrasound Imaging ◽  
Clinical Presentation ◽  
Imaging Features ◽  
Cystic Nephroma ◽  
Cystic Lesions ◽  
Palpable Mass ◽  
Tract Infections

Cystic nephroma is a rare, benign multicystic lesion of the kidney. This tumor occurs both in children and in adults. In children, it is highly prevalent in males; in adults, it is more frequent in women. The term “cystic nephroma” represents two apparently different entities: pediatric cystic nephroma, a benign form thought to originate from metanephric tissue, and adult cystic nephroma, considered as a lesion of mixed epithelial stromal tumor. The clinical presentation may be a palpable mass or nonspecific symptoms such as abdominal pain, hematuria, and urinary tract infections. In this review, we summarize the ultrasound imaging features of cystic nephroma and describe the characteristics of the most common renal cystic lesions and the differential diagnosis of cystic nephroma with other renal cystic lesions.

scholarly journals Emergence of and Risk Factors for Ciprofloxacin-Gentamicin-ResistantEscherichia coliUrinary Tract Infections in a Region of Quebec

2009 ◽  
Vol 20 (4) ◽  
pp. e163-e168 ◽  
Author(s):  
Jacques Pépin ◽  
Mireille Plamondon ◽  
Caroline Lacroix ◽  
Isabelle Alarie
Keyword(s):  
Risk Factors ◽  
Urinary Tract ◽  
Minimum Inhibitory Concentration ◽  
Inhibitory Concentration ◽  
Tertiary Care ◽  
Laboratory Data ◽  
Definitive Treatment ◽  
Tertiary Care Centre ◽  
E Coli ◽  
Tract Infections

BACKGROUND: An increased incidence of urinary tract infections (UTIs) caused by ciprofloxacin-gentamicin-resistantEscherichia coli(CiGREC) has been observed in a tertiary care centre in Sherbrooke, Quebec. The risk factors for such infections remained unclear.METHODS: To determine risk factors for, and outcomes of, CiGREC UTIs, a case control study was conducted. Between 2000 and 2007, 93 cases and 186 controls were identified using laboratory records of patients with greater than 107colony-forming units/L ofE coliin a urinary specimen. Cases hadE coliwith minimum inhibitory concentration to ciprofloxacin of 4 mg/L or greater and minimum inhibitory concentration to gentamicin of 8 mg/L or greater (CiGREC), and controls hadE coliwith any other susceptibility pattern to ciprofloxacin and gentamicin. Clinical and laboratory data were collected. Adjusted odds ratios (AOR) and their 95% CIs were calculated by logistic regression.RESULTS: The prevalence of CiGREC increased sixfold during the study period. Risk factors associated with CiGREC UTI were advanced age, male sex, urological abnormality, domicile outside Sherbrooke, living in a nursing home (AOR 11.73; 95% CI 3.70 to 37.15), use of fluoroquinolones (AOR 15.24; 95% CI 5.42 to 42.83) or aminoglycosides (AOR 6.59; 95% CI 1.22 to 35.61) within the previous month, and use of fluoroquinolones during the preceding one to 12 months (AOR 2.45; 95% CI 1.06 to 5.62). Compared with controls, cases were more likely not to receive an active antibiotic as empirical or definitive treatment, and were more likely to relapse.INTERPRETATION: In the future, it may become necessary to avoid selecting as empirical therapy of urinary tract infection an antibiotic to which the patient has been recently exposed.

scholarly journals Incidental Finding of Urethral Diverticulum in a Woman with History of Recurrent Urinary Tract Infections

2017 ◽  
Vol 11 (3) ◽  
pp. 163-165
Author(s):  
Vishnu R. Mani ◽  
Aleksandr Kalabin ◽  
Ankita Mishra ◽  
Brian Davis-Joseph
Keyword(s):  
Urinary Tract ◽  
Urinary Tract Infections ◽  
Epigastric Pain ◽  
Past History ◽  
Incidental Finding ◽  
Urethral Diverticulum ◽  
Mixed Composition ◽  
Recurrent Urinary Tract Infections ◽  
History Of ◽  
Tract Infections

We present an incidental finding and management of a urethral diverticulum containing mixed composition of struvite and ammonium urate stones. Status post sleeve gastrectomy, patient presented to our bariatric clinic with epigastric pain associated with nausea and vomiting. A computed tomography scan was performed to rule out any complications of the procedure in which urethral stones were reported contained within a diverticulum. This finding, in retrospect, correlated with patient's past history of recurrent urinary tract infections. Over all, urethral diverticulum with struvite stones is a rare entity with few reported cases in literature thus a high index of suspicion is needed in patients with related symptoms. Here a case presentation and treatment rationale are described along with a brief review of existing literature.

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