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Dysuria in Children

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201. Can lichen sclerosus be diagnosed by preputial appearance or symptoms? (Full text)

Can lichen sclerosus be diagnosed by preputial appearance or symptoms? Lichen sclerosus (LS), or balanitis xerotica obliterans, is a chronic, inflammatory disease accompanied by cicatrizing skin conditions resulting in pathologic phimosis. LS can be detected clinically by the whitish appearance of the glans or the foreskin, thickened, nonretractable foreskin, dysuria, and spraying. However, diagnosis is confirmed histopathologically.The aim of this study was to investigate whether LS can (...) be diagnosed on the basis of clinical manifestation and symptoms.A retrospective analysis was performed, which included boys referred to our institutions for phimosis evaluation between May 2001 and December 2016. Pediatric urologists clinically diagnosed LS preoperatively. Boys with voiding problems, recurrent balanoposthitis, or who were unresponsive to topical steroid treatment underwent surgical treatment. Patients who underwent religious circumcisions were not included.Three-hundred twenty boys

2018 Research and reports in urology PubMed abstract

202. Vaginal CO2 Laser and the Genitourinary Syndrome of Menopause

at their impression of improvement after the laser therapy 10-centimeter Visual Analogue Scale assessing intensity of itching, burning and dysuria [ Time Frame: 24 months ] It is a straight line with 2 endpoints "0" and "10". Zero defines "no symptom at all", while 10 "symptom as bad as it could be" and "dryness as bad as it could be". Participants will draw a line at or between the 2 end points. The distance between zero and drawn line will define the intensity of symptom 3 days voiding diary [ Time Frame: 24 (...) may contact the study research staff using the contacts provided below. For general information, Layout table for eligibility information Ages Eligible for Study: Child, Adult, Older Adult Sexes Eligible for Study: Female Gender Based Eligibility: Yes Gender Eligibility Description: Female Accepts Healthy Volunteers: Yes Criteria Inclusion Criteria: Symptoms of vaginal atrophy (dyspareunia and/or vaginal dryness) Menopause Exclusion Criteria: Systemic or local hormonal therapy the last 6 months

2018 Clinical Trials

203. Testicular cavernous hemangioma associated with testicular torsion – case report and review of literature (Full text)

approach to management with orchidectomy, although potential conservative focal partial surgical excision is desirable. Hemangiomas of the testis have a similar sonographic and magnetic resonance imaging appearance to that of malignant tumors of the testis, especially seminoma. The work has been reported in line with the SCARE criteria.We present a case of testicular torsion in a 15-year-old male patient who had a painful left testis for 6 days, no vomiting, no fever or dysuria. With clinical suspicion (...) hemangioma is a rare tumor of the testicle in either childhood or adult period. The particularity of the presented case is the possible association of a cavernous intratesticular hemangioma with the torsion of the testis in a teenager. Clinicians and pathologists must be aware of the rare entity of testicular hemangiomas, as clinical examination and imaging studies do not often suffice to arrive at a correct diagnosis.Copyright © 2018 The Authors. Published by Elsevier Ltd.. All rights reserved.

2018 International journal of surgery case reports PubMed abstract

204. Incarceration of early gravid uterus with adenomyosis and myoma: report of two patients managed with uterine reduction (Full text)

reduction and pessary insertion, and she delivered a normal infant at term. In the second case, a 31-year-old nulliparous woman with a large myoma complained of dysuria, acute urinary retention, and intense back pain at 6 weeks of gestation. Manual reduction was successful in the knee-chest position. Subsequent pessary insertion failed; however, a slight reduction in pain was achieved. After a week, the fetus spontaneously aborted. In summary, gravid uterine incarceration is a rare but potentially fatal

