Urinary Bladder Neck Obstruction
Urinary Bladder
Urethra
Urinary Bladder Calculi
Calculi
Urinary Diversion
Renal renin-angiotensin system dysregulation caused by partial bladder outlet obstruction in fetal sheep. (1/154)
BACKGROUND: To determine whether fetal renal obstruction activates the renal renin-angiotensin system (RAS), an important mediator in normal kidney development and obstructive nephropathy, we used a model of fetal partial bladder outlet obstruction (PBOO). METHODS: Total RNA and protein was extracted from kidney of sheep fetuses with partial bladder outlet obstruction created at 95 days gestation, after 2 (N = 6) and 5 weeks of obstruction (term; N = 6), and from normal fetal sheep at various time points between 60 and 135 days of gestation (total N = 19). Relative levels of mRNA for renin, angiotensinogen, type 1 and 2 angiotensin II (Ang II) receptors (AT-1 and AT-2), and transforming growth factor-beta1 (TGF-beta1) were assessed by semiquantitative reverse transcription-polymerase chain reaction. Expression levels of AT-2 receptor protein were measured by Western blot analysis. RESULTS: Renin mRNA expression was increased (250%) after two weeks of obstruction. In normal fetuses, AT-1 expression was low at 60 to 75 days of gestation and increased toward the end of gestation, whereas AT-2 expression showed a reversed pattern. At 109 days, PBOO caused an increased expression of AT-2 mRNA compared with normals (400%). Correspondingly, AT-2 receptor protein was more abundant in obstructed kidneys. TGF-beta1 mRNA expression was significantly increased in obstructed kidneys at 109 days gestation. CONCLUSIONS: These observations confirm the reciprocal developmental regulation of AT-1 and AT-2 receptors' expression, suggesting their functional role in renal development. Partial bladder outlet obstruction produces specific alterations: increased renin expression and altered balance of receptor subtypes, which may induce altered functional and vascular regulation of the obstructed fetal kidney. TGF-beta1, a mediator of Ang II-induced fibrosis, may play a role in inducing and propagating interstitial fibrosis. (+info)The diagnostic yield of intravenous urography. (2/154)
BACKGROUND: Intravenous urography (IVU) is considered an integral imaging component of the nephro-urological work-up in a wide array of clinical settings. At our institution there is an open-access policy with regard to requesting IVU studies. METHODS: In a prospective, blinded observational study we undertook to assess the diagnostic yield of IVU with respect to the source of referral (i.e. Urology, Nephrology, GP, A & E, other speciality) and the presenting features, such as renal colic, haematuria, bladder outflow obstruction, recurrent urinary tract infection (UTI) etc. Two hundred consecutive patients were evaluated. RESULTS: Overall, 23% of tests were positive. There was a highly significant difference in diagnostic yield between the groups (P<0.001 for both referral source and test indication). A positive result was most likely after referral by a kidney specialist (37.1%) and when the test indication was renal colic (42%) or haematuria (32%). The yield was <15% in all other circumstances, with 94.9% and 92.1% of GP- and other hospital speciality-initiated IVUs being negative. When investigating recurrent UTI, 91.7% of tests were negative and 86.2% were negative when the indication was bladder outflow obstruction. CONCLUSIONS: It is suggested that an open access policy for IVU is not justified, especially when cost and the risk associated with contrast media and radiation exposure are taken into account. Our study supports the abandonment of routine IVU in the investigation of UTI and bladder outflow obstruction. (+info)Fetal penile length. (3/154)
OBJECTIVE: To construct a reference range for fetal penile length. METHODS: The length of the penis was measured during ultrasound assessment of 95 structurally normal male fetuses of gestational ages 16-38 weeks. Two fetuses with bladder outflow obstruction were also examined. RESULTS: Fetal penile length increases significantly with gestational age, from a mean value of 6.0 mm at 16 weeks to 26.4 mm at 38 weeks. One fetus with urethral agenesis had a penile length on the 0.3rd centile. CONCLUSIONS: Measurement of the fetal penis is easy and not time-consuming. In cases of bladder outflow obstruction, assessment of penile length assists in the differentiation between urethral agenesis and posterior urethral valves. (+info)Bladder outflow obstruction masquerading as pelviureteric junction (PUJ) obstruction. (4/154)
We report a case of bladder outflow obstruction presenting with upper tract dilatation mistaken initially as pelviureteric junction (PUJ) obstruction. The lower tract obstruction ought to be dealt with first before upper tract obstruction is assessed because the renal pelvic pressure is significantly affected by vesical filling and high bladder pressure. (+info)Use of the uroflow study in the diagnosis of bladder outlet obstruction in elderly men. (5/154)
The uroflow and pressure-flow data of 67 men aged 65 years or more were compared. At best, the uroflow study applying the Liverpool nomogram (25th percentile) and Bristol nomogram (OSD) diagnosed bladder outlet obstruction with sensitivity of 62.5% and 62.5% and specificity of 48.8% and 74.4% respectively. Using the 50th percentile of the Liverpool nomogram as the cut-off resulted in a negative predictive value of 100.0% allowing about 10% of men to have this diagnosis ruled out. We conclude that the uroflow study is inaccurate in diagnosing bladder outlet obstruction in elderly men. However, it can be used to rule out this condition in the small subset of men with maximum flow rates above the 50th percentile of the Liverpool nomogram. (+info)Evaluation for Madigan's prostatectomy in patients with benign prostatic hyperplasia. (6/154)
