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Der Nervenarzt Jan 1999Disturbances of autonomic functions are, without a doubt, part of the symptomatology of Parkinson's disease, but do have little importance as initial symptoms. They are... (Review)
Review
Disturbances of autonomic functions are, without a doubt, part of the symptomatology of Parkinson's disease, but do have little importance as initial symptoms. They are more prominent in the advanced stages of the disease, when they then have an impact on the kind of patients' complaints and on the effects of the therapeutic measures. For example, pollakisuria and urge incontinence are restrictive for social activities and, simultaneously, nighttime akinesia disturbs sleep and recovery. Dysfunction of gastrointestinal mobility brings about a retardation in drug transport from the stomach to the upper intestine and thereby in drug absorption with the sequel of an inadequate response of the parkinsonian symptomatology. Detailed registration--there is a large number of methods--of autonomic functions provides insight into the extent of the degenerative process, but mainly helps to find ways to improve the resulting dysfunctions. Whereas some signs like thermoregulation, sebaceous secretion and sleep disturbances caused by night-time akinesia do improve under drug treatment, others like cardiovascular dysregulation and delayed colon transit-time may even be worsened.
Topics: Autonomic Nervous System Diseases; Humans; Parkinson Disease
PubMed: 10087527
DOI: 10.1007/s001150050586 -
Hinyokika Kiyo. Acta Urologica Japonica Jan 2000An 88-year-old woman was hospitalized with the chief complaints of lower abdominal pain, miction pain and pollakisuria. Radiographs showed a giant bladder stone shadow,... (Review)
Review
An 88-year-old woman was hospitalized with the chief complaints of lower abdominal pain, miction pain and pollakisuria. Radiographs showed a giant bladder stone shadow, 12.0 x 9.0 cm in size. Cystolithotomy was performed under the diagnosis of bladder stone. The extirpated stone weighed 510 g, and measured 10.0 x 7.5 x 6.0 cm in size. The stone had four compartments of stratified lamellae composed of calcium phosphate and magnesium ammonium phosphate. The postoperative course was uneventful and the bilateral hydronephrosis improved markedly on DIP.
Topics: Aged; Aged, 80 and over; Calcium Phosphates; Female; Humans; Magnesium Compounds; Phosphates; Struvite; Treatment Outcome; Urinary Bladder Calculi
PubMed: 10723663
DOI: No ID Found -
Acta Chirurgica Belgica 2009In this paper we report a rare case of an incarcerated inguinoscrotal hernia of the urinary bladder in a 64-year-old male patient. He presented with a giant inguinal...
In this paper we report a rare case of an incarcerated inguinoscrotal hernia of the urinary bladder in a 64-year-old male patient. He presented with a giant inguinal hernia and pollakisuria. The bladder was surgically repositioned intra-abdominally and resection of part of the bladder fundus was performed through laparotomy. Closure of the inguinal defect was performed through an inguinal approach. The patient's further recovery was uneventful. Herniation of the bladder is a very infrequent finding in inguinal hernias. We searched the literature and only found a few case reports describing this rare pathology. The literature and treatment options are discussed.
Topics: Cystoscopy; Diverticulum; Hernia; Hernia, Inguinal; Humans; Male; Middle Aged; Urinary Bladder Diseases; Urination Disorders
PubMed: 20184079
DOI: 10.1080/00015458.2009.11680547 -
Hinyokika Kiyo. Acta Urologica Japonica Nov 1990Efficacy and safety of terodiline hydrochloride were studied by treating 38 patients who complained of pollakiuria and incontinence with this drug. Terodiline...
Efficacy and safety of terodiline hydrochloride were studied by treating 38 patients who complained of pollakiuria and incontinence with this drug. Terodiline hydrochloride in a dose of 24 mg once or 12 mg twice a day was administered to these patients for 4 weeks and the conditions of the patients before and after the treatment were evaluated. According to the subjective symptoms, pollakisuria during the daytime and at night, incontinence, anischuria at night and frequency of urination were all reduced significantly. Objective symptoms detected after the treatment a tendency of increase (p less than 0.1) in the bladder volume at the time of maximum micturition. However, no change in the urination volume and the maximum urine flow was observed before and after the administration. A significant decrease (p less than 0.05) in residual urine was noted after the treatment. The results were favorable with overall improvement of 78.4% and efficacy of 75.7%. Side effects were observed in 3 of the 38 cases (7.9%), but all the symptoms were slight.
Topics: Adult; Aged; Butylamines; Drug Evaluation; Female; Humans; Male; Middle Aged; Polyuria; Urinary Incontinence; Urodynamics
PubMed: 2288317
DOI: No ID Found -
Ugeskrift For Laeger Feb 1985
Topics: Adult; Bacteria, Anaerobic; Bacteriuria; Female; Humans; Middle Aged; Urination Disorders
PubMed: 3984080
DOI: No ID Found -
Hinyokika Kiyo. Acta Urologica Japonica Apr 1988The clinical course of a case of vesicosigmoidal fistula is presented. The patient, a 76-year-old woman, became aware of terminal micturition pain and pollakisuria in... (Review)
Review
The clinical course of a case of vesicosigmoidal fistula is presented. The patient, a 76-year-old woman, became aware of terminal micturition pain and pollakisuria in February, 1985. She was first treated under the diagnosis of cystitis to be relieved of her subjective symptoms, although there was no improvement of pyuria. She also began to feel lower abdominal pain on April 3, 1985. After various examinations including intravenous pyelography, enteroclysis and cystoscopy the diagnosis of vesicosigmoidal fistula originating from sigmoid diverticulitis was established. Careful observation at operation revealed remarkable adhesion among the sigmoid colon, bladder, uterus and left ovary. The sigmoid colon, was resected followed by end-to-end anastomosis. Because of considerably extensive inflammatory changes over the mucosal membrane of the bladder, the hole of fistula on the vesical wall was simply closed from outside of the bladder without performing partial cystectomy. Histological examination only demonstrated non-specific inflammatory changes without evidence of malignancy. She had a favorable progress postoperatively.
