UTIs in patients with neurogenic bladder.

Abstract:

:Urinary tract infections (UTI) remain one of the most prevalent and frustrating morbidities for neurogenic bladder patients, and death attributed to urosepsis in the spinal cord injury (SCI) patient is higher when compared to the general population. Risk factors include urinary stasis, high bladder pressures, bladder stones, and catheter use. While classic symptoms of UTI include dysuria, increased frequency and urgency, neurogenic bladder patients present differently with increased spasticity, autonomic dysreflexia, urinary incontinence, and vague pains. Multiple modalities have been assessed for prevention including catheter type, oral supplements, bladder irrigation, detrusor injections and prophylactic antimicrobials. Of these, bladder inoculation with E. coli HU2117, irrigation with iAluRil(®), detrusor injections, and weekly prophylaxis with alternating antibiotics appear to have a positive reduction in UTI but require further study. Ultimately, treatment for symptomatic UTI should account for the varied flora and possible antibiotic resistances including relying on urine cultures to guide antibiotic therapy.

journal_name

Curr Urol Rep

journal_title

Current urology reports

authors

Jahromi MS,Mure A,Gomez CS

doi

10.1007/s11934-014-0433-2

subject

Has Abstract

pub_date

2014-09-01 00:00:00

pages

433

issue

9

eissn

1527-2737

issn

1534-6285

journal_volume

15

pub_type

杂志文章,评审
  • An Update in Enhanced Recovery Following Radical Cystectomy.

    abstract:PURPOSE OF REVIEW:The purpose of the study is to review and summarize major additions to the literature as pertains to enhanced recovery protocols after radical cystectomy in the past year. RECENT FINDINGS:Enhanced recovery after surgery protocols is multimodal pathways that include elements to optimize all stages of ...

    journal_title:Current urology reports

    pub_type: 杂志文章,评审

    doi:10.1007/s11934-018-0855-3

    authors: Ghodoussipour S,Djaladat H

    更新日期:2018-10-18 00:00:00

  • Justification of extraperitoneal laparoscopic access for surgery of the upper urinary tract.

    abstract::Laparoscopic surgery was originally developed by gynecologists and general surgeons. Based on their experience, the first successful laparoscopic procedures in urology were performed transperitoneally. However, this novel technique transformed traditionally retroperitoneal procedures into transperitoneal procedures, g...

    journal_title:Current urology reports

    pub_type: 杂志文章,评审

    doi:10.1007/s11934-004-0020-z

    authors: Hoznek A,Salomon L,Gettman M,Stolzenburg JU,Abbou CC

    更新日期:2004-04-01 00:00:00

  • Laparoscopic radical nephrectomy: retroperitoneal versus transperitoneal approach.

    abstract::Laparoscopic radical nephrectomy can be efficaciously performed by either the transperitoneal or the retroperitoneal laparoscopic approach. The primary indication for selecting one approach over another has historically depended on the individual surgeon's experience and training. With either technique, laparoscopy ad...

    journal_title:Current urology reports

    pub_type: 杂志文章,评审

    doi:10.1007/s11934-002-0030-7

    authors: Matin SF,Gill IS

    更新日期:2002-04-01 00:00:00

  • Does conservative management really benefit patients with OAB?

    abstract::The benefit that patients with overactive bladder (OAB) experience with conservative management is an important aspect in the evaluation of this therapy. The first-line options include behavioral interventions, and several techniques are available. Clinical research indicates amelioration of individual symptoms with t...

    journal_title:Current urology reports

    pub_type: 杂志文章

    doi:10.1007/s11934-012-0262-0

    authors: Van Kerrebroeck PE

    更新日期:2012-10-01 00:00:00

  • Adjuvant methods to improve results of local bladder irrigations by chemotherapy for NMIBC.

    abstract::Non-muscle-invasive bladder cancer is characterized by frequent recurrences requiring repeated transurethral resections and carries a risk of progression to muscle-invasive disease. The routinely used, passive diffusion irrigation of the bladder with mitomycin C has achieved limited success in avoiding these events. W...

    journal_title:Current urology reports

    pub_type: 杂志文章,评审

    doi:10.1007/s11934-012-0302-9

    authors: Freifeld Y,Dekel Y,Stein A

    更新日期:2013-04-01 00:00:00

  • Bicycle riding, perineal trauma, and erectile dysfunction: data and solutions.

    abstract::Significant clinical and basic science advances in the field of sexual medicine have facilitated investigation of the link between endothelial dysfunction and erectile dysfunction. Most sexual medicine practitioners accept the premise that in aging men with risk factors such as increased waist circumference, diabetes,...

    journal_title:Current urology reports

    pub_type: 杂志文章,评审

    doi:10.1007/s11934-007-0054-0

    authors: Goldstein I,Lurie AL,Lubisich JP

    更新日期:2007-11-01 00:00:00

  • Laparoscopic and robotic surgical training in urology.