AIM: To comparatively evaluate the efficacy and post-operative complications of the Madigan's prostatectomy (MPC) and suprapubic prostatectomy (SPPC). METHODS: A total of 43 patients with benign prostatic hyperplasia were divided into two groups: 21 underwent MPC and 22, SPPC. In all the patients, the international prostate symptom score (IPSS) and urinary pressure-flow studies were assessed before and 6 months after operation. The International Continence Society (ICS) nomogram, Abrams-Griffiths (AG) number and linear passive urethral resistance relation analysis (L-PURR) were used to diagnose and grade bladder outlet obstruction (BOO). The IPSS and the urodynamic parameters before and after operation, as well as the advantages and post-operative complications were recorded and compared. RESULTS: Patients of both the MPC and SPPC groups had a significant improvement in IPSS and urodynamic parameters. Obstruction was relieved in 81.0% of MPC and 86.4% of SPPC patients. MPC has the advantages of the absence of postoperative hematuria and post-catheter stricture, a shorter period of hospitalization, and lower incidence of retrograde ejaculation and erectile dysfunction. CONCLUSION: Both MPC and SPPC can effectively relieve BOO. MPC has certain advantages and a lower incidence of complications as compared with SPPC. (+info)The effectiveness of reducing the daily dose of finasteride in men with benign prostatic hyperplasia. (7/154)
BACKGROUND: Finasteride, a 5 alpha reductase inhibitor, is an established treatment for benign prostatic hyperplasia. The recommended dosage is 5 mg a day, however case reports have show effectiveness with lower doses. The objective of the current study was to determine in men with benign prostatic hyperplasia, previously treated for at least one year with finasteride 5 mg daily, if they will maintain subjective and objective improvements in urinary obstruction when treated with 2.5 mg of finasteride daily for one year. METHODS: In an open label, prospective study, 40 men with benign prostatic hyperplasia, previously treated for at least one year with 5 mg of finasteride, took 2.5 mg of finasteride daily for one year. Measurements included AUA symptom score, maximum flow rate, voided volume and PSA. RESULTS: There were no significant changes in maximum flow rate, voided volume, or AUA symptom score after one year of finasteride 2.5 mg daily therapy. PSA increased significantly, p <.01, after one year of finasteride 2.5 mg daily, 2.0 +1.4 ng/ml, when compared to finasteride 5 mg daily, 1.4+ 1.0 ng/ml. CONCLUSIONS: The daily dose of finasteride can be reduced to 2.5 mg daily without significant effect on subjective and objective measures of urinary obstruction. Although statistically significant increases in PSA are noted when reducing the daily finasteride dose from 5 mg to 2.5 mg, the clinical significance of a mean.6 ng/ml increase in PSA is questionable. (+info)Fetal, perinatal, and infant death with congenital renal anomaly. (8/154)
AIMS: To ascertain why 19.6% of pregnancies in which a fetal renal anomaly has been detected fail to produce a surviving child, and whether antenatal diagnostic accuracy has altered since specialised fetal medicine units were established in 1995. METHODS: An analysis of deaths was conducted among fetuses and babies with a congenital abnormality in the urinary tract notified to the Northern Region Congenital Abnormality Survey (NorCAS). There were 560 deaths among 2857 cases with an anomaly in the urinary tract delivered between 19 February 1984 and 21 March 2000. RESULTS: Renal anomaly was the cause of death in 323 (57.7%) cases. Excluding 10 which were not screened, 126 (60%) of 210 pre-1995 had been suspected antenatally and 81 (78.6%) of 103 post-1995. No abnormality had been suspected in 39 (18.6%) cases pre-1995 and four (3.9%) post-1995. Postnatal death occurred in 89 (41.4%) pre-1995 and in 13 (12%) post-1995. There were 209 cases of death caused by anomalies in other systems but with a renal anomaly present, of which 66 (31.6 %) were chromosomal and 36 (54.5%) had a horseshoe kidney. Of the cases with a horseshoe kidney, 56.3% had a chromosomal anomaly. CONCLUSIONS: The antenatal diagnosis of renal anomalies which cause death did not improve significantly in the second period of this study. However, the number of false positive antenatal diagnoses and the number of postnatal deaths were significantly lower and the number of pregnancy terminations were significantly higher. This reduced the risk of delivering a live baby with an unexpected fatal renal anomaly. (+info)Urinary bladder neck obstruction is a medical condition that refers to a partial or complete blockage at the bladder neck, which is the area where the bladder connects to the urethra. This obstruction can be caused by various factors such as prostate enlargement, bladder tumors, scar tissue, or nerve damage.
The bladder neck obstruction can lead to difficulty in urinating, a weak urine stream, and the need to strain while urinating. In severe cases, it can cause urinary retention, kidney failure, and other complications. Treatment for this condition depends on the underlying cause and may include medications, surgery, or minimally invasive procedures.
The urinary bladder is a muscular, hollow organ in the pelvis that stores urine before it is released from the body. It expands as it fills with urine and contracts when emptying. The typical adult bladder can hold between 400 to 600 milliliters of urine for about 2-5 hours before the urge to urinate occurs. The wall of the bladder contains several layers, including a mucous membrane, a layer of smooth muscle (detrusor muscle), and an outer fibrous adventitia. The muscles of the bladder neck and urethra remain contracted to prevent leakage of urine during filling, and they relax during voiding to allow the urine to flow out through the urethra.
Urinary Bladder Neoplasms are abnormal growths or tumors in the urinary bladder, which can be benign (non-cancerous) or malignant (cancerous). Malignant neoplasms can be further classified into various types of bladder cancer, such as urothelial carcinoma, squamous cell carcinoma, and adenocarcinoma. These malignant tumors often invade surrounding tissues and organs, potentially spreading to other parts of the body (metastasis), which can lead to serious health consequences if not detected and treated promptly and effectively.
Urinary bladder diseases refer to a range of conditions that affect the urinary bladder, a muscular sac located in the pelvis that stores urine before it is excreted from the body. These diseases can impair the bladder's ability to store or empty urine properly, leading to various symptoms and complications. Here are some common urinary bladder diseases with their medical definitions:
1. Cystitis: This is an inflammation of the bladder, often caused by bacterial infections (known as UTI - Urinary Tract Infection). However, it can also be triggered by irritants, radiation therapy, or chemical exposure.
