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The nursing assessment of the genitourinary (GU) system involves a systematic inspection and palpation to identify abnormalities in the kidneys, bladder, and surrounding structures.InspectionMouth: Inspect for signs of kidney dysfunction, such as stomatitis (inflammation of the mouth) and ammonia breath, which may occur in advanced kidney disease due to the buildup of urea, breaking down into ammonia.Skin: Check for pallor, which could indicate anemia caused by kidney disease. Look for...
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Voiding Cystourethrography (VCUG) and Cystography are specialized radiographic procedures used to examine the structure and function of the bladder and urethra.Voiding Cystourethrography (VCUG)A Voiding Cystourethrogram (VCUG) is a diagnostic imaging procedure that assesses the anatomy and function of the lower urinary tract. It focuses on the bladder, bladder neck, and urethra, helping detect abnormalities such as vesicoureteral reflux (VUR)—the backward or reverse flow of urine into the...
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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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Transcorporal Artificial Urinary Sphincter Cuff Placement in a Case Requiring Revision for Urethral Atrophy
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Bladder neck contracture.

Jay Simhan1, Daniel Ramirez1, Steven J Hudak1

  • 11 Department of Urology, UT Southwestern, Dallas, TX, USA ; 2 Urology Section, Department of Surgery, San Antonio Military Medical Center, Fort Sam Houston, Texas, USA.

Translational Andrology and Urology
|January 28, 2016
PubMed
Summary
This summary is machine-generated.

Bladder neck contracture (BNC) management requires tailored approaches based on etiology. This review details various BNC treatments and a personalized strategy for complex cases.

Keywords:
Bladder neck contracture (BNC)prostate cancerrefractory

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Area of Science:

  • Urology
  • Surgical Complications

Background:

  • Bladder neck contracture (BNC) is a known complication following prostate surgery for benign and malignant conditions.
  • BNC can also develop after pelvic radiation therapy.
  • Etiology of BNC is often linked to the primary treatment modality used.

Purpose of the Study:

  • To review therapeutic maneuvers for managing bladder neck contracture (BNC).
  • To present a tailored, patient-specific approach for BNC management.
  • To highlight institutional strategies for complex BNC cases.

Main Methods:

  • Literature review of BNC treatment strategies.
  • Delineation of a patient-specific management algorithm.
  • Discussion of surgical and non-surgical interventions.

Main Results:

  • BNC treatment options range from simple dilation to complex reconstructive surgery.
  • A patient-specific approach is crucial for optimal outcomes in BNC management.
  • Various therapeutic maneuvers exist, but a tailored strategy is often necessary.

Conclusions:

  • Bladder neck contracture (BNC) management necessitates individualized treatment plans.
  • A combination of reviewed strategies and institutional experience can guide complex BNC cases.
  • Personalized care is key to successfully treating BNC patients.