Continence ReportsPub Date : 2024-02-01DOI: 10.1016/j.contre.2024.100047
Zoltan Nemeth , Roxana Schmidt , Balint Farkas
{"title":"Single-incision vaginal mesh insertion for recurrent vaginal vault prolapse after radical cystectomy and radical hysterectomy with irradiation: A case report","authors":"Zoltan Nemeth , Roxana Schmidt , Balint Farkas","doi":"10.1016/j.contre.2024.100047","DOIUrl":"https://doi.org/10.1016/j.contre.2024.100047","url":null,"abstract":"<div><p>A 74-year-old female patient five month after radical robot assisted cystectomy (RC) with ileal conduit (IC) presented to our department with stage 4 symptomatic vaginal prolapse and anterior enterocele (AE). In the medical history 43 years ago radical hysterectomy (Piver 3) was revealed followed by postoperative irradiation and brachytherapy, due to invasive cervical cancer. A total colpocleisis was carried out as a first line therapy. A recurrence occurred 8 months after the first surgery. We used a customized single-incision vaginal mesh for the relapse operation. The patient has been symptomless for 50 months. We believe that vaginal irradiation is a rare but significant risk factor for the development of anterior enterocele after RC with IC and single-incision tailored vaginal mesh insertion for symptomatic anterior enterocele after radical cystectomy and radical hysterectomy with irradiation may be a long-term surgical solution.</p></div>","PeriodicalId":100330,"journal":{"name":"Continence Reports","volume":"9 ","pages":"Article 100047"},"PeriodicalIF":0.0,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2772974524000012/pdfft?md5=cffb951a50687b93268b46f49cb67ed6&pid=1-s2.0-S2772974524000012-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139733244","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Continence ReportsPub Date : 2023-12-01DOI: 10.1016/j.contre.2023.100044
Sona Tayebi , Mohammad Sajjad Rahnama’i , Ashkan Shafigh , Hanieh Salehi-Pourmehr , Hadi Mostafaei , Ehsan Sepehran , Sakineh Hajebrahimi
{"title":"Lower Urinary Tract Symptoms (LUTS) and COVID-19","authors":"Sona Tayebi , Mohammad Sajjad Rahnama’i , Ashkan Shafigh , Hanieh Salehi-Pourmehr , Hadi Mostafaei , Ehsan Sepehran , Sakineh Hajebrahimi","doi":"10.1016/j.contre.2023.100044","DOIUrl":"https://doi.org/10.1016/j.contre.2023.100044","url":null,"abstract":"<div><p>The COVID-19 has been a great challenge for healthcare providers all over the world which overwhelmed patients and healthcare providers by postponing many outpatient appointments and surgical procedures for months. Interestingly, COVID-19 can cause de novo lower urinary tract symptoms (LUTS) in some affected patients or exacerbate underlying LUTS in others although the most prevalent symptoms are respiratory symptoms. Understanding the effects of COVID-19 on LUTS is crucial for establishing bladder inflammation. In this review, we are focusing on how the lower urinary tract would be affected by COVID-19, considering the pathophysiology, and clinical implication of COVID-19-associated LUTS.</p></div>","PeriodicalId":100330,"journal":{"name":"Continence Reports","volume":"9 ","pages":"Article 100044"},"PeriodicalIF":0.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S277297452300025X/pdfft?md5=4f9f7a9fec0290eee41708ddfac25d41&pid=1-s2.0-S277297452300025X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138467172","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Continence ReportsPub Date : 2023-11-07DOI: 10.1016/j.contre.2023.100043
E.J.O. Claessens , P.D. Polm , M.B. Rookmaaker , L.M.O. de Kort
{"title":"Novel finding: Proteinuria in patients with a urinary diversion does not predict renal function decline","authors":"E.J.O. Claessens , P.D. Polm , M.B. Rookmaaker , L.M.O. de Kort","doi":"10.1016/j.contre.2023.100043","DOIUrl":"10.1016/j.contre.2023.100043","url":null,"abstract":"<div><h3>Purpose:</h3><p>Proteinuria is used to track down patients with intrinsic renal disease and increased risk of renal function decline and is seen in up to 5% in the general population. The aim of this study is to investigate the prevalence and clinical relevance of proteinuria regarding renal function in patients with a urinary diversion.</p></div><div><h3>Methods:</h3><p>Data was collected of patients with a urinary diversion who had a follow-up appointment (T1) in the Urology Department of the University Hospital Utrecht in 2021. Patients were divided into a proteinuria and no proteinuria group. Proteinuria was determined through dipstick urinalysis at T1. Glomerular filtration rate and renal imaging were analysed at T1 and after 11–30 months follow-up (T2).