Search Results
Results 201 - 250 of 1309
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Schulte-Baukloh Heinrich - - 2008
OBJECTIVES: Botulinum toxin type A (BoNT/A) proved very effective in therapy for hyperactive detrusor or sphincter dysfunction of neurogenic and non-neurogenic origin. However, therapy may fail. In a search for possible reasons, we investigated the presence of BoNT/A antibodies (BoNT/A-AB) in patients who were treated more than once and correlated ...
Collinson R - - 2009
BACKGROUND: The aetiology of faecal incontinence is multifactorial, yet there remains an approach to assessment and treatment that focusses on the sphincter. Rectal intussusception (RI) is underdiagnosed and manifests primarily as obstructed defecation. Yet greater than 50% of these patients admit to faecal incontinence on closer questioning. We aimed to ...
Ikuerowo S O - - 2008
Posterior urethral valve (PUV) obstruction is the most common cause of bladder outlet obstruction in boys. Currently, the diagnosis of PUV is commonly made prenatally. In our environment, however, prenatal diagnosis is rare and the diagnosis is usually made postnatally from the clinical and radiological features. This study therefore examines ...
Blatt Alison H - - 2008
PURPOSE: Ultrasound measurement of bladder wall thickness has been proposed as a useful diagnostic parameter in patients with bladder outlet obstruction and other voiding dysfunctions. We assessed bladder wall thickness measurement as a noninvasive test in patients with suspected bladder outlet obstruction or overactive bladder syndrome. MATERIALS AND METHODS: Transabdominal ...
Abrao Mauricio Simoes - - 2009
OBJECTIVE: To verify whether bladder and ureter endometriosis had the same clinical features and disease behavior. DESIGN: Case-control study. SETTING: Multidisciplinary group in Sao Paulo, Brazil. PATIENT(S): A total of 690 patients were submitted to laparoscopy with histologically diagnosis of endometriosis between July 1999 and December 2006. Twelve of these ...
O'Riordan J M - - 2008
BACKGROUND: Faecal incontinence resulting from obstetric injury is a socially disabling condition with a significant impact on quality of life. Sacral nerve stimulation (SNS) is a relatively new treatment modality, which offers patients a potential for improved continence. METHODS: We reviewed our initial experience of SNS in 14 patients (mean ...
Moriyama Yoji - - 2008
OBJECTIVES: To assess the prevalence of nocturia in association with other voiding symptoms in men with obstructive sleep apnea syndrome (OSAS). METHODS: Seventy-three patients in whom OSAS was diagnosed at Gifu Red Cross Hospital during the period from October 2005 through April 2006 were assessed on the basis of the ...
Borkowski Andrzej - - 2008
OBJECTIVE: To evaluate the long-term anatomical results using the original method of vaginal reconstruction with a pedicled bladder flap (Krzeski's cystovaginoplasty, CVP) in women with Mayer-Rokitansky-Küster-Hauser syndrome (MRKHS) and the evaluation of radiological, histological, cytohormonal and functional results of CVP. PATIENTS AND METHODS: Between 1981 and 2000, 38 patients (mean ...
Taskinen Seppo - - 2008
OBJECTIVE: To evaluate patient experience of hydrophilic catheters used for clean intermittent catheterization (CIC). PATIENTS AND METHODS: Out of 107 consecutive patients on a CIC programme, 100 filled in a questionnaire concerning the hydrophilic catheters they were using for CIC. RESULTS: Sixty-four out of 100 patients were females and 83 ...
Rapidi C-A - - 2008
A retrospective study of patients with motor complete spinal cord lesion and somatosensory preservation (American Spinal Injury Association (ASIA) impairment scale B). To determine whether neuropathic bladder dysfunction is more or less severe with more or fewer complications in patients with somatosensory preservation. 2nd Department of Physical and Rehabilitation Medicine, ...
Gstaltner K K Centre of Rehabilitation Weisser Hof, Klosterneuburg, Austria. - - 2008
Retrospective clinical study with 1-year follow-up. Treatment of faecal incontinence by permanent sacral nerve stimulation (SNS) in patients suffering from cauda equina syndrome (CES). Klosterneuburg, Austria. A flaccid paresis of the sphincter ani muscle and the pelvic floor combined with faecal incontinence can occur in patients suffering from CES as ...
Dodds Peter R - - 2008
OBJECTIVES: Surgery has been advocated for children with hypospadias to improve the appearance of the penis, allow voiding in the standing position, and improve the chance of fertility. We undertook a survey of adults with hypospadias to determine their adaptation to this congenital anomaly without surgical correction. METHODS: In a ...
