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Related Concept Videos

Mitral Valve Prolapse III: Nursing Management01:19

Mitral Valve Prolapse III: Nursing Management

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The nursing management of Mitral Valve Prolapse, or MVP, centers around patient education, symptom monitoring, and lifestyle modifications.Patient Education on MVP Diagnosis and Heredity: Nurses should provide comprehensive education about MVP, a condition where the mitral valve does not close appropriately during heartbeats. This education often includes the condition's pathophysiology, symptoms, and potential complications, like arrhythmias or mitral regurgitation. Though not fully...
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Mitral Valve Prolapse II: Assessment and Management01:22

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IntroductionA range of clinical features characterizes Mitral Valve Prolapse (MVP), but it is important to note that many individuals with MVP are asymptomatic and may remain so throughout their lives. For those who do exhibit symptoms, the following are the key clinical features:Palpitations: This is a common symptom where individuals feel an irregular or rapid heartbeat. Palpitations in MVP are often due to arrhythmias such as premature ventricular contractions or supraventricular...
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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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Esophageal Perforation-II: Clinical Manifestations and Management01:28

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Esophageal perforations manifest in various clinical forms, influenced by factors such as the perforation's cause and location (cervical, intrathoracic, or intra-abdominal), the extent of contamination, and potential injury to adjacent mediastinal structures. The timing between the perforation occurrence and treatment initiation also affects the clinical presentation.
Clinical Manifestations:
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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 Infection IV: Nursing Management01:17

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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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Related Experiment Video

Updated: Mar 17, 2026

Transvaginal Mesh Insertion in the Ovine Model
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Vaginal Mesh Exposure Presentation, Evaluation, and Management.

Joao P Zambon1, Gopal H Badlani2

  • 1Wake Forest University, Winston-Salem, NC, USA.

Current Urology Reports
|July 23, 2016
PubMed
Summary

Vaginal mesh surgery for pelvic organ prolapse has risks like mesh exposure. This study reviews literature and offers an algorithm for prompt recognition and effective treatment of mesh exposure complications.

Keywords:
ComplicationsMeshPelvic organ prolapseStress urinary incontinence

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Last Updated: Mar 17, 2026

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Area of Science:

  • Urogynecology
  • Pelvic reconstructive surgery

Background:

  • Over 560,000 surgeries for pelvic organ prolapse and stress urinary incontinence were performed in the USA in 2010.
  • Synthetic mesh was used in one-third of these procedures, with three-quarters performed transvaginally.
  • While mesh improves anatomical outcomes, risks include vaginal mesh erosion, exposure, and infection.

Purpose of the Study:

  • To review the literature on vaginal mesh exposure.
  • To develop an evidence-based algorithm for prompt recognition and effective treatment of vaginal mesh exposure.

Main Methods:

  • Literature review on vaginal mesh exposure.
  • Development of a clinical management algorithm.

Main Results:

  • Risk factors for vaginal mesh exposure include diabetes, advanced age, smoking, hysterectomy, and surgeon inexperience.
  • Clinical presentation and management vary based on exposure extent, patient factors, and visceral involvement.
  • Diagnosis requires ruling out bladder, urethral, or bowel perforation/erosion.

Conclusions:

  • Lack of surgeon experience and training contribute to mesh complications.
  • An algorithm was developed to aid urologists and gynecologists in managing vaginal mesh exposure.
  • The algorithm aims to improve recognition, treatment, outcomes, and success rates for vaginal mesh complications.