International urology and nephrology
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Case Reports
Water intoxication leading to hyponatremia and seizures: a rare complication of uroflowmetry.
Uroflowmetry is a standard non-invasive urodynamic test for the evaluation of lower urinary tract symptoms (LUTS). For a reproducible study, the patients are asked to void after consuming enough oral fluids to have full bladder before the study. We report a case of water intoxication due to excessive oral fluid intake leading to water intoxication, hyponatremia and seizure.
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We report on the long-term followup of a mixed dissociative (conversion) disorder after circumcision in childhood.
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Randomized Controlled Trial Comparative Study Clinical Trial
Cooled lignocaine gel: does it reduce urethral discomfort during instillation?
Topical urethral analgesia with 2% lignocaine gel for office procedures is an accepted practice in contemporary urology. However, instillation of 2% lignocaine gel into the urethra is associated with discomfort in some patients. ⋯ Refrigerating the gel to 4 degrees C can significantly reduce the initial discomfort associated with instillation of 2% lignocaine hydrochloride into the male urethra.
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Despite the usefulness of advance directives, most dialysis patients do not complete them. Current views of the advance care planning process emphasize that development of a specific written advance directive is only one small part of the process. ⋯ Successful advance care planning requires that dialysis care providers incorporate end-of-life care wishes and palliative care into the overall health care plans for their patients. This review focuses on the past impediments to achieving useful advance directives among dialysis patients and their families and provides some suggestions to improving this important aspect of dialysis patient care.
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Randomized Controlled Trial Comparative Study Clinical Trial
The selection of the regional anaesthesia in the transurethral resection of the prostate (TURP) operation.
The aim of our study was to compare the three different regional anaesthesia methods in patients who underwent transurethral resection of the prostate (TURP) and to determine the ideal anaesthesia method for TURP operation. ⋯ Saddle block has some advantages compared to spinal and epidural anaesthesia methods such as achieving adequate anaesthesia, stable haemodynami, the lower degree of motor blockage and no full blockage in patients. Saddle block is an the most optimal anaesthesia method for TURP operation.