scholarly journals Diethylstilbestrol 1 mg in the Treatment of Acute Urinary Retention due to Prostatic Obstruction in the Elderly: A Preliminary Study

2014 ◽  
Vol 2014 ◽  
pp. 1-4 ◽  
Author(s):  
Leonardo Oliveira Reis ◽  
Gustavo Borges De Mendonça ◽  
Bruno D. Carneiro ◽  
Edson Schneider ◽  
Eduardo Varella Gewehr ◽  
...  
Keyword(s):  
Urinary Tract ◽  
Urinary Retention ◽  
Acute Urinary Retention ◽  
Prostate Volume ◽  
Urine Volume ◽  
The Elderly ◽  
Upper Urinary Tract ◽  
Transurethral Resection Of Prostate ◽  
Free Trial ◽  
Tract Dilation

Patients who failed a catheter-free trial after acute urinary retention and one week of full dose alpha-blocker and 5-alpha-reductase inhibitor were offered Diethylstilbestrol 1 mg plus Aspirin 100 mg over 4 weeks. Prostate volume, age, serum creatinine, and initial retention drained urine volume were recorded. After excluding cardiovascular morbidity (n=7), upper urinary tract dilation (n=3), compromised renal function (n=2), urinary tract infection (n=2), neurological diagnosis (n=2), or preferred immediate channel transurethral resection of prostate (n=5), 48 of 69 consecutive patients ≥70 years were included. Mean age was 76.6 years (70–84), mean prostate volume 90 cm3(42–128), and mean follow-up 204 days; 58% (28/48) were passing urine and 42% (20/48) were catheter dependent after 4 weeks Diethylstilbestrol trial. Mean age and drained urine volume of catheter dependent patients were 82.4 years and 850 mL compared with 74.6 years and 530 mL in catheter-free men, respectively. Age and drained urine volume were independent predictors of catheter-free trial (bothP<0.01). Seventy-five percent (6/8) of patients 80 years and older were catheter dependent. Transient nipple/breast tenderness and gynecomastia were the only adverse effects reported by 21% (10/48) and 4% (2/48), respectively. No patient presented severe complications.

scholarly journals “Non-Parasitic” and “Non-Iatrogenic” Chyluria: Its Diagnosis and Treatment

2021 ◽  
pp. 1-3
Author(s):  
Pier Paolo Prontera ◽  
Marco Rinaldi ◽  
Pier Paolo Prontera ◽  
Francesco Saverio Grossi ◽  
Marco Spilotros ◽  
...  
Keyword(s):  
Urinary Tract ◽  
Urinary Retention ◽  
Acute Urinary Retention ◽  
Renal Colic ◽  
Upper Urinary Tract ◽  
Left Ureter ◽  
Double J Stent ◽  
Milky Urine ◽  
Patient Reported ◽  
Renal Hilum

Chyluria occurs in all its forms with milky urine, recurrent episodes of acute urinary retention, left renal colic and proteinuria. In non-parasitic or iatrogenic diseases, it is secondary to communicate between the cisterna system of the chyli and the lymphatics of the calyx system of the left urinary tract with a retrograde passage of a kilo and its appearance in the urine which therefore take on a milky appearance [1, 2]. Sometimes, episodically, especially after the ingestion of a high-fat meal, the quantity of kilo is so abundant that it can cause obstruction of the upper urinary tract and of the bladder, resulting in renal colic or acute urinary retention that may require their unblocking with double J stent or bladder catheter [3, 4]. After conservative attempts with a fat-free diet or with the parenteral diet, in case of their failure, surgery must be performed by performing a para-aortic and renal hilum lymphadenectomy and, in severe cases, with intraperitonealization of the kidney and left ureter. This is the case of the patient reported below and successfully treated recently with an innovative “open” surgical technique.

Malakoplakia prostate presenting as urinary retention: a report of two cases and review of the literature

2021 ◽  
Vol 14 (7) ◽  
pp. e243927
Author(s):  
Swaroop Subbaraya ◽  
Ajit Sawant ◽  
Prakash Pawar ◽  
Sunil Patil
Keyword(s):  
Urinary Retention ◽  
Acute Urinary Retention ◽  
Specific Antigen ◽  
Transrectal Ultrasound ◽  
Transurethral Resection Of Prostate ◽  
Review Of The Literature ◽  
Ultrasound Guided ◽  
Prostatic Biopsy ◽  
Chronic Inflammatory Condition

Malakoplakia is a rare chronic inflammatory condition, which primarily occurs in genitourinary tract, with prostatic malakoplakia being extremely rare. We present two cases of acute urinary retention, with clinically firm nodular prostate and a raised serum prostate-specific antigen. Transrectal ultrasound-guided prostatic biopsy showed features of malakoplakia. There was a significant reduction of size of prostate on transrectal ultrasonography after 4 weeks of antibiotics. However, one patient had failed trial without catheter and was subjected to transurethral resection of prostate. The biopsy of the prostatic chips also showed features of malakoplakia. Other patient improved symptomatically after antibiotics and was managed conservatively. Both the patients are on regular follow-up and are asymptomatic. Prostatic malakoplakia presenting as urinary retention is very uncommon with around 12 cases in the literature. Recognition of prostatic malakoplakia is important because clinically it can masquerade prostatic malignancy. Treatment with antibiotics is necessary before subjecting the patients for surgery in patients with obstructive symptoms.