2018 Obstetrics & gynecology science PubMed abstract

205. Laser Therapy for Treatment of Urogenital Symptoms in Women

Bladder, Overactive Urinary Tract Infections Stress Urinary Incontinence Device: fCO2 Laser Therapy Group Detailed Description: Fractional carbon dioxide (fCO2) laser treatment of the vaginal tissue has been proposed as a treatment for various genitourinary symptoms, including vaginal itching, burning, dryness, dyspareunia (difficult or painful sexual intercourse), dysuria (painful or difficult urination), nocturia (waking at night to urinate), incontinence (the involuntary loss of urine), urine (...) sexual functioning. Scores range from 2-36. A score of 26.55 has been clinically selected as the cut-off for sexual dysfunction. Scores below this value indicate sexual dysfunction. Change in frequency of UTI occurrences, as measured by a positive urine culture test. [ Time Frame: 6 months and 36 months post-initial treatment ] A clean catch urine specimen will be collected at each visit. A positive urine dipstick test will have the presence of leukocytes and nitrites accompanied by symptoms (dysuria

2018 Clinical Trials

206. Effect of Transcutaneous Acupoint Electrical Stimulation on Postoperative Spontaneous Voiding for Laparoscopic Patients

nonacupoints (located 1 inch beside acupoints) and avoided manual stimulation and no "Deqi" without actual current output. Aim of the research: Evaluate the effect of TAES on the postoperative spontaneous voiding in patients for Laparoscopic Cholecystectomy (LC ). Outcome:Primary outcomes: The time of the first spontaneous voiding after surgery . Secondary outcomes: symptoms of postoperative voiding, the incidence of Postoperative dysuria,postoperative catheterization rate, catheterization time, incidence (...) ) points were selected for perioperative TAES treatment, accompanied with evaluating the postoperative spontaneous voiding, the incidence of Postoperative dysuria,postoperative catheterization rate, as well as the effects on postoperative NRS pain and sleep quality scores . To clarify the effect of TAES on the postoperative spontaneous voiding in patients for laparoscopic surgery is of great significance to the clinical applications and popularization of traditional acupuncture treatment

2018 Clinical Trials

207. Investigation and Detection of Urological Neoplasia in Patients Referred With Suspected Urinary Tract Cancer:

or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the contacts provided below. For general information, Layout table for eligibility information Ages Eligible for Study: 16 Years and older (Child, Adult, Older Adult) Sexes Eligible for Study: All Accepts Healthy Volunteers: No Sampling Method: Non-Probability Sample Study Population Patients referred to secondary care for further investigation of suspected urinary (...) tract cancer Criteria Inclusion Criteria: Any patient referred with haematuria (visible and non-visible) undergoing cystoscopy Any patient referred without haematuria undergoing cystoscopy for the purpose of ruling out urothelial cancer suspected due to other symptoms (e.g. lower urinary tract symptoms, recurrent urinary tract symptoms, dysuria) Exclusion Criteria: Patients with a previous or known diagnosis of primary upper or lower urinary tract urothelial cancers (renal, ureteric, bladder

2018 Clinical Trials

208. Enuresis Alarm

in children, and use of bedwetting alarms has shown the best long-term success. However, use of alarms is very time-intensive, often taking months before yielding results. Researchers in the division of pediatric urology are initiating a randomized controlled study comparing a standard bedwetting alarm with a newly developed technology, with the hope that the new alarm will result in better, more rapid, and easier treatment for bedwetting. Children between the ages of 5 to 15 years old who have issues (...) for Study: All Accepts Healthy Volunteers: No Criteria Inclusion Criteria: children ages 5-15 years Diagnosis of Primary Monosymptomatic Nocturnal Enuresis >2 wet nights per week Score of 7 or below on questions 1-6 and 9-13 on Vancouver Dysfunctional Elimination Questionnaire Patients/parents compliance in recording data > 50% of nights Exclusion Criteria: Known comorbid conditions: daytime incontinence, anatomic abnormalities (hydronephrosis, VUR), recurrent urinary tract infection, dysuria

