scholarly journals Catheter-Related Bladder Discomfort: How Can We Manage It?

2020 ◽  
Vol 24 (4) ◽  
pp. 324-331
Author(s):  
Eun Bi Jang ◽  
Seong Hwi Hong ◽  
Kyu Shik Kim ◽  
Sung Yul Park ◽  
Yong Tae Kim ◽  
...  

The urethral catheter is used in various clinical situations such as diagnosing urologic disease, urine drainage in patients after surgery, and for patients who cannot urinate voluntarily. However, catheters can cause numerous adverse effects, such as catheter-associated infection, obstruction, bladder stones, urethral injury, and catheter-related bladder discomfort (CRBD). CRBD symptoms vary among patients from burning sensation and pain in the suprapubic and penile areas to urinary urgency. CRBD significantly reduces patient quality of life and can lead to several complications. CRBD is caused by catheter-induced bladder irritation due to muscarinic receptor-mediated involuntary contractions of bladder smooth muscle and also can be caused by mechanical stimulus of the urethral catheter. Various pharmacologic studies for managing CRBD, including antimuscarinic and antiepileptic agents and botulinum toxin injections have been reported. If urologists can reduce patients’ CRBD, their quality of life and recovery can improve.

2021 ◽  
Author(s):  
Camila Angelo Vidal de Figueiredo ◽  
Kaline dos Santos Kishishita Castro ◽  
Sílvia Raimunda Costa Leite

Background: Huntington’s Disease (HD) is a hereditary neurodegenerative genetic disease with motor, cognitive and behavioral repercussions that interferes in several areas of the patients’ lives. Therefore, to increase the quality of life for patients the therapeutic management of symptoms is necessary. Objective: to elucidate the main forms of treatment that reduces motor disorders present in HD. Methods: an integrative literature review was conducted using scientific articles published between 2016-2020 about this topic found in Pubmed and Google Scholar databases. Results: the chorea treatment in HD can be done using Tetrabenazine, deutetrabenazine or antipsychotics. During a study by the Huntington Study Group (HSG), tetrabenazine proved its efficacy, however, due to several adverse effects, its use was reduced. Thus, deutetrabenazine was created, which consists in a tetrabenazine deuterated version, with a longer half- life and less adverse effects. Studies by the HSG found that besides reducing chorea, it also improves motor function in general in patients. Antipsychotics are used when the patient has behavioral and psychiatric symptoms that prevent him from using the other drugs. The dystonia treatment involves physiotherapy and botulinum toxin injections, which are also used in the bruxism therapy, along with mouth protectors. Abnormal gait and balance problems can be reduced with psychomotor rehabilitation, physiotherapy, and using a walker. Conclusion: the control of HD motor symptoms is an important way to increase patients’ quality of life. Therefore, more studies are necessary to expand the effective therapeutic options.


2011 ◽  
Vol 90 (2) ◽  
pp. E9-E12 ◽  
Author(s):  
Steven J. Charous ◽  
Cynthia L. Cornelia ◽  
Wenqing Fan

2019 ◽  
Vol 15 (3) ◽  
pp. 224.e1-224.e6
Author(s):  
N. Baradaran ◽  
J.W. McAninch ◽  
H.L. Copp ◽  
K. Quanstrom ◽  
B.N. Breyer ◽  
...  

2021 ◽  
Vol 15 (1) ◽  
pp. 1-11
Author(s):  
Szymon Suwiczak ◽  
Iwona Wilk ◽  
Krzysztof Kassolik

Background: Acne vulgaris is a chronic disease affecting almost 100% of the population. The treatment of this condition is not limited to the disease itself, but also involves eliminating the resultant scars. The most common treatments for acne and the associated scars are pharmacotherapy, cosmetic and physical therapy, and aesthetic medicine therapies. An alternative method for treating this condition may be massage, which, as a mechanical stimulus, may be effective at increasing scar mobility and reducing the pain experienced during movement. Aim of the study: The aim of this case study was to examine the effectiveness of massage for treating the scars resulting from keloid acne. Material and methods: Massage treatments were performed on a young man (32 years old) who, as a result of acne, had scars on the chest and back areas. Massage was performed twice a week for 3 weeks (6 treatments), and each session lasted 40 minutes. Before the therapy, the VAS scale was used to assess the perceived pain, and palpation was used to assess the consistency (hardness) of the post-acne lesions. Skin displacement was measured with the use of an innovative device allowing for determination of the angle of displacement of the superficial skin layer within the scar. A questionnaire was also used to assess well-being and quality of life. The measurements were repeated after each session and immediately after the end of the massage cycle. Results: After a series of massages, the experienced pain, as assessed by the VAS scale, was reduced from level 5 before therapy to level 1 after therapy. Skin mobility was also increased by the massage treatments, and the patient’s well-being and quality of life improved after each session. Conclusions: The presented case shows that massage can be used in the treatment of post-acne lesions. This therapy can support the conventional treatment process by contributing to a reduction in pain, increasing the limited mobility and displacement of the scarred skin, and improving overall well-being and quality of life.


2018 ◽  
Vol 24 (5) ◽  
pp. 513-518
Author(s):  
Min Tang ◽  
Wu Li ◽  
Fang Ji ◽  
Xia Li ◽  
Yanyan Zhang ◽  
...  

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