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Related Concept Videos

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 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 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...
Acute Kidney Injury VI: Nursing Management01:22

Acute Kidney Injury VI: Nursing Management

Acute Kidney Injury (AKI) results in an inability to maintain fluid, electrolyte, and acid-base balance. Effective nursing management is critical in improving patient outcomes and includes comprehensive patient assessment and targeted interventions.Comprehensive Patient AssessmentA detailed history collection is essential, focusing on any recent infections, nephrotoxic medication use, or chronic conditions such as hypertension and diabetes that may contribute to AKI. During the physical...
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,...

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Transcorporal Artificial Urinary Sphincter Cuff Placement in a Case Requiring Revision for Urethral Atrophy
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Managing patients with acute urinary retention.

Shanggar Kuppusamy1, David Gillatt

  • 1Bristol Urological Institute, Southmead Hospital, Bristol.

The Practitioner
|July 28, 2011
PubMed
Summary

Acute urinary retention (AUR) is a common condition in elderly men, often caused by benign prostatic hyperplasia (BPH). Prompt diagnosis and management, including catheterization, are crucial for patient recovery and preventing complications.

Area of Science:

  • Urology
  • Geriatrics

Background:

  • Acute urinary retention (AUR) is significantly more prevalent in men, particularly those over 70.
  • Benign prostatic hyperplasia (BPH) is the most frequent cause of spontaneous AUR in men, leading to bladder outlet obstruction.

Purpose of the Study:

  • To outline the common causes, presentation, and diagnostic approach to AUR in men.
  • To provide guidance on management strategies, including catheterization and indications for hospital admission.

Main Methods:

  • Review of typical patient presentation including symptoms and physical examination findings.
  • Diagnostic workup involving urinalysis, renal function tests, and digital rectal examination.
  • Management considerations including catheterization, suprapubic catheterization, and trial without catheter (TWC).

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Published on: November 22, 2019

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Technical Modification of the Terminal Ureter During Total Transperitoneal Laparoscopic Nephroureterectomy for Upper Urinary Tract Urothelial Carcinoma
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Technical Modification of the Terminal Ureter During Total Transperitoneal Laparoscopic Nephroureterectomy for Upper Urinary Tract Urothelial Carcinoma

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Main Results:

  • AUR typically presents as sudden, painful inability to urinate with abdominal distension.
  • Digital rectal examination is vital for assessing prostate size and rectal conditions.
  • PSA testing is not recommended during acute presentation due to unreliable results.

Conclusions:

  • Early recognition and appropriate management of AUR are essential.
  • A planned trial without catheter (TWC) within 2-3 days post-catheterization can facilitate natural urine passage.
  • Admission criteria are based on patient's overall condition, renal function, and neurological status.