ABSTRACT
BACKGROUND: Multiple sclerosis patients often develop neurogenic lower urinary tract dysfunction with a potential risk of upper urinary tract damage. Diagnostic tools are urodynamics, bladder diary, uroflowmetry, and post-void residual, but recommendations for their use are controversial. OBJECTIVE: We aimed to identify clinical parameters indicative of neurogenic lower urinary tract dysfunction in multiple sclerosis patients. METHODS: 207 patients were prospectively assessed independent of the presence of lower urinary tract symptoms. We analyzed Expanded Disability Status Scale scores, uroflowmetry, post-void residual, rate of urinary tract infections, standardized voiding frequency, and voided volume in correlation with urodynamic findings. RESULTS: We found a significant correlation between post-void residual (odds ratio (OR) 4.17, confidence interval (CI) 1.20-22.46), urinary tract infection rate (OR 3.91, CI 1.13-21.0), voided volume (OR 4.53, CI 1.85-11.99), increased standardized voiding frequency (OR 7.40, CI 2.15-39.66), and urodynamic findings indicative of neurogenic lower urinary tract dysfunction. Expanded Disability Status Scale shows no correlation. Those parameters (except post-void residual) are also associated with reduced bladder compliance, as potential risk for kidney damage. CONCLUSION: Therefore, bladder diary and urinary tract infection rate should be routinely assessed to identify patients who require urodynamics.
ABSTRACT
OBJECTIVE: To report a complication of a staghorn stone in a non-functioning right kidney. METHODS: We present a 47 year old female with right lumbar pain and history of recurrent urinary tract infection (UTI). After an acute pyelonephritis episode, a right staghorn stone was diagnosed in a non-functioning right kidney. RESULTS: During right nephrectomy, we found a renocolic fistula not observed in the imaging studies before surgery. We performed a simple closure of the colon wall after resection of the fistula. CONCLUSION: Asymptomatic renocolic fistula is a rare complication of an acute pyelonephritis secondary to a staghorn stone.
Subject(s)
Colonic Diseases/etiology , Intestinal Fistula/etiology , Kidney Calculi/complications , Kidney Calices , Urinary Fistula/etiology , Asymptomatic Diseases , Female , Humans , Kidney Diseases/etiology , Middle AgedABSTRACT
Anatomía funcional del pene.- Mecanismos que regulan la erección.- Disfunción sexual eréctil: Etiología, diagnóstico, tratamiento.- Medicación oral; Aplicación transepitelial de drogas vasoactivas; Tratamiento hormonal; Fármacotest; Inyección intracavernosa: complicaciones.- Disfunción sexual eréctil orgánica y psicógena con erección farmacológica.- Disfunción sexual eréctil en la diabetes y el tabaquismo
Subject(s)
Male , Humans , Alprostadil/therapeutic use , Sexual Behavior/physiology , Erectile Dysfunction/drug therapy , Ejaculation , Penile Erection , Papaverine/therapeutic use , Priapism/drug therapy , Penis/anatomy & histology , Urology , Alprostadil/adverse effects , Androgens/physiology , Androgens/therapeutic use , Sexual Behavior , Testosterone Congeners/administration & dosage , Testosterone Congeners/therapeutic use , Erectile Dysfunction/diagnosis , Erectile Dysfunction/etiology , Ejaculation/physiology , Penile Erection/physiology , Yohimbine/pharmacology , Yohimbine/therapeutic use , Minoxidil/administration & dosage , Minoxidil/therapeutic use , Naltrexone/pharmacology , Naltrexone/therapeutic use , Nitroglycerin/administration & dosage , Nitroglycerin/therapeutic use , Papaverine/adverse effects , Piperazines/pharmacology , Piperazines/therapeutic use , Piracetam/administration & dosage , Piracetam/therapeutic use , Priapism/therapy , Penis , Trazodone/pharmacology , Trazodone/therapeutic useABSTRACT
Anatomía funcional del pene.- Mecanismos que regulan la erección.- Disfunción sexual eréctil: Etiología, diagnóstico, tratamiento.- Medicación oral; Aplicación transepitelial de drogas vasoactivas; Tratamiento hormonal; Fármacotest; Inyección intracavernosa: complicaciones.- Disfunción sexual eréctil orgánica y psicógena con erección farmacológica.- Disfunción sexual eréctil en la diabetes y el tabaquismo
