A violation of the Weigert-Meyer law – an ectopic ureter arising from the lower renal pole

2015 ◽  
Vol 10 (3) ◽  
pp. 202-204 ◽  
Author(s):  
Kirtishri Mishra ◽  
Christopher S Elliott
Keyword(s):  
Urinary Tract ◽  
Urinary Tract Infections ◽  
Ectopic Ureter ◽  
Ureteral Orifice ◽  
Ectopic Ureters ◽  
Tract Infections ◽  
Relationship Of ◽  
The Relationship ◽  
Duplicated Ureter

Ectopic ureters are a found in one of every 2000–4000 people. This abnormality can present with urinary tract infections, haematuria, and occasionally incontinence. Ectopic ureters traditionally follow the Weigert-Meyer Law, which describes the relationship of the lower and upper renal moieties. It states that the lower renal pole drains into a laterocranial ureteral orifice (and may reflux), while the upper renal pole drains into a mediocaudal ureteral orifice (and may be obstructed). If a duplicated ureter does not insert into the bladder, it by rule, originates from the upper pole. We present a case of a 42-year-old male who was incidentally found to have what appears to be an ectopic ureter draining from the lower renal pole into a structure contained in the scrotum, hence violating the Weigert-Meyer law.

scholarly journals Procalcitonin levels differences in preeclampsia and non preeclampsia

2021 ◽  
Vol 5 (2) ◽  
Author(s):  
Nur Istiqamah Fatimah ◽  
Sitti Wahyuni ◽  
Sharvianty Arifuddin
Keyword(s):  
Urinary Tract ◽  
Inflammatory Response ◽  
Urinary Tract Infections ◽  
Sampling Technique ◽  
Systemic Inflammatory Response ◽  
Cross Sectional ◽  
A Value ◽  
Tract Infections ◽  
Relationship Of ◽  
The Relationship

One of the main complications that cause maternal death is preeclampsia/eclampsia. Activation of the systemic inflammatory response is thought to play a role in the pathogenesis of preeclampsia. Urinary tract infections (UTI) can cause activation of the systemic inflammatory response, so that it is considered capable of causing preeclampsia. Procalcitonin is known as a marker of infection and very stable in serum, so it is a promising biomarker in detecting UTI. The investigators intend to investigate the association between UTI and preeclampsia through exploration of procalcitonin levels in preeclampsia and non-preeclampsia mothers. This study was a cross-sectional method, accident sampling technique. Respondents in this study amounted to 65, preeclampsia criteria were 40, and not preeclampsia were 25. The results showed no relationship between urinary tract infections during pregnancy and preeclampsia P = 0.074. Even so, procalcitonin levels in preeclampsia mothers were found to be higher than mothers without preeclampsia, with a value of P = 0.005. Which means that the inflammation that occurs in preeclampsia mothers is not caused by urinary tract infections. It is hoped that further research can be carried out on the relationship of urinary tract infections and preeclampsia by using a larger sample.

scholarly journals The Role of Gut, Vaginal, and Urinary Microbiome in Urinary Tract Infections: From Bench to Bedside

Diagnostics ◽  
2020 ◽  
Vol 11 (1) ◽  
pp. 7
Author(s):  
Tomislav Meštrović ◽  
Mario Matijašić ◽  
Mihaela Perić ◽  
Hana Čipčić Paljetak ◽  
Anja Barešić ◽  
...  
Keyword(s):  
Urinary Tract ◽  
Urinary Tract Infections ◽  
Subsequent Development ◽  
Potential Influence ◽  
Urinary Microbiome ◽  
Important Field ◽  
Tract Infections ◽  
The Relationship ◽  
Current Paradigm

The current paradigm of urinary tract infection (UTI) pathogenesis takes into account the contamination of the periurethral space by specific uropathogens residing in the gut, which is followed by urethral colonization and pathogen ascension to the urinary bladder. Consequently, studying the relationship between gut microbiota and the subsequent development of bacteriuria and UTI represents an important field of research. However, the well-established diagnostic and therapeutic paradigm for urinary tract infections (UTIs) has come into question with the discovery of a multifaceted, symbiotic microbiome in the healthy urogenital tract. More specifically, emerging data suggest that vaginal dysbiosis may result in Escherichia coli colonization and prompt recurrent UTIs, while urinary microbiome perturbations may precede the development of UTIs and other pathologic conditions of the urinary system. The question is whether these findings can be exploited for risk reduction and treatment purposes. This review aimed to appraise the three aforementioned specific microbiomes regarding their potential influence on UTI development by focusing on the recent studies in the field and assessing the potential linkages between these different niches, as well as evaluating the state of translational research for novel therapeutic and preventative approaches.

scholarly journals PEMASANGAN KATETER DENGAN KEJADIAN INFEKSI SALURAN KEMIH PADA PASIEN DI RUANG RAWAT INAP

2020 ◽  
Vol 3 (2) ◽  
pp. 23-30
Author(s):  
Tiarnida Nababan
Keyword(s):  
Urinary Tract ◽  
Urinary Tract Infections ◽  
Respiratory Infections ◽  
Sampling Technique ◽  
Correlation Study ◽  
The Body ◽  
P Value ◽  
Aseptic Technique ◽  
Tract Infections ◽  
The Relationship

