The risk of chronic urinary retention following treatment of the sphincter is high in this population. Much of the literature on this topic is anecdotal. Prospective studies comparing treatment options for neurogenic sphincteric incontinence within this population are needed....
"Virtually all authors, including the American Academy of Pediatrics (AAP) and the UK National Institute for Health and Clinical Excellence (NICE), emphasize the importance of rapid antibiotic treatment (of UTI) in the very young to reduce sequelae" (Coulthard, 2019). E. coli is still the mo...
Interview and clinical examination Hematuria, recurrent urinary tract infections, persistent pelvic pain, urine retention, genitalia abnormalities, suspicious induration of the prostate Urinary symptoms Predominant symptoms of the storage phase (to be determined by a bladder diary) Ultrasound of the urinary...
A simple UTI (or cystitis) is a urinary tract infection due to appropriate susceptible bacteria in a clinical context not associated with treatment failure or poor outcomes. Typically, this is an infection in an afebrile, nonpregnant, immune-competent female patient. Pyuria and/or bacteriuria with...
All analyses were done using intention-to-treat randomly allocated groups and, where possible, were adjusted for centre and patient diagnosis at baseline (lower urinary tract symptoms vs urinary retention). Complications of treatment were also explored on an as-treated basis to identify any treatment...
urinary tract on ultra- sound (an isolated mild dilatation of the renal pelvis (≤ 10 mm) is not an indication for further imaging) – Poor urine flow, e.g., posterior urethral valves [PUV] in boys, oliguria not due to dehydration, urinary retention – Infection with organisms other than...
According to (Gould et al., 2017), an appropriate situation is one where a patient has acute urinary retention or bladder obstruction, whereas an inappropriate situation is one where a catheter is being used a means of obtaining urine for culture when the patient can voluntarily void. Nurses ...
Secondary surgery was defined as the patient undergoing another operation (i.e., TVT/TVTO) within 5 years due to recurrent SUI; urinary retention was defined by ICD-9-CM and ICD-10-CM codes (Supplementary Table 1). Statistical analysis Continuous variables are presented as medians and inter...
The primary outcome is the incidence of symptomatic antibiotic-treated UTI self-reported by participants during the 12-month period of preventative treatment. Health economic outcomes will also be assessed to define the cost-effectiveness of both treatments. A qualitative study will be conducted in ...
However, it is likely that antibiotics will be started anyway because it would be too dangerous to delay antibiotic treatment until tests are able to confirm the specific cause of the infection. They will then need to wait until the immune system starts to tackle the infection, although ...