Acta clinica Croatica最新文献_第10页

ALTERNATING HYPOTHYROIDISM AND HYPERTHYROIDISM IN AN ADOLESCENT BOY - DO WE ALWAYS UNDERSTAND WHAT DRIVES THE SWITCH? 一名青春期男孩交替出现甲状腺功能减退症和甲状腺功能亢进症--我们是否总能理解是什么导致了这种转换？

IF 0.7 4区医学

Acta clinica Croatica Pub Date : 2023-11-01 DOI: 10.20471/acc.2023.62.03.17

Lavinia La Grasta Sabolić, Marija Požgaj Šepec, Gordana Stipančić

{"title":"ALTERNATING HYPOTHYROIDISM AND HYPERTHYROIDISM IN AN ADOLESCENT BOY - DO WE ALWAYS UNDERSTAND WHAT DRIVES THE SWITCH?","authors":"Lavinia La Grasta Sabolić, Marija Požgaj Šepec, Gordana Stipančić","doi":"10.20471/acc.2023.62.03.17","DOIUrl":"10.20471/acc.2023.62.03.17","url":null,"abstract":"Alternating hypothyroidism and hyperthyroidism is a rare phenomenon, especially among pediatric patients. It is usually related to simultaneous, unbalanced presence of stimulating and blocking thyroid stimulating hormone receptor antibodies (TRAbs). Herein we describe thyroid stimulating hormone (TSH) and thyroid hormone fluctuations in an adolescent boy with negative TRAbs. A 12-year-old healthy boy exhibited alternating thyroid function, with several switches between hypothyroidism and hyperthyroidism during almost six years of follow-up. He had persistently elevated thyroid peroxidase antibodies, while TRAbs were repetitively negative. Due to a mild clinical presentation, most of the time he did not require any medication. This case contributes to the spectrum of alternating hypothyroidism and hyperthyroidism in the pediatric age and raises the question of mechanisms involved in fluctuating thyroid function. Therapeutic decisions should be individualized and guided by clinical manifestations and thyroid function tests, irrespective of the underlying pathophysiology.","PeriodicalId":7072,"journal":{"name":"Acta clinica Croatica","volume":"62 3","pages":"546-550"},"PeriodicalIF":0.7,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11413994/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142278680","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

ISOLATED ABDUCENS NERVE PALSY AFTER LUMBAR PUNCTURE - A CASE REPORT. 腰椎穿刺后孤立性外展神经麻痹--病例报告。

IF 0.7 4区医学

Acta clinica Croatica Pub Date : 2023-11-01 DOI: 10.20471/acc.2023.62.03.21

Nevena Grbić, Iris Zavoreo, Vanja Bašić Kes

{"title":"ISOLATED ABDUCENS NERVE PALSY AFTER LUMBAR PUNCTURE - A CASE REPORT.","authors":"Nevena Grbić, Iris Zavoreo, Vanja Bašić Kes","doi":"10.20471/acc.2023.62.03.21","DOIUrl":"10.20471/acc.2023.62.03.21","url":null,"abstract":"Isolated abducens nerve palsy following lumbar puncture is a rare complication. In scientific literature, it has been mostly described after performing spinal anesthesia in anesthesiology literature rather than in neurological literature. Isolated abducens nerve palsy usually occurs from one to three weeks after performing lumbar puncture and it is important to connect it with this procedure and exclude other possible etiologies. The actual incidence of this complication is unknown. We describe a 32-year-old male patient who presented with unspecific headache attributed to cavernous malformation and two developmental venous anomalies. While searching for headache etiology, lumbar puncture was performed. Two days after lumbar puncture, the patient presented with isolated abducens palsy of the right eye. Our planned diagnostic evaluation included measuring intracranial pressure by noninvasive optic sheath nerve sonography and repeating brain magnetic resonance imaging. We also planned to treat the patient with epidural blood patch, which is usually successful when performed as soon as the diagnosis is established. Unfortunately, our patient refused diagnostic and therapeutic proposal, so it was impossible to know final outcome. In conclusion, we want to highlight these complications, especially to young doctors and specialists who might see it rarely.","PeriodicalId":7072,"journal":{"name":"Acta clinica Croatica","volume":"62 3","pages":"567-570"},"PeriodicalIF":0.7,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11413997/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142278692","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