2. Overactive Bladder (OAB): A group of symptoms that include urgency, frequency, and, in some cases, urge incontinence. The bladder muscle contracts excessively, causing a strong, sudden desire to urinate.
3. Interstitial Cystitis/Bladder Pain Syndrome (IC/BPS): A chronic bladder condition characterized by pain, pressure, or discomfort in the bladder and pelvic region, often accompanied by urinary frequency and urgency. Unlike cystitis, IC/BPS is not caused by infection, but its exact cause remains unknown.
4. Bladder Cancer: The abnormal growth of cancerous cells within the bladder lining or muscle. It can present as non-muscle-invasive (superficial) or muscle-invasive, depending on whether the tumor has grown into the bladder muscle.
5. Bladder Diverticula: Small sac-like pouches that form in the bladder lining and protrude outward through its wall. These may result from increased bladder pressure due to conditions like OAB or an enlarged prostate.
6. Neurogenic Bladder: A condition where nerve damage or dysfunction affects the bladder's ability to store or empty urine properly. This can lead to symptoms such as incontinence, urgency, and retention.
7. Benign Prostatic Hyperplasia (BPH): Although not a bladder disease itself, BPH is a common condition in older men where the prostate gland enlarges, putting pressure on the bladder and urethra, leading to urinary symptoms like frequency, urgency, and hesitancy.
Understanding these various bladder conditions can help individuals identify potential issues early on and seek appropriate medical attention for proper diagnosis and treatment.
The urethra is the tube that carries urine from the bladder out of the body. In males, it also serves as the conduit for semen during ejaculation. The male urethra is longer than the female urethra and is divided into sections: the prostatic, membranous, and spongy (or penile) urethra. The female urethra extends from the bladder to the external urethral orifice, which is located just above the vaginal opening.
Urinary bladder calculi, also known as bladder stones, refer to the formation of solid mineral deposits within the urinary bladder. These calculi develop when urine becomes concentrated, allowing minerals to crystallize and stick together, forming a stone. Bladder stones can vary in size, ranging from tiny sand-like particles to larger ones that can occupy a significant portion of the bladder's volume.
Bladder stones typically form as a result of underlying urinary tract issues, such as bladder infection, enlarged prostate, nerve damage, or urinary retention. Symptoms may include lower abdominal pain, difficulty urinating, frequent urination, blood in the urine, and sudden, strong urges to urinate. If left untreated, bladder stones can lead to complications like urinary tract infections and kidney damage. Treatment usually involves surgical removal of the stones or using other minimally invasive procedures to break them up and remove the fragments.
"Calculi" is a medical term that refers to abnormal concretions or hard masses formed within the body, usually in hollow organs or cavities. These masses are typically composed of minerals such as calcium oxalate, calcium phosphate, or magnesium ammonium phosphate, and can vary in size from tiny granules to large stones. The plural form of the Latin word "calculus" (meaning "pebble"), calculi are commonly known as "stones." They can occur in various locations within the body, including the kidneys, gallbladder, urinary bladder, and prostate gland. The presence of calculi can cause a range of symptoms, such as pain, obstruction, infection, or inflammation, depending on their size, location, and composition.
"Foreign bodies" refer to any object or substance that is not normally present in a particular location within the body. These can range from relatively harmless items such as splinters or pieces of food in the skin or gastrointestinal tract, to more serious objects like bullets or sharp instruments that can cause significant damage and infection.
Foreign bodies can enter the body through various routes, including ingestion, inhalation, injection, or penetrating trauma. The location of the foreign body will determine the potential for harm and the necessary treatment. Some foreign bodies may pass through the body without causing harm, while others may require medical intervention such as removal or surgical extraction.
It is important to seek medical attention if a foreign body is suspected, as untreated foreign bodies can lead to complications such as infection, inflammation, and tissue damage.
Urinary diversion is a surgical procedure that involves the creation of a new way for urine to leave the body, bypassing the native urinary system. This is typically performed in individuals who have damaged or removed urinary systems due to conditions such as cancer, severe trauma, or congenital abnormalities.
There are several types of urinary diversions, including:
1. Ileal Conduit: A segment of the small intestine (ileum) is used to create a passageway for urine to flow from the ureters to an external collection bag or pouch worn on the abdomen.
2. Continent Urinary Reservoir: A pouch-like reservoir is created using a segment of the intestine, which is then connected to the ureters. The patient periodically empties the reservoir through a stoma (opening) in the abdominal wall using a catheter.
3. Orthotopic Neobladder: A pouch-like reservoir is created using a segment of the intestine, which is then connected to the urethra, allowing for normal urination through the native urethral opening.
These procedures can significantly improve the quality of life for patients with severe urinary system damage or disease, although they do come with potential complications such as infections, stone formation, and electrolyte imbalances.
Ureterostomy is a surgical procedure that creates an opening from one or both ureters, the tubes that carry urine from the kidneys to the bladder, to the abdominal wall. This allows urine to bypass the bladder and be expelled through the opening, called a stoma, into a collection device or onto the skin where it can be absorbed by a pad or diaper.
Ureterostomy is typically performed as a temporary measure in cases of severe bladder injury, infection, or obstruction that cannot be immediately corrected. It may also be used as a permanent solution for patients with congenital abnormalities or conditions that prevent the normal flow of urine through the bladder.
There are two main types of ureterostomy: cutaneous and uretero-cutanoeostomy. In a cutaneous ureterostomy, the ureter is brought directly to the abdominal wall and sutured in place. In a uretero-cutanoeostomy, a piece of intestine is used to create a conduit between the ureter and the abdominal wall.
Like any surgical procedure, ureterostomy carries risks such as bleeding, infection, and injury to surrounding organs. Patients who undergo this procedure will require close monitoring and follow-up care to ensure proper healing and function of the stoma.
