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Related Concept Videos

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 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)...
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:
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...
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 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...

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Vessel-sparing Excision and Primary Anastomosis
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Published on: January 7, 2019

Conservative treatment for postprostatectomy incontinence.

Bilal Chughtai1, Richard Lee, Jaspreet Sandhu

  • 1James Buchanan Brady Foundation, Department of Urology, Weill Medical College of Cornell University, New York, NY.

Reviews in Urology
|October 2, 2013
PubMed
Summary
This summary is machine-generated.

Postprostatectomy incontinence (PPI) affects some men after prostate surgery. This review covers risk factors and treatment options for persistent urinary incontinence, including conservative and surgical approaches.

Keywords:
Pelvic floor muscle trainingPelvic floor stimulationPostprostatectomy incontinenceRadical prostatectomy

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Area of Science:

  • Urology
  • Surgical Complications

Background:

  • Postprostatectomy incontinence (PPI) is a common and bothersome complication following radical prostatectomy.
  • While many men regain continence, a subset experiences persistent urinary incontinence, significantly impacting quality of life.

Purpose of the Study:

  • To discuss the risk factors associated with developing postprostatectomy incontinence.
  • To review the current management strategies for persistent urinary incontinence after prostatectomy.

Main Methods:

  • This article synthesizes information on the etiology and clinical presentation of PPI.
  • It explores conservative management options, including pelvic floor muscle exercises and biofeedback.
  • Pharmacotherapy and surgical interventions are also discussed as treatment modalities.

Main Results:

  • Persistent urinary incontinence after radical prostatectomy necessitates a structured management approach.
  • Conservative measures are the first line of treatment, with surgical options reserved for refractory cases.
  • Various treatment modalities exist, offering tailored solutions for individual patient needs.

Conclusions:

  • Effective management of postprostatectomy incontinence involves identifying risk factors and employing a stepwise treatment strategy.
  • Conservative therapies, biofeedback, and pharmacotherapy are key components of initial management.
  • Surgical options provide further recourse for patients with persistent symptoms unresponsive to non-operative treatments.