A comparative study of ultrasound examination of urinary tract performed on spinal cord injury patients with no urinary symptoms and spinal cord injury patients with symptoms related to urinary tract: do findings of ultrasound examination lead to changes Subramanian Vaidyanathan
Regional Spinal Injuries Centre, District General Hospital, Southport, UK
ScientificWorldJournal 6:2450-9. 2006
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Protocol of a prospective cohort study of the effect of different methods of drainage of neuropathic bladder on occurrence of symptomatic urinary infection, and adverse events related to the urinary drainage system in spinal cord injury patientsS Vaidyanathan
Regional Spinal Injuries Centre, District General Hospital, Southport PR8 6PN, UK
BMC Urol 1:2. 2001
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- Bladder stones - red herring for resurgence of spasticity in a spinal cord injury patient with implantation of Medtronic Synchromed pump for intrathecal delivery of baclofen - a case report
Subramanian Vaidyanathan
Regional Spinal Injuries Centre, District General Hospital, Southport, PR8 6PN, UK
BMC Urol 3:3. 2003
..We present a SCI patient, in whom bladder calculi acted as red herring for increased spasticity whereas the real cause was spontaneous extrusion of catheter from intrathecal space...
- Localised necrosis of scrotum (Fournier's gangrene) in a spinal cord injury patient - a case report
Subramanian Vaidyanathan
Regional Spinal Injuries Centre, District General Hospital, Southport, PR8 6PN, UK
BMC Fam Pract 3:20. 2002
..We report a male patient with paraplegia who developed rapidly progressive infection of scrotal skin, which resulted in localised necrosis of scrotum (Fournier's gangrene)...
- Long-term result of Memokath urethral sphincter stent in spinal cord injury patients
Subramanian Vaidyanathan
Regional Spinal Injuries Centre, District General Hospital, Southport PR8 6PN, United Kingdom
BMC Urol 2:12. 2002
..Memokath urethral sphincter stents are used to facilitate bladder emptying in patients with spinal cord injury, but long term follow-up has not been reported...
- How should an infected perinephric haematoma be drained in a tetraplegic patient with baclofen pump implanted in the abdominal wall? - A case report
Subramanian Vaidyanathan
Regional Spinal Injuries Centre, District General Hospital, Southport, PR8 6PN, UK
BMC Urol 2:9. 2002
..We present a case to illustrate controversies in percutaneous drainage of infected, perinephric haematoma in a tetraplegic patient, who had implantation of baclofen pump in anterior abdominal wall on the same side as perinephric haematoma...
- Problems in early diagnosis of bladder cancer in a spinal cord injury patient: report of a case of simultaneous production of granulocyte colony stimulating factor and parathyroid hormone-related protein by squamous cell carcinoma of urinary bladder
Subramanian Vaidyanathan
Regional Spinal Injuries Centre, District General Hospital, Southport PR8 6PN, UK
BMC Urol 2:8. 2002
..Typical symptoms and signs of a clinical condition may be absent in spinal cord injury (SCI) patients...
- A study of cytokeratin 20 immunostaining in the urothelium of neuropathic bladder of patients with spinal cord injury
Subramanian Vaidyanathan
Regional Spinal Injuries Centre, District General Hospital, Southport PR8 6PN, UK
BMC Urol 2:7. 2002
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- Klippel-Feil syndrome - the risk of cervical spinal cord injury: a case report
Subramanian Vaidyanathan
Regional Spinal Injuries Centre, District General Hospital, Southport, PR8 6PN, UK
BMC Fam Pract 3:6. 2002
..Persons with Klippel-Feil Syndrome often have congenital anomalies of the urinary tract as well...
- The method of bladder drainage in spinal cord injury patients may influence the histological changes in the mucosa of neuropathic bladder - a hypothesis
Subramanian Vaidyanathan
Regional Spinal Injuries Centre, District General Hospital, Southport PR8 6PN, UK
BMC Urol 2:5. 2002
..The use of chronic indwelling urethral and/or suprapubic catheters in SCI patients is often associated with inflammatory and proliferative pathological conditions in neuropathic bladder...