2018 Clinical Trials

209. ROBUST III- Re-Establishing Flow Via Drug Coated Balloon For The Treatment Of Urethral Stricture Disease

urethrogram. (Stricture length is defined as the distance between the most distal edge of the stricture to the most proximal edge of the stricture). Two or more prior dilation treatments of the same stricture, including DVIU (Direct Vision Internal Urethrotomy), but no prior urethroplasty. Significant symptoms of stricture such as frequency of urination, dysuria, urgency, hematuria, slow flow, feeling of incomplete emptying, recurrent urinary tract infections (UTI's). International Prostrate Symptoms (...) the study quality of life questionnaires Unwilling to use protected sex for thirty (30) days' post treatment Unwilling to abstain or use protected sex for ninety (90) days post treatment if sexual partner is of child bearing potential. Inability to provide Informed Consent Form (ICF) and/or comply with all the required follow-up requirements Participation in other pre-market studies or treatment with an investigational drug or device. Long term follow up or post market study of an approved device

2018 Clinical Trials

210. Pharmacokinetic Study of Oral Gepotidacin (GSK2140944) in Subjects With Uncomplicated Urinary Tract Infection (Acute Cystitis)

for Study: Female Gender Based Eligibility: Yes Accepts Healthy Volunteers: No Criteria Inclusion Criteria: Subject must be >=18 to <=65 years of age inclusive, at the time of signing the informed consent. The subject has 2 or more of the following clinical signs and symptoms of acute cystitis with onset <=72 hours of the screening assessment: dysuria, frequency, urgency, or lower abdominal pain. The subject has pyuria (>=10 white blood cells per cubic millimeters [WBC/mm^3] or the presence of leukocyte (...) not include a history of childhood febrile seizures) OR Any surgical or medical condition (active or chronic) that may interfere with drug absorption, distribution, metabolism, or excretion of the study drug (e.g., ileostomy or malabsorption syndrome). Subjects who have had a gastric bypass or a cholecystectomy are excluded from the study OR Hemoglobin value <12 grams per deciliter (g/dL) or a known uncorrected iron deficiency. The subject, in the judgment of the investigator, would not be able or willing

2018 Clinical Trials

211. Use of a Diurnal Indwelling Urethral Catheter to Improve Quality of Life

or your doctor may contact the study research staff using the contacts provided below. For general information, Layout table for eligibility information Ages Eligible for Study: 10 Years to 21 Years (Child, Adult) Sexes Eligible for Study: All Accepts Healthy Volunteers: No Criteria Inclusion Criteria: Age 10 to 21 years at study entry Primary diagnosis of Spina Bifida or Spinal Cord Injury with neurogenic bladder and established patients of a pediatric urologist in the Shriners Hospitals for Children (...) , social and personal domains, sleep disturbance and incontinence severity. Differences in component summary scores will be assessed at each endpoint weeks 4, 12, and 24 and compared to baseline scores as noted for the SF-36. PedsQL [ Time Frame: at baseline, week 4,12, and 24 ] Pediatric quality of life will be assessed by the PedsQL (pediatric quality of life) 4.0 Generic Core Scales includes scales that assess child self-report and parent proxy-report of generic core health outcomes from

2018 Clinical Trials

212. Trichomonas Vaginalis Genotyping in Upper Egypt

: In women, trichomoniasis has a wide range of presentations, from asymptomatic to acute or chronic inflammatory disease they include urethral discharge and dysuria. Among women, common sites of infection include the vagina, urethra and endocervix. Symptoms include vaginal discharge (which is often diffuse, malodorous, yellow-green), dysuria, itching, vulvar irritation and abdominal pain. The normal vaginal pH is 4.5, but with TV infection this increases markedly, often to >5 Colpitis macularis (...) personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the contacts provided below. For general information, Layout table for eligibility information Ages Eligible for Study: Child, Adult, Older Adult Sexes Eligible for Study: Female Gender Based Eligibility: Yes Gender Eligibility Description: non virgins females Accepts Healthy Volunteers: No Sampling Method

