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Pediatric Nephrology (Berlin, Germany) Apr 2022
Topics: Cystitis; Dysuria; Eosinophilia; Humans; Polyuria
PubMed: 34796393
DOI: 10.1007/s00467-021-05128-2 -
Pediatric Nephrology (Berlin, Germany) Apr 2022
Topics: Cystitis; Dysuria; Eosinophilia; Humans; Polyuria
PubMed: 34796394
DOI: 10.1007/s00467-021-05130-8 -
Geriatrics & Gerontology International Apr 2019The prevalence of constipation and prevalence of pollakisuria among older patients receiving home medical care have not been reported, and risk factors for these... (Observational Study)
Observational Study
AIM
The prevalence of constipation and prevalence of pollakisuria among older patients receiving home medical care have not been reported, and risk factors for these symptoms are not clear in this setting. The present study sought to determine the prevalence and risk factors of constipation and pollakisuria among older patients receiving home medical care in Japan.
METHODS
This study utilized data from patients in the Observational Study of Nagoya Elderly with Home Medical Care (n = 153). We carried out univariate and multivariate logistic regression analyses with the presence of constipation or pollakisuria as the dependent variable to evaluate the relationships between constipation or pollakisuria and several covariates.
RESULTS
The prevalence of constipation and pollakisuria were 56.9% and 15.7%, respectively. Multivariate logistic analysis showed that constipation was associated with Charlson Comorbidity Index score, polypharmacy and pollakisuria, and pollakisuria was associated with constipation and insomnia. Cardiovascular disease was inversely associated with constipation.
CONCLUSIONS
The prevalence of constipation among home-care patients was as high as that reported for nursing home residents and higher than that among community-dwelling individuals. Clinicians should be aware of increased constipation risk among home-care patients, particularly for those with a high Carlson Comorbidity Index score, polypharmacy and/or pollakisuria. Geriatr Gerontol Int 2019; 19: 277-281.
Topics: Aged; Constipation; Female; Home Care Services; Humans; Hypnotics and Sedatives; Independent Living; Japan; Laxatives; Male; Prevalence; Risk Factors; Sleep Initiation and Maintenance Disorders; Urination Disorders
PubMed: 30628140
DOI: 10.1111/ggi.13610 -
Urologie (Heidelberg, Germany) Jun 2023In this review, aspects of interstitial cystitis/bladder pain syndrome (IC/BPS) are presented against the background of the German S2k guideline on this disease. (Review)
Review
BACKGROUND
In this review, aspects of interstitial cystitis/bladder pain syndrome (IC/BPS) are presented against the background of the German S2k guideline on this disease.
OBJECTIVE
Quite often this disease, characterized by bladder or lower abdominal pain (permanent or intermittent) and pollakisuria without pathogenic bacteria in the urine culture, is diagnosed much too late.
MATERIALS AND METHODS
The debate on disease definition, aspects on pathophysiology and epidemiology are presented. For diagnosis, disease severity must be determined and relevant differential diagnoses like bladder cancer must be excluded. Conservative measures (clothing, food, sexuality, sport, bladder training, sufficient fluid intake, prevention of hypothermia) are effective especially in early stages of the disease. Combination drug therapy with mucosa stabilizing, anti-inflammatory, psychotropic, and pain-reducing drugs should be adjusted individually. Inpatient rehabilitation, hydrodistension, laser- and electrocoagulation, neuromodulation (sacral or pudendal) or hyperbaric oxygen therapy may help after pharmacotherapy failure. Cystectomy and urinary diversion are used in irreversible shrunken urinary bladder.
RESULTS
If all treatment modalities are consequently used, many patients may reach a state that is more bearable.
CONCLUSION
With a high level of suffering in many patients with IC/BPS, all available treatment modalities should be known and used.
Topics: Humans; Cystitis, Interstitial; Urinary Bladder; Urinary Bladder Neoplasms; Cystectomy; Urinary Diversion
PubMed: 37115301
DOI: 10.1007/s00120-023-02080-x -
The Veterinary Quarterly Sep 2007Pollakisuria in adult goats can be caused by diseases of the urinary tract and by distension of parts of the genital tract leading to irritation of the bladder....
Pollakisuria in adult goats can be caused by diseases of the urinary tract and by distension of parts of the genital tract leading to irritation of the bladder. Hydrometra is the most common cause of uterine distension in goats and usually can be resolved by prostaglandin injections. But other pathologies of the uterus can generate a similar syndrome. A dwarf goat was presented at the clinic with a history of chronic pollakisuria and tenesm. An initial ultrasonographic examination of the abdomen led to the suspicion of hydrometra, but treatment with injections of prostaglandin were not successful. Blood samples revealed low progesterone and high oestrogen values. A laparotomy was performed and an enlarged uterus with 1.5 L of mucous content and cystic ovaries were found and partially removed. A single solid leiomyoma was diagnosed histologically in the uterine wall. Two months later the goat's condition had deteriorated and therefore she was euthanized. Necropsy and pathohistological examination revealed the presence of a metastasized adenocarcinoma of the uterus. In this case, the pollakisuria provoqued by distension of the uterus was not caused by hydrometra, but by neoplasia. The syndrome and the pathogenesis of the adenocarcinoma in consideration of the hormonal status of the patient is discussed.
