Abstract:
OBJECTIVE:To determine whether occult megarectum remains a commonly unrecognized cause of enuresis and whether treating it will cure enuresis in most children. A landmark study proved constipation was a commonly unrecognized cause of enuresis in 1986 in which constipation was defined as abnormal rectal distension. However, modern recommendations have focused on signs of functional constipation, such as hard or rare stools. METHODS:A retrospective review of 30 consecutive patients seen in our clinic with a chief complaint of nocturnal enuresis was performed, with an analysis of the results of their plain abdominal radiographs. The results of the studies were determined using a novel method termed the rectal/pelvic outlet ratio and Leech criteria. These results were compared with the reported constipation history according to the International Children's Continence Society guidelines, which recommends asking parents and children whether the child's bowel movements occur less often than every other day and whether the stool consistency is hard. Patients diagnosed with megarectum were treated with laxatives, with the goal of restoring normal rectal tone. RESULTS:All patients demonstrated rectal distension according to the rectal/pelvic outlet ratio, and 80% were constipated according to the Leech criteria. Only 10% of the patient or families reported clinical symptoms of constipation. All the adolescent patients in our study and 80% of the younger patients were cured of enuresis with laxative therapy. CONCLUSION:Occult megarectum remains a commonly undiagnosed cause of nocturnal enuresis. Abdominal radiographs represent a simple, noninvasive method to diagnose megarectum and might improve the treatment of nocturnal enuresis.
journal_name
Urologyjournal_title
Urologyauthors
Hodges SJ,Anthony EYdoi
10.1016/j.urology.2011.10.015subject
Has Abstractpub_date
2012-02-01 00:00:00pages
421-4issue
2eissn
0090-4295issn
1527-9995pii
S0090-4295(11)02493-9journal_volume
79pub_type
杂志文章相关文献
UROLOGY文献大全abstract:OBJECTIVES:In 2001, we reported a novel technique for pediatric circumcision that has proved to be fast, reliable, and safe during the past 4 years, with good cosmetic results. Inspired by our success with this technique, we have created a similar device to be used for adults. METHODS:We conducted a prospective, rando...
journal_title:Urology
pub_type: 杂志文章,随机对照试验
doi:10.1016/j.urology.2010.02.021
更新日期:2010-10-01 00:00:00
abstract:OBJECTIVES:To assess the effects of saw palmetto on voiding symptoms and urodynamic parameters in men with lower urinary tract symptoms (LUTS) presumed secondary to benign prostatic hyperplasia (BPH). METHODS:Fifty men with previously untreated LUTS and a minimum International Prostate Symptom Score (IPSS) of 10 or gr...
journal_title:Urology
pub_type: 临床试验,杂志文章
doi:10.1016/s0090-4295(98)00143-5
更新日期:1998-06-01 00:00:00
abstract:OBJECTIVE:To examine the association between kidney size and renal cell carcinoma (RCC) death among patients with Stage pT1 clear cell RCC undergoing surgery. METHODS:We used a case-cohort design and evaluated 191 patients from our Nephrectomy Registry who had undergone open radical nephrectomy for unilateral, sporadi...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/j.urology.2012.04.013
更新日期:2012-07-01 00:00:00
abstract:OBJECTIVE:To clarify the clinical utility of urinary DNA methylation for detection of intravesical recurrence of non-muscle invasive BCa (NMIBC), we performed a 2-center prospective study. PATIENTS AND METHODS:A series of 207 self-voided urine samples were prospectively collected from 132 patients with NMIBC who had u...
journal_title:Urology
pub_type: 杂志文章,多中心研究
doi:10.1016/j.urology.2017.11.025
更新日期:2018-03-01 00:00:00
abstract::A 54-year-old man was evaluated for symptoms of bladder outlet obstruction. Evaluation revealed a 10 by 9.8-cm tumor composed of bland, fibroblastic, poorly cellular material adjacent to the prostate. Administration of a course of antiestrogen (tamoxifen) and a nonsteroidal anti-inflammatory agent (sulindac) resulted ...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/s0090-4295(96)00026-x
更新日期:1996-05-01 00:00:00
abstract::A case is described of the onset of acute renal failure due to renal artery occlusion in a solitary kidney of a sixty-six-year-old woman. She had been treated for severe hypertension due to renal artery stenosis. An aortorenal bypass to revascularized the kidney was combined with repair of an abdominal aortic aneurysm...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/0090-4295(88)90577-8
更新日期:1988-01-01 00:00:00
abstract::The possible origins of post-TUR bacteriuria (urethral flora, prostate, bladder tumors, or contaminated irrigating fluids or instruments) are discussed. A review of the literature on antibacterial prophylaxis during TUR led to a positive assessment of its value. Preferred agents for prophylaxis of urinary tract infect...
