Huge Anterior Sacral Meningocele Simulating Bladder Retention

Castelli, Emanuele; Rosso, Rodolfo; Leucci, Giovanni; Luparello, V.; Collura, Devis; Giacobbe, Alessandro; Muto, Giovanni

doi:10.1016/j.urology.2012.11.015

Cited by 10 publications

(8 citation statements)

References 5 publications

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“…Therefore, the results only showed exacerbation of LUTS among the severe pelvic fracture patients treated with the standard TAE. However, taken together with the studies that reported lower urinary tract dysfunctions in animal models with obstruction of bilateral iliac arteries,6, 7 the results suggested that TAE might be one of the causes of exacerbation of LUTS in the patients.…”

Section: Discussionmentioning

confidence: 89%

“…Recent studies reported that obstruction of bilateral iliac arteries in an animal model leads to bladder ischemia and results in overactivity and impaired contractility of the detrusor 6, 7. As the standard TAE technique for hemostasis of pelvic fractures resembles temporary total occlusion of the bilateral iliac arteries in the animal model, we presumed a possible relation between TAE and exacerbation of LUTS in the clinical setting.…”

Section: Introductionmentioning

confidence: 95%

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A case series of pelvic fracture patients who developed lower urinary tract symptoms after transarterial embolization of bilateral internal iliac arteries

Sagawa

Sawano

2017

Acute Medicine & Surgery

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CasesTransarterial embolization of bilateral internal iliac arteries (TAE) is a useful hemostatic method for the management of pelvic fracture patients, but its effects on urinary functions remain unclear. In this study, we evaluated the impact of TAE on lower urinary tract symptoms (LUTS) in 10 pelvic fracture patients.OutcomesLower urinary tract symptoms before and after hospitalization were evaluated by International Prostate Symptoms Score, Overactive Bladder Symptoms Score, and Quality Of Life score. All scores showed significant worsening. The changes did not correlate with sex, age, injury severity score, or durations of unstable hemodynamics or urethral catheterization. Changes of International Prostate Symptoms Score and Quality Of Life score showed significant positive correlations with intervals between the evaluations.ConclusionPelvic fracture patients treated with TAE showed significant worsening of LUTS. Risk for exacerbation of LUTS should be taken into consideration when deciding to use TAE.

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Section: Discussionmentioning

confidence: 89%

Section: Introductionmentioning

confidence: 95%

A case series of pelvic fracture patients who developed lower urinary tract symptoms after transarterial embolization of bilateral internal iliac arteries

Sagawa

Sawano

2017

Acute Medicine & Surgery

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“…Approximately 300 cases of ASM have been described in the literature. 7 The diagnosis is incidental in the context of gynecological investigations or pregnancy in otherwise asymptomatic patients. 6,19,27 When present, symptoms are mostly related to the mass effects over surrounding organs in the pelvis.…”

Section: Discussionmentioning

confidence: 99%

“…Acute urinary complications related to the direct com- pression of an anterior sacral meningocele have been rarely reported in the literature 4,7,8,16,17 (Table 1). In the 4 reported cases, symptoms were explained by the mass effect exerted on the bladder, and on initial physical examination, the meningocele could be mistaken for a palpable globe.…”

Section: 22mentioning

confidence: 99%

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Successful management of a giant anterior sacral meningocele with an endoscopic cutting stapler: case report

Sunna

Westwick

Zaïri

et al. 2016

SPI

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Anterior sacral meningoceles (ASMs) are rare defects in the sacrum with thecal sac herniations and symptoms that commonly include constipation, dysmenorrhea, and urinary disturbances. An ASM causing hydronephrosis and acute renal failure from compression of the lower portion of the urinary tract is a rare clinical entity. Only one other case has been reported. The authors present the case of a 37-year-old man admitted for obstructive renal failure and hydronephrosis due to a giant ASM that measured 25 × 12 × 18 cm and compressed the ureters and bladder. The ASM was successfully treated via an anterior transabdominal approach in which the authors used a novel technique for watertight closure of the meningocele pedicle with an endoscopic cutting stapler. The authors review the literature and discuss the surgical options for the treatment of ASMs, specifically the management of ASMs in the context of obstructive renal failure and hydronephrosis.

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