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Related Concept Videos

Urinary Tract Calculi V: Nursing Management01:28

Urinary Tract Calculi V: Nursing Management

317
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...
317
Urinary Tract Calculi VI: Surgical Management01:25

Urinary Tract Calculi VI: Surgical Management

538
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...
538
Urinary Tract Calculi III: Medical Management01:30

Urinary Tract Calculi III: Medical Management

269
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)...
269
Urinary Tract Infection IV: Nursing Management01:17

Urinary Tract Infection IV: Nursing Management

498
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...
498
Urinary Tract Calculi I: Introduction01:28

Urinary Tract Calculi I: Introduction

551
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...
551
Urinary Tract Infection I: Introduction01:26

Urinary Tract Infection I: Introduction

720
Urinary tract infections (UTIs) impact various parts of the urinary system, including the kidneys, ureters, bladder, and urethra. These infections are generally bacterial, with Escherichia coli being the most common causative agent, often originating from the gastrointestinal tract. However, other bacteria, such as Staphylococcus saprophyticus, Klebsiella pneumoniae, and Proteus mirabilis, are also known to cause UTIs. The type, location, and underlying complexity of the UTI guide both...
720

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Comprehensive Autopsy Program for Individuals with Multiple Sclerosis
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The Management of Lower Urinary Tract Dysfunction in Multiple Sclerosis.

Jure Tornic1, Jalesh N Panicker2

  • 1Department of Uro-Neurology, The National Hospital For Neurology and Neurosurgery and UCL Institute for Neurology, Queen Square, London, WC1N 3BG, UK. jure.tornic@nhs.net.

Current Neurology and Neuroscience Reports
|June 30, 2018
PubMed
Summary

This review details treatments for lower urinary tract (LUT) dysfunction in multiple sclerosis (MS) patients. Therapies address storage or voiding issues to improve quality of life and protect kidneys.

Keywords:
IncontinenceMultiple sclerosisNeurogenic bladder treatmentNeurogenic lower urinary tract dysfunctionRetentionReview

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Area of Science:

  • Neurology
  • Urology

Background:

  • Multiple sclerosis (MS) is a leading neuroinflammatory condition affecting the central nervous system.
  • Lower urinary tract (LUT) dysfunction is a common complication in MS patients, impacting quality of life and potentially risking upper urinary tract damage.

Purpose of the Study:

  • To provide a comprehensive overview of current therapeutic strategies for LUT dysfunction in individuals with MS.
  • To summarize recent advancements and alternative treatment options for managing LUT symptoms in MS.

Main Methods:

  • Review of current medical literature on MS and LUT dysfunction.
  • Analysis of treatment approaches categorized by dysfunction type (storage vs. voiding).
  • Inclusion of conservative, invasive, surgical, and alternative therapies.

Main Results:

  • Treatment is individualized based on the specific type of LUT dysfunction (storage or voiding).
  • Therapeutic options range from conservative management to invasive procedures and surgery.
  • Emerging alternative therapies, including intravesical treatments and cannabinoids, show promising outcomes.

Conclusions:

  • Current treatments effectively manage LUT dysfunction in MS patients by targeting specific symptoms.
  • Available therapies aim to improve quality of life and prevent upper urinary tract complications.
  • Personalized treatment plans are crucial for optimizing outcomes in MS-related LUT dysfunction.