- Unpredicted spontaneous extrusion of a renal calculus in an adult male with spina bifida and paraplegia: report of a misdiagnosis. Measures to be taken to reduce urological errors in spinal cord injury patients
S Vaidyanathan
Regional Spinal Injuries Centre, District General Hospital, Southport PR8 6PN, UK
BMC Urol 1:3. 2001
..A delay in diagnosis or a misdiagnosis may occur in patients with spinal cord injury (SCI) or spinal bifida as typical symptoms of a clinical condition may be absent because of their neurological impairment...
- Pitfalls in radiologic and histopathologic diagnosis of urologic disease--report of 4 cases
Subramanian Vaidyanathan
Regional Spinal Injuries Center, Department of Radiology, District General Hospital, Southport, Merseyside, United Kingdom
Adv Ther 23:1030-9. 2006
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- Synostosis between pubic bones due to neurogenic, heterotopic ossification
Subramanian Vaidyanathan
Regional Spinal Injuries Centre, District General Hospital, Southport, UK
ScientificWorldJournal 6:2486-90. 2006
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- Recurrent autonomic dysreflexia due to chronic aortic dissection in an adult male with cervical spinal cord injury
Subramanian Vaidyanathan
Regional Spinal Injuries Centre, District General Hospital, Southport, PR8 6PN, UK
ScientificWorldJournal 8:604-10. 2008
..When the inciting cause for dysreflexia is not amenable for treatment, recurrent dysreflexic episodes can be prevented by pharmacotherapy with an alpha-adrenergic blocking agent (doxazosin) and sustained-release nifedipine...
- Fatality due to septicemia and hemorrhage in a patient with spinal cord injury and ischemic heart disease with the need for long-term catheter drainage
Subramanian Vaidyanathan
Regional Spinal Injuries Center, District General Hospital, Southport, Merseyside, United Kingdom
Adv Ther 23:354-8. 2006
..In such patients, it may be prudent to avoid forcible distention of the urinary bladder and instead perform ultrasound-guided or fluoroscopically guided suprapubic cystostomy...
- Challenges in diagnosis and treatment of a cervical spinal cord injury patient with melanoma, adenocarcinoma, and hepatic and osteolytic metastases: need to implement strategies for prevention and early detection of cancer in spinal cord injury patients
Subramanian Vaidyanathan
Regional Spinal Injuries Centre, Southport and Formby District General Hospital, Town Lane, Southport PR8 6PN, UK
Case Rep Oncol Med 2012:531214. 2012
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- Unusual complication of suprapubic cystostomy in a male patient with tetraplegia: traction on Foley catheter leading to extrusion of Foley balloon from urinary bladder and suprapubic urinary fistula--importance of securely anchoring suprapubic catheter wi
Subramanian Vaidyanathan
Regional Spinal Injuries Centre, District General Hospital, Southport, Merseyside PR8 6PN, UK
ScientificWorldJournal 7:1575-8. 2007
..This case illustrates the need to anchor the suprapubic catheter securely to the anterior abdominal wall with adhesive tape or BioDerm Tube Holder to prevent traction and consequent displacement of the catheter or Foley balloon...
- Pyonephrosis and urosepsis in a 41-year old patient with spina bifida: Case report of a preventable death
Subramanian Vaidyanathan
Regional Spinal Injuries Centre, Southport and Formby District General Hospital, Town Lane, Southport, PR8 6PN, UK
Patient Saf Surg 6:10. 2012
..abstract:..
Seminoma of testis masquerading as orchitis in an adult with paraplegia: proposed measures to avoid delay in diagnosing testicular tumours in spinal cord injury patientsSubramanian Vaidyanathan
Regional Spinal Injuries Centre, District General Hospital, Southport, PR8 6PN, UK
ScientificWorldJournal 8:149-56. 2008
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- Infarct of the right basal ganglia in a male spinal cord injury patient: adverse effect of autonomic dysreflexia
Subramanian Vaidyanathan
Regional Spinal Injuries Centre, District General Hospital, Southport, Merseyside, U K
ScientificWorldJournal 11:666-72. 2011
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- Autonomic dysreflexia in a tetraplegic patient due to a blocked urethral catheter: spinal cord injury patients with lesions above T-6 require prompt treatment of an obstructed urinary catheter to prevent life-threatening complications of autonomic dysrefl
Subramanian Vaidyanathan
Regional Spinal Injuries Centre, Southport and Formby District General Hospital, Town Lane, Southport, PR8 6PN, UK
Int J Emerg Med 5:6. 2012
..abstract:..
