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Related Concept Videos

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...
Nursing Assessment of the Genitourinary System I: Health History01:21

Nursing Assessment of the Genitourinary System I: Health History

The genitourinary system is critical to maintaining fluid balance, waste elimination, and reproductive function. Nurses play a vital role in assessing this system, beginning with a thorough health history. This process involves gathering patient information, identifying risk factors, and recognizing symptoms of genitourinary disorders. Early detection is vital for timely interventions and management.1. Gathering Patient InformationA complete health history includes the patient’s personal,...
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...
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)...
Nursing Assessment of the Genitourinary System II: Inspection and Palpation01:26

Nursing Assessment of the Genitourinary System II: Inspection and Palpation

The nursing assessment of the genitourinary (GU) system involves a systematic inspection and palpation to identify abnormalities in the kidneys, bladder, and surrounding structures.InspectionMouth: Inspect for signs of kidney dysfunction, such as stomatitis (inflammation of the mouth) and ammonia breath, which may occur in advanced kidney disease due to the buildup of urea, breaking down into ammonia.Skin: Check for pallor, which could indicate anemia caused by kidney disease. Look for...
Urinary Tract Infection III: Diagnostic Studies and Interprofessional Care01:30

Urinary Tract Infection III: Diagnostic Studies and Interprofessional Care

A healthcare provider can diagnose a urinary tract infection (UTI) through several methods:Medical History and Symptoms: The provider will take a detailed medical history and ask about symptoms such as frequent urination, burning sensation during urination, and lower abdominal pain.Urinalysis: A clean-catch urine sample is collected in a sterile container and tested for the presence of bacteria, white blood cells (leukocytes), nitrites, blood, and protein. The presence of leukocytes and...

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Updated: Jun 22, 2026

Transcorporal Artificial Urinary Sphincter Cuff Placement in a Case Requiring Revision for Urethral Atrophy
03:25

Transcorporal Artificial Urinary Sphincter Cuff Placement in a Case Requiring Revision for Urethral Atrophy

Published on: June 16, 2022

Managing urogenital atrophy.

Santiago Palacios1

  • 1Palacios Institute of Woman's Health, Madrid, Spain. ipalacios@institutopalacios.com

Maturitas
|June 5, 2009
PubMed
Summary
This summary is machine-generated.

Urogenital atrophy, a common menopausal issue due to estrogen deficiency, affects many women but is underdiagnosed and undertreated. Effective treatments include lubricants, moisturizers, and estrogen therapy, with topical vaginal estrogen often preferred.

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Published on: October 18, 2024

Area of Science:

  • Gynecology
  • Menopause Management
  • Urogynecology

Background:

  • Urogenital atrophy is a prevalent condition linked to estrogen deficiency, commonly experienced during menopause.
  • Symptoms affect a significant percentage of women, yet less than 25% seek medical attention.
  • It impacts both pre-menopausal and post-menopausal populations, though prevalence increases significantly after menopause.

Purpose of the Study:

  • To offer a practical clinical guide for diagnosing and managing urogenital atrophy.
  • To consolidate current knowledge on the etiology, prevalence, and treatment of urogenital atrophy.
  • To emphasize the importance of addressing this common menopausal symptom.

Main Methods:

  • Comprehensive literature search of Medline database from 1969 to 2008.
  • Inclusion of original reports, meta-analyses, and clinical guidelines in English.
  • Focus on evidence-based information for diagnosis and management.

Main Results:

  • Lubricants provide temporary relief for vaginal dryness; moisturizers offer longer-lasting symptomatic improvement.
  • Systemic or local estrogen therapy is effective across various regimens.
  • Topical vaginal estrogen is recommended as a preferred monotherapy when systemic treatment is not indicated.

Conclusions:

  • Urogenital atrophy requires long-term management, potentially spanning many years.
  • Estrogen therapy, particularly topical vaginal application, is a cornerstone of effective treatment.
  • Increased awareness and medical care are crucial for addressing the high prevalence of under-treated urogenital atrophy.