Presentation
We present the first case of a teenage girl diagnosed with Hinman syndrome who developed an invasive bladder transitional cell carcinoma. [ncbi.nlm.nih.gov]
Features 20 all new case presentations with expert commentary. [books.google.com]
We present two cases whose main feature is the adult presentation. Observations .– Case 1: an 18 year old woman, who had a history of years of urinary incontinence during her childhood, suffered from an episode of acute urinary retention. [em-consulte.com]
Entire Body System
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Noncompliance
A cutaneous vesicostomy was created because of the patient’s social situation and noncompliance with bladder retraining. Two years later, the results of follow-up voiding cystourethrography and urodynamic studies were normal. [pedsradiology.com]
Respiratoric
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Rhinitis
RESULTS During the entire treatment with terazosine, special attention regarding potential side effects of a-blocker medication was addressed to the children and their parents: postural hypotension, dizziness, headache and rhinitis. [scielo.br]
Eyes
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Prolapse
Addresses all urogynecologic disorders, including genuine stress incontinence · pelvic organ prolapse · defecation disorders · painful and irritative voiding disorders · and specific conditions such as urinary tract infection. [books.google.com]
Surgery for prolapse repair and/or incontinence can lead to voiding dysfunction. [jmidlifehealth.org]
Skin
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Skin Lesion
HS can be differentiated from neurogenic bladder by five criteria: a) intact perineal sensation and anal tone, b) normal anatomy and function of the lower extremities, c) absence of skin lesions overlying the sacrum, d) normal lumbosacral spine at plain [orpha.net]
Workup
A full neurological and urological workup were both unremarkable. A thorough history revealed her symptoms were initiated after prolonged and stressful potty training with multiple failed attempts. [doctoramos.com]
Cystoscopy
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Bladder Trabeculation
Before biofeedback, all had large PVRs, bladder trabeculation and sphincter dyssynergia. Nine had hydronephrosis and five had VUR. One patient had renal failure. [biomedsearch.com]
Voiding cystography revealed bladder trabeculation and vesicoureteral reflux. On cystometry, bladder compliance was preserved with no uninhibited contraction. [read.qxmd.com]
The diagnosis of HS should be considered at uroradiography in any child with unexplained bladder trabeculations, residual urine, incontinence or posterior urethral distention. [orpha.net]
Treatment
Volumes diminished after 6 months of terazosine 1 mg treatment in the 7-year old boy and in the 11-year old boy, it improved after 9 months of treatment (2 mg). [scielo.br]
Finally, imipramine was used for the treatment. Results: The patient had a good response to the treatment by imipramine. Before the treatment was started, he had both diurnal and nocturnal enuresis almost every day. [jmatonline.com]
RESULTS: Before biofeedback, the mean PVR was 109ml (25-270ml); after biofeedback, this decreased to 21ml (0-150ml), including two patients who eventually failed treatment. [biomedsearch.com]
Although interruption of this cycle is difficult, urologic recognition and treatment can have a positive effect. Five cases are presented that demonstrate the cyclical features of Hinman syndrome. [ncbi.nlm.nih.gov]
Medical treatment was not effective in all 14 cases and six patients who underwent botulinum injection of the bladder were unresponsive to that treatment as well. [yonsei.pure.elsevier.com]
Prognosis
Prognosis HS can result in trabeculated bladder, ureterovesical obstruction, dilation of the upper tracts and renal damage and is often associated with urinary tract infections. [orpha.net]
Fourteen patients with Hinman syndrome followed at our institution were evaluated for their clinical characteristics and prognosis. Here we report the findings of this series of patients for this poorly understood syndrome. [yonsei.pure.elsevier.com]
Etiology
Etiology The etiology of the disease is not clearly defined. [intechopen.com]
Etiology The syndrome is probably caused by acquired behavioral and psychological disorders manifested by bladder dysfunction mimicking neurologic disease. The dysfunction is associated with abnormal family dynamics in 50% of cases. [orpha.net]
The exact etiology of the Hinman-Syndrome is not known and therefore it is unknown if the a1-adrenoreceptors would play a role in this matter. [scielo.br]
Epidemiology
Summary Epidemiology Prevalence is not known. Clinical description The syndrome typically occurs in early to late childhood but some adult cases have been observed. [orpha.net]
Epidemiologic classification of internationally-imported and US-acquired Congenital rubella syndrome cases will be classified epidemiologically as internationally imported or US-acquired, according to the source of infection in the mother, using the definitions [cdc.gov]
Pathophysiology
Proposed pathophysiology The precise pathophysiology of Hinman syndrome remains unclear. It is a type of functional bladder outlet obstruction, thought to be caused by voluntary contractions of the external urethral sphincter during voiding. [urologynews.uk.com]
In the past two decades a wealth of information on the pathophysiology of nocturnal enuresis, as well as of diurnal wetting, has been won. [cambridge.org]
J Urol, 166(6): 2459-62 [ EČ ][ GS ] Norgaard, J.P. (1991) Pathophysiology of nocturnal enuresis. Scand J Urol Nephrol, 140:1-35 [ CR ] [ PM ] [ EČ ][ GS ] Sillen, U. (1999) Vesicoureteral reflux in infants. [scindeks.ceon.rs]
Pathophysiology of Dysfunctional Voiding 12. Bladder Dysfunction - Associated Problems 13. [slideshare.net]
Pathophysiology and classification of voiding dysfunction. Voiding Dysfunction, Current Clinical Urology, Appell, Rodney A. Pathophysiology and Classification of Voiding Dysfunction Humana Press, 2000-01-01, Wein, Alan J. Rovner, Eric S. p. 3-24. [jmidlifehealth.org]
Prevention
Taking account of the possibility of this condition in any neonates or infants who present urinary tract infection (UTI) appears to be necessary, since early recognition and proper management of this syndrome may prevent serious complications. [ncbi.nlm.nih.gov]
However, from the longterm follow up data at our outpatient clinic, many patients eventually had bladder augmentation to prevent further loss of bladder capacity and renal function. [yonsei.pure.elsevier.com]
However, from the long-termfollow up data at our outpatient clinic, many patients eventually had bladder augmentation to prevent further loss of bladder capacity and renal function. [synapse.koreamed.org]