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Related Concept Videos

Urinary Tract Calculi V: Nursing Management01:28

Urinary Tract Calculi V: Nursing Management

419
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...
419
Urinary Tract Calculi III: Medical Management01:30

Urinary Tract Calculi III: Medical Management

322
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)...
322
Urinary Tract Calculi VI: Surgical Management01:25

Urinary Tract Calculi VI: Surgical Management

809
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...
809
Imaging Studies V: Intravenous Urography and Retrograde Pyelography01:22

Imaging Studies V: Intravenous Urography and Retrograde Pyelography

2.6K
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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Urinary Tract Infection IV: Nursing Management01:17

Urinary Tract Infection IV: Nursing Management

594
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...
594
Urinary Tract Infection III: Diagnostic Studies and Interprofessional Care01:30

Urinary Tract Infection III: Diagnostic Studies and Interprofessional Care

399
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...
399

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Related Experiment Video

Updated: Mar 28, 2026

Technical Modification of the Terminal Ureter During Total Transperitoneal Laparoscopic Nephroureterectomy for Upper Urinary Tract Urothelial Carcinoma
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[Urinary diversion in elderly patients].

M Spahn1, S Boxler2

  • 1Urologische Universitätsklinik, Inselspital Bern, Anna Seiler-Haus, CH-3010, Bern, Schweiz. martin.spahn@insel.ch.

Der Urologe. Ausg. A
|December 26, 2015
PubMed
Summary
This summary is machine-generated.

Age is not a contraindication for orthotopic neobladder in elderly bladder cancer patients. Careful patient selection and nerve-sparing surgical techniques are key for successful outcomes and improved quality of life.

Keywords:
CystectomyIleocecal pouchNeobladder, orthotopicPouch, catheterizableUrinary bladder neoplasms

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A Murine Model of Irreversible and Reversible Unilateral Ureteric Obstruction
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Area of Science:

  • Urology
  • Oncology

Context:

  • Bladder cancer is a prevalent malignancy globally, with over 400,000 new diagnoses annually.
  • Muscle-invasive bladder cancer carries a high mortality rate without prompt treatment.
  • The median age of bladder cancer patients is 70, highlighting its prevalence in the elderly population.

Purpose:

  • To evaluate the suitability and outcomes of orthotopic neobladder urinary diversion in elderly patients undergoing radical cystectomy for bladder cancer.
  • To determine if age is a limiting factor for orthotopic neobladder reconstruction.

Summary:

  • Radical cystectomy is the standard treatment for muscle-invasive bladder cancer.
  • Urinary diversion type significantly impacts patient morbidity and quality of life.
  • Orthotopic neobladder offers potential for excellent functional results in select elderly patients.

Impact:

  • Age alone should not preclude elderly patients from considering orthotopic neobladder.
  • Optimizing patient selection and employing nerve-sparing surgical approaches are critical for successful orthotopic neobladder outcomes in older adults.
  • This approach may enhance quality of life for elderly bladder cancer survivors.