    abstract::The most important change in urology during the past decade was the development of minimally invasive surgery, particularly laparoscopy. However, the main drawback of laparoscopy is a steep learning curve, which results from the significant changes in the surgical environment. Although laparoscopy can provide importan...

    journal_title:Current urology reports

    pub_type: 杂志文章

    doi:10.1007/s11934-003-0040-0

    authors: Hoznek A,Katz R,Gettman M,Salomon L,Antiphon P,de la Taille A,Yiou R,Chopin D,Abbou CC

    更新日期:2003-04-01 00:00:00

  • Use of Ultrasound in Pediatric Renal Stone Diagnosis and Surgery.

    abstract::Pediatric urolithiasis is on the rise globally and incidence rates have risen by 6-10% annually over the past couple of decades. Given the increasing incidence, high likelihood of recurrence, and long life expectancy of children, the use of ionizing radiation in the diagnosis, management, and follow up of pediatric ur...

    journal_title:Current urology reports

    pub_type: 杂志文章,评审

    doi:10.1007/s11934-017-0669-8

    authors: Morrison JC,Kawal T,Van Batavia JP,Srinivasan AK

    更新日期:2017-03-01 00:00:00

  • Topical agents and erectile dysfunction: is there a place?

    abstract::Despite the proven efficacy of oral therapy for erectile dysfunction (ED), some patients are unable to take these medications because of drug interactions (ie, sildenafil and nitroglycerin) or a lack of response. Topical agents represent another minimally invasive option for the treatment of ED. This review discusses ...

    journal_title:Current urology reports

    pub_type: 杂志文章,评审

    doi:10.1007/s11934-002-0100-x

    authors: Yap RL,McVary KT

    更新日期:2002-12-01 00:00:00

  • Surgical Tips for Inferior Vena Cava Thrombectomy.

    abstract:PURPOSE OF REVIEW:The aim of this review is to describe the preoperative evaluation, surgical techniques, and postoperative management of patients with renal cell carcinoma (RCC) undergoing radical nephrectomy (RN) and inferior vena cava (IVC) thrombectomy. RECENT FINDINGS:RN and IVC thrombectomy remains the standard ...

    journal_title:Current urology reports

    pub_type: 杂志文章,评审

    doi:10.1007/s11934-020-01007-9

    authors: Ghoreifi A,Djaladat H

    更新日期:2020-10-22 00:00:00

  • Perianesthetic Management of Laparoscopic Kidney Surgery.

    abstract:PURPOSE OF REVIEW:Laparoscopic kidney surgery is commonly used for living donor, partial, and total tumor nephrectomy. The successful emergence of laparoscopic technique was justified by the many benefits offered such as reduced blood loss, tissue trauma, pain, and hospital stay. However, this comes at the expense of p...

    journal_title:Current urology reports

    pub_type: 杂志文章,评审

    doi:10.1007/s11934-018-0757-4

    authors: Nasrallah G,Souki FG

    更新日期:2018-01-18 00:00:00

  • Minimizing Penile Implant Infection: A Literature Review of Patient and Surgical Factors.

    abstract::Inflatable penile prosthesis (IPP) is an effective treatment for erectile dysfunction in patients' refractory to oral or injectable treatment. While the rate of infection has decreased over the past decade, it is still the most feared complication of IPP placement. Here, we assemble possible patient and surgical facto...

    journal_title:Current urology reports

    pub_type: 杂志文章,评审

    doi:10.1007/s11934-015-0554-2

    authors: Holland B,Kohler T

    更新日期:2015-12-01 00:00:00

  • The effect of 15-lipoxygenase-1 expression on cancer cells.

    abstract::Lipoxygenases oxidatively metabolize polyunsaturated fatty acids to a rich spectrum of biologically active products. One enzyme of the lipoxygenase family, Arachidonate 15-lipoxygenase-1 (arachidonate:oxygen 15-oxidoreductase, EC 1.13.11.33), is implicated in several forms of epithelial cell cancers, and provides a ra...

    journal_title:Current urology reports

    pub_type: 杂志文章,评审

    doi:10.1007/s11934-002-0066-8

    authors: Kelavkar U,Glasgow W,Eling TE

    更新日期:2002-06-01 00:00:00

  • Alternative therapies for the treatment of chronic prostatitis.

    abstract::Chronic prostatitis/chronic pelvic pain syndrome (CP/CPPS) is a prevalent disease for which there is no standardized therapy. Traditional treatments have included antibiotics, α-blockers, and anti-inflammatories, but those have not proven to be efficacious therapies through many clinical trials. Alternative therapies,...

