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Related Concept Videos

Acute Kidney Injury II: Pathophysiology01:29

Acute Kidney Injury II: Pathophysiology

Acute kidney injury (AKI) causes are categorized into three primary categories based on the location of the injury: prerenal, intrarenal (or intrinsic), and postrenal causes. This classification guides clinical management and illustrates how different pathways can impair kidney function.Etiology and Pathophysiology of Acute Kidney Injury1. Prerenal causesEtiology: Prerenal Acute Kidney Injury, the most common type, occurs when reduced blood flow to the kidneys decreases filtration capacity...
Acute Kidney Injury IV: Diagnostic Studies and Prevention01:30

Acute Kidney Injury IV: Diagnostic Studies and Prevention

Accurate diagnosis and effective prevention are critical in managing Acute Kidney Injury (AKI), which is linked to high mortality rates ranging from 10% to 80%. Timely recognition of at-risk patients and careful monitoring can significantly reduce the likelihood of kidney damage.Diagnostic Assessments:The diagnostic process starts with a comprehensive medical history to identify prerenal, intrarenal, and postrenal causes.Prerenal causes, such as dehydration, hypotension, or blood loss, should...
Urinary Tract Infection I: Introduction01:26

Urinary Tract Infection I: Introduction

Urinary tract infections (UTIs) impact various parts of the urinary system, including the kidneys, ureters, bladder, and urethra. These infections are generally bacterial, with Escherichia coli being the most common causative agent, often originating from the gastrointestinal tract. However, other bacteria, such as Staphylococcus saprophyticus, Klebsiella pneumoniae, and Proteus mirabilis, are also known to cause UTIs. The type, location, and underlying complexity of the UTI guide both...
Acute Kidney Injury III: Clinical Manifestations01:29

Acute Kidney Injury III: Clinical Manifestations

Acute Kidney Injury (AKI) progresses through distinct clinical phases: the oliguric, diuretic, and recovery phases, each marked by unique manifestations and challenges.Oliguric Phase:The oliguric phase is the initial stage of AKI, typically lasting 10 to 14 days. This phase is marked by a significant reduction in urine output, usually less than 400 mL per day, indicating decreased kidney function. Fluid retention is a prominent feature, leading to symptoms such as edema, hypertension, and...
Disorders of the Urinary System01:20

Disorders of the Urinary System

The urinary system is responsible for eliminating waste and excess fluids from the body. However, disorders of the urinary system can arise due to various reasons like infections, stress, age, congenital abnormalities, and lifestyle.
Urinary tract infections (UTIs) are one of the most common urinary system disorders. They are caused by bacteria that enter the urethra and can spread to the bladder resulting in cystitis. Pyelonephritis is the result of a UTI that has ascended to the level of the...
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Imaging Studies V: Intravenous Urography and Retrograde Pyelography

IntroductionIntravenous Urography (IVU) and Retrograde Pyelography (RP) are important diagnostic imaging techniques used to evaluate the urinary system. These methods help identify structural abnormalities, obstructions, and functional issues in the kidneys, ureters, and bladder. Both procedures use iodine-based contrast media to enhance the visibility of urinary tract structures on X-ray images, though they differ in their methods and indications.1. Intravenous Urography (IVU)Intravenous...

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Unilateral Ureteral Obstruction Model for Investigating Kidney Interstitial Fibrosis
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Changing patterns in iatrogenic ureteral injuries.

Victoriano Romero1, Haluk Akpinar, John J Smith

  • 1Wake Forest University School of Medicine, Wake Forest University Winston-Salem, NC, USA.

Reviews in Urology
|January 11, 2012
PubMed
Summary
This summary is machine-generated.

Minimally invasive surgery has increased ureteral injuries. This study examines if newer endoscopic procedures have further impacted the rate of major iatrogenic ureteral injuries requiring treatment.

Keywords:
Laparoscopic cholecystectomyProximal ureterRenal salvageUreteral injuryUreteroscopy

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Area of Science:

  • Urology
  • Surgical Innovation
  • Medical Device Technology

Background:

  • Laparoscopic and endoscopic surgical techniques have advanced significantly over 25 years.
  • Previous reports indicated a rise in ureteral injury treatments correlating with minimally invasive surgery introduction.
  • More sophisticated endoscopic procedures have emerged since the initial report.

Purpose of the Study:

  • To investigate the impact of advanced endoscopic procedures on the incidence of ureteral injuries.
  • To determine if recent surgical advancements have altered the rate of iatrogenic ureteral injuries managed at the institution.

Main Methods:

  • Retrospective study design.
  • Analysis of patient data for ureteral injuries requiring treatment.
  • Comparison of injury rates before and after the introduction of advanced endoscopic techniques.

Main Results:

  • The study aimed to identify trends in the management of major iatrogenic ureteral injuries.
  • Results will indicate whether the rate of these injuries has changed with newer procedures.

Conclusions:

  • Further analysis is required to ascertain the definitive impact of advanced endoscopic procedures on ureteral injury rates.
  • Understanding these trends is crucial for refining surgical practices and patient safety in minimally invasive urological procedures.