Genital malformations and coexistent urinary tract or spinal anomalies in patients with imperforate anus.

Purpose: Urinary tract malformations have been described in up to 50% of patients with imperforate anus but genital anomalies have been less well analyzed in the same patient population. We sought to evaluate the frequency of coexisting genital, urinary and spinal malformations in a population with imperforate anus.

Materials And Methods: We reviewed 128 cases of imperforate anus, focusing on genital malformations and their relationship to anomalies of the urinary tract and spine.

Impotence and incontinence after immediate realignment of posterior urethral trauma: result of injury or management?

Purpose: We examined further whether the injury or method of management is responsible for impotence and incontinence after immediate realignment of prostato-membranous urethral disruptions.

Materials And Methods: A total of 20 patients with complete urethral disruptions treated with immediate realignment (group 1) was compared to 12 with partial or complete injuries treated with retrograde catheterization alone (group 2). Followup status was obtained by patient questionnaire or telephone interview.

Evaluation and management of the urologic consequences of neurologic disease.

Neurologic disorders create important functional urinary tract abnormalities. Loss of bladder reflex inhibition and coordination due to neurologic disease or injury to higher centers may lead to morbidity such as recurrent urinary tract infection, hydronephrosis, urinary tract stones and loss of renal function. This paper discusses neurogenic bladder disease using a descriptive urodynamic format.

Isolated ureteral injury caused by blunt trauma.

Objectives: Ureteral injury is rare after blunt trauma. Herein is presented this unusual scenario of ureteral trauma in addition to the pathophysiology of this injury.

Methods: A 12-year-old boy sustained a rupture of the right ureter 6 cm below the ureteropelvic junction after a car accident.

Morbidity associated with nonoperative management of extraperitoneal bladder injuries.

Foley catheter drainage alone has become routine management for extraperitoneal bladder ruptures in many medical centers, and few reports address treatment failures with this approach. Over the last 10 years, 70 patients with bladder ruptures were managed at our institution. Thirty-six of these had extraperitoneal injuries caused by blunt trauma, and 29 of these were treated by catheter drainage alone.

[Prevention of acute and recurrent pyelonephritis in pregnancy].

In recent years the morbidity of the acute gestational pyelonephritis increased nearly double. From the anamnesis of 234 female patients who were hospitalised on account of chronic pyelonephritis or urolithiasis in 34.9% renal complications during pregnancy could be established.