Topics: Adenocarcinoma; Animals; Diagnosis, Differential; Female; Goat Diseases; Goats; Leiomyoma; Polyuria; Uterine Neoplasms
PubMed: 17970288
DOI: 10.1080/01652176.2007.9695234 -
Journal of Clinical Neuroscience :... Jun 2019Hereditary spastic paraplegia type-IV (HSP4) is the most common of the autosomal-dominant HSPs. Though urinary dysfunction is a frequent phenotypic feature, long-term...
OBJECTIVE
Hereditary spastic paraplegia type-IV (HSP4) is the most common of the autosomal-dominant HSPs. Though urinary dysfunction is a frequent phenotypic feature, long-term pollakisuria as the initial manifestation of HSP4 has not been reported.
CASE REPORT
The patient is a 56yo female with an uneventful history until age 46y, when she developed pollakisuria. After another 6y she developed a coordination disorder, recognized as difficulties with running and climbing stairs. Since 6 m prior to presentation, she recognized mild dysphagia. The further history was positive for strabismus, varicosity, hepatopathy, thiamin-deficiency, niacin-deficiency, lumbago, cutaneous borelliosis, abortive psoriasis, lumbar spondylosis, osteochondrosis L5/S1, and HLA-B27-positive rheumatoid arthritis. Clinical exam revealed mild weakness for left foot extension (M5-), a right subclonic patella tendon reflex, and mildly impaired left hook transition. Nerve conduction studies revealed subclinical polyneuropathy. Ophthalmologic investigations, and MRI of the brain and spinal cord were non-informative. Genetic work-up revealed the novel variant c.683-2A > C in the SPAST gene. The family history was positive for HSP in her mother and sister. Pure HSP4 was diagnosed.
CONCLUSIONS
Pure HSP4 may manifest at onset with year-long pollakisuria exclusively. HSP4 may take a mild course over years, allowing the patient to do sports and to practice a demanding job.
Topics: Adult; Female; Humans; Mutation; Polyuria; Spastic Paraplegia, Hereditary; Spastin
PubMed: 30962061
DOI: 10.1016/j.jocn.2019.03.067 -
Nederlands Tijdschrift Voor Geneeskunde Jul 2018An 18-year-old male presented in the emergency department with abdominal pain since two days and complaints of pollakisuria. Laboratory results showed increased...
An 18-year-old male presented in the emergency department with abdominal pain since two days and complaints of pollakisuria. Laboratory results showed increased infection parameters and ultrasound revealed an abscess in the abdominal lower right quadrant. The patient underwent diagnostic laparoscopy. We found an infected cyst, most likely an infected urachal remnant considering its location and the histological findings in the resected tissue.
Topics: Abdominal Abscess; Abdominal Pain; Adolescent; Humans; Laparoscopy; Male; Ultrasonography; Urachal Cyst
PubMed: 30182635
DOI: No ID Found -
Hinyokika Kiyo. Acta Urologica Japonica Mar 2006We investigated the efficacy of Gosyajinkigan in 20 patients with prostatic disease, in whom pollakisuria was not improved by treatment with drugs for lower urinary...
We investigated the efficacy of Gosyajinkigan in 20 patients with prostatic disease, in whom pollakisuria was not improved by treatment with drugs for lower urinary tract symptoms. Four and 8 weeks after treatment, the urinary frequency was significantly improved during both daytime and night. The efficacy rates for diurnal frequency and nocturia were 45% and 65%, respectively. The International Prostate Symptom Score (IPSS) was decreased 4 weeks after treatment, and the parameters of uroflowmetry, the residual urine volume and quality of life score were improved 8 weeks after therapy. It was concluded that Goshajinkigan was effective for pollakisuria with prostatic disease, and the administration of the agent for 8 weeks or longer was needed to improve lower urinary tract symptoms.
Topics: Aged; Aged, 80 and over; Drug Administration Schedule; Drugs, Chinese Herbal; Humans; Male; Middle Aged; Prostatic Diseases; Prostatic Hyperplasia; Quality of Life; Treatment Outcome; Urination Disorders; Urodynamics
PubMed: 16617873
DOI: No ID Found -
Psychiatrische Praxis Jan 2012We report about a 25-year-old patient with transnasal ketamine abuse over years presenting with severe irritative urinary dysfunction (imperative urinary urgency,...
We report about a 25-year-old patient with transnasal ketamine abuse over years presenting with severe irritative urinary dysfunction (imperative urinary urgency, pollakisuria, dysuria) and severe alguria. Cystoscopia showed ketamine-induced vesicopathy with errosive cystitis; other etiologies could be excluded. Despite serious effort the patient was not motivated for abstinence from ketamine. After two ineffecient therapies with botulinum toxin A (200 and 400 I. E.) injected into the bladder, a prostate preserving cystectomia and ileum neobladder were mandatory.
Topics: Administration, Intranasal; Administration, Intravesical; Adult; Analgesics; Botulinum Toxins, Type A; Cystectomy; Cystitis; HIV Seropositivity; Humans; Ketamine; Male; Patient Compliance; Substance-Related Disorders; Urinary Diversion; Urination Disorders
PubMed: 22234442
DOI: 10.1055/s-0031-1292789 -
Praxis Apr 1998
Topics: Aged; Diagnosis, Differential; Fatigue; Fatty Liver, Alcoholic; Humans; Hypertension; Liver Cirrhosis, Alcoholic; Male; Obesity; Prostatic Hyperplasia; Urination Disorders
PubMed: 9623336
DOI: No ID Found