    journal_title:Current urology reports

    pub_type: 杂志文章,评审

    doi:10.1007/s11934-011-0188-y

    authors: Suh LK,Lowe FC

    更新日期:2011-08-01 00:00:00

  • Urolift: a New Face of Minimally Invasive Surgical Technique for Benign Prostatic Hyperplasia?

    abstract::The management of clinical benign prostatic hyperplasia (BPH) remains a common problem in daily urologic practice. Recently, a new minimally invasive procedure for BPH, the Urolift System, has been introduced. This article reviews the current literature discussing the technique, efficacy, adverse events, limitations, ...

    journal_title:Current urology reports

    pub_type: 杂志文章,评审

    doi:10.1007/s11934-016-0619-x

    authors: Tsui JF,Dixon CM

    更新日期:2016-09-01 00:00:00

  • The Role of Non-invasive Testing in Evaluation and Diagnosis of Pediatric Lower Urinary Tract Dysfunction.

    abstract:PURPOSE OF REVIEW:The symptoms of lower urinary tract dysfunction (LUTD) including urinary incontinence, frequency, and urgency are among the most common reasons children are referred to pediatric urologists. Despite this, the workup for LUTD is often time consuming and a source of frustration for patients, parents, an...

    journal_title:Current urology reports

    pub_type: 杂志文章,评审

    doi:10.1007/s11934-018-0784-1

    authors: Van Batavia JP,Combs AJ

    更新日期:2018-04-06 00:00:00

  • Neuromodulation versus medication for overactive bladder: the case for early intervention.

    abstract::Overactive bladder (OAB) affects millions of people in the United States, and as the population ages, the prevalence of OAB will invariably increase. Conventional therapy for OAB includes behavioral modification and anticholinergic medication. OAB treatment comes with significant economic impact. With anticholinergic ...

    journal_title:Current urology reports

    pub_type: 杂志文章

    doi:10.1007/s11934-009-0054-3

    authors: Burks FN,Peters KM

    更新日期:2009-09-01 00:00:00

  • Erectile dysfunction in the cardiac patient.

    abstract::Erectile dysfunction (ED) often is caused by endothelial dysfunction and may be a sign that a patient has vascular disease elsewhere in the body. Risk factors for coronary artery disease such as lipid abnormalities, smoking, diabetes, and hypertension also are risk factors for ED. Oral therapy for ED, such as sildenaf...

    journal_title:Current urology reports

    pub_type: 杂志文章,评审

    doi:10.1007/s11934-003-0028-9

    authors: Kloner RA

    更新日期:2003-12-01 00:00:00

  • The Role of Interventional Radiology Techniques in the Management of Renal Angiomyolipomas.

    abstract:PURPOSE OF REVIEW:Although benign, renal angiomyolipoma (AML) may lead to serious complications without appropriate management. The purpose of this review is to describe the role of and evidence for interventional radiology techniques in the management of patients with AML. RECENT FINDINGS:For patients with renal mass...

    journal_title:Current urology reports

    pub_type: 杂志文章,评审

    doi:10.1007/s11934-017-0687-6

    authors: Kiefer RM,Stavropoulos SW

    更新日期:2017-05-01 00:00:00

  • Patient Distress in Women with Recurrent Urinary Tract Infections: How Can Physicians Better Meet Patients Needs?

    abstract:PURPOSE OF REVIEW:Recurrent urinary tract infections are a common condition that can impact patients' quality of life. The purpose of this review is to summarize and analyze the literature regarding the distress that these infections can cause to patients and provide guidance to clinicians on how to improve care of the...

    journal_title:Current urology reports

    pub_type: 杂志文章,评审

    doi:10.1007/s11934-018-0849-1

    authors: Moskowitz D,Lee U

    更新日期:2018-10-18 00:00:00

  • The State of Men's Health Services in the Veterans Health Administration.

    abstract:PURPOSE OF REVIEW:For many diseases that place a large burden on our health care system, men often have worse health outcomes than women. As the largest single provider of health care to men in the USA, the Veterans Health Administration (VA) has the potential to serve as leader in the delivery of improved men's health...

    journal_title:Current urology reports

    pub_type: 杂志文章,评审

    doi:10.1007/s11934-017-0733-4

    authors: Fenstermaker M,Paknikar S,Rambhatla A,Ohl DA,Skolarus TA,Dupree JM

    更新日期:2017-09-18 00:00:00

  • Biomarkers for the detection and prognosis of prostate cancer.

    abstract::Recent studies have cast doubt on the reliability of serum total prostate-specific antigen as a biomarker for the detection and prognosis of prostate cancer. Biomarkers that can identify those men at risk for clinically significant prostate cancer are desperately needed. The search for biomarkers that may improve the ...

    journal_title:Current urology reports

    pub_type: 杂志文章,评审

    doi:10.1007/s11934-005-0004-7

    authors: Hernandez J,Canby-Hagino E,Thompson IM

    更新日期:2005-05-01 00:00:00

  • The Impact of Medical and Surgical Treatment for Benign Prostatic Hypertrophy on Erectile Function.