Rabah Danny M - - 2008
Robots are increasingly utilized in urology, due to their favorable performance characteristics especially in prostatectomy and pyeloplasty. However, preoperative diagnosis of urogenital congenital anomalies and preoperative planning are important aspects to be considered. The presence of ectopic pelvic kidney is a challenge for the surgeon to perform robotic-assisted radical prostatectomy ...
Maeda Yasuko - - 2008
PURPOSE: The St. Mark's incontinence score is widely used to evaluate the severity of fecal incontinence. It is unknown to what extent such scores relate to patients' perceptions about their condition. The primary goal of this study was to assess this correlation. Secondary goals were to evaluate the relationship between ...
Ransmayr G N - - 2008
OBJECTIVE: The present study sought to investigate lower urinary tract symptoms and urodynamic and cystometric findings in Parkinson disease (PD), dementia with Lewy bodies (DLB), and Alzheimer disease (AD). METHODS: Included were patients with frequency, urgency, incontinence, and nocturia, without major bladder outflow obstruction. The protocol comprised physical examination, urine ...
Vemulakonda Vijaya M - - 2008
PURPOSE: Augmentation gastrocystoplasty has been proposed as an alternative to enterocystoplasty because of potential benefits, including decreased risk of mucus production, stone formation and urinary tract infections. Although cancer has rarely been reported in this patient population, it is a well recognized potential risk of all augmentation cystoplasties. To define ...
Sugimura Takayuki - - 2008
OBJECTIVE: To assess whether chronic suprapubic catheterization (SPC) in patients with spinal cord injury (SCI) is associated with a higher incidence of significant urinary tract complications than in patients whose urinary tracts are managed by other methods. PATIENTS AND METHODS: Our experience suggested that the incidence of complications in patients ...
Giordano Salvatore - - 2008
We report the first Finnish patient with carcinoma in an augmented intestinal bladder, where urine and stools are not in contact. The patient had undergone rectal bladder reconstruction at the age of 2 years because of bladder exstrophy. When the patient was aged 46 years, a 2-cm, papillar, well-differentiated adenocarcinoma ...
De Wachter Stefan - - 2008
AIMS: To evaluate the reliability of spontaneously reported bladder sensations during real and faked cystometry in patients with non-neurogenic lower urinary tract dysfunction. METHODS: Fifty-nine patients with non-neurogenic lower urinary tract dysfunction were submitted to a real and faked filling cystometry and were asked to describe all bladder-related sensations they ...
Juhasz Z - - 2008
AIMS: The type of bladder augmentation on pre-existing vesicoureteral reflux (VUR) was assessed. The effects of urodynamic changes on the resolution of VUR following augmentation cystoplasty performed with various gastrointestinal segments were examined. It was queried whether elimination of high-pressure bladder is sufficient to resolve pre-existing reflux. METHODS: A retrospective ...
Sakakibara Ryuji - - 2008
A 55-year-old man suddenly developed neck pain, tetraplegia and decreased sensation below the neck. He was diagnosed with SSEH. Surgical removal of the hematoma, and laminoplasty were performed. At 2 months after the onset of the disease, the patient regained the ability to walk. However, at 5 months after the ...
Kuo Hann-Chorng - - 2008
AIMS: To investigate satisfaction with urination quality of life (QoL) after treatment with urethral sphincter botulinum toxin A (BoNT-A) injection for difficult urination in patients with spinal cord lesions and detrusor sphincter dyssynergia (DSD). METHODS: Thirty-three patients with spinal cord lesion and DSD were treated with transurethral sphincter injection of ...
Scivoletto G - - 2008
OBJECTIVE: To investigate the relationship between lesion severity and other clinical factors and bladder function recovery. PATIENTS AND METHODS: The charts of 269 patients with traumatic and non traumatic spinal cord lesion (SCL) were reviewed and the following information was recorded: lesion to admission time, injury variables, length of stay ...
Zhang Keqin - - 2008
AIM: To compare the bladder dysfunction associated with benign prostatic enlargement (BPE) in patients with and without diabetes mellitus (DM) by urodynamic study. MATERIALS AND METHODS: The records of 166 first-visit BPE patients were reviewed. Patients were divided into two groups: concomitant group (CG) - 74 patients with BPE complicated ...
Saito Seiichi - - 2008
OBJECTIVES: Posterior urethral hemangioma used to be considered extremely rare. However, urologists sometimes encounter patients who present with unknown hematospermia and/or postejaculation hematuria or posterection hematuria. We evaluated the symptoms, diagnosis, and treatment and reviewed the published data. METHODS: A total of 20 patients were evaluated for symptoms, diagnosis, histologic ...
