Neurogenic Bladder Monitoring Using the Cystomanometer and Cystoelastometer
Neurogenic bladder (NGB) patients require periodic urodynamics (UDS) to evaluate bladder function which, in turn, helps guide management. At times, bladder decompensation or hydronephrosis may develop in patients between UDS testing intervals. Increased surveillance has improved outcomes in other chronic conditions (e.g. diabetes). Two novel devices, the cystomanometer (CM) and cystoelastometer (CEM) have been developed at our institution to allow for home bladder pressure monitoring. The hand-held CM attaches to the end of any catheter and records the opening bladder pressure along with a timestamp.
ConclusionNLR and PLR are inversely associated with SSP of ureteral stones. In adjunct with other indicators, NLR and PLR are inflammatory markers that could be used in the clinical decision of ureteral stone management.
Given the limited lifespan and with the recent progress in experimental treatments for WS, timely diagnosis and multidisciplinary treatment for DI/DM, hydronephrosis, and visual/psychiatric status —maintaining quality of life—are of crucial importance. AbstractGiven the limited lifespan and with the recent progress in experimental treatments for WS, timely diagnosis and multidisciplinary treatment for DI/DM, hydronephrosis, and visual/psychiatric status —maintaining quality of life—are of crucial importance.
In this study, we present a case of a diabetic patient with complicated benign prostatic hyperplasia who presented with acute urinary retention along with bilateral hydronephrosis and acute kidney injury. He was treated with water vapor thermal therapy and subsequent urethral stenting, which alleviated his acute presentation and clinical symptoms. To the authors’ knowledge, there are no reported cases which highlight the use of water vapor thermal therapy in complicated benign prostatic hyperplasia.
Conclusions: Percutaneous nephrolithotomy is an effective method for the treatment of upper urinary calculi with few complications. According to the results achieved by an experienced surgeon, the size of stone, staghorn stone, operation time, and degree of hydronephrosis were associated with the bleeding during minimally invasive percutaneous nephrolithotomy. PMID: 30834279 [PubMed - in process]
Abdominal CT (a –c) and T2‐weighted MRI (d, e) for Twin 1 (a, d) and Twin 2 (b, c, e). The boundary of the pancreas is outlined in red (a–c). CT shows a small pancreatic head and complete deficiency of the pancreatic body and tail in Twin 1 (a) as well as hypoplasia of the pancreatic body and tail in Twin 2 ( b, c). AbstractHere, we report phenotypic differences and similarities of monozygotic twins with maturity ‐onset diabetes of the young type 5 harboring a partial deletion of chromosome 17q12. The proband and her twin sister manifested complete aplasia and marked hypoplasia, respectively, of the bo...
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Baranski AG Abstract Simultaneous pancreas-kidney transplant is the ultimate therapy for patients who have uncontrolled and complicated type 1 diabetes mellitus with end-stage renal disease. The combined pancreas transplant provides a euglycemic milieu for the kidney and protects it from recurrence of diabetic complications. Our patient, a 41-year-old woman with end-stage diabetic nephropathy and history of multiple abdominal surgeries (ovarian cyst fenestration, adnexal extirpation, abdominal wall reconstruction), including urinary diversion (Bricker loop, above double J stent), underwent simultaneous pancreas-ki...
In conclusion, high stone burden, long surgical time, positive stone culture, high pre-operative CRP and the presence of diabetes mellitus was could increase the risk of fever or SIRS after RIRS for kidney stone. The constructed nomograms could help clinicians in evaluating the risk for post-operative infectious complications.
We present a child who was incidentally found to have right hydronephrosis secondary to ureteropelvic junction obstruction, and was subsequently also diagnosed with NDI. After being medically managed, he underwent open right pyeloplasty. His polydipsia abated within 1 month of surgery, and he has done well off of medications since that time.
We present a child who was incidentally found to have right hydronephrosis secondary to ureteropelvic junction obstruction, and was subsequently also diagnosed with NDI. After being medically managed, he underwent open right pyeloplasty. His polydipsia abated within one month of surgery, and he has done well off of medications since that time.