scholarly journals A New Comprehensive Classification System for both Lower and Upper Urinary Tract Dysfunction in Patients with Neurogenic Bladder

2014 ◽  
Vol 94 (2) ◽  
pp. 244-248 ◽  
Author(s):  
Limin Liao
Keyword(s):  
Urinary Tract ◽  
Neurogenic Bladder ◽  
Classification System ◽  
Upper Urinary Tract ◽  
Comprehensive Classification

Is it possible to use urodynamic variables to predict upper urinary tract dilatation in children with neurogenic bladder-sphincter dysfunction?

2006 ◽  
Vol 98 (6) ◽  
pp. 1295-1300 ◽  
Author(s):  
Qing Wei Wang ◽  
Jian Guo Wen ◽  
Dong Kui Song ◽  
Jing Su ◽  
Ying Yu Che ◽  
...  
Keyword(s):  
Urinary Tract ◽  
Neurogenic Bladder ◽  
Upper Urinary Tract ◽  
Urinary Tract Dilatation

Create a predictive model for neurogenic bladder patients: upper urinary tract damage predictive nomogram

2019 ◽  
Vol 129 (12) ◽  
pp. 1240-1246 ◽  
Author(s):  
Wenqiang Wang ◽  
Hengying Fang ◽  
Peng Xie ◽  
Qunduo Cao ◽  
Ling He ◽  
...  
Keyword(s):  
Urinary Tract ◽  
Predictive Model ◽  
Neurogenic Bladder ◽  
Upper Urinary Tract ◽  
Tract Damage

Neurogenic Bladder Dysfunction: Surgical Treatment

2019 ◽  
Author(s):  
Yunliang Gao ◽  
Shilo Rosenberg ◽  
David Ginsberg
Keyword(s):  
Urinary Tract ◽  
Surgical Treatment ◽  
Neurogenic Bladder ◽  
Treatment Options ◽  
Upper Urinary Tract ◽  
Minimal Invasive ◽  
Neurologic Injury ◽  
Continence Status ◽  
Bladder Neck Closure ◽  
Bowel Segments

Surgery in patients with a neurogenic bladder aims at protecting the upper urinary tract while maximizing the patient’s continence status. It is carried out when other modalities, such as medication and minimal invasive procedures, fail to produce optimal results. Factors to consider are the patients’ level and completeness of the neurologic injury, gender, habitus, dexterity and cognitive functions as well as renal function, and bowel availability. Surgery of the neurogenic lower urinary tract (LUT) aims to create a low pressure and continent system when possible, mainly achieved by the use of bowel segments. The incorporation of bowel into the LUT is associated with potential complications that make lifelong surveillance obligatory. Recently, technologic innovations have changed the way LUT reconstruction could be carried out. Robotic surgery is now a legitimate option for LUT reconstruction in both adults and pediatric patients. In the future, regenerative medicine could provide organs that would obviate the need for an intraperitoneal surgery and bowel manipulation with its associated complications. However, currently, this technology has not produced consistent results, and its utilization is not widespread. In this review, we discuss the available surgical treatment options of patients with a neurogenic bladder. This review contains 5 figures, 1 table, and 56 references. Key Words: bladder augmentation, bladder neck closure, neurogenic bladder, neuromodulation, sling, sphincterotomy, surgery, treatment  

Which Factors Predict Upper Urinary Tract Deterioration in Overactive Neurogenic Bladder Dysfuntion?

2006 ◽  
Vol 175 (3) ◽  
pp. 1029-1030
Author(s):  
B. Özkan ◽  
O. Demirkesen ◽  
H. Durak ◽  
N. Uygun ◽  
V. Ismailoglu ◽  
...  
Keyword(s):  
Urinary Tract ◽  
Neurogenic Bladder ◽  
Upper Urinary Tract

Which factors predict upper urinary tract deterioration in overactive neurogenic bladder dysfunction?

Urology ◽  
2005 ◽  
Vol 66 (1) ◽  
pp. 99-104 ◽  
Author(s):  
Burak Özkan ◽  
Oktay Demirkesen ◽  
Haydar Durak ◽  
Nesrin Uygun ◽  
Vasif Ismailoglu ◽  
...  
Keyword(s):  
Urinary Tract ◽  
Neurogenic Bladder ◽  
Bladder Dysfunction ◽  
Upper Urinary Tract ◽  
Neurogenic Bladder Dysfunction

scholarly journals Spontaneous Upper Urinary Tract Rupture Caused by Ureteric Stones: Clinical Characteristics and Validation of a Radiological Classification System

Diagnostics ◽  
2021 ◽  
Vol 11 (9) ◽  
pp. 1568
Author(s):  
Carolina Bebi ◽  
Matteo Giulio Spinelli ◽  
Gianpaolo Lucignani ◽  
Pierpaolo Biondetti ◽  
Laura Martinetti ◽  
...  
Keyword(s):  
Logistic Regression ◽  
Urinary Tract ◽  
Classification System ◽  
Interobserver Agreement ◽  
Intraclass Correlation ◽  
Upper Urinary Tract ◽  
Free Fluid ◽  
Local Spread ◽  
Radiological Classification ◽  
Urine Extravasation

Background: This study seeks to validate a radiological classification system of spontaneous upper urinary tract rupture (sUUTR) and to analyse its relationship with clinical, laboratory and radiological characteristics of sUUTR. Methods: We analysed data from 66 patients with a computerised tomography (CT)-proven sUUTR treated with ureteral or nephrostomy catheter positioning. Comorbidities were scored with the Charlson Comorbidity Index (CCI). All CT scans were reviewed by two experienced radiologists and one urologist, who classified sUUTR in (a) local spread, (b) free fluid and (c) urinoma. Interobserver agreement for radiological score was evaluated with the Intraclass Correlation Coefficient (ICC) and Cohen’s Kappa analyses. Descriptive statistics and logistic regression models verified the association between clinical variables and sUUTR severity. Results: The interobserver agreement for sUUTR classification was high among radiologists and between the radiologists and the urologist (all Kappa > 0.7), with an overall high interrater reliability (ICC 0.82). Local spread, free fluid and urinoma were found in 24 (36.4%), 39 (59.1%) and 3 (4.5%) cases, respectively. Patients with free fluid/urinoma had higher rate of CCI ≥ 1 than those with local spread (40.5% vs. 16.7%, p = 0.04). Intraoperative absence of urine extravasation was more frequently found in patients with local spread than those with free fluid/urinoma (66.7% vs. 28.6%, p < 0.01). Multivariable logistic regression analysis revealed that local spread (OR 4.5, p < 0.01) was associated with absence of contrast medium extravasation during pyelography, after accounting for stone size, fever and CCI. Conclusions: The analysed sUUTR classification score had good inter/intra-reader reliability among radiologists and urologists. Absence of urine extravasation was five times more frequent in patients with local spread, making conservative treatment feasible in these cases.

Sign in / Sign up

Export Citation Format

Share Document