CRUSH SYNDROME IN EARTHQUAKES - STAY AND PLAY OR LOAD AND GO? 地震中的挤压综合征--留着玩还是装上就走？

IF 0.7 4区医学

Acta clinica Croatica Pub Date : 2023-07-01 DOI: 10.20471/acc.2023.62.s2.24

Iskra Alexandra Nola, Matija Dvorski, Mirza Žižak, Tomislav Kuliš

{"title":"CRUSH SYNDROME IN EARTHQUAKES - STAY AND PLAY OR LOAD AND GO?","authors":"Iskra Alexandra Nola, Matija Dvorski, Mirza Žižak, Tomislav Kuliš","doi":"10.20471/acc.2023.62.s2.24","DOIUrl":"10.20471/acc.2023.62.s2.24","url":null,"abstract":"Earthquakes are unpredictable natural disasters accompanied by material damage and many victims. In the case of a person remaining trapped under the collapsed material, the development of crush syndrome can occur. Crush syndrome is the result of traumatic rhabdomyolysis and is present in 2%-15% of all injured persons in an earthquake. It is not easy to recognize, and proper treatment is challenging. Persons who have a clear crush injury and/or have been immobilized for more than four hours should be considered potential victims of crush syndrome. Therefore, knowledge about crush syndrome must be comprehensive and accessible to all parties involved. In this paper, the management of crush syndrome victims, which includes the principles of triage, and medical and logistic principles as well, is presented. Triage principles are presented at the level of triage priorities, places, and diagnoses. Medical principles, crucial for crush syndrome, are presented regarding the duration of compression and time before or after extraction of the patient. Logistic principles provide an overview of the priorities and modes of transport in relation to distance of health institutions, and the importance of management and education associated with crush syndrome. Each country with recognized disasters (natural or man-made) in which crush-related victims are expected, will benefit if the knowledge about triage, medical and logistic principles for crush syndrome is incorporated in their educational programs and regularly updated.","PeriodicalId":7072,"journal":{"name":"Acta clinica Croatica","volume":"62 Suppl2","pages":"158-165"},"PeriodicalIF":0.7,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11221230/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141536349","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

REVIEW OF ADVERSE DRUG REACTIONS OF MEDICINES USED FOR THE TREATMENT OF BENIGN PROSTATIC HYPERPLASIA REPORTED TO HALMED. 回顾向 halmed 报告的治疗良性前列腺增生症的药物不良反应。