Bladder outlet obstruction
Small intestine (Chinese medicine)
Underactive bladder
Hernia
Retrograde ejaculation
Urodynamic testing
Urinary retention
List of ICD-9 codes 580-629: diseases of the genitourinary system
Bladder
Posterior urethral valve
Transurethral resection of the prostate
Dyssynergia
Benign prostatic hyperplasia
Urethral bulking injections
Urinary system
Pulmonary hypoplasia
Dysgeusia
Urinary incontinence
List of MeSH codes (C12)
Neurogenic bladder dysfunction
Umbilical cord
Prostate
ICD-9-CM Volume 3
Blunt trauma
Projectional radiography
Glossary of medicine
Lower urinary tract symptoms
Bladder cancer
Urethra
Harrison's Principles of Internal Medicine
How can dynamic obstruction of the urinary bladder be treated?
Urinary Bladder 09 (UB 9) - Acupuncture Points - Acufinder.com
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Urethra17
- To evaluate whether these connexins are affected by changes in transmural urine pressure, we used a rat model of bladder outlet obstruction, in which a ligature is placed around the urethra. (unige.ch)
- Normal voiding is essentially a spinal reflex modulated by the central nervous system (brain and spinal cord), which coordinates function of the bladder and urethra. (medscape.com)
- The bladder and urethra are innervated by 3 sets of peripheral nerves arising from the autonomic nervous system (ANS) and somatic nervous system. (medscape.com)
- However, most renal stones that are small enough to pass through the ureters are also small enough to pass through a normally functioning bladder and an unobstructed urethra. (medscape.com)
- Bladder outlet obstruction (or obstructive uropathy) occurs when urine is unable to flow from the kidneys through the ureters and out of the bladder through the urethra. (wikipedia.org)
- Lower urinary tract obstruction involves the lower ureters, urinary bladder and the urethra. (wikipedia.org)
- Posterior urethral valves (PUV) is an obstruction at the level of the urethra. (wikipedia.org)
- A ureterocele is a cystic dilation of the end of the ureter that can occur in the bladder and/or in the urethra. (wikipedia.org)
- Urethral stenosis is a narrowing of the urethra that prevents urine from exiting the bladder. (wikipedia.org)
- A gland in males that surrounds the neck of the URINARY BLADDER and the URETHRA. (lookformedical.com)
- We report on 6 boys with single system ureteral ectopia into the prostatic urethra above the verumontanum, whopresented with radiological and clinical findings of bladder outlet obstruction. (johnshopkins.edu)
- In BPH alpha-blockers relax the muscles round the urethra (the tube that drains urine from the bladder) which improves urinary symptoms. (max-healthcarerx.com)
- Urinary tract infections: the infection will stimulate the bladder and urethra, leading to frequent urination and urinary incontinence. (authorityremedies.com)
- Stones originating from the kidney that are small enough to pass through the ureters can easily traverse the urethra unless there is significant bladder dysfunction or outlet obstruction. (statpearls.com)
- through the urethra into the bladder. (marysfamilymedicine.org)
- The bladder neck itself is the group of muscles that connects the bladder to the urethra. (userevive.com)
- Another way to diagnose BOO is through a procedure called a Cystoscopy, which uses a long thin tube with a camera on the end called a cystoscope to look in the urethra and bladder. (userevive.com)
Neurogenic10
- [ 1 ] Neurogenic bladder is a term applied to urinary bladder malfunction due to neurologic dysfunction emanating from internal or external trauma, disease, or injury. (medscape.com)
- Symptoms of neurogenic bladder range from detrusor underactivity to overactivity, depending on the site of neurologic insult. (medscape.com)
- The appropriate therapy for neurogenic bladder and a successful treatment outcome are predicated upon an accurate diagnosis through a careful medical and voiding history, together with a variety of clinical examinations, including urodynamics and selective radiographic imaging studies. (medscape.com)
- In addition, continued aggressive management of neurogenic bladder , specifically in the pediatric population, may lead to a rise in both the incidence of struvite stones and the development of creative and minimally invasive surgical techniques for augmented bladders. (medscape.com)
- Many factors can contribute to the development of retention, including bladder outlet obstruction, detrusor underactivity, and neurogenic bladder conditions. (elsevierpure.com)
- Bladder stones usually occur due to urinary stasis as in benign prostatic hyperplasia or neurogenic bladder but can also form in healthy individuals without anatomic defects, foreign bodies, strictures, or infections. (statpearls.com)
- Urinary stasis, such as benign prostatic hyperplasia (BPH) or neurogenic bladder disorder, is the primary cause of bladder calculi. (statpearls.com)
- Nerve growth factor combined with vascular endothelial growth factor enhances regeneration of bladder acellular matrix graft in spinal cord injury-induced neurogenic rat bladder. (ucsf.edu)
- Functional improvement in spinal cord injury-induced neurogenic bladder by bladder augmentation using bladder acellular matrix graft in the rat. (ucsf.edu)
- Consider intermittent catheterization in children with myelomeningocele and neurogenic bladder to reduce the risk of urinary tract deterioration. (cdc.gov)
Regulated during bladder outlet obst1
- The data show that Cx43 and Cx26 are differentially regulated during bladder outlet obstruction and contribute to the response of the bladder wall to increased voiding pressure, possibly to control its elasticity. (unige.ch)
Narrow angle glaucoma2
- Because of its antihistamine component, Brompheniramine Maleate, Pseudoephedrine Hydrochloride and Dextromethorphan Hydrobromide Oral Syrup should be used with caution in patients with a history of bronchial asthma, narrow angle glaucoma, gastrointestinal obstruction, or urinary bladder neck obstruction. (nih.gov)
- 5 Regarding concomitant medical conditions, because doxylamine-pyridoxine has anticholinergic properties, it should be used with caution in women with asthma, increased intraocular pressure, narrow angle glaucoma, stenosing peptic ulcer, pyloroduodenal obstruction and urinary bladder-neck obstruction. (rhochistj.org)
