Cases reported "Urethral Obstruction"

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1/21. Case report: acute urinary retention secondary to Isaacs' syndrome.

    We report an unusual case of acute urinary retention secondary to Isaacs' syndrome due to external urethral sphincter spasm. The patient was able to resume spontaneous voiding after the treatment of the underlying disease. At 6-month follow-up, there were no voiding complaints.
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keywords = urinary retention, retention
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2/21. Postpartum uterine retroversion causing bladder outflow obstruction: cure by laparoscopic ventrosuspension.

    A case of chronic urinary retention due to bladder outflow obstruction presenting at 7 months postpartum, following a history of early puerperal voiding difficulties, is outlined. The cause was found to be a markedly retroverted uterus obstructing the urethra. Laparoscopic ventrosuspension was performed, converting preoperative urinary residuals of over 400 ml to zero postoperatively.
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keywords = urinary retention, retention
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3/21. urinary retention resulting from incarceration of a retroverted, gravid uterus.

    urinary retention resulting from urethral obstruction by a retroverted, gravid uterus is an uncommon disorder that is reported only once in the emergency medicine literature. Yet these patients may present in extreme distress and precipitate considerable confusion regarding the cause of and solution to this problem. No study evaluating outcome, risk of complications, or therapy exists. We present two cases that clarify diagnostic and therapeutic controversies and provide a better understanding of what is known about the pathophysiology and treatment alternatives.
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ranking = 0.033164501259498
keywords = retention
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4/21. Treatment of a complete lower urinary tract obstruction secondary to an expandable foam sealant.

    We present a unique case of an iatrogenic complete lower urinary tract obstruction with an expandable foam sealant. A 41-year-old man presented in urinary retention 36 hours after self-injecting his urethra with the foam sealant, which could be palpated throughout his entire urethra. The sealant was removed from the distal urethra in numerous fragments with a hemostat and cystoscopically. A perfect mold of the bladder and prostatic urethra were removed by suprapubic cystotomy. cystoscopy 2 months later demonstrated a mild bulbar urethral stricture, but normal bladder mucosa. The cystoscopy at 6 months was normal.
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ranking = 0.2
keywords = urinary retention, retention
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5/21. Botulinum toxin urethral sphincter injection resolves urinary retention after pubovaginal sling operation.

    The management of prolonged urinary retention following pubovaginal sling surgery typically involves transvaginal urethrolysis for anatomical urethral obstruction. Brubaker [1] recently reported on urethral sphincter abnormalities as a cause of postoperative urinary retention following either Burch suspension or pubovaginal sling procedure. We report a case of functional urethral obstruction and detrusor acontractility following pubovaginal sling surgery that was successfully treated by botulinum A toxin urethral sphincter injection.
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ranking = 1.2
keywords = urinary retention, retention
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6/21. Urethral erosion of tension-free vaginal tape.

    We report a case of urinary retention and urethral erosion after placement of tension-free vaginal tape. This procedure is gaining wide popularity in both europe and the united states. Careful attention is necessary to assure tension-free placement of the sling.
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ranking = 0.2
keywords = urinary retention, retention
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7/21. Penile urethral obstruction in a subject with spinal cord injury.

    STUDY DESIGN: Single case report. OBJECTIVE: To report a case of urethral obstruction because of calculus in a subject with spinal cord injury (SCI). SETTING: Bangalore, india. CASE REPORT: A 25-year-old man sustained complete SCI at C(6) level following a road traffic accident. After 14 months, while on self-intermittent catheterization he noticed difficulty in introducing catheter and acute retention of urine. X-ray examination revealed a calculus in the penile urethra at the level of the glans penis. CONCLUSION: Impaction of calculi in penile urethra, although rare, can manifest with acute painless urinary retention in patients with SCI.
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ranking = 0.2066329002519
keywords = urinary retention, retention
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8/21. Congenital anterior urethral diverticulum with stone: a unique presentation.

    We report the case of an 18-month-old boy with a congenital anterior urethral diverticulum containing an elliptical stone at the penoscrotal junction, with urinary retention and extravasation of urine. Initial management consisted of an open suprapubic cystostomy. Three weeks after resolution of extravasation, diverticulectomy with removal of the stone by urethroplasty was done after ruling out associated obstructing anterior urethral valves.
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ranking = 0.2
keywords = urinary retention, retention
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9/21. urinary retention after tension-free vaginal tape procedure: from incision to excision...to complete urethrolysis.

    We report on a healthy neurologically intact 45-year-old patient with persistent obstruction after a tension-free vaginal tape procedure necessitating several surgical procedures for correction.
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ranking = 0.026531601007598
keywords = retention
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10/21. Spontaneous resolution of prenatal megalourethra.

    urethral obstruction in the fetus is rare. Whereas proximal obstruction most often is caused by posterior urethral valves, causes of distal obstruction are less well recognized and can include urethral atresia, urethral webs, and anterior urethral valves. These latter abnormalities can lead to urinary retention, incontinence, enuresis, spontaneous bladder rupture, and megacystis. The authors present 3 fetuses (gestational age range, 18 to 20 weeks) in whom distal urethral obstruction was suspected by prenatal ultrasonography in the absence of a demonstrable lesion. All 3 experienced spontaneous resolution of the presumed obstruction. On follow-up, all are alive and well with no adverse genitourinary tract sequelae. No postpartum intervention was required.
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ranking = 0.2
keywords = urinary retention, retention
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