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Related Concept Videos

Urinary Tract Infection III: Diagnostic Studies and Interprofessional Care01:30

Urinary Tract Infection III: Diagnostic Studies and Interprofessional Care

A healthcare provider can diagnose a urinary tract infection (UTI) through several methods:Medical History and Symptoms: The provider will take a detailed medical history and ask about symptoms such as frequent urination, burning sensation during urination, and lower abdominal pain.Urinalysis: A clean-catch urine sample is collected in a sterile container and tested for the presence of bacteria, white blood cells (leukocytes), nitrites, blood, and protein. The presence of leukocytes and...
Urodynamic Studies: Uroflowmetry01:19

Urodynamic Studies: Uroflowmetry

Uroflowmetry is a non-invasive urodynamic test designed to measure various aspects of urination, including volume, flow rate, and the time to void. This test is crucial for diagnosing and assessing conditions such as bladder outlet obstruction, bladder dysfunction, incomplete bladder emptying, incontinence, and urinary tract blockages caused by benign prostatic hyperplasia (BPH) and urethral strictures.Pre-Test Instructions:Before a uroflowmetry test, patients are typically advised to drink...
Imaging Studies VI: Voiding Cystourethrography and Cystography01:22

Imaging Studies VI: Voiding Cystourethrography and Cystography

Voiding Cystourethrography (VCUG) and Cystography are specialized radiographic procedures used to examine the structure and function of the bladder and urethra.Voiding Cystourethrography (VCUG)A Voiding Cystourethrogram (VCUG) is a diagnostic imaging procedure that assesses the anatomy and function of the lower urinary tract. It focuses on the bladder, bladder neck, and urethra, helping detect abnormalities such as vesicoureteral reflux (VUR)—the backward or reverse flow of urine into the...
Acute Pyelonephritis II: Diagnostic Studies and Management01:28

Acute Pyelonephritis II: Diagnostic Studies and Management

Introduction:For diagnosing acute pyelonephritis, a comprehensive patient history is collected to identify symptoms such as dysuria, frequent or urgent urination, flank pain, or costovertebral angle (CVA) tenderness that may suggest a kidney infection.Physical ExaminationDuring the physical examination, CVA tenderness is assessed. This involves gentle percussion over the costovertebral angle, where tenderness often indicates a kidney infection.Diagnostic TestsUrinalysis: Used to identify white...
Urinary Tract Infection IV: Nursing Management01:17

Urinary Tract Infection IV: Nursing Management

In managing urinary tract infections (UTIs) in nursing, a comprehensive assessment is essential. Begin by gathering subjective data, such as the patient’s complaints of dysuria (painful urination), urinary frequency, urgency, suprapubic pain, and any lower abdominal discomfort. This information can be complemented by questions regarding previous UTIs, sexual activity, and personal hygiene practices, which can provide insight into risk factors. Objective assessment should focus on signs like...
Urologic Endoscopic Procedure: Cystoscopic Examination01:28

Urologic Endoscopic Procedure: Cystoscopic Examination

Meaning of Cystoscopic Examination:Cystoscopy is an essential diagnostic tool in urology that is used to assess the structure and function of the genitourinary system. It provides a direct view of the urethra, bladder, and, in some cases, the ureteral openings. This procedure helps detect structural abnormalities, infections, cancers, and blockages in the urinary tract. There are two types of cystoscopy:Flexible cystoscopy is commonly performed in outpatient settings due to its less invasive...

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Updated: May 13, 2026

Evaluation of Biomaterials for Bladder Augmentation using Cystometric Analyses in Various Rodent Models
10:19

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Published on: August 9, 2012

Bladder dysfunction and urodynamic study in tuberculous meningitis.

Arvind Gupta1, Ravindra Kumar Garg, Maneesh Kumar Singh

  • 1Department of Neurology, King George Medical University, Uttar Pradesh, Lucknow, India.

Journal of the Neurological Sciences
|March 12, 2013
PubMed
Summary
This summary is machine-generated.

Bladder dysfunction is common in tuberculous meningitis, often linked to spinal inflammation. Urodynamic studies reveal frequent abnormalities, but most cases improve with treatment.

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Published on: August 14, 2019

Area of Science:

  • Neurology
  • Urology
  • Infectious Diseases

Background:

  • Micturitional disturbances are infrequently reported in tuberculous meningitis.
  • Previous studies lacked urodynamic assessments to characterize bladder dysfunction.
  • Bladder issues were often presumed secondary to tuberculous radiculomyelopathy.

Purpose of the Study:

  • To evaluate the incidence and patterns of bladder dysfunction in patients with tuberculous meningitis.
  • To correlate clinical findings and imaging with urodynamic abnormalities.
  • To assess the impact of treatment on bladder function.

Main Methods:

  • Prospective study of 51 patients with tuberculous meningitis.
  • Clinical evaluation, urodynamic studies, and MRI of brain and spine.
  • 6-month follow-up with repeat urodynamic studies.

Main Results:

  • One-third of patients presented with urinary symptoms.
  • 70% of patients exhibited urodynamic abnormalities, most commonly detrusor hyporeflexia/areflexia.
  • Spinal meningeal enhancement, lumbosacral arachnoiditis, and myelitis were common MRI findings; spinal arachnoiditis correlated significantly with urodynamic abnormalities.
  • 72.6% of patients showed resolution of urodynamic abnormalities after treatment, though some developed new issues.

Conclusions:

  • Bladder dysfunctions are frequently observed in tuberculous meningitis.
  • A significant association exists between urodynamic abnormalities and tuberculous lumbosacral arachnoiditis and myeloradiculopathy.
  • Urodynamic studies are crucial for diagnosing and managing bladder dysfunction in this condition.