scholarly journals Presentation of a Rare Case: Acute Kidney Failure Developed Following Complete Urinary Bladder Herniation and Management of Postoperative Voiding Dysfunction

2021 ◽  
Author(s):  
Mecit Çelik ◽  
Muhammed Emin Polat ◽  
Çağlar Sarıoğlu ◽  
Buğra Bilge Keseroğlu
Keyword(s):  
Urinary Tract ◽  
Kidney Failure ◽  
Bladder Wall ◽  
Acute Kidney Failure ◽  
Hernia Sac ◽  
Urinary Tract Symptoms ◽  
Manual Pressure ◽  
Bladder Herniation ◽  
Pathognomonic Sign ◽  
Made In

Inguinal bladder herniation is seen in 1% -4% of all inguinal hernia cases; most of them are asymptomatic and come up with swelling in the groin. In symptomatic cases, nonspecific findings such as lower urinary tract symptoms or pain due to strangulation of the hernia sac are seen. Two-stage micturition (manual pressure to the scrotum to empty residual urine) is a pathognomonic sign for the advanced case. Vesicoureteral reflux (VUR), bilateral hydronephrosis, urinary tract infection, acute kidney failure and bladder wall necrosis are complications that may be seen if the problem is not appropriately managed. Preoperative diagnosis rates are low (<7%) and 16% of the cases are diagnosed in the postoperative period, and most cases are detected intraoperatively. Radiologic examination performed for other indications such as non-contrast abdominal computed tomography (CT) may diagnose the bladder herniation. CT, cystography and ultrasonography are the techniques that can be used in the diagnosis and differential diagnosis. Intraoperatively, reduction of the herniated bladder with herniorrhaphy is a routine procedure. Partial cystectomy has to be made in case of bladder wall necrosis, presence of a tumor in the herniated bladder and narrow bladder neck which don"t allow reduction. In this case report, our aim is to explain the management of left inguinoscrotal complete bladder herniation and postoperative voiding problem.

scholarly journals Lower Urinary Tract Symptoms Before and After Simple Abdominal Hysterectomy in a Selected Tertiary Hospital

2016 ◽  
Vol 33 (1) ◽  
pp. 7-11
Author(s):  
Muna Shalima Jahan ◽  
Syed Muhammad Baqui Billah
Keyword(s):  
Urinary Tract ◽  
Lower Urinary Tract Symptoms ◽  
Lower Urinary Tract ◽  
Bladder Wall ◽  
Abdominal Hysterectomy ◽  
Voiding Symptoms ◽  
Urodynamic Assessment ◽  
Urinary Tract Symptoms ◽  
Before And After ◽  
Lower Urinary

Objective: To assess lower urinary tract symptoms (LUTS) before and after simple abdominal hysterectomy. Methods: This quasi-experimental study was conducted in Bangabandhu Sheik Mujib Medical University, Dhaka on respondents who were waiting for simple abdominal hysterectomy for beneign gynaecological problems. LUTS and ultrasonic and uroflowmetric findings were assessed on 48 patients before simple abdominal hysterectomy (SAH) followed by reassessment of symptoms on 33 patients and uroflowmetric assessment on 27 patients within 3-4 months after SAH. Results: Thirty percent urgency (p=0.02), 18% urge incontinence (p=0.03), 42% stress incontinence (p=0.001), 24% dysuria (0.02), 33% stress on cough or vulsalva (p=0.001), 27% delayed bladder emptying (p=0.04) and 30% sensation of residual urine (0.01) was improved significantly after SAH while around 18% urinary frequency (p=0.07) was almost significantly improved. None of the patients complained of nocturia after SAH. As for urodynamic assessment, there was significant increase in maximum bladder capacity (p<0.001), decrease in bladder wall thickness (p<0.001) and decrease in average flow rate (0.04) though there was no significant decrease in post void residue. Overall there had been a considerable decrease of all pre operative symptoms from nearly 82% to 37% post operatively. Conclusions: There was significant improvement of voiding symptoms following SAH as well as improvement of ultrasongraphic findings and uroflometric features.J Bangladesh Coll Phys Surg 2015; 33(1): 7-11

scholarly journals Obstruction-induced alterations within the urinary bladder and their role in the pathophysiology of lower urinary tract symptomatology.

2014 ◽  
Vol 8 (7-8) ◽  
pp. 524 ◽  
Author(s):  
Christos Komninos ◽  
Iraklis Mitsogiannis
Keyword(s):  
Urinary Tract ◽  
Lower Urinary Tract ◽  
Bladder Wall ◽  
Outlet Obstruction ◽  
Prostatic Hyperplasia ◽  
Animal Tissue ◽  
Urinary Tract Symptoms ◽  
Lower Urinary

Benign prostatic hyperplasia (BPH) is considered a frequent cause of bladder outlet obstruction (BOO) and lower urinary tract symptoms. This review addresses the bladder response to BOO and focuses on the alterations and biochemical adaptability of the bladder wall in the presence of hypoxia. A literature review of published articles has been performed, including both in vivo and in vitro studies on human and animal tissue.

scholarly journals The relationship between bladder wall thickness and lower urinary tract symptoms: Does bladder wall thickness change after alpha-blocker therapy with alfuzosin?

2014 ◽  
Vol 8 (1-2) ◽  
pp. 26 ◽  
Author(s):  
Ayhan Karakose ◽  
Ozgu Aydogdu ◽  
Yusuf Ziya Atesci
Keyword(s):  
Urinary Tract ◽  
Wall Thickness ◽  
Lower Urinary Tract ◽  
Bladder Wall ◽  
Blocker Therapy ◽  
Bladder Wall Thickness ◽  
Urinary Tract Symptoms ◽  
Significant Difference ◽  
Group 2 ◽  
Lower Urinary

Introduction: We evaluate the association between lower urinary tract symptoms (LUTS) and bladder wall thickness (BWT) and investigate whether alfuzosin might improve BWT.Methods: We retrospectively reviewed the data of 164 patients with LUTS. Patients were divided into 2 groups according to BWT(Group 1: BWT ≤5 mm, n = 69; Group 2: BWT >5 mm, n = 95). Age, international prostate symptom score (IPSS), maximum and average urinary flow rates (Qmax and Qave), quality of life (QoL), postvoid residual (PVR) urine volume, prostate volume and prostate-specific antigen (PSA) were compared between the 2 groups. In total, 102 patients underwent transurethral resection of the prostate (TURP) and 62 patients were treated with alfuzosin. We compared BWT, Qmax, Qave, IPSS, QoL, PVR and PSA before and at the sixth month of alfuzosin therapy. A p value of <0.05 was considered statistically significant.Results: The mean BWT of Group 1 was 3.72 ± 0.56 mm and Group 2 was 6.43 ± 1.13 mm. There was a significant difference between the 2 groups in terms of mean Qmax and PVR. There was no statistical difference between the groups in terms of Qave, IPSS, QoL, prostate volume and PSA. There was significant difference between BWT before (6.8 ± 2.1) and after (4.6 ± 1.3) treatment with alfuzosin in 62 patients (p = 0.02). There was a significant difference between pre- and post-treatment values of mean Qmax, Qave, IPSS, QoL score, and PVR with alfuzosin.Conclusion: BWT is a non-invasive and effective test to evaluate patients with lower urinary tract obstruction and may be used for showing the effectiveness of alpha-blocker therapy in patients with LUTS.

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