Simple continuous closure of canine scrotal urethrostomy: results in 20 cases

1996 ◽  
Vol 32 (6) ◽  
pp. 531-534 ◽  
Author(s):  
JD Newton ◽  
DD Smeak
Keyword(s):  
Urinary Tract ◽  
Urinary Tract Infections ◽  
Medical Therapy ◽  
Wound Dehiscence ◽  
Self Mutilation ◽  
Tract Infections ◽  
Continuous Closure ◽  
Struvite Stones

Simple continuous closure of scrotal urethrostomy in 20 dogs is described. Mean duration of postoperative active bleeding and mean duration of bleeding only associated with urination were 0.2 day and 3.1 days, respectively. Long-term complications were minimal; intermittent urine scald (n = 2), recurrent urinary tract infections (n = 2), and recurrent obstruction due to struvite stones (n = 2) developed after surgery. All complications resolved with medical therapy (n = 4) or by cystotomy (n = 2). None of the dogs had complications due to wound dehiscence, stricture, incisional infections, self-mutilation, or incontinence. Follow-up ranged from two to 52 months (mean, 25.2 months). This technique is a viable alternative to previously reported closure methods.

Pharmacoepidemiology of Urinary Tract Infections in Iowa Medicaid Patients in Urban Long-Term-Care Facilities

1997 ◽  
Vol 31 (7-8) ◽  
pp. 837-841 ◽  
Author(s):  
Darrel C. Bjornson ◽  
John P. Rovers ◽  
Julie A. Burian ◽  
Nancy L. Hall
Keyword(s):  
Urinary Tract ◽  
Patient Outcomes ◽  
Urinary Tract Infections ◽  
Long Term Care ◽  
Treatment Preference ◽  
Term Care ◽  
Care Facilities ◽  
Tract Infections

OBJECTIVE: To describe the therapeutic management of Medicaid patients with urinary tract infections (UTIs) in urban long-term-care facilities (LTCFs) and to link individual therapies to patient outcomes. DESIGN: Retrospective review of medical records in LTCFs of patients who had documented UTIs. METHODS: Patient data were collected from 17 LTCFs in the Des Moines, IA, metropolitan area during a 1-year period starting January 1, 1995. Patients with UTIs were selected from the LTCF infection control logs. Data collected on patients included demographics, concomitant diseases, type of UTI (i.e., symptomatic, asymptomatic, catheter-related), process measures for management, UTI treatment, patient outcomes, and follow-up. Patient outcome data were defined as either cure or no cure. A UTI cure was defined as a negative urine culture while taking antibiotic therapy and/or complete resolution of signs and symptoms, as well as no further treatment given within 2 weeks after the end of treatment. RESULTS: Data were collected on 310 patients who had at least one UTI over the 1-year study period. Patients were primarily elderly (mean age 82.2 ± 12.3 y), white (95.1%), and female (83.9%). Concomitant diseases were common and about one-fourth (23.0%) of the patients were catheterized. There were 536 UTI events (the unit of analysis) documented over the 1-year period, with about one-half (45.9%) being UTIs with symptoms consistent with uncomplicated lower UTI. Nearly two-thirds (62.3%) of the patients were cured, based on the study definition; there was no association between cure and type of antimicrobial therapy (p = 0.99). Over one-third (35.2%) of the UTIs were treated with a quinolone antibiotic. Others were treated with trimethoprim/sulfamethoxazole (24.4%), nitrofurantoin (13.9%), a cephalosporin (10.4%), or ampicillin/amoxicillin (9.8%). Sixty-day follow-up showed no association between type of therapy and hospital readmission, physician follow-up visits, or subsequent UTIs. CONCLUSIONS: There were no differences in cure rates when comparing LTCF UTI patients receiving various regimens. With outcomes being the same, the clinician should closely consider costs of drug therapy in selecting a treatment preference.

scholarly journals Long-term follow up to determine the prognostic value of imaging after urinary tract infections. Part 1: Reflux.

1995 ◽  
Vol 72 (5) ◽  
pp. 388-392 ◽  
Author(s):  
M V Merrick ◽  
A Notghi ◽  
N Chalmers ◽  
A G Wilkinson ◽  
W S Uttley
Keyword(s):  
Urinary Tract ◽  
Urinary Tract Infections ◽  
Prognostic Value ◽  
Long Term Follow Up ◽  
Tract Infections

Urodynamics for Recurrent Urinary Tract Infections after Kidney Transplant: a Case Series

2019 ◽  
Author(s):  
Adarsh Manjunath ◽  
Elodi J. Dielubanza ◽  
Channa Amarasekera ◽  
Stephanie J. Kielb
Keyword(s):  
Urinary Tract ◽  
Renal Transplant ◽  
Urinary Tract Infections ◽  
Medical Therapy ◽  
Significant Proportion ◽  
Renal Transplant Recipients ◽  
Transplant Recipients ◽  
Recurrent Urinary Tract Infections ◽  
Tract Infections

Abstract Background A significant proportion of renal transplant recipients experience recurrent urinary tract infections. This can ultimately compromise graft function but no protocol exists for diagnosis and management in these patients. We sought to evaluate the utility of urodynamics in renal transplant recipients with recurrent urinary tract infections. Methods Our institution’s electronic data warehouse was queried to identify renal transplant recipients who received urodynamics between 1999 and 2013. A retrospective review of urodynamic findings, management, and graft outcomes was performed for nine patients who had a diagnosis of recurrent urinary tract infections. Mean follow-up was 2.46 years. Results On urodynamics, mean bladder capacity was 392mL and post-void residual urine volume was >100mL in 3/9 patients. All patient had normal bladder compliance and voiding pressures. Native ureteral reflux was seen in one patient with a history of a febrile urinary tract infection and 4/9 had reflux in a transplant kidney. Mean creatinine at last follow up was 1.47. The patient with febrile infections had creatinine >3 from a nadir of <1. All patients were managed with medical therapy and none referred for surgery. No patients required dialysis. Conclusions In renal transplant recipients with recurrent urinary tract infections and no pre-existing voiding abnormalities, urodynamics did not identify functional or anatomic abnormalities that impacted management. Urodynamics may have a limited role as a diagnostic modality in this cohort after failure to respond to medical therapy.

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