2018 Clinical Trials

213. Vaginal Laser Therapy in Breast Cancer Survivors

-treatment ] It is a single item questionnaire assessing the impression of participants following the intervention 10-centimeter Visual Analogue Scale assessing intensity of itching, burning and dysuria [ Time Frame: Change from baseline at 1 month post-treatment ] It is a straight line with 2 endpoints "0" and "10". Zero defines "no symptom (itching, burning and dysuria) at all" , while 10 "symptom (itching, burning and dysuria) as bad as it could be". Participants will draw a line at or between the 2 (...) end points. The distance between zero and drawn line will define the intensity of itching, burning and dysuria King's Health Questionnaire (KHQ) [ Time Frame: Change from baseline at 1 month post-treatment ] It has 3 sections: 1) general health and overall health related to urinary symptoms with 2 questions, 2) incontinence impact, role limitations, physical limitations, social limitations, personal limitations, emotions, sleep and energy, and severity coping measures with 19 questions and 3

2018 Clinical Trials

214. Atopic dermatitis – Treatment with phototherapy and systemic agents (Full text)

. 1992 ; 52 : 671–676 | | | • Concurrent topical steroid treatment during oral antibiotic course C III No clinical trials Systemic antivirals for eczema herpeticum C II 68 x 68 Aronson, P.L., Yan, A.C., Mittal, M.K., Mohamad, Z., and Shah, S.S. Delayed acyclovir and outcomes of children hospitalized with eczema herpeticum. Pediatrics . 2011 ; 128 : 1161–1167 | | | Against use of systemic antihistamines • Sedating C III x 69 Diepgen, T.L. Early Treatment of the Atopic Child Study Group. Long-term (...) in childhood with narrowband ultraviolet B phototherapy. Clin Exp Dermatol . 2007 ; 32 : 28–33 | , x 13 Jekler, J. and Larko, O. UVB phototherapy of atopic dermatitis. Br J Dermatol . 1988 ; 119 : 697–705 | | | , x 15 Tay, Y.K., Morelli, J.G., and Weston, W.L. Experience with UVB phototherapy in children. Pediatr Dermatol . 1996 ; 13 : 406–409 | | | , x 22 Uetsu, N. and Horio, T. Treatment of persistent severe atopic dermatitis in 113 Japanese patients with oral psoralen photo-chemotherapy. J Dermatol

2014 American Academy of Dermatology PubMed abstract

215. Dapagliflozin (Forxiga) in type 2 Diabetes Mellitus. Urinating glucose has its problems

or insulin). Frequent (1/100 to <1/10): Vulvovaginitis, balanitis and genital infections, urinary tract infections, back pain, dysuria, polyuria, dyslipidaemia, increase in he- matocrit. Less frequent (1/1.000 to <1/100): Vulvovaginal pruritus, volume depletion, thirst, constipation, hyperhidrosis, nicturia, increase in blood creatinin levels, increase in blood urea. 1,2 The incidence of adverse effects with dapa- gliflozin in monotherapy was 22% compared to 15% under metformin. Severe adverse effects (...) a year. Renal function should be monitored befo- re initiating treatment with drugs that can affect its function and thereafter regularly. If ClCr<60 mL/min or GFR<60 mL/min/1.73 m 2 then treatment should be stopped. 1,2 Li- ver failure: in cases of severe liver failure, the initial recommended dose is 5 mg daily, and if well tolerated it can be increased up to 10 mg. No dose adjustments are required for mild and moderate live impairment. 1,2 Children: there are no data in children under 18 year

2014 Drug and Therapeutics Bulletin of Navarre (Spain)

216. Screening Pelvic Examination in Adult Women (Full text)

. No other studies assessed the benefits of pelvic examination on other cancer. Pelvic Inflammatory Disease, Bacterial Vaginosis, and Other Benign Conditions No studies assessed the benefits of pelvic examination for these conditions. Harms of Pelvic Examination Examination-Related Harms The evaluated harms included fear, anxiety, embarrassment, pain, and discomfort. Physical harms may include urinary tract infections and symptoms, such as dysuria and frequent urination. Fourteen surveys and 1 (...) P , Keranen L . Barriers to routine gynecological cancer screening for White and African-American obese women. Int J Obes (Lond) 2006 30 147 55 Adams CH , Smith NJ , Wilbur DC , Grady KE . The relationship of obesity to the frequency of pelvic examinations: do physician and patient attitudes make a difference? Women Health 1993 20 45 57 Robohm JS , Buttenheim M . The gynecological care experience of adult survivors of childhood sexual abuse: a preliminary investigation. Women Health 1996 24 59

