China
Africa
Explore chapters and articles related to this topic
Obstructive uropathy
Published in Alexander Trevatt, Richard Boulton, Daren Francis, Nishanthan Mahesan, Take Charge! General Surgery and Urology, 2020
Voiding cystourethrography (VCUG) Demonstrates nearly all bladder, neck, and urethral obstructions and vesicoureteral refluxIt is commonly performed in children to investigate congenital abnormalitiesIn adults, it may be used in suspected cases of urethral strictures
Multicystic dysplastic kidney
Published in Prem Puri, Newborn Surgery, 2017
David F. M. Thomas, Azad S. Najmaldin
Opinion is divided on whether it is necessary to perform this invasive investigation routinely if the urinary tract appears otherwise normal on ultrasound. The findings of several studies have endorsed the safety of omitting a routine voiding cystourethrography (VCUG) in such cases.9,10 When VUR is present it is usually low grade and self-limiting. Children with MCDK who have not undergone a routine VCUG do not appear to be at any higher risk of urinary tract infection (UTI) or renal damage. However, if a routine VCUG is not performed, it is important that parents and general practitioners are aware that the occurrence of a documented or suspected UTI or an unexplained febrile illness should prompt further investigation to look for possible VUR.
Tests of Urethral Function
Published in Linda Cardozo, Staskin David, Textbook of Female Urology and Urogynecology - Two-Volume Set, 2017
Kristi L. Hebert, Barry G. Hallner, Ryan M. Krlin, J. Christian Winters
meAsurement And displAy of urodynAmic pArAmeters with rAdiogrAphic visuAlizAtion of the lower Urinary trAct. During VuDs, the cliniciAn cAn better AppreciAte the interrelAtionships between the vArious urodynAmic pArAmeters, with the periodic sAmpling of fluoroscopic imAges during filling, voiding, And provocAtive mAneuvers such As leAk point pressure (LPP) meAsurement. The Addition of concomitAnt cystourethrogrAphy to urodynAmics does Allow the cliniciAn to better evAluAte the stAte of the blAdder neck And the site of urethrAl obstruction. VuDs is A useful test in the diAgnosis of detrusor sphincter dyssnergiA, Acquired voiding dysfunction (AVD), And AnAtomic urethrAl obstruction. According to the 2012 AuA Guidelines on Adult urodynAmics, VuDs studies Are useful in providing AdditionAl AnAtomic detAil, pArticulArly in pAtients with neurogenic blAdder, As well As Assisting in identifying the site(s) of blAdder outlet obstruction [13]. Detrusor ExternAl Sphincter DyssynergiA Detrusor externAl sphincter dyssynergiA (DesD) is defined by the InternAtionAl Continence society As A detrusor contrAction concurrent with An involuntAry contrAction of the urethrAl And/or periurethrAl striAted muscle [19].
Determining the effectiveness of the immature granulocyte percentage and systemic immune-inflammation index in predicting acute pyelonephritis
Published in Postgraduate Medicine, 2023
Deniz Karakaya, Tülin Güngör, Evrim Kargın Cakıcı, Fatma Yazılıtaş, Evra Celikkaya, Mehmet Bulbul
The patients’ demographic data (age and gender), clinical features, IG percentage, CRP values, and platelet (PLT), neutrophil, lymphocyte, and WBC counts were recorded. In addition, patients were evaluated for the presence of underlying urological anomalies using imaging methods (i.e. ultrasonography and voiding cystourethrography). ANC, lymphocyte count, and platelet levels in the peripheral blood were used to calculate the NLR, platelet-to-lymphocyte ratio (PLR), and SII. The NLR and PLR were defined as the total neutrophil and platelet counts divided by the total lymphocyte count. The SII was calculated using the following formula: SII = (Platelet x Neutrophil)/Lymphocyte. Tests obtained with automated hematological analyzers from the complete blood count (CBC) included WBC count, neutrophil count, lymphocyte count, IG percentage .The IG percentage was analyzed using an automated hematology analyzer. The IG percentage shows the proportion of cells with a relatively high RNA/DNA ratio relative to the neutrophils. This group primarily consists of promyelocytes, myelocytes, and metamyelocytes [14]. A particularly attractive aspect of the IG test is its ease of use, as its values are obtained automatically using a routine hematology analyzer without the need for any additional evaluation devices or associated costs.
Comparative study between Amplatz renal dilator vs visual internal urethrotomy (cold knife) for the treatment of male urethral stricture
Published in Scandinavian Journal of Urology, 2020
All cases were evaluated by full medical history and clinical examination, complete blood picture, urine analysis and culture test, serum renal function, uroflowmetry study, retrograde, and micturition cystourethrography. Any Urinary tract infection was vigorously treated before the operation with appropriate antibiotics. The operation was achieved under spinal anesthesia in the lithotomy position. Parental Antibiotic (3rd generation cephalosporin, 1 gm/12 h) was started before the operation and continued for the following 3 days and kept on oral (Ciprofloxacin, 500 mg) for an additional 5 days. Diagnostic cystourethroscopy was initially introduced using 19 F sheath and 0° telescope to assess the urethra and the stricture.
Revascularized Pyelo-Uretero-Cystoplasty in Patients with Chronic Bladder Outlet Obstruction Due to Ectopic Ureterocele: A Safe Surgical Technique with Superior Continence Outcomes
Published in Journal of Investigative Surgery, 2022
Asal Hojjat, Shabnam Sabetkish, Abdol-Mohammad Kajbafzadeh
We considered augmentation in patients who were totally incontinent despite anticholinergics medication (Oxybutynin, 0.2 mg/kg/day) and CIC. Urodynamic investigations with a suprapubic line revealed bladder overactivity with a dyssynergic voiding outline at the time of admission before the intervention. Our assumption was that intrauterine outlet obstruction from an ectopic obstructive ureterocele and post-natal continuation of bladder outlet obstruction may cause permanent bladder molecular/cellular and neural changes following incomplete ablation of the ureterocele. Similar pathology to that is in boys with a history of PUV bladder dysfunction, which can remain after valve ablation and not managing the bladder neck obstruction. Urinary retention and several episodes of UTI which did not resolve after initial endoscopic incision were the presenting symptoms in all patients. The CIC was not always feasible due to passing the catheter through the ureterocele. From these thirteen cases affected by an ectopic ureterocele, fourteen entities of duplex systems and nonfunctioning refluxing upper pole moieties necessitated upper pole partial nephrectomy along with augmentation pyelo-uretero-cystoplasty (eight) and ureterocele unroofing. In non-randomized control group in five patients (three female and two male) non-revascularization pyelo-uretero-cystoplasty was performed. Four and one patients had left and right side duplex system in control group, respectively. The rest of eight patients who underwent RPUC along with ureterocele unroofing technique had four left side, three right sides, and a bilateral duplex system. All ectopic ureterocele were released in the bladder neck down into the urethra. Dimercapto-succinic acid (DMSA) renal scan confirmed a nonfunctioning upper pole segment in all duplex systems. Voiding cystourethrography (VCUG), measurement of serum creatinine, and ultrasonography were also performed for all patients.