- Are urological procedures in tetraplegic patients safely performed without anesthesia? a report of three cases
Subramanian Vaidyanathan
Regional Spinal Injuries Centre, Southport and Formby District General Hospital, Town Lane, Southport PR8 6PN, UK
Patient Saf Surg 6:3. 2012
..abstract:..
- Barriers to implementing intermittent catheterisation in spinal cord injury patients in Northwest Regional Spinal Injuries Centre, Southport, U.K
Subramanian Vaidyanathan
Regional Spinal Injuries Centre, District General Hospital, Southport, Merseyside, UK
ScientificWorldJournal 11:77-85. 2011
..Health professionals should make additional efforts to implement intermittent catheterisation in female spinal cord injury patients and in those >60 years...
- Infection of Brindley sacral anterior root stimulator by Pseudomonas aeruginosa requiring removal of the implant: long-term deleterious effects on bowel and urinary bladder function in a spinal cord injury patient with tetraplegia: a case report
Subramanian Vaidyanathan
Spinal Injuries Unit, District General Hospital, Town Lane, Southport PR8 6PN, UK
Cases J 2:9364. 2009
..The consequences of failed implantation were severe constipation, and loss of reflex penile erection and bladder emptying...
- Long-term nephrostomy in an adult male spinal cord injury patient who had normal upper urinary tracts but developed bilateral hydronephrosis following penile sheath drainage: pyeloplasty and balloon dilatation of ureteropelvic junction proved futile: a ca
Subramanian Vaidyanathan
Spinal Injuries Unit, District General Hospital, Town Lane, Southport PR8 6PN, UK
Cases J 2:9335. 2009
..We report an adult male patient with spinal cord injury, who developed bilateral hydronephrosis after he started managing neuropathic bladder by penile sheath drainage...
- Delay in diagnosis of cancer as a patient safety issue - a root cause analysis based on a representative case report
Subramanian Vaidyanathan
Regional Spinal Injuries Centre, Town Lane, Southport, Merseyside PR8 6PN, UK
Patient Saf Surg 5:19. 2011
..abstract:..
- Lessons we learn from review of urological procedures performed during three decades in a spinal cord injury patient: a case report
Subramanian Vaidyanathan
Spinal Injuries Unit, District General Hospital, Town Lane, Southport PR8 6PN, UK
Cases J 2:9334. 2009
..We review urological procedures performed on a spinal cord injury patient during three decades...
- Effect of spinal cord injury upon prostate: adenocarcinoma of prostate in a spinal cord injury patient - a case report
Subramanian Vaidyanathan
Spinal Injuries Unit, District General Hospital, Town Lane, Southport, PR8 6PN, UK
Cases J 2:9374. 2009
..The incidence of carcinoma of prostate is lower in patients with spinal cord injury above T-10 than in those with lesion below T-10...
- Incomplete renal tubular acidosis as a predisposing factor for calcium phosphate stones in neuropathic bladder: a case report
Subramanian Vaidyanathan
Regional Spinal Injuries Centre, District General Hospital, Southport, PR8 6PN, UK
Cases J 1:318. 2008
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- Bluish discolouration of urine drainage tube and bag in a female patient with spina bifida, paraplegia, and suprapubic cystostomy
Subramanian Vaidyanathan
Regional Spinal Injuries Centre, District General Hospital, Southport, UK
ScientificWorldJournal 7:1070-2. 2007
..Clinical characteristics of patients who are likely to develop this phenomenon and the underlying biochemical mechanism for bluish discolouration of the urine drainage system are discussed in brief...