</p></div><div><h3>Results:</h3><p>A research population of 84 patients was identified, median age was 38 years, 39.3% was male. At T1, 43% had proteinuria. There was no association between proteinuria and glomerular filtration rate nor abnormalities on renal imaging at T1 or T2. No statistically significant difference was seen in the glomerular filtration rate decline after 11–30 months between the group with and without proteinuria, determined at T1 (respectively 1.3 ± 6.9 ml/min/1.73 m<sup>2</sup> vs 2.3 ± 9.5 ml/min/1.73 m<sup>2</sup>; <span><math><mi>p</mi></math></span>-value 0.63).</p></div><div><h3>Conclusion:</h3><p>The prevalence of proteinuria in patients with a urinary diversion is high. Proteinuria was not associated with renal function or renal function decline over time. These findings illustrate the limitations of proteinuria screening to identify individuals at risk for renal function decline among this population.</p></div>","PeriodicalId":100330,"journal":{"name":"Continence Reports","volume":"8 ","pages":"Article 100043"},"PeriodicalIF":0.0,"publicationDate":"2023-11-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2772974523000248/pdfft?md5=6e9477748defb76364d0f4c0762134f7&pid=1-s2.0-S2772974523000248-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135510593","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Continence ReportsPub Date : 2023-10-06DOI: 10.1016/j.contre.2023.100041
Samia Aijaz, Novera Chughtai, Urooj Kashif, Summera Malik
{"title":"Erratum to “Paraurethral leiomyoma in a 22-year-old woman: A case report” [Cont. Rep. 3 (2022) 100014]","authors":"Samia Aijaz, Novera Chughtai, Urooj Kashif, Summera Malik","doi":"10.1016/j.contre.2023.100041","DOIUrl":"https://doi.org/10.1016/j.contre.2023.100041","url":null,"abstract":"","PeriodicalId":100330,"journal":{"name":"Continence Reports","volume":"8 ","pages":"Article 100041"},"PeriodicalIF":0.0,"publicationDate":"2023-10-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49711723","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Continence ReportsPub Date : 2023-09-20DOI: 10.1016/j.contre.2023.100039
Mjahid Hassan, Bilha Nyameino, Bob Achila
{"title":"Challenges in management of female urethral strictures utilizing postmenopausal vaginal graft: A case report","authors":"Mjahid Hassan, Bilha Nyameino, Bob Achila","doi":"10.1016/j.contre.2023.100039","DOIUrl":"https://doi.org/10.1016/j.contre.2023.100039","url":null,"abstract":"<div><h3>Introduction</h3><p>Female urethral strictures are a rare occurrence and patients usually present with lower urinary tract symptoms. This non-specific presentation and rare occurrence pose a challenge to clinicians regarding timely diagnosis and intervention.</p></div><div><h3>Case presentation</h3><p>A 54-year-old para 3 + 0 postmenopausal patient presented to the clinic with complaints of voiding difficulty, suprapubic pain, a weak urinary stream, dribbling, straining and a sensation of incomplete bladder emptying. She had been previously managed twice for similar symptoms with urethral dilatation. Intermittent catheterization was utilized on the second episode with improvement of her symptoms.</p><p>During this third episode, micturating cystourethrogram demonstrated a urethral stricture and uroflowmetry revealed a reduced Qmax.</p><p>She underwent a dorsal urethroplasty with no intraoperative complications. Her recovery post procedure was unremarkable with resolution of her symptoms and an improvement of her Qmax on repeat uroflowmetry.</p></div><div><h3>Conclusion</h3><p>Urethroplasty is a viable and definitive management option for female urethral strictures. Timely diagnosis of urethral strictures requires a high index of suspicion and appropriate investigations. Post-menopausal atrophic vaginal mucosa offers a suitable alternative for graft harvesting.</p></div>","PeriodicalId":100330,"journal":{"name":"Continence Reports","volume":"8 ","pages":"Article 100039"},"PeriodicalIF":0.0,"publicationDate":"2023-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49725439","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Continence ReportsPub Date : 2023-09-17DOI: 10.1016/j.contre.2023.100040
Masatoshi Kumagai, Masaaki Imamura, Kei Muraoka, Michiko Fukasawa, Mika Fukushima, Ryo Yabusaki, Masakatsu Ueda, Yusuke Shiraishi, Koji Yoshimura
{"title":"Vesicostomy: An alternative approach for complicated adult patients with urinary retention","authors":"Masatoshi Kumagai, Masaaki Imamura, Kei Muraoka, Michiko Fukasawa, Mika Fukushima, Ryo Yabusaki, Masakatsu Ueda, Yusuke Shiraishi, Koji Yoshimura","doi":"10.1016/j.contre.2023.100040","DOIUrl":"https://doi.org/10.1016/j.contre.2023.100040","url":null,"abstract":"<div><h3>Purpose:</h3><p>Patients with permanent urethral catheterization for chronic urinary retention frequently experience several complications, such as bladder stones and/or urinary tract infections. In this study, we performed vesicostomy in adult patients with urinary retention who developed complications during long-term indwelling catheterization.