Green J, et al. BMJ Case Rep 2017. doi:10.1136/bcr-2017-222182 Description We present the case of a 74-year-old postmenopausal woman presenting with a 5-day history of dysuria, pain, urinary frequency and urethral bleeding. Her previous medical history included hypertension. Obstetric history included one forceps delivery and one normal vaginal delivery. On examination, an irreducible urethral ...

Recent studies in animal models have shown that bladder contractions can be evoked by electrical stimulation of pudendal urethral afferent nerve fibers, even following spinal transection. Control of bladder activity would be a valuable tool to assist individuals with neurological disorders or spinal cord injury. To investigate these neural pathways in humans, a non-invasive approach is required...

PURPOSE Meatal stenosis is still a common problem in tubularized incised plate urethroplasty. In this study, we aimed to seek for a relationship between the size of urethral catheter and meatal stenosis formation in children undergoing tubularized incised plate urethroplasty. MATERIALS AND METHODS We retrospectively reviewed 83 children who underwent tubularized incised plate urethroplasty fo...

BACKGROUND We report the anecdotal observation of substandard urological care of elderly paraplegic patients in the community suffering from long-term sequelae of spinal cord injuries. This article is designed to increase awareness of a problem that is likely underreported and may represent the 'tip of the iceberg' related to substandard care provided to the vulnerable population of elderly pat...

Herein, we describe a perineum-based pediculated scrotal flap procedure for urethral reconstruction. A scrotal tubular flap was used as a substitute to correct a proximal penile urethral stricture in case 1. In case 2, a scrotal island patch was performed to treat an iatrogenic penile urethral injury. In both cases, the urethral catheter was removed on postoperative day 14 with simultaneous nor...

OBJECTIVE The objective was to determine the incidence of bladder stones in patients with spinal cord injury (SCI) and to assess if catheter encrustation or positive urinary culture of Proteus mirabilis is predictive of bladder stones. BACKGROUND Bladder stones are common urological complication in those with SCI managed with indwelling urinary catheter. Detection and removal of bladder stone...

abdominal wall pain and small scar, and the procedure is repeatable. And the result of the urethroplasty is good. Methods: The 7 years old boy was admitted in to our ward in September, 2007, due to recurrent peno-scrotal junction urethral severe stricture about 5 mm in length, the fistula was proximal to the severe stricture, and the urethra distal to the severe stricture was mild stricture (ca...

BACKGROUND In this study a new instrument and technique is described for the endoscopic treatment of complete posterior urethral strictures, which may result in serious complications and sometimes require troublesome treatments. METHODS Three patients with complete posterior urethral obstruction were treated endoscopically with the guidance of a new instrument: Evrim Bougie. Evrim Bougie look...

background: the normal prostate-specific antigen (psa) level in patients with urethral catheterization is a controversy. we designed this study to investigate the effect of nontraumatic urethral catheterization without urinary retention on serum psa. materials and methods: seventy patients scheduled for urethral catheterization before elective surgeries were randomly selected and included in th...

PURPOSE Following Robotic-Assisted Radical Prostatectomy (RARP) patients routinely have penile pain and urethral discomfort secondary to an indwelling urethral catheter. Our objective was to assess the effect of dorsal penile nerve block with bupivacaine on urethral catheter-related pain after RARP. METHODS From 2012-2013, 140 patients with organ-confined prostate cancer were enrolled in an I...