Acute urinary retention3
- acute urinary retention may be precipitated in obstructive uropathy (such as bladder neck obstruction due to prostatic hypertrophy). (drugs.com)
- Community based studies and clinical trials in patients with benign prostatic enlargement and/or lower urinary tract symptoms yield different estimates of the incidence of retention and only provide information on the epidemiology of acute urinary retention. (elsevierpure.com)
- urinate four to fi ve times per night causes tion results in acute urinary retention which investigated for underlying obstructive chronic tiredness and lethargy. (marysfamilymedicine.org)
Prostate15
- it refers to patients with recurrent urinary tract infections (UTIs) suggesting a prostate nidus of infection. (medscape.com)
- The prostate is located in the pelvis and is in continuity with the base of the bladder superiorly and the striated external urethral spincter inferiorly. (medscape.com)
- The prostate forms a ringlike growth around the vesical neck and, when hypertrophic, can significantly impede the flow of urine. (medscape.com)
- Increase in constituent cells in the PROSTATE, leading to enlargement of the organ (hypertrophy) and adverse impact on the lower urinary tract function. (lookformedical.com)
- This study assesses the prevalence of incidental prostate cancer detected in specimens removed during bladder outlet obstruction operation. (bvsalud.org)
- The frequency of incidental prostate cancer following surgery for bladder outlet obstruction has decreased over the last two decades at our centre, possibly because of an increase in PSA testing. (bvsalud.org)
- The prostate gland lies just beneath the bladder and is normally about the size of a chestnut. (baus.org.uk)
- Hytrin belongs to a class of drugs called alpha-1 blockers, which relax the smooth muscles of arteries, prostate and bladder neck. (max-healthcarerx.com)
- Relaxing the smooth muscles around the bladder neck relieves urinary obstruction caused by enlarged prostate (prostatic hypertrophy). (max-healthcarerx.com)
- Although the literature was very heterogeneous, we found that medical management and surgery with transurethral resection/incision of the prostate are beneficial for improving urinary flow and bothersome symptoms. (urotoday.com)
- of obstruction does not correlate to prostate in the modern age is low due to modern management strategy being implemented. (marysfamilymedicine.org)
- Both fi ll- minant of the need for prostate surgery in obstruction may be indicative of early pros- irritating urinary symptoms are due to ing and voiding profi les are studied with the majority of men. (marysfamilymedicine.org)
- They should be reassured that primary overactive bladder activity or sec- voided urinary fl ow correlated to bladder tatic size is to determine whether a patient early prostate cancer does not cause symp- ondary to outfl ow obstruction. (marysfamilymedicine.org)
- A wide range of normal and pathological conditions are demonstrated containing the kidneys, bladder, ureters and prostate. (medsim.com)
- The urinary trigone will be elevated though notably without a posterior indentation of an enlarged prostate. (radiologytoday.net)
Incontinence9
- Transvaginal urethrolysis for urethral obstruction after anti-incontinence surgery. (qxmd.com)
- Urethral obstruction following a stress incontinence procedure occurs in 5 to 20% of patients. (qxmd.com)
- A retrospective chart review was performed on 39 patients who had undergone transvaginal urethrolysis for urethral obstruction following an anti-incontinence procedure. (qxmd.com)
- All 39 patients complained of urge incontinence, 13% had urinary retention, 51% had incomplete bladder emptying and 36% voided to completion but had irritative voiding symptoms. (qxmd.com)
- Persistent or recurrent stress urinary incontinence (SUI) after a midurethral sling (MUS) may result from incorrect location of the sling relative to the midurethra. (unboundmedicine.com)
- Many women, in hopes of reducing their light bladder leaks, have turned to surgical treatment to help with their urinary incontinence. (userevive.com)
- These symptoms are fairly common among other urinary complications as well - UTIs , Overflow Incontinence , kidney infections, etc., but there are certain risk factors that could indicate that you have BOO over another kind of urinary problem. (userevive.com)
- Postoperative complications include transurethral resection syndrome (TUR syndrome), LUTS but these typically improve as the patient is further from surgery, but they may never completely resolve, retrograde ejaculation, infection including UTI and prostatitis, urethral stricture, bladder neck contracture, incontinence, urinary retention due to either obstruction or poorly functional bladder requiring CIC or catheter, and recurrence. (gyandarpan.in)
- Avoid use of urinary catheters in patients and nursing home residents for management of incontinence. (cdc.gov)
Infections7
- 1] Patients may present with a history of relapsing urinary tract infections (UTIs), which may be episodic or persistent. (medscape.com)
- Indicated for the relief of local symptoms, such as hypermotility which accompany lower urinary tract infections and as antispasmodic. (drugs.com)
- [ 1 ] They are usually associated with urinary stasis but can form in healthy individuals without evidence of anatomic defects, strictures, infections, or foreign bodies. (medscape.com)
- Fluoroquinolone antimicrobial agents in the treatment of prostatitis and recurrent urinary tract infections in men. (medscape.com)
- Patients with chronic UTO are often asymptomatic until they develop complications (e.g., urinary tract infections , renal failure ). (amboss.com)
- The presence of urinary tract infections and having a significant intravesical prostatic extension (BPH) are the clinical signs that are most closely associated with the development of bladder calculi. (statpearls.com)
- lower urinary tract infections in men The obstructive uropathy must be managed may also result in the formation of bladder incomplete emptying. (marysfamilymedicine.org)
Obstructive uropathy1
- Since PUV always affects both sides of the urinary tract, patients with posterior urethral valves are at the greatest risk for developing chronic kidney disease and end-stage renal disease due to obstructive uropathy. (wikipedia.org)
