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Related Concept Videos

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

Urinary Tract Infection III: Diagnostic Studies and Interprofessional Care

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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 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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Urinary Tract Infection II: Pathophysiology01:25

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The pathophysiology of urinary tract infections (UTIs) encompasses several progressive stages, beginning with bacterial colonization and culminating in potential systemic complications if untreated. UTIs are primarily initiated by bacteria, such as Escherichia coli, which often originate from the gastrointestinal tract and migrate to the urinary system through the periurethral area. This migration can occur via several routes, including improper hygiene practices, sexual activity, or...
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Disorders of the Urinary System01:20

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The urinary system is responsible for eliminating waste and excess fluids from the body. However, disorders of the urinary system can arise due to various reasons like infections, stress, age, congenital abnormalities, and lifestyle.
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Urinary Tract Calculi VI: Surgical Management01:25

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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 II: Pathophysiology and Clinical Manifestations01:26

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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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Transcorporal Artificial Urinary Sphincter Cuff Placement in a Case Requiring Revision for Urethral Atrophy
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Urinary fistula-A continuing problem with changing trends.

Sunesh Kumar1, Richa Vatsa1, Juhi Bharti1

  • 1Department of Obstetrics and Gynecology, All India Institute of Medical Sciences, New Delhi, India.

Journal of the Turkish German Gynecological Association
|May 17, 2017
PubMed
Summary

Gynecologic surgery is the leading cause of urinary fistulas, but surgical repair, often via a vaginal approach, achieves an 85% success rate, even in complex cases. This study analyzes trends in genitourinary fistula management.

Keywords:
Urinary fistulaobstructed labor iatrogenic.vesicovaginal

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Area of Science:

  • Urology
  • Gynecology
  • Surgical Management

Background:

  • Urinary fistulas are a significant complication following obstetric and gynecologic procedures.
  • Difficult vaginal deliveries and surgeries can lead to distressing genitourinary fistulas.

Purpose of the Study:

  • To analyze the etiology of genitourinary fistulas.
  • To assess surgical repair outcomes for urinary fistulas.
  • To identify evolving trends in urinary fistula causes and treatments.

Main Methods:

  • Retrospective analysis of 20 patients undergoing urinary fistula repair over 5 years.
  • Data collected on etiology, presentation, surgical approach, and outcomes.
  • Comparison with previous center data to identify trend changes.

Main Results:

  • Gynecologic surgery (65%) was the most common cause of urinary fistulas, followed by obstructed labor (25%).
  • Successful surgical repair was achieved in 85% of cases.
  • The vaginal approach demonstrated high success rates, comparable for primary and previous failed repairs.

Conclusions:

  • Gynecologic surgery remains the primary cause of urinary fistulas.
  • The vaginal approach is effective for urinary fistula repair, including in cases with prior failed surgeries.