- Complications of Benchekroun vesicostomy in a spina bifida patient: severe stenosis requiring permanent suprapubic cystostomy, recurrent vesical calculi and abdominal hernia containing ileocystoplasty - a case report
Subramanian Vaidyanathan
Spinal Injuries Unit, District General Hospital, Town Lane, Southport PR8 6PN, UK
Cases J 2:9371. 2009
..Then Benchekroun hydraulic ileal valve is attached to urinary bladder, thus providing a continent stoma for performing intermittent catheterisations...
- A simple radiological technique for demonstration of incorrect positioning of a foley catheter with balloon inflated in the urethra of a male spinal cord injury patient
Subramanian Vaidyanathan
Regional Spinal Injuries Centre, District General Hospital, Southport, Merseyside, UK
ScientificWorldJournal 6:2445-9. 2006
..Such documentation proves valuable in planning future treatment, education of health professionals, and settlement of malpractice claims...
- Bilateral renal milk of calcium masquerading as nephrolithiasis in patients with spinal cord injury
Subramanian Vaidyanathan
Regional Spinal Injuries Centre, District General Hospital, Southport, UK
Adv Ther 24:533-44. 2007
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- Hydronephrosis and renal failure following inadequate management of neuropathic bladder in a patient with spinal cord injury: Case report of a preventable complication
Subramanian Vaidyanathan
Regional Spinal Injuries Centre, Southport and Formby District General Hospital, Town Lane, Southport, PR8 6PN, United Kingdom
Patient Saf Surg 6:22. 2012
..abstract:..
- Fatal Septicaemia Following Suprapubic Cystostomy in a Paraplegic Patient: Never Do a Cystostomy without Prior Urine Culture and Appropriate Antibiogram!
Subramanian Vaidyanathan
Regional Spinal Injuries Centre, District General Hospital, Southport, Merseyside PR8 6PN, UK
Case Report Med 2010:461514. 2010
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- Antibiotic therapy for patients with spinal cord injury undergoing urologic procedures
Subramanian Vaidyanathan
Regional Spinal Injuries Center, District General Hospital, Southport, Mereyside, United Kingdom
Adv Ther 23:92-7. 2006
..Antibiotics should be prescribed on the basis of recent urine microbiologic test results, and empiric therapy with gentamicin should be avoided in patients with spinal cord injury who are scheduled to undergo urologic procedures...
- Invasive carcinoma of urinary bladder in a patient with a spinal cord injury with non-functioning Brindley sacral anterior root stimulator: a case report
Subramanian Vaidyanathan
Regional Spinal Injuries Centre, District General Hospital, Southport, PR8 6PN, UK
Cases J 1:137. 2008
..abstract:..
- Ureteral obstruction by the vas deferens after urostomy
Subramanian Vaidyanathan
Regional Spinal Injuries Centre, District General Hospital, Southport, Merseyside, UK
ScientificWorldJournal 10:1707-13. 2010
..In hindsight, bilateral midline cutaneous urostomy using the ureters below the crossover by the vas deferens represents a poor surgical technique for urinary diversion...
- Midodrine: insidious development of urologic adverse effects in patients with spinal cord injury: a report of 2 cases
Subramanian Vaidyanathan
Regional Spinal Injuries Centre, District General Hospital, Southport, United Kingdom
Adv Ther 24:712-20. 2007
..If a patient continues to require midodrine to control postural hypotension, intermittent catheterization combined with antimuscarinic therapy (eg, oxybutynin) should be recommended instead of spontaneous voiding...
- Possible role of large fluid intake in delaying formation of encrustations and, thereby, prolonging working life of Memokath stent for nearly 14 years in a spinal cord injury patient
Subramanian Vaidyanathan
Regional Spinal Injuries Centre, District General Hospital, Southport, Merseyside PR8 6PN, UK
ScientificWorldJournal 7:1663-9. 2007
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- Inadvertent positioning of suprapubic catheter in urethra: a serious complication during change of suprapubic cystostomy in a spina bifida patient - a case report
Subramanian Vaidyanathan
Spinal Injuries Unit, District General Hospital, Town Lane, Southport PR8 6PN, UK
Cases J 2:9372. 2009
..We report a male patient with spina bifida in whom the Foley catheter was placed in the urethra during change of suprapubic cystostomy with serious consequences...
