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Related Concept Videos

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

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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 Calculi III: Medical Management01:30

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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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Esophageal Strictures-II: Clinical Features and Management01:26

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Patients with esophageal strictures often experience a range of symptoms. Initially, they may have difficulty swallowing solid foods, which can progress to include liquids. Additional symptoms may involve chest pain or discomfort, regurgitating food and fluids, heartburn, unintentional weight loss, coughing or choking during meals, and hoarseness.
Healthcare providers should gather a comprehensive medical history and conduct a physical examination for diagnosis. If esophageal stricture is...
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Urologic Endoscopic Procedure: Cystoscopic Examination01:28

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Meaning of Cystoscopic Examination:Cystoscopy is an essential diagnostic tool in urology that is used to assess the structure and function of the genitourinary system. It provides a direct view of the urethra, bladder, and, in some cases, the ureteral openings. This procedure helps detect structural abnormalities, infections, cancers, and blockages in the urinary tract. There are two types of cystoscopy:Flexible cystoscopy is commonly performed in outpatient settings due to its less invasive...
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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 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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[Urethral stricture : From diagnostics to appropriate treatment].

F Strittmatter1, V Beck2, C G Stief2

  • 1Urologische Klinik und Poliklinik, LMU Klinikum der Universität, Campus Großhadern, Marchioninistr. 15, 81377, München, Deutschland. frank.strittmatter@med.uni-muenchen.de.

Der Urologe. Ausg. A
|July 8, 2017
PubMed
Summary

Accurate diagnosis of urethral stricture is essential for treatment. Surgical options, including endourological procedures and open reconstruction, offer curative treatment for this condition.

Keywords:
CystographyUrethraUrethral reconstructionUrethrotomyUroflowmetry

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Area of Science:

  • Urology
  • Surgical Science

Background:

  • Urethral stricture diagnosis requires specific tests.
  • Treatment decisions depend on accurate diagnostic findings.

Purpose of the Study:

  • To review diagnostic methods for urethral stricture.
  • To compare operative treatment options for urethral stricture.

Main Methods:

  • Anamnesis and general examinations.
  • Uroflowmetry, cystourethrography, ultrasound, and cystoscopy.
  • Review of endourological and open surgical procedures.

Main Results:

  • Diagnostic tools like uroflowmetry and cystourethrography are crucial.
  • Ultrasound and cystoscopy provide additional diagnostic value.
  • Surgical intervention is the only curative treatment for urethral stricture.

Conclusions:

  • Comprehensive diagnostics are vital before surgical treatment.
  • Both endourological and open surgical techniques are available for urethral reconstruction.
  • Understanding the pros and cons of each operative therapy aids treatment planning.