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Related Concept Videos

Urinary Tract Infection IV: Nursing Management01:17

Urinary Tract Infection IV: Nursing Management

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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 Infection III: Diagnostic Studies and Interprofessional Care01:30

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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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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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Nursing Assessment of the Genitourinary System I: Health History01:21

Nursing Assessment of the Genitourinary System I: Health History

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The genitourinary system is critical to maintaining fluid balance, waste elimination, and reproductive function. Nurses play a vital role in assessing this system, beginning with a thorough health history. This process involves gathering patient information, identifying risk factors, and recognizing symptoms of genitourinary disorders. Early detection is vital for timely interventions and management.1. Gathering Patient InformationA complete health history includes the patient’s personal,...
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Urinary Tract Calculi II: Pathophysiology and Clinical Manifestations01:26

Urinary Tract Calculi II: Pathophysiology and Clinical Manifestations

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Renal calculi, commonly termed kidney stones, are crystalline solid masses that form in the kidneys but can occur at any point within the urinary system, encompassing the kidneys, ureters, bladder, and urethra.The pathophysiology of renal stones involves several key factors: supersaturation of the urine with stone-forming constituents, changes in urine pH, a decrease in urine volume, and the presence of substances that promote or inhibit stone formation.Supersaturation of Urine: This is the...
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Post-prostatectomy incontinence: Etiology, evaluation, and management.

Nirmish Singla1, Ajay K Singla2

  • 1Department of Urology, University of Texas Southwestern, Dallas, TX, USA.

Turkish Journal of Urology
|September 2, 2015
PubMed
Summary

Urinary incontinence following prostate cancer treatment is common. This review details causes, evaluation, and surgical options like the male sling for managing this quality-of-life issue.

Keywords:
Artificial urinary sphinctermale slingprostatectomyurinary incontinence

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Area of Science:

  • Urology
  • Oncology
  • Surgical Innovation

Background:

  • Post-prostatectomy urinary incontinence significantly impacts men's quality of life.
  • Increasing rates of radical prostatectomies worldwide heighten the importance of managing this complication.
  • Newer surgical treatments, such as male slings, offer hope for affected individuals.

Purpose of the Study:

  • To review the etiology, evaluation, and management of post-prostatectomy urinary incontinence.
  • To provide a clinical algorithm for appropriate surgical intervention.
  • To describe surgical techniques and outcomes for common incontinence procedures.

Main Methods:

  • Comprehensive literature review on post-prostatectomy incontinence.
  • Analysis of current and emerging surgical management strategies.
  • Development of a decision-making algorithm for clinicians.

Main Results:

  • Urinary incontinence is a frequent and feared complication of prostate cancer treatment.
  • Various surgical options exist, including artificial urinary sphincters and male slings.
  • Newer international procedures show promise but await FDA approval.

Conclusions:

  • Effective management of post-prostatectomy incontinence is crucial for patient well-being.
  • A structured approach to evaluation and surgical selection is recommended.
  • Continued research and development of surgical techniques are vital.