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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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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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The lower urinary system consists of the urinary bladder and urethra, which are essential in storing and expelling urine from the body. Together with the internal and external sphincters, these structures work together to regulate urination effectively.Anatomy of the BladderThe urinary bladder is a muscular, stretchable organ behind the pubic bone and in front of the rectum. In females, the bladder is positioned anterior to the vagina and inferior to the uterus, while in males, it is located...
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Urinary Bladder01:23

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The urinary bladder is a hollow, muscular sac that temporarily stores urine before it is expelled from the body. It can hold approximately 600 mL of urine prior to micturition. The bladder is retroperitoneal and located behind the pubic symphysis in the pelvic floor.
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Urinary Tract Calculi I: Introduction01:28

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Renal calculi, or kidney stones, are solid deposits of minerals and salts formed inside the kidneys. In medical terminology, "calculus" refers to the stone itself, while "lithiasis" describes the process of stone formation. Depending on their location within the urinary system, these stones may be classified as either urolithiasis, when situated within the urinary tract, or nephrolithiasis, when located within the kidneys. Each term signifies the specific impact of the stone.Predisposition...
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Imaging Studies VI: Voiding Cystourethrography and Cystography01:22

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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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Artificial Urinary Sphincter: Report of the 2015 Consensus Conference.

X Biardeau1, S Aharony1,

  • 1Department of Urology, Jewish General Hospital, McGill University, Montreal, Québec, Canada.

Neurourology and Urodynamics
|April 12, 2016
PubMed
Summary

The AMS800™ artificial urinary sphincter (AUS) is the gold standard for male incontinence surgery. These consensus recommendations provide guidance on AMS800™ device implantation, management, and follow-up for urologists.

Keywords:
AMS800International Continence Societyguidelines

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Area of Science:

  • Urology
  • Medical Devices
  • Surgical Procedures

Background:

  • The AMS800™ artificial urinary sphincter (AUS) is the established gold standard for surgical treatment of male urinary incontinence.
  • Despite extensive experience, AMS800™ implantation and revision present unique challenges for urologists.
  • Consensus-based guidelines are needed to standardize care and improve outcomes.

Framework:

  • An expert panel convened under ICS auspices to develop consensus recommendations for the AMS800™ device.
  • Participants were selected based on university hospital practice and extensive experience with AUS implantation.
  • Recommendations were developed through evidence-based presentations and expert opinion consensus.

Implementation:

  • The consensus covers key aspects of AMS800™ management, including pre-operative assessment and challenges.
  • Detailed guidance is provided on implantation techniques, post-operative care, and troubleshooting.
  • The recommendations also address outcomes, special populations, and future directions for AUS technology.

Implications:

  • These guidelines serve as a crucial reference for urologists performing AMS800™ procedures.
  • Improved patient selection and adapted management strategies are expected.
  • Standardized approaches aim to optimize outcomes and patient care for artificial urinary sphincter implantation.