IF 0.7 4区医学

Acta clinica Croatica Pub Date : 2023-07-01 DOI: 10.20471/acc.2023.62.s2.10

Iva Kuliš, Željana Margan Koletić, Tvrtko Hudolin, Siniša Tomić

{"title":"REVIEW OF ADVERSE DRUG REACTIONS OF MEDICINES USED FOR THE TREATMENT OF BENIGN PROSTATIC HYPERPLASIA REPORTED TO HALMED.","authors":"Iva Kuliš, Željana Margan Koletić, Tvrtko Hudolin, Siniša Tomić","doi":"10.20471/acc.2023.62.s2.10","DOIUrl":"10.20471/acc.2023.62.s2.10","url":null,"abstract":"Benign prostatic hyperplasia is one of the most common diseases in men, with a prevalence rate of 50% in their 50s to 80% in their 80s, and is mostly treated with chronic drug therapy. The aim of this study was to analyze adverse drug reactions (ADR) to drugs used in benign prostate hyperplasia (BPH) treatment reported to HALMED from 2008 to 2021. Data on ADR reports in Croatia were obtained from the VigiFlow national database and on the use of drugs for BPH in Croatia from Drug Utilization Reports from HALMED. In the observed period, the number of reports on each BPH drug, total number of reports, seriousness of reported ADR, patient age and sex, type of reporter, and most reported ADRs were analyzed. Results showed that 438 ADR reports were received, of which 45.95% on tamsulosin as the most frequently used drug for BPH. Of all reports, 84% were non-serious, 96% were reported in men and 82% in patients older than 45 years. The most frequently reported ADRs were consistent with the known safety profile of BPH drugs. Pharmacists were the most common (47%) reporters of ADRs for BPH drugs, while 33% were reported by physicians. Analysis of the reported ADRs showed that most frequently reported ones were in line with the known safety profile of BPH drugs. However, given the prevalence of the disease and the extent of the use of BPH drugs, it could be argued that the number of reports could be higher (i.e., 34 reports/year). Reporting on ADRs is necessary to better understand the safety profile of drugs in the post-authorization period, and more information on the safe use of medicines could be collected by raising awareness of healthcare professionals.","PeriodicalId":7072,"journal":{"name":"Acta clinica Croatica","volume":"62 Suppl2","pages":"68-75"},"PeriodicalIF":0.7,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11221238/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141536361","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

PERCUTANEOUS APPROACH TO THE KIDNEY: SIMILARITIES AND DIFFERENCES OF VARIOUS TECHNIQUES - EXPERIENCE IN OSIJEK UNIVERSITY HOSPITAL CENTER. 经皮肾脏路径：各种技术的异同--奥西耶克大学医院中心的经验。

IF 0.7 4区医学

Acta clinica Croatica Pub Date : 2023-07-01 DOI: 10.20471/acc.2023.62.s2.22

Mile Cvitković, Jakov Filipović, Josip Perković, Oliver Pavlović

{"title":"PERCUTANEOUS APPROACH TO THE KIDNEY: SIMILARITIES AND DIFFERENCES OF VARIOUS TECHNIQUES - EXPERIENCE IN OSIJEK UNIVERSITY HOSPITAL CENTER.","authors":"Mile Cvitković, Jakov Filipović, Josip Perković, Oliver Pavlović","doi":"10.20471/acc.2023.62.s2.22","DOIUrl":"10.20471/acc.2023.62.s2.22","url":null,"abstract":"Today, percutaneous nephrolithotomy (PCNL) is a standard procedure in the treatment of large kidney stones. Development of the procedure began in 1976 with publication of the first reports, while turning point came in 1985 when the first 250 cases were described. Subsequently, PCNL has become standard in the treatment of kidney stones instead of open surgery. Numerous modifications of the procedure have been developed with advancement of modern technology. Nevertheless, there is still the necessity for clearer understanding of differences and circumstances of choice among different techniques. There are significant differences in the instruments used for the procedure, so we distinguish standard PCNL (working channel of 24-30 Fr), mini PCNL (working channel of 11-18 Fr), ultra-mini PCNL (working channel <15 Fr), and micro PCNL (working channel <6 Fr). With the development of flexible ureteroscopy (FURS), a combined method is also being developed, i.e., Endoscopic Combined IntraRenal Surgery (ECIRS, PCNL + FURS). Furthermore, each procedure can be performed in prone or supine position. The aim of this paper is to point out the similarities and differences, the advantages and disadvantages of different techniques, with an additional aim to present our experience and current standard practice in kidney stone treatment.","PeriodicalId":7072,"journal":{"name":"Acta clinica Croatica","volume":"62 Suppl2","pages":"148-152"},"PeriodicalIF":0.7,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11221243/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141533313","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

THULIUM:YAG LASER ENUCLEATION OF THE PROSTATE (ThuLEP) - OUR EXPERIENCE IN 246 PATIENTS. 铥钇钕激光前列腺电切术（ThuLEP）--我们在 246 例患者中的经验。