journal_title:Urology
pub_type: 杂志文章
doi:
更新日期:1985-07-01 00:00:00
abstract:OBJECTIVES:To report a randomized, double-blind, placebo-controlled trial of glyceryl trinitrate (GTN) patches. The primary outcome measure was stone passage at 6 weeks. GTN is a potent smooth muscle relaxant that may offer benefit by both reducing pain and facilitating ureteral stone passage. METHODS:Fifty consecutiv...
journal_title:Urology
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1016/s0090-4295(01)01323-1
更新日期:2001-10-01 00:00:00
abstract:OBJECTIVES:To evaluate changes in stretched penile length after radical retropubic prostatectomy (RRP) in a prospective penile measurement study because an occasional complaint from patients after RRP is that their penis is shortened. METHODS:Thirty-one patients undergoing RRP by one surgeon were enrolled. The same ph...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/s0090-4295(01)01270-5
更新日期:2001-10-01 00:00:00
abstract::We report on a twenty-four-year-old woman with extraosseous Ewing sarcoma in the right retroperitoneum. The tumor blocked the common iliac vein, and because of an intervening pregnancy, the blood flow was shunted through the uterus and left ovarian vein back into the vena cava. She died within nine months despite radi...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/0090-4295(81)90279-x
更新日期:1981-04-01 00:00:00
abstract::We present an unusual case of a fragmented, long forgotten double-J stent with incontinence as a result of partial extrusion of the lower fragment across the urinary sphincters. After reviewing the published data, incontinence as a presenting complaint, to the best of our knowledge, has not been reported for this cond...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/j.urology.2009.05.011
更新日期:2009-12-01 00:00:00
abstract::Advanced laser beam technology has made endoscopic destruction of urinary bladder tumors possible. The neodymium: YAG laser is more suited for this purpose than the other available laser systems because of the higher penetration power into biological tissue. Small superficial tumors are particularly suitable for this ...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/0090-4295(85)90279-1
更新日期:1985-06-01 00:00:00
abstract:OBJECTIVES:Photodynamic diagnosis (PDD) using 5-aminolevulinic acid has proved to be a procedure with an outstanding sensitivity for the detection of transitional cell carcinoma of the bladder, in particular in the detection of flat urothelial lesions. We report on our clinical results with 875 patients (1713 PDD proce...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/j.urology.2006.10.015
更新日期:2007-02-01 00:00:00
abstract::A case of a leiomyosarcoma developing in a penile prepuce of a young patient is presented with ultrastructural studies. The firm, well-circumscribed nodule was present for several years. Histologically and ultrastructurally the excised nodule showed features of a leiomyosarcoma. The incidence and morphology of this ra...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/0090-4295(86)90345-6
更新日期:1986-06-01 00:00:00
abstract:OBJECTIVE:To investigate the role of contemporary minilaparoscopy (ML; 3 mm instruments and laparoscope) and to identify predictive factors for complications in a prospective multicenter series for renal and adrenal surgeries. MATERIALS AND METHODS:From July 2013 to December 2014, 110 patients from 6 laparoscopic Span...
journal_title:Urology
pub_type: 杂志文章,多中心研究
doi:10.1016/j.urology.2016.02.048
更新日期:2016-06-01 00:00:00
abstract:OBJECTIVES:To develop a new technique to repair congenital and acquired megaurethra without opening the enlarged urethra. METHODS:A urethral plication similar to the Starr ureteral plication was developed, which allows the urethra to be plicated without opening into the lumen. This technique also allows the operation ...
journal_title:Urology
pub_type: 临床试验,杂志文章
doi:10.1016/s0090-4295(94)80221-1
更新日期:1994-11-01 00:00:00
abstract::A retrospective study to evaluate the relationship of blood groups of 96 patients with transitional cell carcinoma of the bladder in Israeli population, reports that patients with blood group O had higher grade tumors and higher recurrence rates than the other blood groups, without a difference in the mortality rates....
