Impact of Living at the Japanese Antarctic Research Expedition Base on Urinary Status

Ikeda, Atsushi; Kawai, Koji; Tsutsumi, Masahiro; Yoshimura, Koji; Ohno, Giichiro; Hasegawa, Tatsuhisa; Ooe, Hirofumi; Watanabe, Kouichi; Miyazaki, Jun; Nishiyama, Hiroyuki

doi:10.1111/luts.12137

Cited by 2 publications

(1 citation statement)

References 26 publications

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“…The same Japanese expedition group also prospectively analyzed the presence of urinary symptoms in the polar Antarctic environment. 21 In this analysis, 12 members of an Antarctic polar expedition completed various urinary and sleep surveys and kept daily voiding dairies for 3 d consecutively every 2 mo during their voyage. No worsening of urinary symptoms was reported in this cohort exposed to high altitude in Antarctica.…”

Section: Urinary Retentionmentioning

confidence: 99%

Urological Emergencies and Diseases in Wilderness Expeditions

Cook

Bledsoe²,

Canon

2021

Wilderness & Environmental Medicine

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When considering medical emergencies that might affect an expedition, urologic emergencies are typically not included. However, the reality is that manageable and prevalent urologic disease processes can pose significant challenges for the wilderness medicine physician and warrant consideration. The purpose of this review is to identify and discuss the most commonly encountered urologic emergencies and diseases in the wilderness setting and to prepare the expedition medicine physician for management of these urgent conditions. A PubMed and Internet search for urologic emergencies and diseases in wilderness conditions was conducted. We also searched bibliographies for useful supplemental literature and material from leading mountain medicine and wilderness medicine societies as well as population-based studies for common urologic diseases. Urologic emergencies and diseases on expeditions and in wilderness conditions have been reported primarily with retrospective case series and case reports. The most commonly reported urologic emergencies in this setting include urologic trauma, renal calculi, and urinary retention. Parasitic infections in the urinary tract also have been reported to cause urinary symptoms and urinary retention in wilderness conditions. Although urologic diseases in such conditions are uncommon, significant morbidity and even potentially life-threatening sequelae to urologic emergencies were found to occur. Major genitourinary emergencies in expedition medicine are uncommon but involve both potentially manageable urgent conditions and serious life-threatening conditions best treated with urgent stabilization and occasionally medical evacuation. The opportunity exists for increased awareness for management strategies for urologic conditions in the often remote or extreme environments of an expedition.

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Section: Urinary Retentionmentioning

confidence: 99%