IF 0.7 4区医学

Acta clinica Croatica Pub Date : 2023-07-01 DOI: 10.20471/acc.2023.62.s2.14

Nikola Zebić, Velimir Terzić, Vinko Krajina

{"title":"THULIUM:YAG LASER ENUCLEATION OF THE PROSTATE (ThuLEP) - OUR EXPERIENCE IN 246 PATIENTS.","authors":"Nikola Zebić, Velimir Terzić, Vinko Krajina","doi":"10.20471/acc.2023.62.s2.14","DOIUrl":"10.20471/acc.2023.62.s2.14","url":null,"abstract":"New minimally invasive procedures to treat benign prostatic hyperplasia (BPH) have been developed in the last 20 years. With the introduction of laser enucleation techniques in prostate surgery, previous standard surgical procedures (open retropubic or transvesical adenectomy and transurethral resection of the prostate) have become less relevant, especially in case of very large prostates. The objective of this paper is to describe the experience and results of thulium:YAG laser application in BPH treatment in our department. In the last five years, 246 patients underwent thulium:YAG laser enucleation of the prostate (ThuLEP) due to BPH or lower urinary tract symptoms following complete urologic evaluation. The mean age of our patients was 73 (range 51-95) years and mean duration of surgery was 92 minutes. The mean weight of enucleated tissue was 73 grams. A low rate of intraoperative and early postoperative complications and short length of stay proved minimal invasiveness of this procedure, which results in significant improvements in urodynamic parameters and substantially reduces the post-void residual urine volume. The most important surgical and technical characteristics (enucleation and low-power laser application) make ThuLEP a safe and efficient surgical method not limited by the prostate volume. ThuLEP has a potential to displace the current standard surgical procedures to treat BPH.","PeriodicalId":7072,"journal":{"name":"Acta clinica Croatica","volume":"62 Suppl2","pages":"104-109"},"PeriodicalIF":0.7,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11221234/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141533321","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

TRENDS IN PROSTATE CANCER DIAGNOSIS DURING THE COVID-19 PANDEMIC: SINGLE-INSTITUTION EXPERIENCE. Covid-19大流行期间前列腺癌诊断的趋势：单一机构的经验。

IF 0.7 4区医学

Acta clinica Croatica Pub Date : 2023-07-01 DOI: 10.20471/acc.2023.62.s2.4

Ivona Ćudina, Marin Glavčić, Pero Hrabač, Stela Bulimbašić, Marijana Ćorić

{"title":"TRENDS IN PROSTATE CANCER DIAGNOSIS DURING THE COVID-19 PANDEMIC: SINGLE-INSTITUTION EXPERIENCE.","authors":"Ivona Ćudina, Marin Glavčić, Pero Hrabač, Stela Bulimbašić, Marijana Ćorić","doi":"10.20471/acc.2023.62.s2.4","DOIUrl":"10.20471/acc.2023.62.s2.4","url":null,"abstract":"The aim of this study was to compare the number of biopsy and surgical procedures on prostate, as well as the number of newly diagnosed, histologically confirmed cases of prostate cancer during the COVID-19 pandemic at Zagreb University Hospital Center (UHC). We retrospectively collected and processed a total of 1344 histopathologic findings of the prostate at the Zagreb UHC. Our results show that during the COVID-19 pandemic, there was a statistically significant decrease in the absolute number of biopsy and surgical procedures on prostate at Zagreb UHC, and so was the number of newly diagnosed, histologically confirmed cases of prostate cancer. During the observed time of the pandemic (March 19, 2020 to December 31, 2020), there was a 37.5% decrease in the absolute number of newly diagnosed prostate cancer cases compared to the same period of the previous year (March 19, 2019 to December 31, 2019). To our knowledge, this is the first study of this kind that is based on the number of prostate cancer diagnoses in Croatia. By observing the early period of the pandemic, our results provide important guidelines for monitoring and understanding the long-term consequences of the pandemic on the prostate cancer morbidity and mortality.","PeriodicalId":7072,"journal":{"name":"Acta clinica Croatica","volume":"62 Suppl2","pages":"28-32"},"PeriodicalIF":0.7,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11221232/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141533322","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

