Aims: To investigate the effects of diets on factors and markers of inflammation and fibrosis in unobstructed and obstructed bladders of male Wistar rats.
Materials And Methods: Partial BOO was surgically induced in twelve-week old rats after feeding on different diets for eight (8) weeks. Feeding continued for 4 weeks after surgery. Rats were divided into sham-operated and BOO groups as follow: control, high-carbohydrate (HCD), high-fat (HFD) and high-protein (HPD). After the feeding period, bladder weight, CRP, nerve growth factor (NGF), tissue growth factor-β (TGF-β), connective tissue growth factor (CTGF), hypoxia inducible factor-1α (HIF-1 α), platelet-derived growth factor-A (PDGF-A) and CXCL12 were all determined.
Key Findings: In both unobstructed and obstructed bladders, CRP was increased in animals fed on the HFD (P < 0.05). NGF was increased in animals fed on HFD and HPD but decreased only in HCD-BOO. CXCL12 was increased in animals fed on HFD and HPD (P < 0.05) and decreased in HCD. The HCD-BOO group exhibited a decrease in CXCL12, while CXCL12 increased in HFD-BOO. TGF-β was elevated in HFD and all the dietary-BOO groups, but animals with obstructed bladders fed on the HPD and HCD had significant reduction in TGF-β expression. CTGF was increased in HFD- and HPD-fed animals. HIF-1α, PDGF-A and collagen were increased in both HFD dietary groups and HPD-BOO.
Significance: Feeding on a high fat diet results in increased activity of factors and mediators of inflammation and fibrosis in both unobstructed and obstructed rat bladders. This might increase predisposition to or further worsen symptoms in BOO.
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http://dx.doi.org/10.1016/j.lfs.2018.08.069 | DOI Listing |
Introduction: Benign prostatic hyperplasia (BPH) affects a significant proportion of aging males, often requiring surgical intervention when conservative treatments fail.
Case Description: This case report details the management of a 58-year-old male with severe lower urinary tract symptoms and a markedly enlarged prostate, presenting with bladder stones and persistent obstruction despite medication. The patient underwent an open simple prostatectomy but developed bladder neck contracture and recurrent urinary retention, necessitating a suprapubic cystostomy.
Nihon Hinyokika Gakkai Zasshi
January 2025
Department of Urology, Keio University School of Medicine.
A 14-year-old boy developed hydronephrosis and worsening renal function due to fibroepithelial polyps of the bladder and left ureter at the age of 12 years. The endoscopic treatment of ureteral polyps was attempted by his previous doctor; however urethral stricture and ureteral stricture developed and was untreatable. Therefore, he was referred to our hospital for further reconstructive treatment.
View Article and Find Full Text PDFUrogynecology (Phila)
January 2025
Division of Female Pelvic Medicine and Reconstructive Surgery, Northwestern Medicine, Chicago, IL.
Importance: Literature surrounding conservative management of voiding dysfunction (VD) due to pelvic organ prolapse (POP) is limited.
Objective: The objective of this study was to evaluate the effect of pessaries on VD in women with symptomatic POP.
Study Design: This was a retrospective case series of adult women who underwent a pessary fitting for POP and VD between January 2010 to December 2022 at 2 tertiary care centers.
Asian J Endosc Surg
January 2025
Department of Surgery, Graduate School of Medicine, Kyoto University, Kyoto, Japan.
Bladder invasion by appendiceal cancer resulting in a vesico-appendiceal fistula is an uncommon occurrence. Both radical tumor removal and functional preservation of the bladder are desirable in the surgical treatment of this disease, and there are few reports on detailed surgical methods. Here, we describe a case of primary appendiceal mucinous carcinoma with bladder invasion treated with robotic laparoscopy and endoscopy cooperative surgery (RECS).
View Article and Find Full Text PDFTransl Androl Urol
December 2024
Department of Urology, Peking University People's Hospital, Beijing, China.
Background: Aggressive angiomyxoma (AAM) is a rare benign mesenchymal tumor known for its aggressive behavior and high recurrence rates, with male cases of AAM being less frequently reported. This study presents a rare case of primary prostatic AAM characterized by a prostatic urethral mass obstructing the bladder outlet, resulting in acute renal dysfunction.
Case Description: The 51-year-old male patient presented with lumbar pain, nausea, frequent urination, urgency, and incomplete urination.
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