Yokoyama Teruhiko - - 2008
AIMS: The origin of overactive bladder (OAB), which is a leading cause of lower urinary tract symptoms, remains unknown. Nerve growth factor (NGF) is one of the neurotrophic factors which are needed for the maintenance of sensory neurons. It is known that too much expression of NGF may induce bladder ...
Mishriki Said Fadel - - 2008
OBJECTIVES: To appraise the outcomes, determine the natural history, and instigate a rationale plan for follow-up of patients with asymptomatic dipstick hematuria. METHODS: A total of 292 consecutive patients with asymptomatic dipstick hematuria referred between January 1992 and December 1994 were investigated and prospectively followed up. The initial investigations included ...
Chou Eric Chieh-Lung - - 2008
PURPOSE: To evaluate and compare the clinical and urodynamic findings in patients with either mixed urinary incontinence (MUI) or simple urge urinary incontinence (UUI). MATERIALS AND METHODS: A series of 100 consecutive female patients with MUI and UUI were identified from a database. Patients with neurogenic bladder, fistula, urethral diverticulum, ...
Sakakibara Ryuji - - 2008
AIM: To elucidate the mechanism of bladder dysfunction in idiopathic normal pressure hydrocephalus (iNPH) by a urodynamic study. METHODS: Forty-two patients with possible iNPH, who were diagnosed by clinical symptoms/signs (gait, cognitive, and urinary disorders) with typical imaging features (ventricular enlargement) and normal cerebrospinal fluid pressure, were enrolled. The subjects ...
Groenendijk Pieter M - - 2008
OBJECTIVE: To evaluate the urodynamic data before and 6 months after implantation of sacral neuromodulation (SNM, an established treatment for voiding dysfunction, including refractory urge urinary incontinence, UI) and to assess the correlation between the urodynamic data and clinical efficacy in patients with UI. PATIENTS AND METHODS: In all, 111 ...
Safwat Ahmed S - - 2007
OBJECTIVE: Pheochromocytoma of the urinary bladder is rare. Herein, we report our experience with pheochromocytoma of the urinary bladder in three patients. MATERIALS AND METHODS: Records of three consecutive patients diagnosed with bladder pheochromocytoma were reviewed. Patients' age, sex, presentation, associated conditions, diagnostic and imaging modalities utilized, management and follow ...
Gormley E Ann - - 2007
The incontinent patient is evaluated in order to make a presumptive diagnosis so that treatment can be offered. The evaluation begins with a history and a physical examination. The history focuses on the description of the patient's incontinence. Assessing the patient's bother and determining their expectations of treatment may further ...
Huang C-C - - 2007
To investigate clinical features and outcomes in patients with acute cholecystitis with gall bladder perforation receiving open cholecystectomy or percutaneous transhepatic gall bladder drainage in the emergency department. From 1996 through 2005, 33 patients with non-traumatic gall bladder perforation, among 585 patients with acute cholecystitis, were enrolled. Patients were divided ...
Chew M-H - - 2008
OBJECTIVE: Faecal incontinence is a common and embarrassing problem for many individuals. Some patients remained symptomatic despite the availability of different treatments. There is a limited range of commercially available products designed to cope with faecal incontinence. The anal plug has been developed to contain the loss of stool. This ...
Giannantoni Antonella - - 2008
OBJECTIVE: In a prospective study we analysed the 3-yr results of the effects of radical retropubic prostatectomy (RRP) on detrusor and sphincter function by comparing urodynamic status preoperatively with that during longitudinal follow-up. METHODS: Fifty-four consecutive patients underwent urodynamics with pressure flow studies and Valsalva leak point pressure measurements 3-7 ...
Sakakibara Ryuji - - 2007
A 76-year-old man had transitional cell carcinoma of the bladder and underwent orthotopic ileal neobladder, and developed severe nocturnal enuresis. We performed videomanometry in the ileal neobladder and the rectum of the patient. Slow filling of the ileal neobladder showed overactivity (the amplitudes up to 50 cmH2O), which was similar ...
Vasavada Sandip P - - 2007
Neuromodulation has become ever more common in the fields of urology and voiding dysfunction. Many therapeutic alternatives have emerged to increase effectiveness of these therapies and reduce morbidity and invasiveness. Each new modality needs to prove its efficacy in common indications for voiding dysfunction such as refractory urgency-frequency, urge incontinence, ...