MANAGEMENT OF PROSTATE CANCER IN KIDNEY TRANSPLANT RECIPIENTS. 肾移植受者的前列腺癌管理。

IF 0.7 4区医学

Acta clinica Croatica Pub Date : 2023-07-01 DOI: 10.20471/acc.2023.62.s2.15

Zoran Zimak, Ivica Mokos, Hrvoje Saić, Dinko Hauptman, Milko Padovan, Tvrtko Hudolin, Eleonora Goluža, Nikolina Bašić Jukić, Željko Kaštelan

{"title":"MANAGEMENT OF PROSTATE CANCER IN KIDNEY TRANSPLANT RECIPIENTS.","authors":"Zoran Zimak, Ivica Mokos, Hrvoje Saić, Dinko Hauptman, Milko Padovan, Tvrtko Hudolin, Eleonora Goluža, Nikolina Bašić Jukić, Željko Kaštelan","doi":"10.20471/acc.2023.62.s2.15","DOIUrl":"10.20471/acc.2023.62.s2.15","url":null,"abstract":"Kidney transplantation is the treatment of choice in eligible patients with end-stage kidney disease. Prostate cancer (PC) is the second most common cancer in men worldwide. The prevalence of chronic kidney disease worldwide is 13.4%. The management of localized PC in these patients is challenging due to immunosuppressive therapy and pelvic graft localization. High graft and recipient survival rates have resulted in higher numbers of these patients in our everyday practice. A retrospective analysis of male patients who had undergone kidney transplantation at our center between 2002 and 2022 and were diagnosed and treated for PC was performed. We analyzed the incidence, treatment methods, and follow-up of PC patients in this population. A total of 1079 male patients were transplanted. PC was diagnosed in 12 patients (8 after and 4 before transplantation). The incidence of PC was 1.11%. Radical prostatectomy was performed in 11 patients, and one patient was treated with radical radiotherapy. Eleven patients had stable graft function; 1 graftectomy was performed, unrelated to PC. Three patients were indicated for salvage radiotherapy, one is in process for prostate-specific membrane antigen positron emission tomography (PSMA PET CT), and 7 patients are in follow-up and without recurrence. Radical prostatectomy is a safe treatment method for localized PC in kidney transplant recipients, which does not impair graft function and survival.","PeriodicalId":7072,"journal":{"name":"Acta clinica Croatica","volume":"62 Suppl2","pages":"110-113"},"PeriodicalIF":0.7,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11221233/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141533351","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

POINT-OF-CARE DIAGNOSTIC APPROACH IN A CRITICALLY ILL PATIENT WITH SEVERE BLEEDING FROM URINARY TRACT. 对一名泌尿道严重出血的危重病人进行护理点诊断的方法。

IF 0.7 4区医学

Acta clinica Croatica Pub Date : 2023-07-01 DOI: 10.20471/acc.2023.62.s2.20

Sonja Škiljić, Nenad Nešković, Gordana Kristek, Marija Milić, Hrvoje Vinković, Karlo Kedačić, Slavica Kvolik

