Evaluation of French practices in 2019 regarding prevention and treatment of urinary tract infections related to ureteral stent.

CONCLUSION: This study evaluated French practices in 2019. The diversity of the answers highlights the need for new recommendations on these subjects of daily practice. Future recommendations should allow their homogenization based on the existing evidence-based data. PMID: 32234420 [PubMed - as supplied by publisher]
Source: Progres en Urologie - Category: Urology & Nephrology Tags: Prog Urol Source Type: research

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ABSTRACT Vesicoureteral reflux, the retrograde flow of urine from the bladder into the upper urinary tract, is one of the most common urologic diagnoses in the pediatric population. Once detected, therapeutic options for urinary reflux are diverse, ranging from observation with or without continuous low-dose prophylactic antibiotics to a variety of operative interventions. While a standardized algorithm is lacking, it is generally accepted that management be tailored to individual patients based on various factors including age, likelihood of spontaneous resolution, risk of subsequent urinary tract infections with renal pa...
Source: International Braz J Urol - Category: Urology & Nephrology Source Type: research
Abstract Diabetes mellitus (DM) is a common disease in Oman as in rest of Gulf Cooperation Council where metabolic syndrome is of high prevalence. DM is a foremost risk factor for urinary tract infections (UTIs). It is also linked to more complicated infections such as emphysematous pyelonephritis (EPN), emphysematous pyelitis (EP), renal/perirenal abscess, emphysematous cystitis, xanthogranulomatous pyelonephritis, and renal papillary necrosis. The diagnosis of these cases is frequently delayed because the clinical manifestations are generic and not different from the typical triad of upper UTI, which include fev...
Source: Saudi Journal of Kidney Diseases and Transplantation - Category: Urology & Nephrology Authors: Tags: Saudi J Kidney Dis Transpl Source Type: research
Xanthogranulomatous pyelonephritis is a rare form of chronic pyelonephritis in which the involved areas of the kidneys are destroyed and replaced by foam cells. It usually occurs in immunocompromised middle-aged females with ureteral obstruction or chronic urinary tract infection induced by the formation of renal stones. We herein report the case of a 44-year-old woman, with a history of left kidney staghorn calculi and recurrent urinary tract infections. Abdominal computed tomography showed the'bear paw'sign, typical appearance of XGP and patient underwent a nephrectomy with uneventful post-operative course.
Source: Journal of Radiology Case Reports - Category: Radiology Source Type: research
Publication date: November 2018Source: Journal of the American College of Radiology, Volume 15, Issue 11, SupplementAuthor(s): Expert Panel on Urologic Imaging:, Paul Nikolaidis, Vikram S. Dogra, Stanley Goldfarb, John L. Gore, Howard J. Harvin, Marta E. Heilbrun, Matthew T. Heller, Gaurav Khatri, Andrei S. Purysko, Stephen J. Savage, Andrew D. Smith, Myles T. Taffel, Zhen J. Wang, Darcy J. Wolfman, Jade J. Wong-You-Cheong, Don C. Yoo, Mark E. LockhartAbstractPyelonephritis refers to infection involving the renal parenchyma and renal pelvis. In most patients, uncomplicated pyelonephritis is diagnosed clinically and respond...
Source: Journal of the American College of Radiology - Category: Radiology Source Type: research
Conclusions Nephrostomy tube placement was associated with pyelonephritis and AB in 44% of cases overall. Pseudomonas and Enterococcus species were the most common pathogens. Isolation of resistant organisms was mostly observed in the pyelonephritis group.
Source: Infectious Diseases in Clinical Practice - Category: Infectious Diseases Tags: Original Articles Source Type: research
This report describes a 15-year-old male adolescent who developed sudden visual disturbance resulting from hypertensive retinopathy. The cause of hypertension was bilateral obstructive uropathy caused by enlarged paraureteral bladder diverticula. After the non-functioning right kidney and ureter and the bilateral diverticula were removed, the left ureter was reimplanted in the bladder. Pathologic findings showed chronic pyelonephritis and partial loss of the bladder musculature in the diverticular wall. This observation indicates that dilated CBD can cause latent UTI, ureteral obstruction, hydronephrosis, and secondary hyp...
Source: Journal of Korean Medical Science - Category: Biomedical Science Tags: J Korean Med Sci Source Type: research
Conclusion Pelvic exenteration has a high rate of complications and morbidity, but can be the last curative opportunity in patients with recurrent or persistent gynecologic malignancies. This procedure should be performed by multidisciplinary, experienced teams in a tertiary medical center.
Source: Actas Urologicas Espanolas - Category: Urology & Nephrology Source Type: research
CONCLUSION: Pelvic exenteration has a high rate of complications and morbidity, but can be the last curative opportunity in patients with recurrent or persistent gynecologic malignancies. This procedure should be performed by multidisciplinary, experienced teams in a tertiary medical center. PMID: 28911880 [PubMed - as supplied by publisher]
Source: Actas Urologicas Espanolas - Category: Urology & Nephrology Authors: Tags: Actas Urol Esp Source Type: research
Febrile urinary tract infections (UTIs) include a spectrum of diseases from uncomplicated pyelonephritis to urosepsis. The majority of febrile UTIs are treated with antibiotics alone, but there is a subset of complicated presentations necessitating imaging and emergent urologic intervention. The primary objective of our study was to determine the test characteristics of renal imaging, including CT and ultrasound (radiology and point of care) in determining which patients with febrile UTIs would require urological intervention, such as ureteral stents, nephrostomy tubes, or nephrectomy.
Source: The Journal of Emergency Medicine - Category: Emergency Medicine Authors: Tags: MEMC Abstract Source Type: research
​BY Dhimitri A. Nikolla, DOAn 82-year-old man with a history of dementia, multiple urinary tract infections, insulin-dependent diabetes mellitus, and an admission a month earlier for Fournier gangrene presented to the emergency department with reports of confusion and hypotension from his nursing home. His vital signs were normal, but he was disoriented with a mildly tender abdomen. His genital examination revealed a suprapubic catheter without evidence of soft tissue infection. A CT with contrast of the abdomen and pelvis revealed the images shown.​What is the diagnosis? What is the treatment?The CT images demonstrate...
Source: The Case Files - Category: Emergency Medicine Tags: Blog Posts Source Type: research
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