Topics: Aged; Diverticulitis, Colonic; Female; Humans; Intestinal Fistula; Methods; Sigmoid Diseases; Urinary Bladder Fistula
PubMed: 3041780
DOI: No ID Found -
Hinyokika Kiyo. Acta Urologica Japonica Feb 1991Two cases of giant hydrocele, having more than 1,000 ml of contents, are presented. The first patient was a 77-year-old man with the complaint of urination difficulty... (Review)
Review
Two cases of giant hydrocele, having more than 1,000 ml of contents, are presented. The first patient was a 77-year-old man with the complaint of urination difficulty and a very swollen left scrotum of three years duration. Mild prostatic hypertrophy, mild renal dysfunction and hypertension were seen during hospitalization. A scrotal puncture gave 2,100 ml of serous fluid. Radical hydrocelectomy and plastic operation for surplus scrotal skin were done, and difficult urination improved markedly. The second patient was a 77-year-old man with the complaint of right scrotal swelling of fifteen years duration. He had developed pollakisuria and urination difficulty three years previously. When he was transferred our hospital on emergency due to engorgement, the diagnosis of giant hydrocele was made. Right orchidectomy was performed because of marked testicular atrophy and old hemorrhagic fluid of 1,200 ml. Urination difficulty and pollakisuria disappeared postoperatively.
Topics: Aged; Humans; Male; Testicular Hydrocele; Urination Disorders
PubMed: 2048501
DOI: No ID Found -
International Journal of Urology :... Oct 2007A 64-year-old man was admitted with complaints of abdominal pain and pollakisuria. A soft mass was palpable under his navel. Magnetic resonance imaging (MRI) revealed a...
A 64-year-old man was admitted with complaints of abdominal pain and pollakisuria. A soft mass was palpable under his navel. Magnetic resonance imaging (MRI) revealed a 9 x 6 cm tumor, which was composed of a cystic lesion arising from the urachus and a solid mass component at the urinary bladder dome. Urine cytology specimens showed squamous cell carcinoma (SCC). Serum SCC level was increased and the tumor was removed surgically. Histological examination detected well-differentiated SCC, which had invaded the urinary bladder and the peritoneum. The patient has been followed up without recurrence for 6 months.
Topics: Carcinoma, Squamous Cell; Humans; Male; Middle Aged; Urachus; Urinary Bladder Neoplasms
PubMed: 17880304
DOI: 10.1111/j.1442-2042.2007.01857.x -
Fortschritte Der Neurologie-Psychiatrie Dec 1995Patients with disseminated encephalomyelitis have various urological presentations, ranging from pollakisuria to urge incontinence. After detailed evaluation... (Review)
Review
Patients with disseminated encephalomyelitis have various urological presentations, ranging from pollakisuria to urge incontinence. After detailed evaluation (neuro-urological examination, urodynamic investigation) drug therapy and various interventional methods must be adapted to the individual manifestations. Patients with detrusor hyperreflexia are treated with oral anticholinergic agents (oxybutynin, trospium chloride, propiverine). Patients with urinary retention are recommended to be managed with clean intermittent (self)-catheterisation. The various interventional therapeutic options (bladder denervation, electrostimulation, local treatment with botulinum toxin) and the surgical therapy (sacral deafferentation and anterior root stimulation, bladder neck closure and cystostomy, sphincterotomy or augmentation cystoplasty) must be reserved for special cases.
Topics: Cholinergic Antagonists; Combined Modality Therapy; Humans; Multiple Sclerosis; Nervous System; Treatment Outcome; Urinary Bladder; Urinary Catheterization; Urination Disorders
PubMed: 8586353
DOI: 10.1055/s-2007-996650 -
Natural Product Communications Oct 2013Mori Cortex Radicis (MCR, Moraceae) is used traditionally in the treatment ofjaundice, hematemesis, edema, and pollakisuria in Korea. In this study, the antiinflammatory...
Mori Cortex Radicis (MCR, Moraceae) is used traditionally in the treatment ofjaundice, hematemesis, edema, and pollakisuria in Korea. In this study, the antiinflammatory effects of MCR extract were investigated using RAW 264.7 cells. The simultaneous analysis of five components present (neochlorogenic acid, chlorogenic acid, cryptochlorogenic acid, caffeic acid, and p-coumaric acid) in the MCR extract was performed using high-performance liquid chromatography (HPLC) coupled with photodiode array (PDA) detection. We determined the effects of MCR extract and its components on the production of nitric oxide (NO), prostaglandin E2 (PGE2), and mRNA expression of cyclooxygenase-2 (COX-2) in RAW 264.7 cells. MCR extract suppressed the production of NO and PGE2 in RAW 264.7 cells in a dose-dependent manner. None of the five components of the MCR extract had any influence on the production of NO. However, caffeic acid and p-coumaric acid inhibited the production of PGE2 and mRNA expression of COX-2 in RAW 264.7 cells. Our results suggest that MCR extract may offer potential as a therapeutic agent for the treatment of inflammation. The method we have established will help to improve the quality control of MCR extracts.
Topics: Animals; Anti-Inflammatory Agents; Caffeic Acids; Cell Line; Chlorogenic Acid; Chromatography, High Pressure Liquid; Coumaric Acids; Cyclooxygenase 2 Inhibitors; Mice; Morus; Plant Extracts; Propionates
PubMed: 24354197
DOI: No ID Found