scholarly journals An Enlarged and Infected Prostatic Utricle as a Rare Cause of Lower Urinary Tract Symptoms in Adolescent Males

2021 ◽  
Vol 2021 ◽  
pp. 1-3
Author(s):  
Rashida Shakir ◽  
Michael G. Packer ◽  
Zarine R. Balsara
Keyword(s):  
Urinary Tract ◽  
Lower Urinary Tract Symptoms ◽  
Lower Urinary Tract ◽  
Urine Culture ◽  
Lower Abdominal Pain ◽  
Proximal Hypospadias ◽  
Prostatic Utricle ◽  
Urinary Tract Symptoms ◽  
History Of ◽  
Lower Urinary

Dysuria with lower abdominal pain is a common presentation for a urinary tract infection (UTI), and diagnosis is based on symptoms together with a urinalysis and urine culture suggestive of infection. UTI is uncommon in circumcised males who are not sexually active. When urine culture is negative, alternate diagnoses including, but not limited to, gastroenteritis, severe constipation, appendicitis, or epididymitis need to be considered. In patients with a known urologic history of proximal hypospadias and/or disorders of sexual development, rarer diagnoses also need to be considered. This paper reports the case of a 13-year-old male with a remote history of proximal hypospadias repair, who presented with nonspecific lower urinary tract symptoms. Initially he was treated for UTI. However, urine cultures remained negative despite persistent urinary tract symptoms. On further workup, he was found to have an enlarged and infected prostatic utricle. This report illustrates the importance of considering an enlarged prostatic utricle in the differential diagnoses of patients with chronic lower urinary tract symptoms and a history of hypospadias. Additionally, this case highlights the utility of magnetic resonance imaging (MRI) in clarifying lower urinary tract anatomy in cases where ultrasound is inconclusive.

scholarly journals Utility of DNA Next-Generation Sequencing and Expanded Quantitative Urine Culture in Diagnosis and Management of Chronic or Persistent Lower Urinary Tract Symptoms

2019 ◽  
Vol 58 (1) ◽  
Author(s):  
Monika Gasiorek ◽  
Michael H. Hsieh ◽  
Catherine S. Forster
Keyword(s):  
Urinary Tract ◽  
Clinical Outcomes ◽  
Lower Urinary Tract Symptoms ◽  
Lower Urinary Tract ◽  
Urine Culture ◽  
Diagnostic Tools ◽  
Next Generation ◽  
Urinary Tract Symptoms ◽  
Urinary Microbiome ◽  
Lower Urinary

ABSTRACT Many patients suffer from chronic, irritative lower urinary tract symptoms (LUTS). The evaluation and management of these patients have proven difficult with the use of standard diagnostic tools, including urinalysis and urine culture. The growing body of literature on the urinary microbiome has looked at the possible implications of the bladder microbiome and dysbiosis, or perturbations in the microbiome, in conditions associated with chronic LUTS. Disorders such as recurrent urinary tract infections (UTIs) and interstitial cystitis have been studied utilizing 16S rRNA rapid next-generation gene sequencing (NGS) and expanded quantitative urine culture (EQUC). In this article, we first present a brief review of the literature describing the current understanding of the urinary microbiome and the features and applications of NGS and EQUC. Next, we discuss the conditions most commonly associated with chronic, persistent LUTS and present the limitations of current diagnostic practices utilized in this patient population. We then review the limited data available surrounding treatment efficacy and clinical outcomes in patients who have been managed based on results provided by these two recently established diagnostic tools (DNA NGS and/or EQUC). Finally, we propose a variety of clinical scenarios in which the use of these two techniques may affect patients’ clinical outcomes.

scholarly journals P.1.18 Factors related to lower urinary tract symptoms of female workers in the electronic parts industry in khon kaen province

2019 ◽  
Vol 76 (Suppl 1) ◽  
pp. A82.1-A82
Author(s):  
Phanumas Krisorn ◽  
Naesinee Chaiear ◽  
Pattranit Songsrichainun ◽  
Suchanaree Laitrakul ◽  
Wipawee Keerativorasakul ◽  
...  
Keyword(s):  
Urinary Tract ◽  
Lower Urinary Tract Symptoms ◽  
Lower Urinary Tract ◽  
Female Workers ◽  
Urinary Tract Symptoms ◽  
Khon Kaen ◽  
History Of ◽  
Electronic Parts ◽  
Insufficient Number ◽  
Lower Urinary

BackgroundThe lower urinary tract symptoms (LUTS) are more common in women than men. The causes of LUTS come from many factors. Working factor might be one of them. Leading to a study of working factors and non-working factors related to LUTS at electronic parts factory in Khon Kaen province.MethodsThe case-control study was performed. The total of 236 cases (female worker who has at least one symptom of LUTS) and 236 controls (female workers who don’t have the symptoms) was done by simple random sampling. Research tool is the self-administered questionnaire. Data were analyzed by SPSS Version 19, EpiInfo for calculate odds ratio, 95% CI , Pearson’s chi-square test and Mann-Whitney U test.ResultsConveyor does not statistically significant related to LUTS(AOR=0.88, 95% Cl (0.59,1.30). Factors that significantly related to LUTS are 1.History of LUTS in a last year [AOR=4.80, 95% CI (2.64,8.73)] 2. inadequate number of drinking water glasses [AOR=2.15, 95% CI (1.06,4.36)] 3. inadequate number of toilet [AOR=1.97, 95% CI(1.24,1.97)] 4. Holding bladder [AOR=1.56, 95% CI(1.24,1.97)].ConclusionConveyor is not a statistically significant factor for LUTS. Statistically significant factors related to LUTS are history of LUTS in a last year, insufficient number of glasses, insufficient number of toilet and holding bladder.

Does a history of bullying and abuse predict lower urinary tract symptoms, chronic pain, and sexual dysfunction?

2016 ◽  
Vol 48 (11) ◽  
pp. 1783-1788 ◽  
Author(s):  
Tori Nault ◽  
Priyanka Gupta ◽  
Michael Ehlert ◽  
Emily Dove-Medows ◽  
Marlene Seltzer ◽  
...  
Keyword(s):  
Chronic Pain ◽  
Urinary Tract ◽  
Sexual Dysfunction ◽  
Lower Urinary Tract Symptoms ◽  
Lower Urinary Tract ◽  
Urinary Tract Symptoms ◽  
History Of ◽  
Lower Urinary
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