Showing papers on "Voiding cystourethrogram published in 2005"
TL;DR: This is the first study to demonstrate that bilateral extravesical ureteroneocystostomy can be performed in selected patients without postoperative urinary retention and with uniform hospital discharge in 1 day.
48 citations
TL;DR: In this series, infections were eliminated with surgical excision of the primary diverticula and Surgical repair was also associated with improvement of voiding dysfunction.
43 citations
TL;DR: The current study represents the largest reported series of symptomatic urachal anomalies in children, and Disorders of the urachus are variable in presentation with the diagnosis reliably made by history and ultrasound alone.
40 citations
TL;DR: A 55-year-old man presented with intermittent episodes of urinary leak through the left groin following an abscess drainage at that site at the age of 5 years, which revealed a bladder diverticulum with a stone in situ, which was communicating with the fistulous opening located in theleft groin.
Abstract: A 55-year-old man presented with intermittent episodes of urinary leak through the left groin following an abscess drainage at that site at the age of 5 years. Since then he had been suffering from recurrent urinary tract infections and urinary leak, which used to be treated symptomatically. Intravenous urogram (IVU), voiding cystourethrogram (VCU), and cystoscopy done in our institution revealed a bladder diverticulum with a stone in situ, which was communicating with the fistulous opening located in the left groin. Diverticulectomy and excision of the fistulous tract cured the patient. A long-standing fistula arising from a bladder diverticulum at relatively distant site is of extreme rarity. Vesicocutaneous fistula from an iatrogenic injury to vesical diverticulum resulting from a groin surgery has not been reported so far.
27 citations
TL;DR: The data indicate that followup of uncomplicated ureteral reimplantation in children more than 1 year postoperatively is not warranted and the elimination of studies beyond 1 year following surgery would result in a significant cost savings.
22 citations
TL;DR: The results suggest that PPBC is equivalent irrespective of gender or management, and sphincter electromyography was normal suggesting no neuromuscular compromise of the pelvic floor.
21 citations
TL;DR: Given the lower incidence and seemingly innocuous nature of VUR in older asymptomatic siblings of known patients with reflux, observation alone in this group is an acceptable form of management and conventional US offers a reliable alternative to invasive VCUG screening in this population.
20 citations
TL;DR: Results indicate that, unlike in children, VUR is not a significant factor causing ascending infection leading to the development of acute pyelonephritis in adult women.
18 citations
TL;DR: A 7-month-old infant presented at a district hospital with episodes of acute pyelonephritis and a voiding cystourethrogram (VCUG) confirmed bilateral vesico-urethral reflux, but several uroflowmetric studies showed a staccato and interrupted pattern.
16 citations
TL;DR: A 4-week-old black full-term female with a milk protein allergy leading to severe dehydration and cerebral thrombosis underwent evaluation of an incidental bladder mass discovered during evaluation for microscopic hematuria and oliguria, finding the presence of fibroconnective tissue withch ronic inflammatory infiltrate consistent with the diagnosis of eosinophilic cystitis.
7 citations
1 Dec 2005
TL;DR: Leukocytosis indicated a risk of vesicoureteric reflux and a high C-reactive protein concentration, while prolonged fever duration indicated arisk of pyelonephritis.
Abstract: Background and Purpose: We attempted to evaluate the clinical data between reflux nephropathy and acute pyelonephritis in young infants with urinary tract infection (UTI). Methods: We retrospectively reviewed data on 152 young infants (127 boys and 25 girls) under 3 months of age who were hospitalized with their first known acute UTI from July 1999 to June 2003. Clinical presentations, laboratory data, and image studies were recognized and analyzed. Results: A low positive rate for the nitrite reaction (21.1%) was found with the urinary dipstick test. Escherichia coli was the most-common pathogen (132/152; 86.8%) and was exclusively resistant to ampicillin (87.1%). A voiding cystourethrogram was performed in 96 cases, among which 28.1% (27/96) of those patients showed vesicoureteric reflux. Fifty patients received 99mTcdimercaptosuccinic acid renal scans, and 26 cases (52%) had abnormal findings compatible with pyelonephritis. The positive predictive values of renal ultrasonography for vesicoureteric reflux and pyelonephritis were 31.3% and 66.7%, respectively. In pyelonephritis patients, only 26.9% also had vesicoureteric reflux. Higher peripheral blood white blood cell (WBC) counts were found in patients with vesicoureteric reflux, and patients with acute pyelonephritis had high C-reactive protein values. Conclusion: Escherichia coli was the most-common pathogen responsible for urinary tract infection in these young infants, and it had high ampicillin resistance. Leukocytosis indicated a risk of vesicoureteric reflux and a high C-reactive protein concentration, while prolonged fever duration indicated a risk of pyelonephritis.
TL;DR: Can hypnosis reduce distress and improve compliance with voiding cystourethrogram in children?
Abstract: Can hypnosis reduce distress and improve compliance with voiding cystourethrogram in children?
TL;DR: It is demonstrated that early recognition of this rare syndrome is necessary to adequately treat and prevent upper tract deterioration in these unique individuals.
Abstract: Introduction: The urofacial or Ochoa syndrome is a rare disease characterized by the pres-ence of functional obstructive uropathy associated with peculiar facial features when patients attemptto smile or laugh. Unfortunately, many of these patients remain without proper diagnosis or adequatetreatment due to lack of recognition of the disease. This can ultimately result in upper tract deteriora-tion and eventual renal failure. We present our experience with this rare syndrome.Materials and Methods: We identified 3 patients who presented initially with acute renalfailure, urinary tract infection (UTI) and severe dysfunctional elimination. All patients were thor-oughly evaluated, including screening for spinal cord anomalies, and were subsequently diagnosedwith urofacial syndrome.Results: At the outset, the two older patients (aged 4 and 9 years) presented with the typicalfacial features when attempting to smile or laugh. One patient in the newborn period presented withurinary and fecal retention and septicemia and, to our knowledge, represents the youngest case ofurofacial syndrome reported so far. All patients were evaluated with ultrasonography, renal scan,voiding cystourethrogram (VCUG) and urodynamics. Findings included hydronephrosis and a thick-walled, trabeculated bladder with poor compliance and detrusor hypereflexia respectively in eachpatient. All were subsequently treated with clean intermittent catheterization (CIC), antibiotic pro-phylaxis and anticholinergic therapy. One patient required appendicovesicostomy for CIC due todiscomfort secondary to a sensate urethra.Conclusions: Our series demonstrates that early recognition of this rare syndrome is neces-sary to adequately treat and prevent upper tract deterioration in these unique individuals. Although theurofacial is difficult to diagnose in infants, cognizance must be maintained in order to prevent severesubsequent sequalae.Key words: bladder neurogenic; spastic neurogenic bladder; renal failure; syndrome; faciesInt Braz J Urol. 2005; 31: 477-81
TL;DR: The authors' data clearly reveal a higher cure rate when children with urethritis are treated according to DES guidelines, and should be treated as such.
TL;DR: If surgery is indicated in patients with reflux into a poorly functioning system, NU or HNU to the level of the bladder hiatus is recommended, if a symptomatic ureteral remnant is present, then distal ureterectomy decreases the rate of symptomatic UTIs in these patients.