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Related Concept Videos

Urinary Tract Calculi VI: Surgical Management01:25

Urinary Tract Calculi VI: Surgical Management

271
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...
271
Urinary Tract Calculi V: Nursing Management01:28

Urinary Tract Calculi V: Nursing Management

221
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...
221
Urinary Tract Calculi II: Pathophysiology and Clinical Manifestations01:26

Urinary Tract Calculi II: Pathophysiology and Clinical Manifestations

324
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...
324
Nursing Assessment of the Genitourinary System II: Inspection and Palpation01:26

Nursing Assessment of the Genitourinary System II: Inspection and Palpation

626
The nursing assessment of the genitourinary (GU) system involves a systematic inspection and palpation to identify abnormalities in the kidneys, bladder, and surrounding structures.InspectionMouth: Inspect for signs of kidney dysfunction, such as stomatitis (inflammation of the mouth) and ammonia breath, which may occur in advanced kidney disease due to the buildup of urea, breaking down into ammonia.Skin: Check for pallor, which could indicate anemia caused by kidney disease. Look for...
626
Urinary Tract Calculi III: Medical Management01:30

Urinary Tract Calculi III: Medical Management

143
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)...
143
Nursing Assessment of the Genitourinary System I: Health History01:21

Nursing Assessment of the Genitourinary System I: Health History

316
The genitourinary system is critical to maintaining fluid balance, waste elimination, and reproductive function. Nurses play a vital role in assessing this system, beginning with a thorough health history. This process involves gathering patient information, identifying risk factors, and recognizing symptoms of genitourinary disorders. Early detection is vital for timely interventions and management.1. Gathering Patient InformationA complete health history includes the patient’s personal,...
316

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A large nabothian cyst causing chronic urinary retention: A case report.

Zhao Wu1, Bingyu Zou1, Xun Zhang1

  • 1Department of Obstetrics and Gynecology, Sichuan Academy of Medical Sciences & Sichuan Provincial People's Hospital, Chengdu 610072.

Medicine
|February 7, 2020
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Summary

Large nabothian cysts, though rare, can cause chronic urinary retention in women. Surgical intervention, like hysterectomy, can resolve these debilitating urinary symptoms.

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Area of Science:

  • Gynecology
  • Urology

Background:

  • Nabothian cysts are typically asymptomatic cervical cysts.
  • Chronic urinary retention (CUR) is the inability to fully empty the bladder.
  • CUR caused by a large nabothian cyst is an unreported condition.

Observation:

  • A 46-year-old woman presented with CUR and a progressively enlarging cervical cyst.
  • Histopathological examination confirmed the diagnosis of a nabothian cyst.

Findings:

  • Surgical intervention, specifically a hysterectomy, was performed.
  • Post-operative clean, intermittent self-catheterization for 5 days resolved the patient's urinary symptoms.

Implications:

  • Large nabothian cysts can present with unusual symptoms, including unexplained urinary difficulties.
  • Symptomatic nabothian cysts warrant treatment via local cystectomy or hysterectomy.