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690 results for

Dysuria in Children

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681. A rare case of presacral cystic neuroblastoma in an infant. (Abstract)

A rare case of presacral cystic neuroblastoma in an infant. Cystic neuroblastoma (CN) is an extremely rare entity, although neuroblastoma is the most common solid tumor in infants. The radiologic diagnosis of CN is very difficult because of both the rarity and minimum solid component of the lesion. We describe herein the case of a 2-month-old girl presenting with dysuria because of a large presacral mass. Imaging studies including ultrasonography, computed tomography, and magnetic resonance (...) imaging demonstrated a large septated cystic tumor mimicking a cystic sacrococcygeal teratoma, which commonly occurs in the presacral region. The tumor was finally diagnosed as CN after surgical resection. This is the second case report of presacral CN in the English literature. Cystic neuroblastoma should be considered in the differential diagnosis of presacral cystic tumors in infants.

2008 Journal of Pediatric Surgery

682. Retrospective Review of Unintentional Female Genital Trauma at a Pediatric Referral Center. Full Text available with Trip Pro

Retrospective Review of Unintentional Female Genital Trauma at a Pediatric Referral Center. Unintentional female genital trauma is a complaint commonly seen and managed through the emergency department. The purpose of this study was to review all unintentional female genital trauma evaluated at The Hospital for Sick Children for 3.5 years to determine the factors associated with gynecologic consultation and need for operative repair.One hundred five patients were identified by health record (...) , and 6.66% were treated under conscious sedation. Overall, 20.95% required surgical repair. The most common complication was dysuria. Six patients had other injuries, the most common of which were pelvic fractures related to trauma.Factors significantly associated with gynecologic consultation and operative management included older age, transfer to our institution, shorter time to presentation, laceration-type injury, hymenal injury, and larger size of injury. Straddle injuries were significantly less

2008 Pediatric Emergency Care

683. Incidence of Urinary Tract Infections in Children After Successful Ureteral Reimplantation Versus Endoscopic Dextranomer/Hyaluronic Acid Implantation. (Abstract)

Incidence of Urinary Tract Infections in Children After Successful Ureteral Reimplantation Versus Endoscopic Dextranomer/Hyaluronic Acid Implantation. Endoscopic implantation of dextranomer/hyaluronic acid has proved to be an effective minimally invasive technique for correcting vesicoureteral reflux in children. There is some evidence suggesting that in addition to being less invasive, successful dextranomer/hyaluronic acid implantation compared to successful antireflux surgery is associated (...) with fewer febrile and nonfebrile urinary tract infections. We review the clinical outcomes of 2 groups of children cured of reflux with open surgery and dextranomer/hyaluronic acid implantation to determine if a difference in clinical outcomes exists.We reviewed the charts of 43 patients who underwent dextranomer/hyaluronic acid implantation and 33 who underwent open surgery for vesicoureteral reflux. Data collected included age, gender, preoperative and postoperative grades of reflux, and urinalysis

2008 Journal of Urology

684. Clinical manifestations and functional outcomes in children with eosinophilic cystitis. (Abstract)

Clinical manifestations and functional outcomes in children with eosinophilic cystitis. Eosinophilic cystitis is a rare disorder, with fewer than 30 pediatric cases reported in the literature. We describe our experience with pediatric eosinophilic cystitis during a 20-year period.Four children referred to our institution were subsequently diagnosed with eosinophilic cystitis between 1984 and 2004. A retrospective chart review was performed to assess clinical presentation, diagnosis, treatment (...) and outcomes.Mean patient age at presentation was 10.8 years (range 5 to 18) and male-to-female ratio was 3:1. All 4 patients presented with irritative urinary symptoms, including 3 with dysuria and/or gross hematuria and 2 with urinary frequency, lower abdominal pain and/or a concomitant urinary tract infection. Allergic diseases (asthma, allergic rhinitis, etc) were present in 3 patients, and a formal allergen skin test was positive in 2 of those tested. A bladder mass mimicking malignancy was documented in 2

2005 Journal of Urology

685. Artificial Urinary Sphincter in Children-Voiding or Emptying? An Evaluation of Functional Results in 44 Patients. (Abstract)

Artificial Urinary Sphincter in Children-Voiding or Emptying? An Evaluation of Functional Results in 44 Patients. We evaluated functional results with an artificial urinary sphincter in children and adolescents in terms of complications, continence and voiding ability through followup.A total of 44 patients (39 males and 5 females, age 8.6 to 29.5 years, median 14) underwent implantation of a pericervical AMS 800trade mark artificial urinary sphincter, primarily for severe urinary incontinence (...) of neuropathic origin, between 1986 and 2005. Of the patients 25 had undergone augmentation cystoplasty previously (8), simultaneously (7) or after implantation (10). Median followup was 5.5 years (range 1 to 18). Complications included dysuria and/or urinary retention (24 cases), worsening of bladder function (13), urethral erosion (2), scrotal erosion (5), mechanical dysfunction (7), infection of the artificial urinary sphincter (2) and accidental puncture of the tubes (2). These complications resulted

2008 Journal of Urology

686. Tubularized incised plate repair of distal hypospadias in toilet-trained children: should a stent be left? (Abstract)