Urology1
- Leaders in urology developed and modified instruments in the attempt to create the most effective and safe method to remedy such obstructions and patient discomfort. (urologichistory.museum)
Ureters2
- Upper urinary tract obstruction includes the renal pelvis and upper ureters. (wikipedia.org)
- Simultaneous implantation of bilateral ureters into bladder acellular matrix graft after partial cystectomy in a porcine model. (ucsf.edu)
Documented urinary retention1
- History of documented urinary retention. (renalandurologynews.com)
Prostatic hyperplasia1
- PROSTATIC bladder neck obstruction (BNO) include frequency, urgency, urge inconti- with signifi cant outfl ow obstruction due or benign prostatic hyperplasia (BPH) rarely nence and nocturia. (marysfamilymedicine.org)
Result in bladder outlet1
- Radiation therapy is not only unsuccessful in treating pelvic lipomatosis, but can also result in bladder outlet and rectal strictures.2 Urinary diversion procedures consisting of ileal conduit, nephrostomy tube, or vesicostomy may be required in cases of severe outlet obstruction. (radiologytoday.net)
Dysfunction3
- In women, voiding dysfunction and urinary stasis can occur but are less commonly associated with calculi. (medscape.com)
- In an increasingly ageing transplant population, timely management of benign prostatic obstruction (BPO) is key to preventing complications that result in graft dysfunction or compromise survival. (urotoday.com)
- Intermittent catheterization is preferable to indwelling urethral or suprapubic catheters in patients with bladder emptying dysfunction. (cdc.gov)
Stones17
- Bladder (vesical) calculi are stones or calcified materials that are present in the bladder (or in a bladder substitute that functions as a urinary reservoir). (medscape.com)
- The presence of upper urinary tract calculi is not necessarily a predisposition to the formation of bladder stones. (medscape.com)
- The bladder is an uncommon site of urinary tract calculi in most Western countries, but bladder stones result in specific symptoms and are a significant source of discomfort. (medscape.com)
- The incidence of bladder stones in children is slowly declining, even in endemic areas. (medscape.com)
- Aggressive treatment of lower urinary tract symptoms with alpha-blockers and 5-alpha-reductase inhibitors should further decrease the overall incidence of bladder stones by improving bladder emptying. (medscape.com)
- Removal of bladder stones will continue to progress toward minimally invasive techniques, thus decreasing hospital stay and recovery times. (medscape.com)
- In older men with bladder stones composed of uric acid, the stone most likely formed in the bladder. (medscape.com)
- Notice also the model of Ben Franklin's catheter that he had made for his brother who suffered urinary retention due to bladder stones. (urologichistory.museum)
- there are any complications of the condition (e.g. chronic retention, urinary infection, bladder stones). (baus.org.uk)
- Bladder stones are solid calculi that are primarily found in the urinary bladder. (statpearls.com)
- Bladder stones result in specific symptoms and are a significant source of discomfort. (statpearls.com)
- Most such stones are newly formed in the bladder, although some may come from the kidneys either as a stone or a sloughed papilla. (statpearls.com)
- Stones that remain in the bladder will develop layers of additional stone material that may or may not be identical to the original core material. (statpearls.com)
- Foley catheters are associated with more bladder stones than intermittent catheterization. (statpearls.com)
- The overall incidence of adult bladder stones appears to be decreasing. (statpearls.com)
- In general, adult men with BPH and bladder stones are more likely to have a history of nephrolithiasis, gout, lower urinary pH, and lower urinary magnesium levels than similar men with BPH but without bladder calculi. (statpearls.com)
- Bladder stones can also occur in both men and women and lead to BOO but are seen more often in men. (userevive.com)
Symptoms of urinary retention3
- Discontinue immediately if symptoms of urinary retention develop. (renalandurologynews.com)
- Monitor for signs and symptoms of urinary retention (difficulty passing urine, distended bladder) during therapy, especially in patients with prostatic hypertrophy or bladder-neck obstruction. (unboundmedicine.com)
- Advise patient to notify health care professional immediately if signs and symptoms of urinary retention (difficulty urinating, urinating frequently, urination in a weak stream or drips, full bladder, difficulty emptying bladder) occur. (unboundmedicine.com)
Patients16
- [ 2 , 3 ] Perhaps surprisingly, patients with uric acid bladder calculi rarely ever have a documented history of gout or hyperuricemia . (medscape.com)
- If patients aren't diagnosed with dilation of their urinary tract via ultrasound in utero, they can present after birth with vague symptoms such as abdominal pain, blood in their urine or a urinary tract infection. (wikipedia.org)
- If patients have other congenital anomalies, their bladder outlet obstruction may be recognized during evaluation for their related syndromes. (wikipedia.org)
- Patients with an undiagnosed ureteropelvic junction obstruction may experience abdominal or flank pain after increased fluid intake, when their bladder is full or when they exercise. (wikipedia.org)
- Conclusions: Clinicians are adopting less invasive approaches (eg pharmacology or catheterization) to treating patients who present with the symptoms, sign, and condition of urinary retention. (elsevierpure.com)
- Benefits and Harms of Benign Prostatic Obstruction Treatments in Renal Transplanted Patients. (urotoday.com)
- Despite this, alpha-blockers, TUIP, and TURP showed a beneficial increase in the peak urinary flow and reduced symptoms in transplants patients with BPO. (urotoday.com)
- In this report, we looked at the outcomes for transplant patients undergoing medical or surgical management of benign prostatic obstruction. (urotoday.com)
- Patients undergoing sling excision for other indications (eg, outlet obstruction, urinary tract erosion) were excluded. (unboundmedicine.com)
- Gravel will cause irritation and pressure to the bladder neck, making patients urinate more. (authorityremedies.com)
