Urodynamical findings on women with voiding problems and earlier vesico‐ureteral reflux

Lahdes-Vasama, Tuija; Roihuvuo-Leskinen, Hanna-Mari; Koskimäki, Juha; Tammela, Teuvo L.J.

doi:10.1002/nau.20711

Cited by 5 publications

(7 citation statements)

References 30 publications

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“…Urodynamic studies have been utilised, in particular to assess bladder capacity with most values being < 150 ml and very few being > 300 ml (2,8). It has been postulated that in established KIV cases, vesico‐ureteric reflux (VUR) occurs as a result of a small bladder capacity combined with high bladder pressures (detrusor overactivity) (2), whereas early VUR cases in general commonly exhibit large bladder capacity with detrusor overactivity being rare (15).…”

Section: Investigationsmentioning

confidence: 99%

Ketamine-induced vesicopathy: a literature review

Middela

Pearce

2010

International Journal of Clinical Practice

103

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Summary Ketamine consumption in on the increase as a recreational abuse substance. It is reported to cause lower urinary tract symptoms (LUTS), and published accounts of its deleterious effects are increasing. We reviewed the available literature regarding the urological impact of ketamine abuse and its management. Twenty‐two publications were found in total after a search of all databases including Pubmed, Medline and Google Scholar using the words ‘ketamine’, ‘bladder’ and ‘cystitis’ with no limits imposed. There are approximately 110 cases reported in the literature in the form of case series, case reports and letters. The effect of ketamine abuse on the bladder is universally similar; however, there is no uniform method adopted in reporting the symptoms, diagnosis and management. Very little is known regarding the pathogenesis of its effects on the urinary tract. Patients with severe irritative LUTS, a positive history of ketamine abuse and the absence of any other aetiology should be considered to have ketamine‐induced vesicopathy. Effort must be made to elicit the history of drug abuse in those with no found cause of LUTS, especially in the young. Presently, ketamine cessation is the only effective treatment modality to prevent deterioration of the renal function and indeed offer the possibility of symptom resolution. Management akin to that formulated for interstitial cystitis patients would appear to offer the greatest opportunity for effective treatment.

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Section: Investigationsmentioning

confidence: 99%

Ketamine-induced vesicopathy: a literature review

Middela

Pearce

2010

International Journal of Clinical Practice

103

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“…Therefore, a defined laboratory method may be needed to estimate the serum or urine level of ketamine and its metabolites to define objective parameters. Third, the large capacity of the bladder was noted in the presence of earlier vesico‐ureteric reflux theoretically . But the association between vesico‐ureteric reflux and the severity of ketamine‐associated cystitis is unclear.…”

Section: Discussionmentioning

confidence: 99%

“…Third, the large capacity of the bladder was noted in the presence of earlier vesico-ureteric reflux theoretically. 27 But the association between vesico-ureteric reflux and the severity of ketamine-associated cystitis is unclear. Therefore, the simultaneous evaluation of the upper urinary tract is necessary for establishing the association with disease progression in KC.…”

Section: Discussionmentioning

confidence: 99%

Is Urodynamic Study a Good Witness to the Progression of Ketamine‐Associated Cystitis?

Huang

Tsao

et al. 2013

LUTS

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“…In a small study of 17 female VUR patients with abnormal flowmetry, Lahdes‐Vasama et al . [49] reported urodynamic findings. A third of the patients had a large (>800 mL) cystometric bladder capacity.…”

Section: Discussionmentioning

confidence: 99%

Early management and long‐term outcomes in primary vesico‐ureteric reflux

Coleman

2011

BJU International

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What's known on the subject? and What does the study add? Despite evolving understanding of pathogenesis and natural history, controversy exists regarding management of childhood vesicoureteric reflux. Surgical correction of the reflux itself may reduce risk of upper tract complications in some but may not in itself constitute appropriate management of lower tract morbidity in many. This review examines the evidence for early management and long term outcomes in primary vesicoureteric reflux. Primary vesico‐ureteric reflux is a common condition in childhood associated with bladder dysfunction and an increased risk of urinary tract infection. Recent evidence indicates a lower tract functional abnormality in its pathogenesis. Whilst spontaneous resolution will occur in many, some patients will go on to develop complications in adulthood including reflux nephropathy, hypertension, urinary tract infection, bladder dysfunction and complications of pregnancy. An evolving understanding of the natural history has seen radical changes in management. Evidence for management of the child with primary vesico‐ureteric reflux is reviewed with a focus on the implications on long‐term outcomes in adulthood.

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Urodynamical findings on women with voiding problems and earlier vesico‐ureteral reflux

Cited by 5 publications

References 30 publications

Ketamine-induced vesicopathy: a literature review

Ketamine-induced vesicopathy: a literature review

Is Urodynamic Study a Good Witness to the Progression of Ketamine‐Associated Cystitis?

Early management and long‐term outcomes in primary vesico‐ureteric reflux

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