Related Experiment Video
Updated: Apr 17, 2026
08:09
Vessel-sparing Excision and Primary Anastomosis
Published on: January 7, 2019
12.3K
[Management and complications of urinary diversions]
La Revue Du Praticien
|February 11, 2015
Summary
Following cystectomy, orthotopic neobladder is preferred for urine diversion. Careful management and adapted follow-up are crucial due to frequent side effects and complications.
Area of Science:
- Urology
- Surgical Oncology
Context:
- Post-cystectomy urinary diversion is essential.
- Orthotopic neobladder offers a preferred reconstruction method when feasible.
Purpose:
- To outline the management of urinary diversion after cystectomy.
- To highlight the frequent complications and necessary follow-up protocols.
Summary:
- Urinary elimination post-cystectomy involves orthotopic neobladder or stoma, with neobladder prioritized.
- Strict management by urologists and nurses is required.
- Common complications include incontinence, retention, infection, renal dysfunction, metabolic issues, and stoma problems, necessitating adapted follow-up and management.
Impact:
- Emphasizes the need for vigilant patient monitoring after cystectomy.
- Informs healthcare providers on managing potential side effects of urinary diversion.
- Aims to improve patient outcomes through adapted follow-up strategies.
Related Concept Videos
01:28Urinary Tract Calculi V: Nursing Management
472
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...
472
01:25Urinary Tract Calculi VI: Surgical Management
941
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...
941
01:17Urinary Tract Infection IV: Nursing Management
632
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...
632
01:25Peritoneal Dialysis II: Peritoneal Dialysis Systems and Complications
1.9K
Peritoneal dialysis (PD) is a medical process that removes waste products and excess fluid from the body using the peritoneal membrane as a natural filter.Peritoneal Dialysis MethodsSeveral methods can be used for peritoneal dialysis, including Acute Intermittent Peritoneal Dialysis, Continuous Ambulatory Peritoneal Dialysis, and Automated Peritoneal Dialysis, also known as Continuous Cyclic Peritoneal Dialysis.Acute Intermittent Peritoneal Dialysis (AIPD) is used for patients with uremic...
1.9K
01:30Urinary Tract Calculi III: Medical Management
360
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)...
360
01:25Peritoneal Dialysis III: Nursing Management
1.6K
Peritoneal dialysis, or PD, utilizes the peritoneal membrane as a filter to eliminate excess fluid and waste products. Effective nursing management is essential for ensuring patient safety, preventing complications, and promoting optimal function of the peritoneal dialysis process.Assessment and MonitoringNurses must thoroughly assess the patient before, during, and after each dialysis session. Regular monitoring includes vital signs, daily weight, fluid intake and output, and laboratory values...
1.6K