scholarly journals Extravesical diverticulectomy: A surgical technique for managing a giant bladder diverticulum

2007 ◽  
Vol 64 (5) ◽  
pp. 349-352 ◽  
Author(s):  
Novak Milovic ◽  
Vladimir Bancevic

Background. Bladder diverticulum may be congenital and acquired. Iatrogenic bladder diverticulum is classified in a special group. Indications for surgery are: persistent or recurrent urinary infection, the presence of a stone in a diverticulum, development of tumor in a diverticulum cavity, the lower urinary tract symptoms and voiding symptoms and vesicoureteral reflux due to diverticulum or ureteral obstruction. Case report. We presented a patient with a giant bladder diverticulum. Transurethral bladder catheterisation was performed because of urine retention. Secondly, transurethral prostate resection solved subvesical obstruction. The third step was open, extravesical diverticulectomy. Post-operative course was without complications. Three months after the surgery, control intravenous urography revealed normal findings. Conclusion. We believe that the three-steps treatment of a giant bladder diverticulum significatntly contributed to the decreasing of postoperative complications. .

2017 ◽  
Vol 2017 ◽  
pp. 1-7 ◽  
Author(s):  
Muhammad Salman ◽  
Amer Hayat Khan ◽  
Syed Azhar Syed Sulaiman ◽  
Junaid Habib Khan ◽  
Khalid Hussain ◽  
...  

Background. Numerous medications are known to be associated with the development of lower urinary tract symptoms (LUTS). One such medication group is calcium channel blockers (CCB). Objective. To critically examine the literature regarding the involvement of CCB in manifestation of LUTS in humans. Methods. A systematic literature search was conducted on PubMed, SciELO, Scopus, and OpenGrey databases to find all potentially relevant research studies before August 2016. Results. Five studies met the inclusion criteria and were included in this review. Three out of five studies stated that CCB were involved in either precipitation or exacerbation of LUTS. As for the remaining two studies, one study found out that only the monotherapy of CCB was associated with increased prevalence of nocturia and voiding symptoms in young females, whereas the other study reported an inverse association of CCB with LUTS. The methodological quality of studies was considered high for four studies and low for one study. Conclusion. Healthcare providers should make efforts for an earlier identification of the individuals at risk of LUTS prior to the commencement of CCB therapy. Moreover, patients should be counselled to notify their healthcare provider if they notice urinary symptoms after the initiation of CCB.


2021 ◽  
Vol 11 (6) ◽  
pp. 712
Author(s):  
Mikolaj Przydacz ◽  
Marcin Chlosta ◽  
Tomasz Golabek ◽  
Piotr Chlosta

Background: The aim of this study was to perform a cross-sectional study of Polish neurogenic patients to measure, at the population level, the prevalence, bother and behavior associated with treatment for lower urinary tract symptoms (LUTS) and overactive bladder (OAB). Methods: This epidemiological study was based on data from LUTS POLAND, a computer-assisted and population-representative telephone survey. Participants were classified by age, sex and place of residence. Results: LUTS POLAND includes 6005 completed interviews, of which 1166 (19.4%) were for individuals who had ever received any treatment by neurologists and/or neurosurgeons. Among these neurogenic participants, LUTS prevalence was 72.3%, statistically higher than for non-neurogenic respondents. At the population level, neurogenic patients had about a 20% higher risk for LUTS presence than non-neurogenic participants (relative risk: 1.17–1.21). LUTS prevalence did not differ between men and women. Frequency was the most common of the LUTS. Forty percent of neurogenic respondents described having more than one LUTS subtype (i.e., storage, voiding, and/or post-micturition symptom subtype), and more than 50% of respondents reported OAB symptoms. Both storage and voiding symptoms were bothersome, and many neurogenic individuals (42.3–51.0%) expressed anxiety about bladder function affecting quality of life. Only one-third (34.9–36.6%) of neurogenic participants had sought treatment for their LUTS, and the majority of such individuals received and maintained treatment. Conclusions: LUTS and OAB symptoms were highly prevalent and bothersome among Polish neurogenic patients at the population level. Because the scale of seeking treatment for LUTS was low, Polish neurogenic patients may not be adequately informed about multiple effects of LUTS and OAB.


