Biomedical subjects

Y Badachi

Publications and source records attributed to Y Badachi.

3 recordsLinked to original sources

PubMed2002

[Vesicoureteric reflux and functional voiding dysfunction in children].

PURPOSE: To analyze the efficacy of the different treatments of vesicoureteric reflux (VUR) associated with reflex bladder sphincter dyssynergia (RBSD). PATIENTS AND METHODS: The medical records of 33 children (28 girls) aged 4 to 12 years presenting reflex bladder sphincter dyssynergia and vesicoureteric reflux have been reviewed. The most common clinical symptom was urinary tract infection. Voiding dysfunction included: dysuria, urinary leak, enuresia, urgency, constipation. In most cases, vesicoureteric reflux was low grade (grade 1, n=9; grade 2, n=18; grade 3, n=6) and bilateral (n=18). Three types of treatments have been utilized: reimplantation, reeducation, medical treatment (diet, antibio-prophylaxis, anti-cholinergics). RESULTS: Eleven children (2 with a solitary kidney) underwent early reimplantation which was effective on vesicoureteric reflux but 6 of them had post-operative voiding dysfunction and 5 had a new episode of urinary infection. Six had reeducation first then they underwent reimplantation. Sixteen children had an exclusive medical treatment (13 with reeducation). In 9 children vesicoureteric reflux disappeared (one child still complains of voiding dysfunction). In 7, voiding dysfunction improved but vesicoureteric reflux is still present. CONCLUSION: The management of vesicoureteric reflux associated with reflex bladder sphincter dyssynergia is complex. Surgery should certainly not be the initial treatment. However, it can remain useful if one wishes to get complete resolution of reflux.

Anti-Bacterial Agents↗

PubMed2001

[Ultrasound for initial evaluation of post-traumatic renal lesions in children].

PURPOSE: To describe the findings and limitations of color doppler ultrasound (CDUS) compared to enhanced CT in the evaluation of pediatric renal trauma and to determine the indications for first line imaging work up. PATIENTS AND METHODS: 17 children (9 girls) aged 3 to 18 years were shown to have one or multiple post-traumatic renal lesions. All renal lesions were unilateral. All children presented with hematuria (microscopic (n=8), gross (n=7), not specified (n=2)). 16 had CDUS and enhanced CT (gold standard). A 13-year old girl had been imaged by both CDUS and IVU. RESULTS: No correlation between the degree of hematuria and the severity of renal lesion could be found. Final diagnosis was: fracture with uro-hematoma (n=6), contusion (n=5), pedicular lesion (n=2), clotted ureter (n=1), intra cystic hemorrhage (n=1), subcapsular hematoma (n=1), urinoma with no evidence of fracture (n=1), extra-urinary lesion (n=7). In four cases, CDUS was abnormal but the diagnosis of fracture had not been made. In 3 cases, a uro-hematoma was present and CDUS misdiagnosed a pedicular lesion. CONCLUSION: Imaging strategy should not rely on the type of hematuria. Presence of a urinoma alters the sensitivity of CDUS. When performed in ideal conditions, a comprehensive normal CDUS examination is probably sufficient to exclude a major renal injury.

Accidental Falls↗

PubMed2001

[Ischemic orchiditis: review of 5 cases diagnosed by color Doppler ultrasonography].

PURPOSE: To study color-doppler ultrasoundfeatures of testicular infarction caused by orchiepididymitis, a severe complication of orchiepididymitis. MATERIAL: and Methods. Five patients were included over a 2 year period. All presented with more than 24 hours of pain. A final diagnosis of testicular infarction caused by orchiepididymitis and color doppler ultrasound was available in all cases. RESULTS: All patients showed doppler ultrasound signs of testicular ischemia. Either vascularisation was not detectable or intratesticular resistive index was increased with a negative diastolic flow. Orchidectomy was performed in all patients. CONCLUSION: Color doppler examination of the scrotum should include measurement of intratesticular resistive index. An elevated RI can be suggestive of ischemia.

Adult↗