Ureteric Valves in an Ectopic Ureter Associated with Renal Dysplasia

Govaerts, J.; Huysmans, G.; Wouters, Y.

doi:10.1111/j.1464-410x.1991.tb15210.x

Cited by 2 publications

(6 citation statements)

References 3 publications

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“…3 Govaerts and colleagues reported a unique case of ureteral valve which was found in an ectopic ureter discharging into seminal vesicle and was associated with renal dysplasia. 1 These valves are either seen as a single annular lesion with pinpoint openings 4 or as eccentric mucosal cusps, 5 with an equal incidence on both sides. 6 Microscopically, true ureteral valves contain all layers of the ureter (epithelium, lamina propria and smooth muscle) except the adventitia.…”

Section: Discussionmentioning

confidence: 99%

“…6 Various reports suggest that initial investigations, such as excretory urography and a CT scan, were able to demonstrate ureteric obstruction with hydronephrosis, but the cause of obstruction could not be established; a definitive diagnosis could only be made by retrograde pyelography and ureteroscopy. 1,3,7 Ureteric strictures, whether acquired or congenital, remain another common cause of ureteric obstruction and should be ruled out. A ureteric stricture is defined as a constantly narrowed segment of a ureter.…”

Section: Discussionmentioning

confidence: 99%

“…6 Microscopically, true ureteral valves contain all layers of the ureter (epithelium, lamina propria and smooth muscle) except the adventitia. 1 The most common presentation of this condition includes flank pain, gross hematuria and urinary infection. 1,3,7 In one reported case, a non-functioning kidney was found on initial investigation which required a nephrectomy.…”

Section: Discussionmentioning

confidence: 99%

“…1 The most common presentation of this condition includes flank pain, gross hematuria and urinary infection. 1,3,7 In one reported case, a non-functioning kidney was found on initial investigation which required a nephrectomy. 6 Various reports suggest that initial investigations, such as excretory urography and a CT scan, were able to demonstrate ureteric obstruction with hydronephrosis, but the cause of obstruction could not be established; a definitive diagnosis could only be made by retrograde pyelography and ureteroscopy.…”

Section: Discussionmentioning

confidence: 99%

“…Most cases are associated with other congenital urological malformations and are diagnosed during operation or autopsy. 1 We report the case of an 80-year-old woman with a ureteric valve who presented with hydronephroureterosis, which was treated with holmium laser ablation.…”

Section: Introductionmentioning

confidence: 99%

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Holmium laser ablation: a successful treatment option for an obstructing ureteric valve

Aslam

Gowda

2013

CUAJ

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Holmium laser ablation: a successful treatment option for an obstructing ureteric valve

Aslam

Gowda

2013

CUAJ

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The Impact of Advice Seekers’ Need Salience and Doctors’ Communication Style on Attitude and Decision Making: A Web-Based Mammography Consultation Role Play

Fissler¹,

Bientzle²,

Creß³

et al. 2015

JMIR Cancer

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BackgroundPatients and advice seekers come to a medical consultation with typical needs, and physicians require adequate communication skills in order to address those needs effectively. It is largely unclear, however, to what extent advice seekers’ attitudes toward a medical procedure or their resulting decisions are influenced by a physician’s communication that ignores or explicitly takes these needs into account.ObjectiveThis experimental study tested how advice seekers’ salient needs and doctor’s communication styles influenced advice seekers’ attitudes toward mammography screening and their decision whether or not to participate in this procedure.MethodsOne hundred women (age range 20-47 years, mean 25.22, SD 4.71) participated in an interactive role play of an online consultation. During the consultation, a fictitious, program-controlled physician provided information about advantages and disadvantages of mammography screening. The physician either merely communicated factual medical information or made additional comments using a communication style oriented toward advice seekers’ typical needs for clarity and well-being. Orthogonal to this experimental treatment, participants’ personal needs for clarity and for well-being were either made salient before or after the consultation with a needs questionnaire. We also measured all participants’ attitudes toward mammography screening and their hypothetical decisions whether or not to participate before and after the experiment.ResultsAs assumed, the participants expressed strong needs for clarity (mean 4.57, SD 0.42) and for well-being (mean 4.21, SD 0.54) on 5-point Likert scales. Making these needs salient or not revealed significant interaction effects with the physician’s communication style regarding participants’ attitude change (F 1,92=7.23, P=.009, η2=.073) and decision making (F 1,92=4.43, P=.038, η2=.046). Those participants whose needs were made salient before the consultation responded to the physician’s communication style, while participants without salient needs did not. When the physician used a need-oriented communication style, those participants with salient needs had a more positive attitude toward mammography after the consultation than before (mean 0.13, SD 0.54), while they changed their attitude in a negative direction when confronted with a purely fact-oriented communication style (mean −0.35, SD 0.80). The same applied to decision modification (need-oriented: mean 0.10, SD 0.99; fact-oriented: mean −0.30, SD 0.88).ConclusionsThe findings underline the importance of communicating in a need-oriented style with patients and advice seekers who are aware of their personal needs. Ignoring the needs of those people appears to be particularly problematic. So physicians’ sensitivity for advice seekers’ currently relevant needs is essential.

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Ureteric Valves in an Ectopic Ureter Associated with Renal Dysplasia

Cited by 2 publications

References 3 publications

Holmium laser ablation: a successful treatment option for an obstructing ureteric valve

Holmium laser ablation: a successful treatment option for an obstructing ureteric valve

The Impact of Advice Seekers’ Need Salience and Doctors’ Communication Style on Attitude and Decision Making: A Web-Based Mammography Consultation Role Play

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