</p></div><div><h3>Methods:</h3><p>Patients with a permanent bladder catheter for urinary retention, and bladder stones and/or urinary tract infection between April 2019 and October 2021 were enrolled in this retrospective study. Vesicostomy and additional surgeries, such as vesicolithotomy, were performed if necessary. Residual urine volume was measured with computed tomography 7 days after the operation. We followed-up all patients 3 months postoperatively to identify complications.</p></div><div><h3>Results:</h3><p>Nine patients were included in this study; eight were male and one was female. The median age at operation was 65 (range, 23–92) years. Concurrent operations were lithotomy in five, cystostomy closure in one, removal of a bladder foreign body in one, and nephrectomy in one. The postoperative median residual urine volume in the bladder was 32 (range, 5–51) ml. Perioperative complications comprised delirium (Clavien–Dindo grade II) in two patients and stomal bleeding (Clavien–Dindo grade II) in one patient. There were no complications of bladder stones, febrile urinary tract infection, or stomal stenosis postoperatively.</p></div><div><h3>Conclusions:</h3><p>Vesicostomy for adult patients with urinary retention was useful and safe. Our results suggest that vesicostomy could be a bladder drainage option for select adult patients who are not candidates for permanent indwelling catheterization.</p></div>","PeriodicalId":100330,"journal":{"name":"Continence Reports","volume":"8 ","pages":"Article 100040"},"PeriodicalIF":0.0,"publicationDate":"2023-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49711730","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Continence ReportsPub Date : 2023-09-06DOI: 10.1016/j.contre.2023.100037
Mathijs M. de Rijk , Sedigheh Joughehdoust , Sabine Pinckaers , Joshua Freeman , Paul A. Wieringa , Gommert A. van Koeveringe
{"title":"Mechanisms of action of an intravesical balloon as a therapy for stress urinary incontinence","authors":"Mathijs M. de Rijk , Sedigheh Joughehdoust , Sabine Pinckaers , Joshua Freeman , Paul A. Wieringa , Gommert A. van Koeveringe","doi":"10.1016/j.contre.2023.100037","DOIUrl":"https://doi.org/10.1016/j.contre.2023.100037","url":null,"abstract":"<div><h3>Aims:</h3><p>Previous studies have indicated that the intravesical placement of an air-filled balloon alleviates much of the symptoms caused by stress urinary incontinence (SUI) in women. However, the exact working mechanisms behind this therapy are not yet fully understood. The current study aims to elucidate the potential physiological mechanisms underlying this minimally invasive intervention.</p></div><div><h3>Methods:</h3><p>We have evaluated video urodynamic data in women undergoing this therapy (n = 5), during which participants were asked to cough with increasing intensity. For each participant, we have videos before insertion of the balloon and one week following insertion. We identified a frame in a resting situation in which the maximum horizontal and vertical bladder dimensions were measured. We expressed the maximum vertical diameter as a ratio of the maximum horizontal diameter. We then used custom-written scripts to identify the bladder and balloon in each frame of the video urodynamic investigation and subtracted information regarding the location of the bladder neck and diameters of the balloon. We then used this information to plot the displacement of the bladder neck and size of the balloon during coughing.</p></div><div><h3>Results:</h3><p>The diameters of the balloon were significantly decreased during coughing (p <span><math><mo>≤</mo></math></span> 0.05). We found a significant increase of the maximum vertical diameter expressed as a ratio of the maximum horizontal diameter before and after insertion of the intravesical balloon (p <span><math><mo>≤</mo></math></span> 0.05). The maximum displacement of the caudal bladder limit increased significantly after placement of the intravesical balloon was (p <span><math><mo>≤</mo></math></span> 0.05).</p></div><div><h3>Conclusions:</h3><p>Our results imply that the balloon compresses in response to increases in abdominal pressure, and the bladder obtains a significantly more vertically oriented shape after placement of the balloon. Moreover, it appears that placement of the balloon significantly increases the mobility of the bladder neck. The balloon is indicated to absorb some of the increases in intravesical pressure during episodes of high abdominal pressure. We propose that the balloon inwardly pushes the bladder wall upwards, causing the organ to acquire a more vertically oriented shape. Additionally, we postulate that this change in bladder shape will increase the mobility of the bladder neck, thereby increasing the kinking capability of the urethra.</p></div>","PeriodicalId":100330,"journal":{"name":"Continence Reports","volume":"8 ","pages":"Article 100037"},"PeriodicalIF":0.0,"publicationDate":"2023-09-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49711712","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}