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Related Concept Videos

Urinary Tract Calculi III: Medical Management01:30

Urinary Tract Calculi III: Medical Management

The diagnosis of renal calculi involves several imaging techniques, including non-contrast CT scans and ultrasound. These methods help visualize kidney stones, assess their size and location, and detect possible obstructions. Additionally, Measuring urine pH is useful for diagnosing specific stone types, such as struvite (alkaline pH) and uric acid stones (acidic pH). Cystine stones are primarily linked to cystinuria, a genetic condition. A urinalysis helps detect blood in the urine (hematuria)...
Urinary Tract Calculi VI: Surgical Management01:25

Urinary Tract Calculi VI: Surgical Management

Procedures for Kidney StonesMedical intervention is necessary when kidney stones or renal calculi are too large to pass spontaneously (typically greater than 5 millimeters) when stones are accompanied by symptomatic infection (such as fever or pyelonephritis), when they impair kidney function, or when they cause persistent symptoms like severe pain, nausea, or urinary retention. Additionally, patients with only one kidney or those who cannot be treated with medical management also require...
Urinary Tract Calculi V: Nursing Management01:28

Urinary Tract Calculi V: Nursing Management

AssessmentSubjective Data: Obtain a detailed health history, including any recent or chronic urinary tract infections, periods of immobilization, previous episodes of renal calculi, and medical conditions such as gout, benign prostatic hyperplasia, or hyperparathyroidism. Review the medication history for drugs that may influence stone formation, including allopurinol, analgesics, loop diuretics, or thiazide diuretics. Document the use of long-term indwelling catheters and any past surgical...
Urologic Endoscopic Procedure: Cystoscopic Examination01:28

Urologic Endoscopic Procedure: Cystoscopic Examination

Meaning of Cystoscopic Examination:Cystoscopy is an essential diagnostic tool in urology that is used to assess the structure and function of the genitourinary system. It provides a direct view of the urethra, bladder, and, in some cases, the ureteral openings. This procedure helps detect structural abnormalities, infections, cancers, and blockages in the urinary tract. There are two types of cystoscopy:Flexible cystoscopy is commonly performed in outpatient settings due to its less invasive...
Urinary Tract Infection IV: Nursing Management01:17

Urinary Tract Infection IV: Nursing Management

In managing urinary tract infections (UTIs) in nursing, a comprehensive assessment is essential. Begin by gathering subjective data, such as the patient’s complaints of dysuria (painful urination), urinary frequency, urgency, suprapubic pain, and any lower abdominal discomfort. This information can be complemented by questions regarding previous UTIs, sexual activity, and personal hygiene practices, which can provide insight into risk factors. Objective assessment should focus on signs like...
Urinary Tract Calculi II: Pathophysiology and Clinical Manifestations01:26

Urinary Tract Calculi II: Pathophysiology and Clinical Manifestations

Renal calculi, commonly termed kidney stones, are crystalline solid masses that form in the kidneys but can occur at any point within the urinary system, encompassing the kidneys, ureters, bladder, and urethra.The pathophysiology of renal stones involves several key factors: supersaturation of the urine with stone-forming constituents, changes in urine pH, a decrease in urine volume, and the presence of substances that promote or inhibit stone formation.Supersaturation of Urine: This is the...

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Related Experiment Video

Updated: Jul 16, 2026

Vessel-sparing Excision and Primary Anastomosis
08:09

Vessel-sparing Excision and Primary Anastomosis

Published on: January 7, 2019

Management Of Urethral Strictures In The UCTH Calabar.

A Essiet1, E E Irekpita, P D Ekwere

  • 1Urology Unit, Dept of Surgery, University of Calabar Teaching Hospital, Calabar.

The Nigerian Postgraduate Medical Journal
|March 16, 2007
PubMed
Summary

Urethral stricture management in Calabar shows urethroplasty yielding better outcomes than dilatation. Urethritis remains a primary cause of these strictures, highlighting the need for effective treatment strategies.

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Urethroplasty with Pedicled Tunica Vaginalis for the Treatment of Long-segment Anterior Urethral Stricture Caused by Lichen Sclerosus of Glans Penis
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Urethroplasty with Pedicled Tunica Vaginalis for the Treatment of Long-segment Anterior Urethral Stricture Caused by Lichen Sclerosus of Glans Penis

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Last Updated: Jul 16, 2026

Vessel-sparing Excision and Primary Anastomosis
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Urethroplasty with Pedicled Tunica Vaginalis for the Treatment of Long-segment Anterior Urethral Stricture Caused by Lichen Sclerosus of Glans Penis
03:55

Urethroplasty with Pedicled Tunica Vaginalis for the Treatment of Long-segment Anterior Urethral Stricture Caused by Lichen Sclerosus of Glans Penis

Published on: October 18, 2024

Area of Science:

  • Urology
  • Surgical Research
  • Clinical Outcomes

Background:

  • Urethral stricture is a significant cause of morbidity in adult males.
  • Understanding the aetiology and treatment outcomes is crucial for improving patient care.

Purpose of the Study:

  • To analyze the presentation, causes, and treatment outcomes of urethral strictures.
  • To compare the efficacy of urethroplasty versus dilatation for stricture management.

Main Methods:

  • Retrospective study of 45 consecutive urethral stricture cases over three years.
  • Data collected on presentation, aetiology, treatment modality, and outcomes.
  • Treatment outcomes assessed via patient and objective measures, including urethrograms.

Main Results:

  • Urethritis (53.3%) and trauma (35.6%) were the leading causes of strictures.
  • Urethroplasty achieved a 'GOOD' outcome in 75% of patients.
  • Dilatation (bouginage) resulted in 'GOOD' outcomes in 63.6% of cases, with one death from septic complications.

Conclusions:

  • Urethroplasty offers superior results for managing urethral strictures compared to dilatation.
  • Dilatation remains a viable option for select cases.
  • Urethritis is a predominant aetiological factor for urethral strictures in the study region.