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Related Concept Videos

Urinary Tract Calculi VI: Surgical Management01:25

Urinary Tract Calculi VI: Surgical Management

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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...
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Urinary Tract Calculi III: Medical Management01:30

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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)...
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Urinary Tract Infection IV: Nursing Management01:17

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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...
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Urinary Tract Calculi V: Nursing Management01:28

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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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Urinary Tract Infection III: Diagnostic Studies and Interprofessional Care01:30

Urinary Tract Infection III: Diagnostic Studies and Interprofessional Care

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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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Inflammatory Bowel Disease V: Surgical Management01:21

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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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Transcorporal Artificial Urinary Sphincter Cuff Placement in a Case Requiring Revision for Urethral Atrophy
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Conservative management for postprostatectomy urinary incontinence.

Coral A Anderson1, Muhammad Imran Omar, Susan E Campbell

  • 1Academic Urology Unit, University of Aberdeen, Aberdeen, UK.

The Cochrane Database of Systematic Reviews
|January 21, 2015
PubMed
Summary
This summary is machine-generated.

Conservative management for post-prostatectomy urinary incontinence shows uncertain effectiveness. Pelvic floor muscle training may offer some benefit, but more rigorous trials are needed to confirm efficacy for treating male incontinence after prostate surgery.

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Area of Science:

  • Urology
  • Rehabilitation Medicine
  • Evidence-Based Medicine

Background:

  • Urinary incontinence is a common complication following prostatectomy (radical or transurethral resection of the prostate - TURP).
  • Conservative management strategies include pelvic floor muscle training (PFMT), electrical stimulation, magnetic innervation, compression devices, and lifestyle changes.

Purpose of the Study:

  • To evaluate the effectiveness of conservative management for urinary incontinence in men up to 12 months after various types of prostatectomy.
  • To assess both single conservative therapies and combinations of treatments.

Main Methods:

  • Systematic review of randomized and quasi-randomized controlled trials.
  • Searched multiple databases including Cochrane, EMBASE, CINAHL, and clinical trial registries.
  • Assessed methodological quality and abstracted data from 50 included trials involving 4717 men.

Main Results:

  • Overall symptom improvement observed over time, irrespective of management.
  • Moderate evidence suggests PFMT may reduce incontinence post-radical prostatectomy, but findings are inconsistent and caution is advised due to methodological limitations.
  • Limited evidence suggests potential benefits from electrical stimulation, magnetic innervation, or combined treatments; external penile clamps may manage long-term incontinence but have safety concerns.

Conclusions:

  • The effectiveness of current conservative management approaches for post-prostatectomy incontinence remains uncertain due to conflicting evidence.
  • High-quality, adequately powered randomized controlled trials adhering to CONSORT guidelines are necessary for definitive answers.
  • Future trials should focus on robust design, specific research questions, and patient-centered outcomes.