ABSTRACT
Bladder outlet obstruction in women is a rare entity, and difficult to diagnose. In our series most of the patients had previous history of gyneco-obstetric or urological procedures. Cystometry enabled us to diagnose the coexistence of bladder instability and obstruction in 48% of the patients. We did not find statistically significant differences between the patients with and without BI in terms of degree of obstruction measured by uroflowmetry and pressure/flow studies. Pressure/flow studies and Uroflowmetry had been the essential key in the diagnosis of obstruction in our series. Cysto-urethrography and urethroscopy were normal in over 50% of patients. The urethral calibration was abnormal in 16% of the cases.
Subject(s)
Urinary Bladder Neck Obstruction/diagnosis , Adolescent , Adult , Age Factors , Aged , Aged, 80 and over , Cesarean Section , Child , Child, Preschool , Cystoscopy , Diagnosis, Differential , Female , Humans , Hysterectomy , Middle Aged , Pressure , Urethra/pathology , Urethral Obstruction/diagnosis , Urinary Bladder Neck Obstruction/physiopathology , Urinary Incontinence, Stress/surgery , Urination/physiology , Urination Disorders/diagnosis , UrineABSTRACT
OBJECTIVE: To study efficacy of our diagnostic approach in patients with haematuria, as well as the information provided by the different tests. PATIENT AND METHODS: The computerization of our emergency department, and the study of the data base have permitted us to study retrospectively 722 cases of hematuria seen at our center over a period of 10 months. The relation between the benign or malignant etiology of the hematuria, and the presence or absence of associated symptoms and the intensity of the hematuria is shown, as well as the relation between the intensity of the hematuria and the decrease in the hemoglobin rates detected. RESULTS: Fifty eight percent of the 722 patients, 39% of them due to neoplasm. The intensity of had one symptom only hematuria was significantly superior in the patients with the final diagnosis of neoplams. The accomplishment of reactive strip, basic imaging techniques and urine sediment has permitted in our series to direct the diagnosis in 67.3% of patients. Cystoscopy has shown great efficacy in diagnosing the cases of monosymptomatic hematuria with normal radiological studies. CONCLUSION: Monosymptomatic hematuria deserves a work-up to rule out malignancy. Reactive strip, urine sediment, KUB and ultrasonography allow to direct the diagnosis in most cases.
Subject(s)
Hematuria/etiology , Kidney Neoplasms/complications , Prostatic Neoplasms/complications , Urinary Bladder Neoplasms/complications , Urologic Neoplasms/complications , Adolescent , Adult , Aged , Aged, 80 and over , Child , Child, Preschool , Emergency Service, Hospital , Female , Humans , Kidney Neoplasms/diagnostic imaging , Male , Middle Aged , Prostatic Hyperplasia/complications , Prostatic Hyperplasia/diagnostic imaging , Prostatic Neoplasms/diagnostic imaging , Radiography , Retrospective Studies , Ultrasonography , Urinary Bladder Neoplasms/diagnostic imaging , Urinary Tract Infections/complications , Urinary Tract Infections/microbiology , Urologic Neoplasms/diagnostic imaging , Urology Department, HospitalABSTRACT
A case report of a emphysematous pyelonephritis associated with a splenic infarction is presented. The point of this case is the association of two rare pathologies and their management by the placement of a percutaneous nephrostomy. A review of the literature could not find any similar case.