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/0090-4295(87)90379-7
更新日期:1987-11-01 00:00:00
abstract:OBJECTIVE:To investigate testicular Rho-kinase levels and the effects of its inhibitor, Y-27632, on oxidative stress, spermatogenesis, and apoptosis in testicular ischemia-reperfusion rat model. METHODS:The study included 29 adult Wistar-Albino male rats weighing 150-200 g. The rats were divided into 3 groups. Group 1...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/j.urology.2013.11.032
更新日期:2014-03-01 00:00:00
abstract:OBJECTIVES:Laser tissue soldering (LTS) in the urinary tract provides an immediate leak-free seal and may avoid complications seen with conventional repair (such as fistula and stricture). We have begun a Phase I clinical trial investigating the use of LTS in performing urologic reconstructive surgery. METHODS:Ten pat...
journal_title:Urology
pub_type: 临床试验,杂志文章
doi:10.1016/s0090-4295(99)80206-4
更新日期:1995-08-01 00:00:00
abstract:OBJECTIVES:Delay in treatment of testis cancer (TC) has a proven negative impact on disease stage, treatment outcome, and mortality. Poor public awareness of the disease and lack of testis self-examination (TSE) may account for late presentation. The aim of this study was to examine the knowledge of TC and performance ...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/j.urology.2010.03.022
更新日期:2010-10-01 00:00:00
abstract:OBJECTIVE:To explore the margin, ischemia, and complications (MIC) system achievement rate within a population of patients who were treated with robotic partial nephrectomy (RAPN), at 3 different tertiary care centers, and to determine the factors predicting MIC achievement. METHODS:The study population consisted of 3...
journal_title:Urology
pub_type: 杂志文章,多中心研究
doi:10.1016/j.urology.2014.09.068
更新日期:2015-03-01 00:00:00
abstract:OBJECTIVES:To compare the biomechanical properties of allografts, autografts, and synthetic materials used in sling surgery using the Instron tensinometer. METHODS:The sling grafts we studied consisted of autologous tissues (dermis, rectus fascia, and vaginal mucosa), cadaver tissues (decellularized dermis and freeze-...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/s0090-4295(01)01205-5
更新日期:2001-09-01 00:00:00
abstract:OBJECTIVES:Detrusor hyperreflexia with elevated storage pressures presents a major risk factor for renal damage in patients with neurogenic lower urinary tract dysfunction. If standard anticholinergic treatment is unsuccessful, surgical treatment must be considered. We evaluated the effects of intravesical oxybutynin t...
journal_title:Urology
pub_type: 临床试验,杂志文章
doi:10.1016/s0090-4295(99)00540-3
更新日期:2000-03-01 00:00:00
abstract::A patient with polycystic disease was admitted with acute abdominal pain. This was caused by a rupture of one of his right renal cysts into the collecting system, with extravasation into the subcapsular space. With conservative therapy, the patient returned to his status prior to this episode. The extravasation was ab...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/0090-4295(76)90563-x
更新日期:1976-01-01 00:00:00
abstract::Aztreonam, the first monobactam antibiotic, represents a significant evolutionary advance in antimicrobial therapy. Aztreonam is stable in the presence of the hydrolytic beta-lactamase enzymes; as such, it is effective against most Gram-negative aerobes, including Pseudomonas aeruginosa, Escherichia coli, Klebsiella, ...
journal_title:Urology
pub_type: 杂志文章,评审
doi:
更新日期:1988-06-01 00:00:00
abstract::Xanthine calculi are uncommonly encountered stones. When they occur, they typically do so in association with inborn metabolic disorders such as hereditary xanthinuria or Lesch-Nyhan syndrome. They may also occur in association with states of profound hyperuricemia such as myeloproliferative disease after treatment wi...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/j.urology.2005.10.057
更新日期:2006-05-01 00:00:00
abstract::Renal abscess is uncommon in children. In a few cases, ascending infection and/or hematogenous spread have been outlined as pathophysiologic mechanisms in published studies. We report on a 7-month-old female infant who was hospitalized with a high fever. Ultrasonography revealed a hypoechogenic mass in the left kidney...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/j.urology.2005.04.026
更新日期:2005-10-01 00:00:00
abstract:OBJECTIVES:To determine the effect irrigation fluid temperature has on core body temperature changes in patients undergoing transurethral resection of the prostate (TURP). METHODS:Fifty-six male patients (mean age 71.2 +/- 8.2 years) scheduled for TURP were enrolled in the study. Patients were randomized to one of two...
journal_title:Urology
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1016/s0090-4295(01)00993-1
更新日期:2001-06-01 00:00:00
abstract::The anterior bladder wall and actin- and myosin-like immunoreactivities within the detrusor muscles in patients with chronic obstruction of the lower urinary tract were examined by means of a MOP Videoplan image-processing system, electronmicroscopy, and light microscopic immunohistochemistry. The image-processing sys...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/0090-4295(91)80333-3
更新日期:1991-06-01 00:00:00
abstract:OBJECTIVES:To evaluate the outcomes of hand-assisted laparoscopic nephrectomy in patients with significant complicating clinical factors. METHODS:We performed a retrospective review of 322 hand-assisted laparoscopic nephrectomy cases that were completed at a single institution from 1998 to 2004. Patients with a histor...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/j.urology.2005.07.043
更新日期:2006-01-01 00:00:00