Prostate Volume and Serum Prostate–Specific Antigen as Predictors of Acute Urinary Retention

2000 ◽  
Vol 38 (5) ◽  
pp. 563-568 ◽  
Author(s):  
M.J. Marberger ◽  
J.T. Andersen ◽  
J.C. Nickel ◽  
M.-P. Malice ◽  
M. Gabriel ◽  
...  
Keyword(s):  
Urinary Retention ◽  
Acute Urinary Retention ◽  
Prostate Volume ◽  
Specific Antigen

scholarly journals Adult Bilateral Ureteroceles Presenting with Lower Urinary Tract Symptoms and Acute Urinary Retention

2018 ◽  
Vol 2018 ◽  
pp. 1-5 ◽  
Author(s):  
Alexis Rompré-Brodeur ◽  
Sero Andonian
Keyword(s):  
Urinary Tract ◽  
Urinary Retention ◽  
Lower Urinary Tract Symptoms ◽  
Lower Urinary Tract ◽  
Acute Urinary Retention ◽  
Adult Population ◽  
Case Series ◽  
Invasive Approach ◽  
Urinary Tract Symptoms ◽  
Lower Urinary

Ureterocele is a well-known pathologic entity in the pediatric urology population but remains a diagnostic and treatment challenge in the adult population. Adult ureteroceles remain a diagnostic challenge for the adult urologist. Its prevalence is estimated between 1/500 and 1/4000 patients with a wide variety of clinical presentations. We present the case of a 30-year-old female patient who presented with severe lower urinary tract symptoms (LUTS) and acute urinary retention secondary to prolapsing bilateral single-system orthotopic ureteroceles. She was successfully treated with transurethral unroofing of her bilateral ureteroceles and she is currently asymptomatic. This case represents the first reported case of bilateral ureteroceles presenting with severe LUTS and subsequent urinary retention from the prolapse of one of the ureteroceles. We provide a review of the most recent case series of adult ureteroceles and their outcomes. Transurethral unroofing of the ureterocele is a safe and minimally invasive approach for this disease.

scholarly journals Acute urinary retention in a man with prostate cancer still eligible for transurethral resection of prostate

2015 ◽  
Vol 26 (2) ◽  
pp. S58
Author(s):  
Chih-Te Lin ◽  
Chen-Pang Hou ◽  
Yu-Hsiang Lin ◽  
Ke-Hung Tsui ◽  
Phei-Lang Chang ◽  
...  
Keyword(s):  
Prostate Cancer ◽  
Urinary Retention ◽  
Transurethral Resection ◽  
Acute Urinary Retention ◽  
Transurethral Resection Of Prostate

scholarly journals Could Drainage Related Ultrasonography Prevent Unnecessary Interventions in Patients with Wolfram Syndrome?

2020 ◽  
Vol 30 (6) ◽  
Author(s):  
Mehrzad Mehdizadeh ◽  
Sahar Eftekharzadeh ◽  
Sedighe Hosseini Shabanan ◽  
Maryam Sobhani ◽  
Abdol-Mohammad Kajbafzadeh
Keyword(s):  
Retrospective Study ◽  
Urinary Tract ◽  
Diabetes Insipidus ◽  
Wolfram Syndrome ◽  
Upper Urinary Tract ◽  
Cutoff Point ◽  
Maximum Diameter ◽  
Definite Diagnosis ◽  
Tract Dilation ◽  
Urinary Tract Dilation

Background: Upper urinary tract dilation, the most common urological manifestation of the Wolfram syndrome (WS), is mainly non-obstructive and secondary to other components of the disease such as diabetes insipidus. Misdiagnosis of the type of the hydroureter in Wolfram patients and encountering them as obstructive uropathies has led to ineffectual surgeries such as ureter re-implantation. Based on previous studies drainage related ultrasonography (DRUS) is a beneficial means of distinction between obstructive and non-obstructive hydroureters. Objectives: To avoid unnecessary interventions in patients with WS by detecting hydroureters’ types using DRUS. Methods: Seven patients (14 ureters) with a mean ± SD age of 24.43 ± 4.25 months who were diagnosed with WS were included in this retrospective study. The definite diagnosis of the non-obstructive type of hydroureter was assessed by appropriate imaging modalities. The maximum diameter of these 14 ureters, before (D1) and after (D2) 3 hours of catheterization were observed by ultrasonography. Values were recorded as D ratio ( [(|D1 - D2|)/D1] × 100) and the cutoff point of 22% for D ratio was set to discriminate the subtypes of the hydroureter. Results: Measurement of maximum diameter of ureter prior to catheterization indicated a mean ± SD diameter of 20.64 ± 2.73 mm; decreasing to 11.07 ± 2.64 mm after 3 hours of catheterization which indicates a significant decrease. Mean D ratio of 14 hydroureters was 45.95 ± 13.01% which indicated significantly higher percentage than 22%, revealing that hydroureters’ type in WS is non-obstructive. Conclusions: DRUS is a useful method for the assessment of the hydroureter’s type in WS and it could prevent performing unnecessary surgeries in WS patients.

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