scholarly journals Impacts of renal insufficiency on hepatic profile among different chronic Lower Urinary tract; patients in Quetta

2020 ◽  
Vol 2 (3) ◽  
pp. 62-64
Author(s):  
Mohsin Jamal Buzdar ◽  
Alam Mengal ◽  
Talha Shahid Amin ◽  
Tahir Hameed ◽  
Furqan Ahmed ◽  
...  

Primary functions of kidneys to filter the blood by its cells called nephrons, products after metabolism and toxics produced by kidneys upper Urinary tract;  and stored in Lower Urinary tract; this helps the body for balance of, electrolytes, water, RBCs, leukocytes, ca and blood pressure. If the renal system not work properly it may cause some complications like kidney stones, electrolytes imbalance, which leads to different complications some time may leads to kidney failure .it also effects on blood cells, if kidneys not work properly our body retains water and toxics not excreted form blood steam, so patient may leads to death. The prevalence of kidney diseases is significantly increasing in pediatric population, that is   may be due to life style changes i.e. diet changes, environmental changes. .

2019 ◽  
Vol 2 (1) ◽  
pp. 1-4
Author(s):  
Tahir Hameed

ABSTRACT   The aim of this research is to determine the Bio physiological study on urolithiasis by diagnostic techniques and chemical composition in Balochistan, Pakistan. Study is designed to identify the Urolithiasis by using imaging techniquesThe urinary tract (UT) is complex system to conduct and perform excretory function in the body. It is divided into two parts upper urinary tract (UUT) and lower urinary tract (LUT). The UUT formed by the kidneys and ureters, while lower LUT associated with urinary bladder and urethra. The persistent flow of urine from upper urinary tract and lower urinary tract plays important role for the excretion of urine and cleansing of urinary tract Usually the primary function of the kidneys is filtration of blood for the removal of urinary system through urination, the lower parts of the urinary tract is the collection, storage, transportation and drain out urine from body. Moreover, urinary tract ensures the removal of products after metabolism and excretion of toxic products produced by both kidneys and thus help in maintaining homeostasis like water, electrolytes, red blood cells, leucocytes, calcium and blood pressure.


2018 ◽  
Vol 71 (5-6) ◽  
pp. 167-170
Author(s):  
Marina Djermanov ◽  
Dragana Zivkovic

Introduction. Bladder and bowel dysfunction describes a large spectrum of lower urinary tract symptoms along with fecal elimination issues. The aim of the study was to analyze the effects of biofeedback treatment in children with lower urinary tract symptoms. Material and Methods. A prospective study analyzed the effects of biofeedback treatment conducted in children with lower urinary tract symptoms. Questionnaires and voiding diaries were collected prior to the treatment. The patients were followed for two weeks on daily basis. After the completion of the treatment, the data from voiding diaries and questionnaires were analyzed. Results. A total of 18 children were referred for biofeedback treatment. Seven patients had an overactive bladder. seven had isolated dysfunctional voiding, and in the third group three had difficulties starting to void and one had daily incontinence with dysfunctional voiding. A total of 14 patients presented with improvement of symptoms. The analyzed data showed no measurable improvement in one patient, even though he reported a personal feeling of improvement. Three patients without positive effects of the therapy were immature and non-cooperative. In six out of seven patients with overactive bladder with urine leakage, the symptom disappeared by the end of the treatment. Conclusion. Biofeedback is a very useful tool in the treatment of lower urinary tract symptoms in pediatric population. Although the main indication for initiating this therapy is dysfunctional voiding, the study showed an improvement of symptoms in patients with overactive bladder as well.


2021 ◽  
pp. 677-682
Author(s):  
Noah E. Canvasser ◽  
Jennifer G. Rothschild ◽  
Frederick J. Meyers ◽  
Christopher P. Evans

Both upper and lower urinary tract obstruction are prevalent in the palliative care setting. Although sometimes related to urological conditions, non-urological aetiologies are also seen. Common causes of lower urinary tract obstruction include benign prostatic hyperplasia in men, an underlying neurological condition, and advanced pelvic malignancy. In the acute setting, bladder decompression with a Foley catheter is the easiest and fastest way to resolve the problem. Common causes of upper urinary tract obstruction include nephrolithiasis and advanced malignancy. This chapter will address the evaluation and management of these common clinical issues.


2016 ◽  
Vol 22 (11) ◽  
pp. 1490-1494 ◽  
Author(s):  
Jeroen R Scheepe ◽  
Yu Yi M Wong ◽  
E Daniëlle van Pelt ◽  
Immy A Ketelslegers ◽  
Coriene E Catsman-Berrevoets ◽  
...  