- In one study of patients with spinal cord injuries, 36% developed bladder calculi over an eight-year period of follow-up. (statpearls.com)
- Approximately one-half of patients with symptomatic pelvic lipomatosis present with lower urinary symptoms, such as increased frequency, dysuria, nocturia, and hesitancy. (radiologytoday.net)
- Minimize urinary catheter use and duration of use in all patients, particularly those at higher risk for CAUTI or mortality from catheterization such as women, the elderly, and patients with impaired immunity. (cdc.gov)
- Use urinary catheters in operative patients only as necessary, rather than routinely. (cdc.gov)
- Consider using external catheters as an alternative to indwelling urethral catheters in cooperative male patients without urinary retention or bladder outlet obstruction. (cdc.gov)
- Further research is needed on the benefit of using a urethral stent as an alternative to an indwelling catheter in selected patients with bladder outlet obstruction. (cdc.gov)
Cystoscopy4
- My 33 years old husband has been diagnosed with the problem called dynamic obstruction of the urinary bladder neck after a cystoscopy. (ndtv.com)
- and Cystoscopy or Bladder Scope Test . (medscape.com)
- Similarly, Many men present clinically concerned tool for objectively determining the degree tracted cystometry a pressure sensitive cystoscopy should not be used as the deter- that their symptoms of benign prostatic of outfl ow obstruction and whether or not device is also placed per rectum. (marysfamilymedicine.org)
- In cases that have gone on to cystoscopy and biopsy, there was often evidence of proliferative bladder mucosal changes including cystitis glandularis and cystitis cystica, although it is thought that these changes could also be related to chronic lymphatic obstruction due to the fat itself rather than chronic infection. (radiologytoday.net)
Bilateral1
- Prune belly syndrome (or Eagle-Barrett syndrome) is another group of congenital disorders that involves the kidneys and includes absent abdominal wall musculature, severe urinary tract abnormalities and bilateral undescended testicles. (wikipedia.org)
Outlet12
- however, this process is usually reversible and isn't associated with as many poor outcomes as in infants with congenital bladder outlet obstruction. (wikipedia.org)
- Bladder outlet obstruction is classified based on where along the urinary tract the obstruction occurs, including upper urinary tract obstruction and lower urinary tract obstruction. (wikipedia.org)
- Bladder outlet obstruction can be identified during routine prenatal ultrasonography as dilation of the fetal urinary tract and decreased amniotic fluid levels. (wikipedia.org)
- Bladder outlet obstruction is included in the spectrum of congenital anomalies of the kidney and urinary tract (CAKUT). (wikipedia.org)
- Urinary retention may be Acute Chronic Causes include impaired bladder contractility, bladder outlet obstruction. (msdmanuals.com)
- The walking cane and umbrella in the middle of the case each contain a catheter and lubrication for gentlemen to self-catheterize when suffering from bladder outlet obstruction of the urinary flow. (urologichistory.museum)
- Older boys presented with symptoms suggestive of bladder outlet obstruction. (johnshopkins.edu)
- The distal ureter was dilated elevating the bladder neck causing outlet obstruction. (johnshopkins.edu)
- Although it is widely known that this surgery can lead to some serious complications, such as infection, exposed mesh, and chronic pain, there is another side-effect of the sling surgery - Bladder Outlet Obstruction (BOO). (userevive.com)
- We'll go over what exactly Bladder Outlet Obstruction is, the causes, how it's diagnosed, and health complications that may arise if not treated. (userevive.com)
- How do you know if you're experiencing Bladder Outlet Obstruction? (userevive.com)
- Both of these procedures should be done as soon as possible after experiencing symptoms, as untreated Bladder Outlet Obstruction may lead to further urinary health complications. (userevive.com)
Ureteral3
- Complete UTO is a medical emergency and must be treated promptly with bladder catheterization , ureteral stenting , or percutaneous nephrostomy . (amboss.com)
- The bladder in these cases has been given many descriptors, such as banana-, pear-, gourd-, or tear-shaped.1-4 Mild to severe ureteral obstruction can be seen in 17% to 45% of cases.4 Barium enema evaluation may show an elongated and straightened rectosigmoid colon, the so-called "tower rectum. (radiologytoday.net)
- Ultrasound may play a role in diagnosis, particularly 3D sonography, which can show the abnormal morphology of the bladder similar to CT and is useful in evaluating for ureteral obstruction and hydronephrosis. (radiologytoday.net)
Chronic urinary3
- Purpose: The definitions of acute and chronic urinary retention remain empirical and subject to wide interpretation. (elsevierpure.com)
- Slow onset chronic urinary bladder disorder. (marysfamilymedicine.org)
- It has been hypothesized that the abnormal fat accumulates as a response to chronic urinary tract infection. (radiologytoday.net)
Renal2
- Ureteropelvic junction obstruction (UPJ obstruction) is an obstruction at the level of the ureter and renal pelvis. (wikipedia.org)
- Materials and Methods: Antenatal ultrasound in 3 boys demonstrated renal abnormalities and postnatal studies suggested the diagnosis of posterior urethral valve obstruction. (johnshopkins.edu)
Suprapubic1
- 1350. Urinary obstruction s/sx // Suprapubic aspiration technique // Bladder decompression complication // ?Gradual emptying of bladder to decrease complications? (emupdates.com)
Catheter5
- Another example would be a fragment from a Foley catheter balloon that "fell out" but had a balloon rupture with a retained fragment left in the bladder. (statpearls.com)
- This is achieved by using an X-Ray or ultrasound of your bladder in real-time and a catheter to empty and fill the bladder with fluid. (userevive.com)
- A client underwent a TURP, and a large three-way catheter was inserted into the bladder with continuous bladder irrigation. (gyandarpan.in)
- Recommendations for Appropriate urinary catheter use by ID number and category. (cdc.gov)
- Recommendations for Proper urinary catheter insertion techniques by ID number and category. (cdc.gov)
Detrusor1