Urinary tract infection (UTI) is a result of the development of microorganisms in the urinary tract, which in normal conditions do not contain bacteria, viruses, or other microorganisms. Urinary tract infections are also infections that occupy the second position that most often attacks the body after respiratory infections. The objective of the study was to identify the relationship between catheter placement and the incidence of urinary tract infections at Royal Prima hospital Medan. This is a correlation study (correlation study) on the patients suffering from urinary tract infections. The sampling technique used was a saturated sampling technique. Analysis research data using the Spearmen test. Based on the results of the study, it was found that the majority of catheter installation was in the category of good were 78%, and in the category of not good 22%, and 78% suffered from do not experience urinary tract infections, and 22% infection urinary tract. The results of the study of the Spearmen test showed that p-value = 0.00. It was found that there was a relationship between catheter insertion and the incidence of urinary tract infections in the inpatient room. The local nurses are suggested to improve the aseptic technique of care performed when catheterization is performed so that the incidence of urinary tract infections due to catheter installation can be avoided.

scholarly journals The Relationship between Phimosis, Smegma, and Preputial Bacteria with Inflammatory Status of Circumcised Patient

2020 ◽  
Vol 9 (3S) ◽  
pp. 289-292
Keyword(s):  
Urinary Tract ◽  
Relative Risk ◽  
Urinary Tract Infections ◽  
Analytical Study ◽  
Significant Risk ◽  
Chi Square ◽  
Cross Sectional ◽  
Inflammatory Status ◽  
Tract Infections ◽  
The Relationship

Phimosis is the inability of the penis to potrude from the prepuce either partially or completely and the preputial retractability increases with age. Circumcision is believed by various parties as a form of defense against pathogens that may cause various abnormalities. Smegma is whitish lump that formed from desquamation of preputial epithelial cells. Smegma and bacteria in the prepuce may cause abnormalities such as genital infections, urinary tract infections, and even malignancy. This study aims to determine the presence between phimosis, smegma, and preputial bacteria, and its relationship with inflammatory status of circumcised patient. A cross sectional analytical study for boys who underwent circumcision at Saiful Anwar General Hospital Malang. The data will be analyzed using chi-square and will be calculated for the relative risk. There were 76 patients who underwent circumcision from March 2018 until August 2018. The result was found that the presence of phimosis was significantly associated with the presence of smegma and preputial bacteria (p <0.01) with a risk of 30x and 8x respectively. However, the presence of smegma and preputial bacteria in the prepuce was not significantly associated with the inflammatory status in the prepuce (p = 0.541 & p = 0.084). In conclusion, the presence of phimosis has a significant risk in the formation of smegma and the growth of preputial bacteria.

scholarly journals Leuconostoc pseudomesenteroides as a Cause of Nosocomial Urinary Tract Infections

1999 ◽  
Vol 37 (12) ◽  
pp. 4124-4126 ◽  
Author(s):  
Elisabete A. Cappelli ◽  
Rosana R. Barros ◽  
Thereza Cristina F. Camello ◽  
Lúcia M. Teixeira ◽  
Vânia Lúcia C. Merquior
Keyword(s):  
Urinary Tract ◽  
Urinary Tract Infections ◽  
Gel Electrophoresis ◽  
Pulsed Field Gel Electrophoresis ◽  
Chromosomal Dna ◽  
Vancomycin Resistant ◽  
Tract Infections ◽  
Relationship Of ◽  
Leuconostoc Pseudomesenteroides

The phenotypic and genotypic characterization of five clinical isolates of Leuconostoc pseudomesenteroides associated with nosocomially acquired urinary tract infections is described. All the strains were susceptible to chloramphenicol, clindamycin, erythromycin, gentamicin, and tetracycline; all were resistant to nalidixic acid, norfloxacin, and vancomycin; and all were intermediately affected by ampicillin and penicillin. Analysis of chromosomal DNA by pulsed-field gel electrophoresis after treatment with SmaI indicated a clonal relationship of the isolates. The results provide evidence for the possibility of nosocomial transmission of this unusual opportunistic, vancomycin-resistant pathogen.

scholarly journals The PIC Cystogram: Its Place in the Treatment Algorithm of Recurrent Febrile UTIs

2008 ◽  
Vol 2008 ◽  
pp. 1-4 ◽  
Author(s):  
Jennifer A. Hagerty ◽  
Max Maizels ◽  
Earl Y. Cheng
Keyword(s):  
Urinary Tract ◽  
Randomized Trial ◽  
Diagnostic Test ◽  
Vesicoureteral Reflux ◽  
Urinary Tract Infections ◽  
Treatment Algorithm ◽  
Ureteral Orifice ◽  
Select Group ◽  
Febrile Urinary Tract Infections ◽  
Tract Infections

Purpose. A common pediatric dilemma involves management of children with recurrent febrile urinary tract infections (UTIs) who have normal voiding cystourethrograms. Vesicoureteral reflux (VUR) has been demonstrated in such cases by performing a cystogram which positions the instillation of contrast (PIC) at the ureteral orifice. We describe the evidence supporting this diagnostic test.Materials and Methods. The literature was searched to identify and subsequently evaluate all studies investigating PIC cystography.Results. In patients with febrile UTIs and negative VCUGs, the PIC cystogram has been demonstrated to identify occult reflux (PIC-VUR). When identified and treated, these patients have a significant reduction in the incidence of febrile UTIs.Conclusions. Although the current literature on PIC cystography is limited, it appears to be a clinically useful test in a select group of patients with recurrent febrile UTIs, that are not found to have VUR on a conventional VCUG. A prospective randomized trial is underway to further define its role in the treatment algorithm of febrile UTIs.

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