Tubularized incised plate repair of distal hypospadias in toilet-trained children: should a stent be left? To evaluate the role of stenting in toilet-trained children undergoing tubularized incised plate (TIP) repair of distal hypospadias, as a stent-free TIP in boys who are not toilet-trained has been successful with no unusually prolonged discomfort.The study included all toilet-trained children with distal penile shaft hypospadias who were not suitable candidates for meatal advancement (...) procedures and who underwent TIP repair, by one surgeon, between March and August 2001. Patients were prospectively randomized at the end of surgery to either leaving a stent for 1 week (stented) or no stent (unstented). The study included 64 children (35 stented and 29 unstented; median age 6 years, range 2-17). In the stented group the stent was placed in the bladder for continuous bladder drainage. An adjunct penile block instead of caudal or epidural analgesia was used in all patients, to avoid drug

2003 BJU international Controlled trial quality: uncertain

687. A survey of voiding dysfunction in children with attention deficit-hyperactivity disorder. (Abstract)

and a control group without ADHD.The Dysfunctional Voiding Symptom Survey (DVSS) was administered to a group of children being treated for rigorously diagnosed ADHD and a control group without ADHD. The DVSS consists of 10 questions that assess daytime incontinence, nocturnal enuresis, constipation, urgency, voiding frequency and dysuria, each scored from 0 to 4 (0-never, 1-almost never, 2-less than half the time, 3-about half the time, 4-almost every time) for a maximum total score of 40 (severest symptoms (...) A survey of voiding dysfunction in children with attention deficit-hyperactivity disorder. Physicians treating attention deficit-hyperactivity disorder (ADHD) have long had the clinical impression that these children suffer disproportionately from voiding dysfunction and incontinence. However, no data exist to confirm this suspicion. In an attempt to investigate this clinical finding, we administered a survey asking about any functional bladder symptoms to a group of children with ADHD

2003 Journal of Urology

688. Antibiotic resistance patterns of uropathogens in pediatric emergency department patients. (Abstract)

. These rates are lower than rates reported in adult populations, international pediatric studies, and the authors' hospital antibiograms, demonstrating the importance of local, population-specific data in selecting antibiotics. This study did not identify any statistically significant risk factors for resistance to T-S, but suggests that those with a recent history of antibiotic use may be at highest risk. While children less than 4 years old with gram-negative pathogens have nominally lower rates of T-S (...) Antibiotic resistance patterns of uropathogens in pediatric emergency department patients. To evaluate the prevalence of resistance of the various urinary tract infection (UTI) pathogens obtained from patients in an urban pediatric emergency department (PED), and to identify risk factors for infection with resistant strains.The data were collected retrospectively in an urban, academic PED in northeastern Florida. The microbiology-computerized database was used to identify all positive urine

2003 Academic Emergency Medicine

689. Dysuria

. Vaginal discharge, candidiasis, genital herpes simplex or vaginitis. An enlarged prostate may be felt on rectal examination. If child sexual abuse is suspected, specialist assessment is required. Investigations [ , ] Consider the appropriate level of investigation for the clinical picture, or whether to treat empirically. Investigations are generally required for children and men with dysuria but not always for women. Possible investigations for dysuria Depending on the clinical picture, these include (...) Dysuria Dysuria. Information about painful urination. Patient | Patient TOPICS Try our Symptom Checker TREATMENT RESOURCES Try our Symptom Checker PROFESSIONAL Upgrade to Patient Pro / / Search Dysuria Authored by , Reviewed by | Last edited 23 Jun 2015 | Certified by This article is for Medical Professionals Professional Reference articles are designed for health professionals to use. They are written by UK doctors and based on research evidence, UK and European Guidelines. You may find

2008 Mentor

690. Dysuria in adolescents Full Text available with Trip Pro

Dysuria in adolescents 10734814 2000 04 13 2018 11 13 0093-0415 172 3 2000 Mar The Western journal of medicine West. J. Med. Dysuria in adolescents. 201-5 Claudius H H Department of Emergency Medicine, Mattel Children's Hospital, UCLA 90095-1752, USA. iclaudiu@ucla.edu eng Journal Article Review United States West J Med 0410504 0093-0415 AIM IM Adolescent Adolescent Medicine Diagnosis, Differential Humans Incidence Risk Factors Sexually Transmitted Diseases complications diagnosis epidemiology (...) Urinary Tract Infections complications diagnosis epidemiology Urination Disorders diagnosis epidemiology etiology therapy 38 2000 3 29 9 0 2000 4 15 9 0 2000 3 29 9 0 ppublish 10734814 PMC1070807 Pediatrics. 1999 Dec;104(6):1281-5 10585978 Ann Emerg Med. 1999 Oct;34(4 Pt 1):503-16 10532910 Annu Rev Med. 1983;34:337-58 6344763 N Engl J Med. 1984 Feb 9;310(6):368-75 6361571 Ann Intern Med. 1986 Feb;104(2):212-8 3511813 Scand J Infect Dis. 1987;19(2):223-9 3303301 Scand J Infect Dis Suppl. 1990;69:157-67

2000 Western Journal of Medicine

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