Neurogenic lower urinary tract dysfunction (LUTD) in multiple sclerosis (MS) is highly prevalent in adults, but has not previously been described in paediatric MS. A total of 24 consecutive children with newly diagnosed MS were prospectively assessed for bladder and bowel problems early after diagnosis. Five of 24 children (21%) showed LUTD during assessment. One of these patients did not report voiding complaints. This high prevalence of LUTD indicates that all recently diagnosed patients with paediatric MS should be evaluated early in their disease and treated for urinary problems in order to prevent potential damage to the upper urinary tract.


Author(s):  
Richard J Bryant ◽  
James W Catto

Haematuria is the presence of blood within the urine and is best defined as visible or non-visible, and symptomatic or non-symptomatic. Non-visible haematuria may be further classified as microscopic or dipstick, depending on the investigation used to detect it. Around 40% of patients presenting with visible haematuria will be found to have a significant underlying cause, and around 20% of patients will be found to have an underlying urological malignancy. Many younger patients will be found to have an underlying nephrological disease. The risk of significant underlying malignancy increases with the extent of haematuria (visible versus non-visible), the absence of symptoms and various patient factors (such as rising age, smoking status, and gender). As such, haematuria is an important urological symptom that requires investigation. These investigations should include clinical assessment, urinalysis, lower urinary tract endoscopy, and upper urinary tract radiological evaluation.


2020 ◽  
Vol 23 (2) ◽  
pp. 151-153
Author(s):  
Md Rokonuzzaman Khan ◽  
Fazal Naser ◽  
Moazzam Hossain ◽  
Mostafizur Rahman

Objective: To assess the role of flexible cystoscopy in the diagnosis of lower urinary tract pathology and its suitability as a routine diagnostic protocol in outdoor patients. Methods: The cross sectional study was conducted at the advanced centre of kidney diseases and urology, Dhaka central international medical college, Dhaka from Jan 2016 to jan2019. All adult patients presenting with lower urinary symptoms to outdoor department were included. Flexible Cystoscopy was performed as a outdoor based procedure without sedation. Results: Of the 249 patients in the study,198(79%) were male and 51(21%) were female. Lower urinary tract pathologies were found in 192(72%) patients. The most common pathology among males was enlarged prostate 56(31%) patients. Urethral stricture, bladder neck high were found 23(11%),21(10%) respectively. Among females, urethral stenosis was the most common pathology in 23(32%)patients. Transitional cell carcinoma was seen in 11(4.4%) patients having hematuria with inconclusive ultrasound and intravenous urography. .All patients tolerated the procedure well with no procedure related complaints. Conclusion: Flexible cystoscopy is an effective, well tolerated and easy way of detecting lower urinary tract pathologies. It can alter the management as well as support the diagnosis and management. It is also helpful in routine surveillance of bladder tumours of low grade and low stage. Flexible cystoscopy should therefore be used as routine diagnostic protocol in outdoor practice. Bangladesh Journal of Urology, Vol. 23, No. 2, July 2020 p.151-153


2017 ◽  
Vol 53 (02) ◽  
pp. 090-096
Author(s):  
Rahul Saxena ◽  
Arvind Sinha ◽  
Manish Pathak ◽  
Avinash S Jadhav ◽  
Ankur Bansal

ABSTRACT Background: The lower urinary tract dysfunction (LUTD) has high incidence in children with anorectal malformation (ARM) which if left untreated leads to upper tract damage. Aim: To determine role of uroflowmetry in early diagnosis of LUTD in children with ARM. Methods: This prospective study included twenty consecutive patients of ARM and every patient underwent uroflowmetry at-least 6 weeks after definitive procedure. Results: The mean age of patients was 3.015±0.86 years. Of the twenty patients, there were 12 (60%) males and 8 (40%) females; 11 (55%) were high ARM, 4 (20%) were intermediate and 5(25%) were low ARM. Lower urinary tract symptoms (LUTS) was present in 8/20 (40%) patients but uroflowmetric abnormalities were present in 11/20 (55%) patients. Forty five percent (5/11) patients with abnormal uroflowmetry were asymptomatic and 25% (2/8) symptomatic patients had normal uroflowmetry. The incidence of uroflowmetric abnormalities was significantly higher in patients with spinal anomalies (p=0.03; χ2=4.1) and those with high ARM (p=0.004; χ2=8.1). Conclusion: Uroflowmetry is a noninvasive method that may help in early detection of neurovesical dysfunction in asymptomatic children and subsequent cystometric analysis in patients with uroflowmetric abnormalities can be done for early definitive diagnosis and prevention of upper urinary tract damage.


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