TL;DR: The urodynamic findings of 29 patients with Parkinson disease and lower urinary tract symptoms were compared with those of nine patients with the Shy‐Drager syndrome, and some form of lower motor neuron lesion was found in all patients with SD.
Abstract: The urodynamic findings of 29 patients with Parkinson disease (PD) and lower urinary tract symptoms were compared with those of nine patients with the Shy-Drager syndrome (SD). All patients with PD had bladder contraction and normal filling pressures, and 90% had detrusor hyperreflexia. Among the patients with SD, 67% had detrusor areflexia, 33% had involuntary bladder contractions, and 45% had poor vesical compliance. In all patients with SD who had a voiding cystourethrogram, an open bladder neck at rest was demonstrated, but it was found only in those with PD who had prior prostatectomy. The electromyography of the external sphincter showed some form of lower motor neuron lesion in all patients with SD, but it was normal in 39% of PD patients and consistent with just involuntary sphincteric activity in 61%. A neurological evaluation of patients with typical and atypical Parkinsonism can assist in differentiating between these two entities.
TL;DR: Cystoscopic examination of the urethra can overlook anterior urethral valves, but by altering the flow of the irrigant, the cystoscope can be used to make these valves very apparent.
Abstract: Anterior urethral valves are a rare congenital anomaly which can occur singly or in combination with a proximal urethral diverticulum. A retrograde urethrogram and voiding cystourethrogram can easily make the diagnosis unless the valve is located with the glandular urethra. Cystoscopic examination of the urethra can overlook anterior urethral valves, but by altering the flow of the irrigant, the cystoscope can be used to make these valves very apparent.
TL;DR: Imaging modalities available for the evaluation of the urinary tract in children have changed dramatically and radionuclide imaging, ultrasonography US) and computed tomography (CT) have come to complement and even replace them in many clinical situations.
Abstract: Imaging modalities available for the evaluation of the urinary tract in children have changed dramatically in the past several decades. Although the excretory urogram (EU) and voiding cystourethrogram (VCUG) are still important diagnostic tools, radionuclide imaging, ultrasonography US) and computed tomography (CT) have come to complement and even replace them in many clinical situations. Magnetic resonance imaging (MRI), an even newer technique, is still in the developmental stage but may also prove to be of value in urinary tract imaging.
TL;DR: Endoscopic subureteral injection of polytetrafluoroethylene was performed in 115 ureters to correct vesicoureteral reflux, and primary reflux involving single as well as duplex Ureters resolved in grades II to IV.