2016 ◽  
Vol 23 (11) ◽  
pp. 1340-1344
Author(s):  
Mumtaz Rasool ◽  
Muhammad Shahzad Saleem ◽  
Muhammad Waqas ◽  
Mudassar Saeed Pansota ◽  
Shafqat Ali Tabassum

Introduction: Lower urinary tract symptoms are one of the commonestpresentation in urology clinics. Lower Urinary tract symptoms include storage symptoms(frequency, urgency, urge incontinency and nocturia), voiding symptoms (hesitancy, dysuria,intermittency, poor stream of urine, terminal dribbling and residual urine sensation). Correctdetermination of prevalence of LUTS might help the health service provider to plan appropriatemanagement strategies. So this study was designed to determine frequency of LUTS in menaged 40 or above. Study Design: Descriptive, cross sectional study. Period: January 2015to December 2015. Setting: Urology Department of Bahawal Victoria Hospital, Bahawalpur.Materials & Methods: Total 228 patients of 40-80 years of age with lower urinary tract symptomswere included. Patients with foleys in situ, previously operated for urinary tract disease, urinarytract stones and urinary bladder mass were excluded. These patients were assessed todetermine frequency of lower urinary tract symptoms. Results: Mean age was 65.69 ± 7.91years. Mean duration of disease was 5.36 ± 2.19 months. Frequency of LUTS was seen in 138(60.53%) men with urgency in 22.81%, nocturia in 57.89%, frequency in 19.30%, poor streamin 15.79%, incomplete emptying of bladder in 33.33%, urge incontinence in 22.81%, terminaldribbling in 55.26% and hesitancy in 15.16% men. Conclusion: This study concluded thatthe frequency of lower urinary tract symptoms were urgency in 22.81%, nocturia in 57.89%,frequency in 19.30%, poor stream in 15.79%, incomplete emptying of bladder in 33.33%, urgeincontinence in 22.81%, terminal dribbling in 55.26% and hesitancy in 15.16% patients of age≥40 years with nocturia being the most common symptom and frequency of all symptomsincreases with age.


2007 ◽  
Vol 178 (5) ◽  
pp. 2181-2185 ◽  
Author(s):  
Siobhan Sutcliffe ◽  
Sabine Rohrmann ◽  
Edward Giovannucci ◽  
Kenrad E. Nelson ◽  
Angelo M. De Marzo ◽  
...  

2012 ◽  
Vol 79 (1) ◽  
pp. 19-23 ◽  
Author(s):  
Elisabetta Costantini ◽  
Massimo Lazzeri ◽  
Massimo Porena

Background Female pelvic organ prolapse (POP) is a common condition that often leads to lower urinary tract symptoms (LUTS) and may require surgical intervention to alleviate those symptoms. However, tThe relationship between LUTS and pelvic organ descent however, remains unclear. The aim of this paper is to determine the correlation between LUTS and POP and changes after POP repair. Methods We retrospectively review female patients who attended our tertiary high- volume centre center for LUTS and POP, and underwent integral pelvic floor reconstruction. Results An overall of 256 patients presented with POP and LUTS and underwent POP repair. Most of 50% of patients reported two or more symptoms and only 4.2% were asymptomatic for LUTS. 189/256 (73.8%) patients had voiding symptoms and 39 a urodynamic detrusor overactivity. Thirteen suffered from hydronephrosis. 148/256 (57.8%) showed a stress urinary incontinence. All the patients underwent POP repair with or without contemporary anti- incontinence procedure. Conclusions Urologists and gynaecologists should recognisebe aware of the high frequency of the POP and LUTS association of POP and LUTS. POP repair my restore a normal situation but symptoms may last after the surgery or develop “de novo.”


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