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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...
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 IV: Nutrition Therapy and Prevention01:27

Urinary Tract Calculi IV: Nutrition Therapy and Prevention

Management of renal calculi focuses on effective strategies like tailored nutrition and hydration therapy. Adjusting diet and fluid intake reduces stone formation and recurrence, making these interventions simple yet powerful in kidney stone prevention and management.Understanding Kidney StonesKidney stones form when calcium, oxalate, uric acid, and cystine concentrate and crystallize in urine. Factors contributing to their formation include genetic predisposition, certain medical conditions,...
Microbiota of the Urogenital Tract01:28

Microbiota of the Urogenital Tract

The human urogenital system, once thought to be sterile in healthy individuals, is now recognized as a complex microbial habitat. Advancements in molecular sequencing techniques have revealed that even in healthy adults, the kidneys and bladder harbor microbial populations similar to those found in the distal urethra, albeit in much lower abundance. These resident microorganisms, while generally innocuous, can become opportunistic pathogens under conditions that alter the urogenital...
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 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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Related Experiment Video

Updated: May 29, 2026

Vessel-sparing Excision and Primary Anastomosis
08:09

Vessel-sparing Excision and Primary Anastomosis

Published on: January 7, 2019

Urethral erosion: a case for prevention.

Jillian Cipa-Tatum1, Michelle Kelly-Signs, Khosrow Afsari

  • 1Graduate of Touro University College of Medicine, Vallejo, California, USA. jillian.cipa-tatum@tu.edu

Journal of Wound, Ostomy, and Continence Nursing : Official Publication of the Wound, Ostomy and Continence Nurses Society
|September 15, 2011
PubMed
Summary
This summary is machine-generated.

Properly securing indwelling urinary catheters prevents serious complications like urethral erosion. However, compliance with this simple preventive measure remains alarmingly low in healthcare settings.

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Area of Science:

  • Urology
  • Medical Device Safety

Background:

  • Long-term urethral catheterization poses risks including urethral erosion, penile erosion, meatal erosion, and tissue necrosis.
  • These adverse events are associated with indwelling urinary devices.

Observation:

  • A case report details a 63-year-old male with a urinary catheter that eroded through the urethra and penile skin.
  • The patient presented with fevers and possible infection around a percutaneous endoscopic gastrostomy tube.
  • A hospital-wide audit revealed 34% of patients had Foley catheters, with only 18% properly secured.

Findings:

  • A significant proportion of patients in the facility utilized indwelling urinary catheters.
  • Low compliance with securing urinary catheters was observed, despite its preventive benefits.
  • Catheter erosion and associated complications can occur due to improper device management.

Implications:

  • Properly securing indwelling catheters is a critical, yet often overlooked, preventive measure against severe complications.
  • Improving compliance with catheter securement protocols is essential for patient safety in healthcare facilities.
  • Healthcare providers must reinforce best practices for urinary catheter management to mitigate device-related injuries.