- Fatal Renal Failure in a Spinal Cord Injury Patient with Vesicoureteric Reflux Who Underwent Repeated Ureteric Reimplantations Unsuccessfully: Treatment Should Focus on Abolition of High Intravesical Pressures rather than Surgical Correction of Reflux
Subramanian Vaidyanathan
Regional Spinal Injuries Centre, Southport and Formby District General Hospital, Town Lane, Southport PR8 6PN, UK
Case Rep Urol 2012:603715. 2012
..Angiotensin-converting enzyme inhibitors or angiotensin-receptor-blocking agents should be prescribed even in the absence of hypertension when a spinal cord injury patient develops vesicoureteral reflux and proteinuria...
- Postoperative Complications Leading to Death after Coagulum Pyelolithotomy in a Tetraplegic Patient: Can We Prevent Prolonged Ileus, Recurrent Intestinal Obstruction due to Adhesions Requiring Laparotomies, Chest Infection Warranting Tracheostomy, and Mec
Subramanian Vaidyanathan
Regional Spinal Injuries Centre, Southport and Formby District General Hospital, Town Lane, Southport PR8 6PN, UK
Case Rep Urol 2013:682316. 2013
..Suprapubic cystostomy predisposed to repeated occurrence of stones in urinary bladder and kidneys. Spinal cord physicians should try to establish intermittent catheterisation regime in tetraplegic patients...
- Burrowing of urinary bladder wall by the tip of a size 22 Fr silicone foley catheter in an adult male patient with multiple sclerosis and suprapubic cystostomy: should caution be exercised in using a size 22 Fr silicone foley catheter for long-term draina
Subramanian Vaidyanathan
Regional Spinal Injuries Centre, District General Hospital, Southport, PR8 6PN, UK
Cases J 1:25. 2008
..abstract:..
- Infarction of middle third posterior cortex of kidney: a complication of extended pyelolithotomy, intra-operative electrohydraulic lithotripsy and extraction of calyceal stones under vision using stone basket and flexible cystoscope in a spinal cord injur
Subramanian Vaidyanathan
Regional Spinal Injuries Centre, District General Hospital, Southport PR8 6PN, UK
Cases J 2:93. 2009
..abstract:..
- Glandular fever and pulmonary artery thrombosis in a paraplegic patient, who had undergone splenectomy for splenic trauma sustained along with spinal cord injury: misdiagnosed initially as urine infection and later as lymphoma when CT scan revealed enlarg
Subramanian Vaidyanathan
Regional Spinal Injuries Centre, District General Hospital, Southport, PR8 6PN, UK
Cases J 2:76. 2009
..abstract:..
- Long catheter sign: a reliable bedside sign of incorrect positioning of foley catheter in male spinal cord injury patients
Subramanian Vaidyanathan
Regional Spinal Injuries Centre, District General Hospital, Southport, PR8 6PN, UK
Cases J 1:43. 2008
..abstract:..
- Hyperoxaluria, hypocitraturia, hypomagnesiuria, and lack of intestinal colonization by Oxalobacter formigenes in a cervical spinal cord injury patient with suprapubic cystostomy, short bowel, and nephrolithiasis
Subramanian Vaidyanathan
Regional Spinal Injuries Centre, Southport and Ormskirk Hospital NHS Trust, Southport, Merseyside, UK
ScientificWorldJournal 6:2403-10. 2006
..formigenes or lactic acid bacteria mixture to promote bacterial degradation of oxalate in the gut, and thus combat hyperoxaluria, may play a role in prevention of calcium oxalate kidney stones...
- Preventable long-term complications of suprapubic cystostomy after spinal cord injury: Root cause analysis in a representative case report
Subramanian Vaidyanathan
Regional Spinal Injuries Centre, Southport and Formby District General Hospital, Town Lane, Southport, PR8 6PN, UK
Patient Saf Surg 5:27. 2011
..abstract:..
- Amikacin dosing and monitoring in spinal cord injury patients: variation in clinical practice between spinal injury units and differences in experts' recommendations
Subramanian Vaidyanathan
Regional Spinal Injuries Centre, District General Hospital, Southport, Merseyside PR8 6PN, UK
ScientificWorldJournal 6:187-99. 2006
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