2014 American College of Physicians PubMed abstract

217. Diagnosis and Treatment Interstitial Cystitis/Bladder Pain Syndrome

update literature review process (see below), and the evidence base is regularly updated based on the findings from the update reviews. Preclinical studies (e.g., animal models), pediatric studies, commentary, and editorials were eliminated. Review article references were checked to ensure inclusion of all possibly relevant studies. Studies using treatments not available in the US, herbal or supplement treatments, or studies that reported outcomes information collapsed across multiple interventions (...) the diagnosis, the mean age is older than is typical for the US. A history of a recent culture-proven UTI can be identified on presentation in 18-36% of women, although subsequent cultures are negative. 17, 18 Initially it is not uncommon for patients to report a single symptom such as dysuria, frequency, or pain, with subsequent progression to multiple symptoms. 19, 20 Symptom flares, during which symptoms suddenly intensify for several hours, days, or weeks, are not uncommon. There is a high rate of prior

2014 American Urological Association

218. Menopause Chapter 3: Clinical Issues

as a collection of symptoms and signs associated with a decrease in estrogen and other sex steroids involving changes to the labia majora/minora, clitoris, vestibule/introitus, vagina, urethra, and bladder. The syndrome may include but is not limited to genital symptoms of dryness, burning, and irritation; sexual symptoms of lack of lubrication, discomfort or pain, and impaired sexual function; and urinary symptoms of urgency, dysuria, and recurrent urinary tract infections (UTIs). Symptoms of GSM/VVA can (...) , and control of diabetes, hypertension, and hyperlipidemia, also may reduce the risk of cognitive decline. (Level II) PSYCHOLOGICAL SYMPTOMS Key Points Most women do not become clinically depressed during the menopause transition; however, psychological symptoms, including depressed mood, anxiety, and decreased sense of well-being are common. Women with a history of a mood or anxiety disorder and early childhood stressful life events are at higher risk of increased psychological symptoms during

2014 The North American Menopause Society

219. Management of Trichomonas vaginalis infection

] ? 10-50% are asymptomatic. ? The commonest symptoms include vaginal discharge, vulval itching, dysuria, or offensive odour, but these are not specific for TV. ? Occasionally the presenting complaint is of low abdominal discomfort or vulval ulceration. Males [4-6] ? 15 to 50% of men with TV are asymptomatic and usually present as sexual partners of infected women. ? The commonest presentation in symptomatic men is with urethral discharge and/or dysuria. ? Other symptoms include urethral irritation (...) examination. ? 5-15% of women will have no abnormalities on examination. Males [4-6] ? Urethral discharge (20-60% men) - usually small or moderate amounts only, and or dysuria. ? No signs, even in the presence of symptoms suggesting urethritis: one recent prospective study of infected TV contacts found 77.3% were asymptomatic. ? Rarely balanoposthitis. 3 Complications There is increasing evidence that TV infection can have a detrimental outcome on pregnancy and is associated with preterm delivery and low

2014 British Association for Sexual Health and HIV

220. HIV, viral hepatitis and STIs - a guide for primary care

infection and are characterised by hypermutability and quasi species. ? The microbiological and virological agents that cause STIs are highly diverse, having specific epidemiological profiles, varied modes of sexual transmission, different natural histories and individual treatment modalities. ? HIV is transmitted through sexual contact, blood-to-blood contact and mother-to-child transmission. Without treatment, most individuals with HIV develop severe immune deficiency within 10 years. Combination (...) antiretroviral therapy has transformed the course of the disease, extending the life expectancy of individuals with HIV by many years. ? STIs have a complex synergistic relationship with HIV. Most STIs play an enhancing role in the acquisition and transmission of HIV, while HIV may alter the natural history and response to treatment of some STIs. ? HBV is transmitted through mucous membrane contact (including unprotected sexual contact), blood-to-blood contact, mother-to-child transmission and intrafamilial

2014 Clinical Practice Guidelines Portal

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