- When the bladder becomes full, the stretch receptors of the detrusor muscle send a signal to the pons, which in turn notifies the brain. (medscape.com)
Urologists3
- Urologists focus on urinary and genital problems, such as bladder obstructions and kidney problems. (barnesjewish.org)
- Can urologists accurately stage and grade urothelial bladder cancer by assessing endoscopic photographs? (tau.ac.il)
- We reviewed several aspects of urinary retention that require clarification with the objective of stimulating discussion among urologists to establish an accurate and coherent definition of urinary retention and significant post-void residual urine, and clarify risk factors. (elsevierpure.com)
Posterior1
- CT is also able to demonstrate a posterior displacement of the seminal vesicles from the posterior wall of the bladder. (radiologytoday.net)
Tract infection1
- Surgical intervention is for the man- OBSTRUCTED LOWER URINARY TRACT increased risk of urinary tract infection. (marysfamilymedicine.org)
Occur1
- However, symptoms occur due to bladder obstruction. (marysfamilymedicine.org)
Pelvic1
- Pelvic lipomatosis is a rare disorder of increased fat tissue deposition within the spaces of the pelvis, causing extrinsic compression of the bladder, rectum, and blood vessels. (radiologytoday.net)
Pressure on the bladder2
- It also helps reduce any excess pressure on the bladder neck, to prevent obstruction to urinary flow. (medgearcare.com.au)
- The problem can also happen during the pregnancy time: fetus puts pressure on the bladder, causing the woman to urinate more often. (authorityremedies.com)
Overactive bladder4
- It usually comes from overactive bladder, which makes your bladder unable to hold urine usually. (authorityremedies.com)
- Overactive bladder is not something unusual as over 33 million Americans suffer from this problem. (authorityremedies.com)
- In fact, it does not necessarily mean that overactive bladder is a sign of some underlying health issues. (authorityremedies.com)
- However, in most cases, people who have severe health problems, including kidney disease or diabetes , are more likely to experience overactive bladder. (authorityremedies.com)
Incomplete2
- Urinary Retention Urinary retention is incomplete emptying of the bladder or cessation of urination. (msdmanuals.com)
- He also reported increasing trouble urinating, frequently needing to strain to empty his bladder, and feelings of incomplete bladder emptying. (radiologytoday.net)
Benign prostatic1
- α-Receptor antagonists and 5α-reductase inhibitors may be useful in preventing urinary retention episodes and progressive benign prostatic enlargement. (elsevierpure.com)
Urination2
- Bladder cancer: this causes you to urinate more often, pain during urination. (authorityremedies.com)
- Most men with cancer sometimes have uncontrollable urination and urinary tract obstruction. (authorityremedies.com)
Complications1
- With BOO, the most common health complication that arises is a weakened bladder, which can, in turn, lead to even more complications. (userevive.com)
Kidney1
- Malformation of kidney or bladder architecture. (wikipedia.org)
Hydronephrosis1
- Decreased flow of urine leads to swelling of the urinary tract, called hydronephrosis. (wikipedia.org)
Urethral strictures1
- Radiation therapy, schistosomiasis, bladder augmentation surgery, urethral strictures, and the presence of bladder diverticula are other predisposing factors to bladder stone formation. (statpearls.com)
Anatomic1
- In men, the main anatomic problem that leads to vesical obstruction is prostatic enlargement. (medscape.com)
Calculi2
- Most vesical calculi formed de novo within the bladder, but some initially may have formed within the kidneys as a dissociated Randall plaque or on a sloughed papilla and subsequently passed into the bladder, where additional deposition of crystals causes the stone to grow. (medscape.com)
- Less frequently, bladder calculi are composed of calcium oxalate, calcium phosphate, ammonium urate, cysteine, or magnesium ammonium phosphate (when associated with infection). (medscape.com)
Lower7
- I am also experiencing lower urinary tract symptoms. (ndtv.com)
- According to your description it seems that your husband only has a recent onset ( 7days) of lower urinary tract symptoms (LUTS) specially increase frequency. (ndtv.com)
- According to the referral letter, Mr B had lower urinary tract symptoms, the cause of which was not clear. (hdc.org.nz)
- This Update discusses lower urinary tract symptoms in men, outlines the appropriate investigations and describes the management options. (marysfamilymedicine.org)
- According to Doncaster and Bassetlaw Hospitals this procedure can be described as, "the study of pressure and flow in the lower urinary tract. (userevive.com)
- The test shows doctors what happens to your lower urinary tract when it is filling and emptying. (userevive.com)
- Cross-sectional axial and coronal CT post-IV contrast images revealed an "inverted" pear-shaped urinary bladder, whose normal ovoid shape was extrinsically compressed by extensive hypodense fatty infiltration of the pelvis and lower abdomen. (radiologytoday.net)
Incidence1
- This study's objective was to evaluate the incidence of bladder neck (BN) or more proximal MUS in women undergoing reoperation for SUI after synthetic MUS. (unboundmedicine.com)
Urgency1
- As a result of dependence upon higher brain centers, certain lesions or diseases of the brain (eg, stroke, cancer, dementia) can result in a loss of voluntary control of the normal micturition reflex as well as symptoms such as urinary urgency. (medscape.com)
Ultrasound1
- If dilation of the fetal urinary tract is suspected during pregnancy, an ultrasound of the infant's kidneys and bladder should be obtained after birth. (wikipedia.org)
LUTS1
- As for as dynamic obstrucion of the urinary bladder neck causing LUTS, there are various medications which may be tried initially. (ndtv.com)
Kidneys1
- This process of decreased flow of urine through the urinary tract can begin as early as during intrauterine life and it prevents normal development of fetal kidneys and fetal urine. (wikipedia.org)
History of urinary1
- Is there history of blood in the urine or history of urinary infection? (ndtv.com)
Etiology1
- The clinical features of UTO depend on the etiology, location, degree, and duration of obstruction. (amboss.com)