Objective:To determine the incidence of culture-positive urinary tract infection(UTI)after micturating cystourethrogram(MCUG).We further wanted to identify risk factors for developing a culture-positive UTI following ...Objective:To determine the incidence of culture-positive urinary tract infection(UTI)after micturating cystourethrogram(MCUG).We further wanted to identify risk factors for developing a culture-positive UTI following MCUG.Methods:A retrospective review of the available medical records of 500 paediatric patients who underwent MCUG in Perth,Western Australia was performed.Results:Seven(1.4%)patients comprised of four females and three males developed a febrile,culture-positive UTI within 14 days following MCUG.Significant association was found for female patients,patients with neurogenic bladder,and patients with previous culture-positive UTI as developing a culture-positive UTI following MCUG.Multivariate logistic regression determined that patients were more likely to develop culture-positive UTI within 14 days following MCUG if they had a known history of UTI(odds ratio:5.0,95%confidence interval:1.5-17.3,p=0.010)or had a neurogenic bladder(odds ratio:4.2,95%confidence interval:1.0-17.9,p=0.049).Conclusion:The incidence of patients who developed a febrile,culture-positive UTI following MCUG was low at 1.4%.Statistically significant and independent associations for the development of culture positive UTI were found in patients with neurogenic bladder and patients with previous culture-positive UTI.Further prospective studies are necessary to determine necessity of prophylactic antibiotics for high-risk patients,e.g.,patients with neurogenic bladder or previous culture-positive UTI.展开更多
Background: Bladder hernias are infrequent and should be treated by the urologist, or an experienced surgeon. An inguinoscrotal hernia of the bladder should be suspected in male patients with voiding symptoms and a fl...Background: Bladder hernias are infrequent and should be treated by the urologist, or an experienced surgeon. An inguinoscrotal hernia of the bladder should be suspected in male patients with voiding symptoms and a fluctuant mass in the scrotum that changes its volume during urination. The most common characteristics found on the series were patients with advanced age, sedentary, and overweight. Case Presentation: We present a case series of 4 patients with inguinoscrotal herniation of the bladder, the surgical management, and outcome. Conclusion: The surgical technique used was inguinal plasty with Lichtenstein technique and either laparoscopic or open surgery mesh-plug placement. None had surgical complications, and none had recurrence at their follow-up.展开更多
The Cleveland Clinic Foundation is inviting appli-cations from persons interested in advanced training inareas of male or female infertility and sexual function.The training is designed for residents, clinicians, ARTp...The Cleveland Clinic Foundation is inviting appli-cations from persons interested in advanced training inareas of male or female infertility and sexual function.The training is designed for residents, clinicians, ARTpersonnel and scientists with background and interest inthe field of Reproductive Medicine, Andrology, andSexual Dysfunction. Selected candidates will get an op-portunity to:展开更多
文摘Objective:To determine the incidence of culture-positive urinary tract infection(UTI)after micturating cystourethrogram(MCUG).We further wanted to identify risk factors for developing a culture-positive UTI following MCUG.Methods:A retrospective review of the available medical records of 500 paediatric patients who underwent MCUG in Perth,Western Australia was performed.Results:Seven(1.4%)patients comprised of four females and three males developed a febrile,culture-positive UTI within 14 days following MCUG.Significant association was found for female patients,patients with neurogenic bladder,and patients with previous culture-positive UTI as developing a culture-positive UTI following MCUG.Multivariate logistic regression determined that patients were more likely to develop culture-positive UTI within 14 days following MCUG if they had a known history of UTI(odds ratio:5.0,95%confidence interval:1.5-17.3,p=0.010)or had a neurogenic bladder(odds ratio:4.2,95%confidence interval:1.0-17.9,p=0.049).Conclusion:The incidence of patients who developed a febrile,culture-positive UTI following MCUG was low at 1.4%.Statistically significant and independent associations for the development of culture positive UTI were found in patients with neurogenic bladder and patients with previous culture-positive UTI.Further prospective studies are necessary to determine necessity of prophylactic antibiotics for high-risk patients,e.g.,patients with neurogenic bladder or previous culture-positive UTI.
文摘Background: Bladder hernias are infrequent and should be treated by the urologist, or an experienced surgeon. An inguinoscrotal hernia of the bladder should be suspected in male patients with voiding symptoms and a fluctuant mass in the scrotum that changes its volume during urination. The most common characteristics found on the series were patients with advanced age, sedentary, and overweight. Case Presentation: We present a case series of 4 patients with inguinoscrotal herniation of the bladder, the surgical management, and outcome. Conclusion: The surgical technique used was inguinal plasty with Lichtenstein technique and either laparoscopic or open surgery mesh-plug placement. None had surgical complications, and none had recurrence at their follow-up.
文摘The Cleveland Clinic Foundation is inviting appli-cations from persons interested in advanced training inareas of male or female infertility and sexual function.The training is designed for residents, clinicians, ARTpersonnel and scientists with background and interest inthe field of Reproductive Medicine, Andrology, andSexual Dysfunction. Selected candidates will get an op-portunity to:
