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Related Experiment Videos

Isolated pneumaturia.

A Synhaivsky, R S Malek

    The American Journal of Medicine
    |April 1, 1985
    PubMed
    Summary
    This summary is machine-generated.

    Pneumaturia, or passing gas from the urinary tract, can stem from serious conditions like vesico-enteric fistulas or asymptomatic urinary tract infections. A thorough medical evaluation is crucial for diagnosing the cause of isolated pneumaturia.

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    Area of Science:

    • Urology
    • Gastroenterology

    Background:

    • Pneumaturia, the passage of gas from the urethra during urination, is an uncommon urologic symptom.
    • Identifying the underlying cause of pneumaturia is essential for appropriate patient management.

    Purpose of the Study:

    • To evaluate the diagnostic findings and outcomes for patients presenting with pneumaturia as their sole urologic complaint.

    Main Methods:

    • Retrospective review of 16 patients with isolated pneumaturia over a 38-year period.
    • Diagnostic workup included medical and urologic evaluations, with urine cultures performed.

    Main Results:

    • Three patients (19%) were diagnosed with a vesico-enteric fistula.
    • Five patients (31%) had asymptomatic urinary tract infections.

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  • Eight patients (50%) had no identifiable pathological cause and were women with a benign course.
  • Positive urine cultures correlated with documented pathological conditions.

    • Conclusions:

    • Vesico-enteric fistula and urinary tract infections are potential causes of pneumaturia.
    • A significant proportion of patients with isolated pneumaturia may have no identifiable pathology.
    • Thorough medical and urologic assessment is recommended for all patients with isolated pneumaturia due to diagnostic challenges, particularly for fistulas.