Presentation
A confused patient presented with hypovolemic shock and signs of arterial and venous obstruction of the left lower extremity; the correct diagnosis of urinary retention was made after phlebography. [ncbi.nlm.nih.gov]
This type of infection often presents with urinary symptoms and any combination of the following: fevers, shaking chills, weakness or dizziness, nausea and vomiting. [deltamedix.com]
Usual clinical presentation is similar to other neonatal intestinal obstructions: bile stained vomiting and failure to pass meconium. [orpha.net]
Entire Body System
- Localized Pain
Patients with 'end stage' bladders have very low bladder volumes, recurrent ulcers and often severe, localized pain in the bladder. Their storage symptoms are extreme and these patients have usually endured years of other therapies. [beaumont.org]
- Pathologist
Definition Hydro = water Distention = to stretch by filling Biopsy = to take a sample of tissue for analysis by a pathologist This procedure can be both diagnostic (helping to make a diagnosis) as well as therapeutic(resulting in treatment or relief). [deltamedix.com]
Gastrointestinal
- Abdominal Pain
Lower abdominal pain and blood in the urine (hematuria) are found in most patients. In young children, the bladder is an abdominal organ, so abdominal trauma can injure the empty bladder. [humanmedecine2014.blogspot.com]
pain, a distended abdomen, and/or the sudden inability to pass urine. [healthcommunities.com]
Symptoms include nausea, vomiting, and abdominal pain. [medicalnewstoday.com]
Persistent hematuria or unexplained lower abdominal pain requires further investigation. Extraperitoneal Bladder Rupture Traumatic extraperitoneal rupture is usually (89%-100%) associated with pelvic fracture. [emedicine.medscape.com]
Eyes
- Prolapse
Prolapse can be caused by weakening of the muscles due to childbirth, surgeries, and obesity. Often patients suffering from vaginal prolapse also show signs of bowel dysfunction or bladder over-activity. [willametteurology.com]
prolapsed bladder (acquired) (mucosa) (sphincter) Residual - see also condition bladder 596.89 Sloughing (multiple) (skin) 686.9 bladder 596.89 Solitary ulcer, bladder 596.89 Spasm, spastic, spasticity (see also condition) 781.0 bladder (sphincter, [icd9data.com]
O75.3, O86.2- ) Other diseases of the urinary system N32 ICD-10-CM Diagnosis Code N32 Other disorders of bladder 2016 2017 2018 2019 Non-Billable/Non-Specific Code Type 2 Excludes calculus of bladder ( N21.0 ) cystocele ( N81.1- ) hernia or prolapse [icd10data.com]
In women, it tends to be related to pelvic tumours (particularly gynaecological malignancies), prolapse of pelvic structures, or pregnancy. [patient.info]
13] PAND, at gene map locus 13q22–q32, is associated with a constellation of disorders (a " pleiotropic syndrome") including IC/BPS and other bladder and kidney problems, thyroid diseases, serious headaches/migraines, panic disorder, and mitral valve prolapse [en.wikipedia.org]
Urogenital
- Pelvic Pain
[…] floor treatments [ edit ] Urologic pelvic pain syndromes, such as IC/BPS and CP/CPPS, are characterized by pelvic muscle tenderness, and symptoms may be reduced with pelvic myofascial physical therapy. [40] This may leave the pelvic area in a sensitized [en.wikipedia.org]
Although not approved for pelvic pain, there are many publications including our own from Beaumont demonstrating improvement in interstitial cystitis and pelvic pain symptoms. Beaumont urologists helped developed pudendal neuromodulation. [beaumont.org]
once thought to have chronic prostatitis (inflammation of the prostate) or prostadynia (chronic pelvic pain),may have IC. [deltamedix.com]
Although interstitial cystitis research scientists do not know exactly how TENS relieves pelvic pain, it has been suggested that the electrical pulses may increase blood flow to the bladder, strengthen pelvic muscles that help control the bladder, or [bladder.emedtv.com]
The European Association of Urology, in its guidelines on chronic pelvic pain agrees with these diagnostic criteria and with the indication of HD ( 3 ). [tau.amegroups.com]
- Pelvic Pain in Women
IC/BPS is commonly misdiagnosed as chronic prostatitis/chronic pelvic pain syndrome (CP/CPPS) in men, [32] and endometriosis and uterine fibroids (in women). [en.wikipedia.org]
Neurologic
- Tingling
In neurological causes there would be other neurological symptoms like tingling and pin and needle sensation in limbs, weakness of muscles, alteration in tone and power of the muscles. [tandurust.com]
- Paresthesia
When it affects the upper motor neuron controlling the bladder, it causes optic neuritis, paresthesia, diplopia, nystagmus, muscle weakness, and dizziness along with bladder distention. [buzzle.com]
Workup
This consideration may require additional diagnostic workup and/or referral to appropriate specialists. Treatment Levels for IC/BPS. [auanet.org]
X-Ray
- Nephrolithiasis
Acute upper tract obstruction [ 6 ] See also separate Urinary Tract Stones (Nephrolithiasis) article. Advise patients that most stones 10 mm in diameter will require intervention: Acute symptoms rarely last for more than 72 hours. [patient.info]
Treatment
Only one out of four patients who had this treatment twice showed improvement of her symptoms. [ncbi.nlm.nih.gov]
Bladder Distention as Treatment Even though bladder distention is a condition that can occur as a result of disease or some other factor, it also is used by doctors as a treatment. [healthyliving.azcentral.com]
Furthermore, if distended bladder is caused by an infection, primary treatment will revolve around treating the infection. [belmarrahealth.com]
