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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 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)...
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...
Imaging Studies VI: Voiding Cystourethrography and Cystography01:22

Imaging Studies VI: Voiding Cystourethrography and Cystography

Voiding Cystourethrography (VCUG) and Cystography are specialized radiographic procedures used to examine the structure and function of the bladder and urethra.Voiding Cystourethrography (VCUG)A Voiding Cystourethrogram (VCUG) is a diagnostic imaging procedure that assesses the anatomy and function of the lower urinary tract. It focuses on the bladder, bladder neck, and urethra, helping detect abnormalities such as vesicoureteral reflux (VUR)—the backward or reverse flow of urine into the...
Inflammatory Bowel Disease V: Surgical Management01:21

Inflammatory Bowel Disease V: Surgical Management

Surgical interventions for inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease, are essential in managing symptoms and addressing complications. The selection of surgical procedures is contingent upon the specific conditions and complications that stem from these illnesses.
Here are some common surgical interventions for IBD:

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Related Experiment Video

Updated: May 28, 2026

Vessel-sparing Excision and Primary Anastomosis
08:09

Vessel-sparing Excision and Primary Anastomosis

Published on: January 7, 2019

Conservative management as an initial approach for post-operative voiding dysfunction.

Claire Bailey1, Gurminder Matharu

  • 1Department of Obstetrics and Gynaecology, Solihull Hospital, Lode Lane, Solihull, West Midlands B91 2JL, United Kingdom. cebailey@doctors.org.uk

European Journal of Obstetrics, Gynecology, and Reproductive Biology
|October 18, 2011
PubMed
Summary
This summary is machine-generated.

Clean intermittent self-catheterisation (CISC) effectively manages post-tension-free vaginal tape (TVT) voiding dysfunction in most women. This conservative approach resolves symptoms quickly, avoiding risks of further surgery.

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Last Updated: May 28, 2026

Vessel-sparing Excision and Primary Anastomosis
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Detrusor Underactivity Model in Rats by Conus Medullaris Transection
03:26

Detrusor Underactivity Model in Rats by Conus Medullaris Transection

Published on: August 28, 2020

Area of Science:

  • Urology
  • Gynecology
  • Pelvic Floor Disorders

Background:

  • Voiding dysfunction following tension-free vaginal tape (TVT) surgery presents a management challenge.
  • The optimal timing for surgical intervention and the efficacy of conservative treatments are not well-established.

Purpose of the Study:

  • To evaluate clean intermittent self-catheterisation (CISC) as a primary management strategy for post-TVT voiding dysfunction.
  • To assess the effectiveness and recovery time associated with CISC in this patient population.

Main Methods:

  • A retrospective review of 389 women who underwent TVT surgery over five years.
  • Analysis of 20 women who developed post-operative voiding dysfunction and initiated CISC.
  • Monitoring included voided volumes, residual urine via uroflowmetry, and voiding diaries.

Main Results:

  • 72% of patients experienced a return to normal voiding function with CISC.
  • Of those who recovered, 85% achieved normal function within 12 weeks.
  • Normal voiding was defined as residual urine volumes less than 100 ml.

Conclusions:

  • CISC is a viable and effective first-line treatment for the majority of post-TVT voiding dysfunction cases.
  • This conservative management avoids the potential complications of repeat surgical procedures.
  • Successful CISC can prevent recurrence of stress incontinence associated with further interventions.