    abstract::There is a well-known link between treatment for lower urinary tract symptoms (LUTS) and erectile dysfunction. Surgical and medical management of LUTS all have side effect profiles which may affect erectile dysfunction, ejaculatory dysfunction, or libido. These should be taken into consideration during patient counsel...

    journal_title:Current urology reports

    pub_type: 杂志文章,评审

    doi:10.1007/s11934-015-0549-z

    authors: Stearns GL,Sandhu JS

    更新日期:2015-11-01 00:00:00

  • Tips and tricks for intracorporeal robot-assisted urinary diversion.

    abstract::Since 2003, Karolinska University Hospitals have performed totally intracorporeal robotic-assisted radical cystectomy (RARC) in carefully selected patients. As our technique has evolved, the proportion of patients undergoing RARC has progressively increased. Whilst open radical cystectomy remains the gold standard, se...

    journal_title:Current urology reports

    pub_type: 杂志文章

    doi:10.1007/s11934-014-0457-7

    authors: Collins JW,Hosseini A,Sooriakumaran P,Nyberg T,Sanchez-Salas R,Adding C,Schumacher MC,Wiklund NP

    更新日期:2014-11-01 00:00:00

  • Sperm Morphology: History, Challenges, and Impact on Natural and Assisted Fertility.

    abstract:PURPOSE OF REVIEW:The classification of morphologically normal sperm has been progressively redefined. Concurrently, our understanding of the significance of sperm morphology in relation to male factor infertility has evolved. In this review, we will discuss the evolution of sperm morphology assessment and factors that...

    journal_title:Current urology reports

    pub_type: 杂志文章,评审

    doi:10.1007/s11934-019-0911-7

    authors: Danis RB,Samplaski MK

    更新日期:2019-06-15 00:00:00

  • Alternative treatment modalities for the hypogonadal patient.

    abstract::Testosterone (T) deficiency syndrome (TDS) is a prevalent condition, commonly managed with exogenous T. Despite an abundance of T formulations, alternative treatments are often sought for various reasons. To evaluate outcomes of alternative therapies, a PubMed search was performed of all publications that included men...

    journal_title:Current urology reports

    pub_type: 杂志文章,评审

    doi:10.1007/s11934-014-0417-2

    authors: Trost LW,Khera M

    更新日期:2014-07-01 00:00:00

  • Evaluating Urology Residency Applications: What Matters Most and What Comes Next?

    abstract:PURPOSE OF REVIEW:In light of the announcement that the United States Medical Licensing Examination Step 1 exam will transition to pass/fail reporting, we reviewed recent literature on evaluating residency applicants with a focus on identifying objective measurements of applicant potential. RECENT FINDINGS:References ...

    journal_title:Current urology reports

    pub_type: 杂志文章,评审

    doi:10.1007/s11934-020-00993-0

    authors: Huang MM,Clifton MM

    更新日期:2020-08-17 00:00:00

  • How to minimize lymphoceles and treat clinically symptomatic lymphoceles after radical prostatectomy.

    abstract::The development of a lymphocele after pelvic surgery is a well-documented complication, especially where pelvic lymph node dissection (PLND) is part of the operation. However, not all lymphoceles are symptomatic and require treatment. Most lymphoceles spontaneously resolve, and even lymphoceles that become symptomatic...

    journal_title:Current urology reports

    pub_type: 杂志文章,评审

    doi:10.1007/s11934-014-0445-y

    authors: Lee HJ,Kane CJ

    更新日期:2014-10-01 00:00:00

  • Characterizing Indeterminate Renal Masses with Molecular Imaging: the Role of 99mTc-MIBI SPECT/CT.

    abstract:PURPOSE OF REVIEW:The majority of enhancing renal masses cannot be characterized through imaging as malignant or benign; however, such characterization could save patients from unnecessary surgery and/or biopsy and associated morbidity. Herein, we review the recent literature on the emerging use of 99mTc-MIBI SPECT/CT ...

    journal_title:Current urology reports

    pub_type: 杂志文章,评审

    doi:10.1007/s11934-017-0737-0

    authors: Reynolds AM,Porter KK

    更新日期:2017-09-12 00:00:00

  • An update on lower urinary tract tuberculosis.

    abstract::Tuberculosis of the genitourinary tract presents with atypical manifestations. Only 20% to 30% of patients with genitourinary tuberculosis have a history of pulmonary infection. Tuberculosis often affects the lower genitourinary system rather than the kidney. Tuberculosis of the lower genitourinary tract most commonly...

    journal_title:Current urology reports

    pub_type: 杂志文章,评审

    doi:10.1007/s11934-008-0053-9

    authors: Wise GJ,Shteynshlyuger A

    更新日期:2008-07-01 00:00:00