TENS is a relatively inexpensive interstitial cystitis treatment and allows people to take an active part in the treatment process. Within some guidelines, the patient decides when, how long, and at what intensity TENS will be used. [bladder.emedtv.com]
The duration of this treatment is variable, ranging from months to years and there is consensus that the treatment of the injury would be one of the few effective treatments ( 29 - 31 ). [tau.amegroups.com]
Prognosis
Prognosis Survival in MMIHS seems to have improved, thanks to more specialized care, innovations in parenteral nutrition, and introduction of multivisceral transplantation. [orpha.net]
Acute Urinary Retention Prognosis Depending on the underlying cause, as many as 70 percent of acute urinary retention cases recur within a week after initial treatment. BPH causes most recurrences. Publication Review By: Stanley J. [healthcommunities.com]
Prognosis Prognosis is dependent on the cause, location, degree and duration of obstruction. Bad prognostic factors are longer duration and worse severity of obstruction, together with concomitant infection. [patient.info]
The prognosis also depends on the cause of obstruction. For example, an untreated infection is more likely to cause kidney damage than a kidney stone. Treatment usually aims to relieve the cause of obstruction. [merckmanuals.com]
[…] broad clinical diagnosis, on the basis of symptoms and exclusion of other diseases, and then stratify patients by urodynamic, cystoscopic, histological, and other tests on the basis of the significance of these findings for results of treatment and prognosis [tau.amegroups.com]
Etiology
Indications for the procedure included severe urgency, frequency, and incontinence from a variety of etiologies. [ncbi.nlm.nih.gov]
Etiology Etiology of MMIHS is unknown but various hypotheses have been proposed to describe the pathogenesis including genetic, neurogenic, myogenic and hormonal origin. The 15q11.2 region might be associated with MMIHS. [orpha.net]
"Etiology, pathophysiology and biomarkers of interstitial cystitis/painful bladder syndrome". Archives of Gynecology and Obstetrics. 295 (6): 1341–1359. doi : 10.1007/s00404-017-4364-2. ISSN 1432-0711. [en.wikipedia.org]
Further reading Interstitial Cystitis Association (US) Interstitial Cystitis Network (US) International Painful Bladder Foundation References Erickson, DR Interstitial cystitis: Update on etiologies and therapeutic options Journal of Women's Health 1999 [womhealth.org.au]
Facts and Epidemiology Associated conditions of AD: SCI: The most common etiology, but only lesions above T6-8 Leaving sufficient sympathetic neurons below the lesion, out of neural contact with brain stem regulating centers for the syndrome to occur [ngbladder.org]
Epidemiology
The book provides a succinct update on epidemiology and briefly covers lower urinary tract anatomy and physiology. [books.google.com]
Summary Epidemiology MMIHS prevalence is unknown but the disease has been reported in 230 patients, of which 71% are females. Clinical description Enlarged and nonobstructed bladder is the first manifestation of MMIHS and can be detected prenatally. [orpha.net]
But the RAND Interstitial Cystitis Epidemiology Study (RICE) — the largest to date on IC — revealed that the condition affects 3 to 8 million women. ( 1 ) Interstitial cystitis does not discriminate based on age or gender. [everydayhealth.com]
In recent years, the scientific community has achieved a much deeper understanding of the epidemiology of interstitial cystitis. [en.wikipedia.org]
Facts and Epidemiology Associated conditions of AD: SCI: The most common etiology, but only lesions above T6-8 Leaving sufficient sympathetic neurons below the lesion, out of neural contact with brain stem regulating centers for the syndrome to occur [ngbladder.org]
Pathophysiology
This is followed by a discussion on the pathophysiology of various types of dysfunctions and a clinical section that focuses on evaluation and treatment. [books.google.com]
Pathophysiology The pathophysiology of postpartum urinary retention is not clearly understood but various mechanisms have been suggested. [ogpnews.com]
The most prominent component of AD: dramatic development of hypertension Pathophysiologic mechanism Normal reflex mechanism: Normal sympathetic output from the spinal cord is modulated (inhibited) by input from the higher centers (medulla) Pathological [ngbladder.org]
It is clear, however, that there is a limited understanding of IC/BPS pathophysiology and that most treatments are targeted at symptom control. [auanet.org]
The pathophysiologic characteristics are complex, including transient hypervolemia from the absorption of electrolyte-free irrigation fluid, dilutional hypoalbuminemia, toxicity from glycine and impaired renal function (39). [onlinejacc.org]
Prevention
A person with bladder incontinence may have to wear diapers or pads to prevent the leakage from being noticeable. Another condition occurs when a person cannot empty their bladder or even urinate. This condition is known as distended bladder. [belmarrahealth.com]
Urinary retention is a disorder that needs to be managed immediately and correctly to prevent complications. [nurseslabs.com]
Prophylaxis: Before procedures: Electroejaculation: oral prophylaxis with 20 mg of nifedipine [Steinberger 1990] careful monitoring during procedure Endoscopic procedure in susceptible patients: spinal or general anesthesia Preventing measures: Surgical [ngbladder.org]
Complications of transurethral resection of the prostate (TURP): incidence, management, and prevention. Eur Urol. 2006; 50:969–979. PMID: 16469429. [ CrossRef ] [ Google Scholar ] 2. [e-sciencecentral.org]