Cronjé H S - - 2008
OBJECTIVES: To review patients with a culdocele, a wide and deep cul-de-sac, and to report the results of treatment by sacrocolpopexy. METHODS: A retrospective review of 117 patients with a culdocele identified by clinical examination and intraoperatively. RESULTS: The mean age and parity of the patients were 61.4 years and ...
Pettersen Renate - - 2007
OBJECTIVES: To investigate the prognostic effect of poststroke urinary incontinence (UI) on 1-year outcome in relation to measurements of attention and mental processing speed. DESIGN: Prospective observational study. SETTING: Geriatric department (stroke and rehabilitation unit) in a university hospital. PARTICIPANTS: Two hundred thirty-five previously continent patients (median age 78) with ...
Berkowitz Jared - - 2007
The authors report a rare variant of the exstrophy-epispadias complex in which the patient has two bladders and complete duplication of müllerian structures. We also discuss the treatment of the patient's orthopedic and genitourinary conditions. The patient's prognosis is excellent, and she is expected to be fully continent, able to ...
Yamaguchi Osamu - - 2007
Overactive bladder (OAB), according to the International Continence Society (ICS) definition, is a symptom syndrome, with urgency as the cornerstone symptom. However, the word 'urgency' and its definition continue to be the subject of much debate and confusion. It is generally difficult for patients to differentiate urgency from normal urge, ...
López Pereira P - - 2008
OBJECTIVE: This study assesses clinical outcome, after at least 8 years, of augmentation done before or at puberty in neuropathic bladders. PATIENTS AND METHODS: A total of 29 children with neuropathic bladders who did not respond satisfactorily to clean intermittent catheterisation and anti-cholinergic therapy underwent enterocystoplasty at a mean age ...
Taskinen Seppo - - 2008
PURPOSE: Intestinal bladder augmentation predisposes the patient to many complications. The aim of this study was to determine whether augmentation has an adverse effect on growth. MATERIALS AND METHODS: Longitudinal growth data were collected and analyzed for nine patients with bladder exstrophy and augmentation, and compared with the growth data ...
Akkad Thomas - - 2007
OBJECTIVES: To investigate the influence of intravesical potassium on pelvic floor activity (PFA) during voiding in women with recurrent urinary tract infections (rUTIs) by using comparative urodynamics (CUD). PATIENTS AND METHODS: CUD was conducted in 49 women (mean age 34.6 years, range 15-82) with rUTI. Every patient had two sessions ...
Chew Ben H - - 2007
BACKGROUND AND PURPOSE: Ureteral stents may cause significant morbidity, including pain, dysuria, hematuria, and infection. New biomaterials, coatings, and designs have been studied in an attempt to reduce stent-related symptoms, but to date, the ideal comfortable stent has not been developed. In order to facilitate development of a stent that ...
Titi M - - 2007
OBJECTIVE: Male faecal incontinence (FI) has received little attention. No consistent pathophysiological abnormality has been identified in those studies that have specifically assessed male patients with FI or faecal leakage (FL). This study was designed to re-examine the different theories relating to the pathophysiology of male incontinence and to assess ...
Villa Gioia - - 2007
STUDY OBJECTIVE: The purpose of this study was to evaluate the relationship between frequency/severity of dysuria with anatomic location and diameter of bladder endometriotic lesions. DESIGN: Retrospective analysis (Canadian Task Force classification II-3). SETTING: Tertiary care university hospital. PATIENTS: Forty-one patients with bladder endometriosis (endometrial glands and stroma microscopically diagnosed ...
Roihuvuo-Leskinen Hanna-Mari - - 2008
OBJECTIVES AND METHODS: Voiding problems related to childhood vesicoureteral reflux (VUR) in a cohort of 120 patients (109 females, 11 males) were studied at early middle age (range, 33-50 yr). Forty-four patients had been operated on. The study included an interview by means of a symptom questionnaire, a urine flow ...
Liao Yung-Ming - - 2007
OBJECTIVES: Urethral injection of botulinum toxin A (BTX-A) can reduce urethral resistance in patients with voiding dysfunction. However, some patients do not benefit from this treatment. It is essential to identify the causes for these failed procedures. METHODS: A total of 200 patients receiving urethral BTX-A injections for voiding dysfunction ...
Hagerty Jennifer A - - 2007
PURPOSE: Intravesical electrotherapy was previously shown to be effective for improving bladder capacity and compliance. We evaluated our 22-year experience with this therapy in patients with neurogenic bladder. MATERIALS AND METHODS: The charts of 405 patients who received intravesical electrotherapy were reviewed. Cystometrograms were performed at the start of each ...
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