Severe urinary tract damage secondary to primary bladder neck obstruction in women

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dc.contributorSistema FMUSP-HC: Faculdade de Medicina da Universidade de São Paulo (FMUSP) e Hospital das Clínicas da FMUSP
dc.contributor.authorFREITAS, Pedro F. S.
dc.contributor.authorCOELHO, Augusto Q.
dc.contributor.authorBRUSCHINI, Homero
dc.contributor.authorROVNER, Eric S.
dc.contributor.authorGOMES, Cristiano M.
dc.date.accessioned2021-06-17T13:49:35Z
dc.date.available2021-06-17T13:49:35Z
dc.date.issued2021
dc.description.abstractObjective To present the clinical and radiological characteristics of women with severe structural deterioration of the bladder and upper urinary tract secondary to Primary Bladder Neck Obstruction (PBNO), and their outcomes after bladder neck incision (BNI). Methods Retrospective evaluation of adult women who underwent BNI for PBNO at one institution. Patients were assessed for symptoms, renal function, structural abnormalities of the urinary tract and video-urodynamics. PBNO diagnosis was confirmed with video-urodynamics in all patients. BNI was performed at the 4-5 and/or 7-8 o'clock positions. Postoperative symptoms, PVR, uroflowmetry and renal function were evaluated and compared to baseline. Results Median patient age was 56.5 years (range 40-80). All presented with urinary retention-four were on clean intermittent Catheterization (CIC) and two with a Foley catheter. All patients had bladder wall thickening and diverticula. Four women had elevated creatinine levels, bilateral hydronephrosis was present in five (83.3%). After BNI, all patients resumed spontaneous voiding without the need for CIC. Median Qmax significantly improved from 2.0 [1.0-4.0] mL/s to 15 [10-22.7] mL/s (p = 0.031). Median PVR decreased from 150 to 46 [22-76] mL (p = 0.031). There were no postoperative complications. Creatinine levels returned to normal in 3/4 (75%) patients. Conclusion PBNO in women may result in severe damage to the bladder and upper urinary tract. Despite severe structural abnormalities of the bladder, BNI was effective in reducing symptoms and improving structural and functional abnormalities of the lower and upper urinary tract.eng
dc.description.indexMEDLINEeng
dc.identifier.citationPLOS ONE, v.16, n.3, article ID e0248938, 10p, 2021
dc.identifier.doi10.1371/journal.pone.0248938
dc.identifier.issn1932-6203
dc.identifier.urihttps://observatorio.fm.usp.br/handle/OPI/40485
dc.language.isoeng
dc.publisherPUBLIC LIBRARY SCIENCEeng
dc.relation.ispartofPlos One
dc.rightsopenAccesseng
dc.rights.holderCopyright PUBLIC LIBRARY SCIENCEeng
dc.subject.wosMultidisciplinary Scienceseng
dc.titleSevere urinary tract damage secondary to primary bladder neck obstruction in womeneng
dc.typearticleeng
dc.type.categoryoriginal articleeng
dc.type.versionpublishedVersioneng
dspace.entity.typePublication
hcfmusp.affiliation.countryEstados Unidos
hcfmusp.affiliation.countryisous
hcfmusp.author.externalROVNER, Eric S.:Med Univ South Carolina, Dept Urol, Charleston, SC 29425 USA
hcfmusp.citation.scopus2
hcfmusp.contributor.author-fmusphcPEDRO FELIPE SILVA DE FREITAS
hcfmusp.contributor.author-fmusphcAUGUSTO QUARESMA COELHO
hcfmusp.contributor.author-fmusphcHOMERO BRUSCHINI
hcfmusp.contributor.author-fmusphcCRISTIANO MENDES GOMES
hcfmusp.description.articlenumbere0248938
hcfmusp.description.issue3
hcfmusp.description.volume16
hcfmusp.origemWOS
hcfmusp.origem.pubmed33740013
hcfmusp.origem.scopus2-s2.0-85102882772
hcfmusp.origem.wosWOS:000631030200038
hcfmusp.publisher.citySAN FRANCISCOeng
hcfmusp.publisher.countryUSAeng
hcfmusp.relation.referenceAbrams P, 1999, BJU INT, V84, P14eng
hcfmusp.relation.referenceAmmirati E, 2017, UROLOG J, V84, P109, DOI 10.5301/uro.5000203eng
hcfmusp.relation.referenceAthanasopoulos A, 2009, INT UROGYNECOL J, V20, P217, DOI 10.1007/s00192-008-0749-xeng
hcfmusp.relation.referenceAXELROD SL, 1987, J UROLOGY, V137, P497, DOI 10.1016/S0022-5347(17)44086-9eng
hcfmusp.relation.referenceBlaivas JG, 2004, J UROLOGY, V171, P1172, DOI 10.1097/01.ju.0000112929.34864.2ceng
hcfmusp.relation.referenceBrucker BM, 2012, UROLOGY, V80, P55, DOI 10.1016/j.urology.2012.04.011eng
hcfmusp.relation.referenceChassagne S, 1998, UROLOGY, V51, P408, DOI 10.1016/S0090-4295(97)00634-1eng
hcfmusp.relation.referenceDIOKNO AC, 1984, J UROLOGY, V132, P294, DOI 10.1016/S0022-5347(17)49601-7eng
hcfmusp.relation.referenceGRONBAEK K, 1992, SCAND J UROL NEPHROL, V26, P113, DOI 10.1080/00365599.1992.11690441eng
hcfmusp.relation.referenceHickling D, 2012, CURR UROL REP, V13, P356, DOI 10.1007/s11934-012-0267-8eng
hcfmusp.relation.referenceHoffman DS, 2016, CURR UROL REP, V17, DOI 10.1007/s11934-016-0586-2eng
hcfmusp.relation.referenceJin XB, 2012, UROLOGY, V79, P310, DOI 10.1016/j.urology.2011.11.004eng
hcfmusp.relation.referenceKumar A, 1999, J UROLOGY, V162, P2061, DOI 10.1016/S0022-5347(05)68101-3eng
hcfmusp.relation.referenceKuo HC, 2005, UROLOGY, V66, P1005, DOI 10.1016/j.urology.2005.05.047eng
hcfmusp.relation.referenceLemack GE, 2006, NAT CLIN PRACT UROL, V3, P38, DOI 10.1038/ncpuro0378eng
hcfmusp.relation.referenceMarkic D, 2014, WIEN KLIN WOCHENSCHR, V126, P217, DOI 10.1007/s00508-014-0502-zeng
hcfmusp.relation.referenceNitti VW, 1999, J UROLOGY, V161, P1535, DOI 10.1016/S0022-5347(05)68947-1eng
hcfmusp.relation.referencePeng CH, 2005, UROLOGY, V65, P275, DOI 10.1016/j.urology.2004.09.019eng
hcfmusp.relation.referencePischedda A, 2005, UROL INT, V74, P256, DOI 10.1159/000083559eng
hcfmusp.relation.referenceSussman Rachael D, 2019, Rev Urol, V21, P53eng
hcfmusp.relation.referenceTrockman BA, 1996, J UROLOGY, V156, P1418, DOI 10.1016/S0022-5347(01)65605-2eng
hcfmusp.relation.referenceZhang P, 2014, UROLOGY, V83, P762, DOI 10.1016/j.urology.2013.10.084eng
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Artigos e Materiais de Revistas Científicas - FM/MCG
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