{"title":"POINT-OF-CARE DIAGNOSTIC APPROACH IN A CRITICALLY ILL PATIENT WITH SEVERE BLEEDING FROM URINARY TRACT.","authors":"Sonja Škiljić, Nenad Nešković, Gordana Kristek, Marija Milić, Hrvoje Vinković, Karlo Kedačić, Slavica Kvolik","doi":"10.20471/acc.2023.62.s2.20","DOIUrl":"10.20471/acc.2023.62.s2.20","url":null,"abstract":"Coagulation disorders in critically ill patients presenting with bleeding can be multicausal. The drugs applied can interfere and impair the coagulation cascade. Point-of-care (POC) coagulation assays may resolve difficult therapeutic situations in critical illness. We report on a 73-year-old critically ill male patient with massive hematuria after bladder lithotripsy. The patient was on low molecular weight heparin therapy due to recent pulmonary embolism. He was subjected to repeated surgical hemostasis which was ineffective despite massive transfusion protocol and normal standard coagulation profile. Additional POC coagulation assays were obtained and were indicative of platelet dysfunction. We revised his medical therapy and suspected the possible drug influence on platelet aggregation. After discontinuation of target drug, platelet aggregation increased whereas hematuria stopped. Coagulation disorders in intensive care unit patients are often multifactorial. Standard laboratory tests are unreliable in complex refractory bleeding and may result in inappropriate therapeutic decisions. Stepwise approach with assessment of clinical parameters, present therapy, and a combination of POC coagulation tests is the key to optimal therapeutic management.","PeriodicalId":7072,"journal":{"name":"Acta clinica Croatica","volume":"62 Suppl2","pages":"138-142"},"PeriodicalIF":0.7,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11221227/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141533314","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

THE RELIABILITY OF URODYNAMIC ASSESSMENT IN CONFIRMATION OF STRESS URINARY INCONTINENCE IN RELATION TO BONNEY TEST. 在确认压力性尿失禁时，尿动力评估与邦尼测试的可靠性。

IF 0.7 4区医学

Acta clinica Croatica Pub Date : 2023-07-01 DOI: 10.20471/acc.2023.62.s2.1

Željko Blažinkov, Ines Krištofić, Ivan Jandrić, Mihaela Blažinkov, Boris Lovrić, Dragica Pavlović, Maja Čebohin, Slavko Marinić

{"title":"THE RELIABILITY OF URODYNAMIC ASSESSMENT IN CONFIRMATION OF STRESS URINARY INCONTINENCE IN RELATION TO BONNEY TEST.","authors":"Željko Blažinkov, Ines Krištofić, Ivan Jandrić, Mihaela Blažinkov, Boris Lovrić, Dragica Pavlović, Maja Čebohin, Slavko Marinić","doi":"10.20471/acc.2023.62.s2.1","DOIUrl":"10.20471/acc.2023.62.s2.1","url":null,"abstract":"According to the International Continence Society, stress (static) urinary incontinence is defined as any involuntary loss of urine on effort or physical exertion, due to which intravesical pressure overcomes urethral pressure, with no detrusor activity. Urodynamic testing accurately assesses the function of the bladder and urethra. The urodynamic assessment includes three tests: cystometry, uroflowmetry and profilometry (determination of urethral pressure profile). Prior to urodynamic assessment, it is mandatory to rule out urinary tract infection since it is an invasive test. Urethral profilometry is a technique that measures pressure in the urethra and bladder at rest, during stressful actions, and during the act of miction. Its main purpose is to evaluate the sphincter mechanism. During the examination, a special catheter is used, which is being slowly pulled out from the bladder neck throughout the urethra, with continuous recording of intraurethral pressure. In addition to measuring urethral pressures, stress urinary incontinence is also very successfully proven by the cough test and Bonney test. If, on forced cough, the urine escapes uncontrollably, and continence is restored by finger lifting the neck of the bladder, the diagnosis of static incontinence is confirmed. At our urogynecologic clinic, urodynamic examination is being routinely performed. In the present study, we included patients previously treated for urinary stress incontinence and compared their results of urodynamic assessment to the results of Bonney test. Of the 43 subjects in whom stress incontinence was proven with Bonney test, we recorded an appropriate profilometry result in 13 cases.","PeriodicalId":7072,"journal":{"name":"Acta clinica Croatica","volume":"62 Suppl2","pages":"9-13"},"PeriodicalIF":0.7,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11221237/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141533319","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0