Publications by authors named "Viorel Dragos Radu"

: Double-J stents are urinary catheters that are frequently used in urology. They are now also used in other specialist areas such as obstetrics and gynecology. However, the use of double-J stents is not without side effects.

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Article Synopsis
  • Multidrug-resistant urinary tract infections (MDR UTIs) are a significant public health issue for pregnant women, prompting a study to analyze the types of bacteria involved and their resistance patterns.
  • The study included 371 pregnant patients with UTIs, categorizing them based on their resistance to antibiotics into four groups, and used statistical methods to assess the impact of these infections on pregnancy outcomes.
  • Key findings revealed that MDR UTIs are associated with high resistance to common antibiotics like ampicillin and increased risks of complications such as preterm birth and neonatal health issues, highlighting the need for improved treatment protocols.
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Introduction: The aim of this study was to analyze the characteristics of pyelonephritis with multidrug-resistant (MDR) bacteria in pregnant women in comparison to pyelonephritis with multidrug-sensitive bacteria in this particular patient group.

Methods: We conducted a retrospective study over a period of three years on a study group of 17 pregnant patients with pyelonephritis with MDR bacteria and on a control group of 52 pregnant patients with pyelonephritis with multidrug-sensitive bacteria. We analyzed the demographic data, the potential risk factors, aspects of the clinical picture, the incidence and type of bacteria involved, and their sensitivity spectrum.

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Article Synopsis
  • - The text discusses an opportunistic Gram-negative bacillus commonly found in soil and water, mainly causing respiratory infections in cystic fibrosis patients but also leading to rare urinary tract infections.
  • - A literature review was conducted to summarize knowledge on the causes, diagnosis, and treatment of these urinary tract infections, as existing cases are mostly individual reports or small series.
  • - In hospitals, this bacillus can cause multidrug-resistant urinary tract infections, particularly when surfaces and medical equipment are contaminated, leading to serious complications like sepsis and higher mortality rates following surgery or extended ICU stays.
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Background: The aim of our study was to analyze the factors associated with the increased risk of urinary tract infection (UTI) with carbapenem-resistant (CR) () and the antibiotic resistance spectrum of the strains in patients. As secondary objectives, we elaborated the profile of these patients and the incidence of different types of carbapenemases.

Methods: We conducted a retrospective case-control study in which we compared a group of 62 patients with urinary tract infections with CR with a control group consisting of 136 patients with urinary tract infections with multidrug-resistant (MDR), but carbapenem-sensitive (CS), , who were hospitalized between 1 January 2022 and 31 March 2024.

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Article Synopsis
  • The study evaluated the impact of double-J ureteral catheters on the effectiveness and safety of extracorporeal shockwave lithotripsy (ESWL) in patients with ureteral stones previously treated for infected hydronephrosis.
  • Both study and control groups consisted of 40 patients each, matched for stone size, location, and body mass index, showing no significant difference in stone-free rates or complications after multiple ESWL sessions.
  • Results suggest that double-J catheters do not significantly affect the efficacy or safety of ESWL in these patients, indicating they can be used without compromising treatment outcomes.
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Vesicouterine fistula is a rare complication occurring mainly after cesarean sections. We present here a particular case of vesicouterine fistula (VUF) whose only symptom was urinary incontinence. We describe the diagnostic methods used and the surgical treatment used to resolve the case.

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: Urinary tract infections (UTIs) are an important cause of perinatal and maternal morbidity and mortality. The aim of this study was to describe and compare the main pregnancy outcomes among pregnant patients with complicated and uncomplicated UTIs; : This retrospective study included 183 pregnant patients who were evaluated for uncomplicated UTIs and urosepsis in the Urology Department of 'C.I.

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Urosepsis is a significant cause of maternal and fetal mortality. While certain risk factors for urinary tract infections (UTIs) in pregnant women are well established, those associated with an elevated risk of urosepsis in pregnant women with upper UTIs remain less defined. This study aims to identify factors linked to an increased risk of urosepsis and examine urologic treatment outcomes in such cases.

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Unlabelled: The aim of the study was to compare the profile of COVID-19 (CoV)-infected patients with non-COVID-19 (non-CoV) patients who presented with a multidrug-resistant urinary tract infection (MDR UTI) associated with gut microbiota, as well as analyze the risk factors for their occurrence, the types of bacteria involved, and their spectrum of sensitivity.

Methods: We conducted a case-control study on patients admitted to the urology clinic of the "Parhon" Teaching Hospital in Iasi, Romania, between March 2020 and August 2022. The study group consisted of 22 CoV patients with MDR urinary infections associated with gut microbiota.

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Background and Objectives: Minimally invasive procedures, such as double-J ureteric stenting, could be a promising therapeutic alternative to conservative management of obstructive urinary tract pathology. We aimed to evaluate the safety and effectiveness of double-J ureteric stenting in pregnant women with ureterohydronephrosis or urolithiasis, along with their infectious complications, and to assess the pregnancy outcomes of this cohort of patients in comparison with a control group. Materials and Methods: This observational retrospective study included 52 pregnant patients who underwent double-J ureteric stenting for urologic disorders in the Urology Department of ‘C.

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Acute urologic complications, including bladder and/or ureteric injury, are rare but known events occurring at the time of caesarean section (CS). Delayed or inadequate management is associated with increased morbidity and poor long-term outcomes. We conducted this study to identify the risk factors for urologic injuries at CS in order to inform obstetricians and patients of the risks and allow management planning to mitigate these risks.

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Background/aim: Placenta percreta is a rare event, but it poses serious problems due to potential hemorrhagic events. We report a particular case of placenta percreta with massive hematuria due to maternal bladder invasion, and describe the surgical protocol performed that resulted in an excellent outcome.

Case Report: A 33-year-old patient, at 27 weeks gestational age, presented in the emergency room of the Urology Department with urinary blood clot acute retention, because of massive hematuria from a placenta percreta with bladder invasion.

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