Specific investigations in chronic urinary bilharziasis

Patil, Krishna E.; Aliyu, Ibrahim; Shetty, Sugandh D.; Tahir, M. I. El; Anandan, N.

doi:10.1016/0090-4295(92)90507-s

Cited by 8 publications

(3 citation statements)

References 7 publications

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“…36 Such details cannot be detected by ultrasound and this level of detail has not been assessed in the urinary tract, possibly because repeated cystoscopies in large groups of asymptomatic patients may be considered ethically and clinically unfeasible. 12,[37][38][39][40] The long-term course of genital sandy patches has not been explored and there is also sparse information of the course of sandy patches in the bladder. 11,40 If the clinical phenomena were acute, one could speculate that there would be a better effect of recent treatment, whereas if the clinical phenomena were established a long time ago one would expect a better effect of treatment a long time ago.…”

Section: Discussionmentioning

confidence: 99%

Prevention of Gynecologic Contact Bleeding and Genital Sandy Patches by Childhood Anti-schistosomal Treatment

Kjetland¹,

Ndhlovu²,

Kurewa³

et al. 2008

The American Journal of Tropical Medicine and Hygiene

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Schistosoma haematobium infection may cause genital mucosal pathology in women with and without urinary schistosomiasis. This report seeks to explore the long-term effect of anti-schistosomal treatment on the clinical manifestations of S. haematobium infection in the lower genital tract. Prior treatment was reported by 248 (47%) of 527 women. Treatment received before the age of 20 years was significantly associated with the absence of sandy patches and contact bleeding, and this association was independent of current waterbody contact. Treatment in the past five years did not influence the prevalence of gynecologic schistosoma-induced lesions. The study indicates that early treatment may be more efficient for gynecologic morbidity control. Findings warrant an exploration into several chemotherapeutic agents administered at an early age, as well as in adults.

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Section: Discussionmentioning

confidence: 99%

Prevention of Gynecologic Contact Bleeding and Genital Sandy Patches by Childhood Anti-schistosomal Treatment

Kjetland¹,

Ndhlovu²,

Kurewa³

et al. 2008

The American Journal of Tropical Medicine and Hygiene

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“…This approach is indicated in cases in which semiological assessment by noninvasive methods is unable to establish a diagnosis (PATIL et al, 1992, ROTKOPF et al, 1993, TORRICELLI et al, 1998, HATZ et al, 1998, HERWALDT et al, 1995, LIANG et al, 2000, and especially in cases in which the disease may develop complications that need to be identified by a direct exam (NOZAIS et al, 1993, PALASCAK et al, 2001, ABDEL-HADI & TALAAT, 2000).…”

Section: Introductionmentioning

confidence: 99%

Cystoscopy in the diagnosis and follow-up of urinary schistosomiasis in Brazilian soldiers returning from Mozambique, Africa

Silva

Thiengo²,

Conceição

et al. 2006

Rev. Inst. Med. trop. S. Paulo

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SUMMARYThe assessment of urinary schistosomiasis in individuals coming from endemic areas often requires diagnostic resources not used in areas of exposure in order to determine complications or to establish more precise criteria of cure. Cystoscopy and 24-hour urine examination were performed, after treatments with praziquantel 40 mg/kg body weight, single dose, on 25 Brazilian military men who were part of a United Nations peace mission to Mozambique in 1994. The median age of the individuals was 29 years and all presented a positive urine parasitological exam. The alterations detected by cystoscopy were hyperemia and granulomas in the vesical submucosa in 59.1% of the individuals and only granulomas in 40.9%. A vesical biopsy revealed granulomas in all patients and viable eggs in 77.3% even after a period during which the patients no longer excreted eggs in urine. Cystoscopy after treatment, followed by biopsy and histopathological evaluation, performed in areas where the evolution of the disease can be better monitored, was found to be a safe criterion of parasitological cure.

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“…11,44,63,64 For best results, urine collections should be made between 10:00 am and 2:00 pm to ensure maximum yield. 65 Another way to increase yield of eggs in the urine is to have the patient go for a short run or walk just before the urine is passed to facilitate the shedding of the eggs from the bladder mucosa.…”

Section: Diagnosismentioning

confidence: 99%

Schistosomiasis - An Unusual Cause of Ureteral Obstruction: A Case History and Perspective

Neal¹

2004

Clinical Medicine & Research

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Specific investigations in chronic urinary bilharziasis

Cited by 8 publications

References 7 publications

Prevention of Gynecologic Contact Bleeding and Genital Sandy Patches by Childhood Anti-schistosomal Treatment

Prevention of Gynecologic Contact Bleeding and Genital Sandy Patches by Childhood Anti-schistosomal Treatment

Cystoscopy in the diagnosis and follow-up of urinary schistosomiasis in Brazilian soldiers returning from Mozambique, Africa

Schistosomiasis - An Unusual Cause of Ureteral Obstruction: A Case History and Perspective

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