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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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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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Nursing Assessment of the Genitourinary System I: Health History01:21

Nursing Assessment of the Genitourinary System I: Health History

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

Urinary Tract Calculi III: Medical Management

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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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Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy01:26

Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy

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Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
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Suctioning the Nasopharyngeal Airway01:29

Suctioning the Nasopharyngeal Airway

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Nasopharyngeal suctioning is a procedure to remove secretions from the upper part of the respiratory tract that the patient cannot clear independently. It helps maintain airway patency and prevents complications such as aspiration pneumonia.
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Related Experiment Video

Updated: Nov 26, 2025

Transcorporal Artificial Urinary Sphincter Cuff Placement in a Case Requiring Revision for Urethral Atrophy
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Glycopyrrolate and Post-Operative Urinary Retention: A Narrative Review.

Jason Low1, Mauricio Escobar2, Sebastian Baquero2

  • 1Anesthesiology, Herbert Wertheim College of Medicine of Florida International University, Miami, USA.

Cureus
|December 14, 2020
PubMed
Summary
This summary is machine-generated.

Glycopyrrolate, used to reverse neuromuscular blockade, may increase the risk of post-operative urinary retention. This review examines the association between glycopyrrolate and urinary retention, updating older research.

Keywords:
economic impactglycopyrrolateoperative planningrisk factorsurinary retention

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Area of Science:

  • Anesthesiology
  • Pharmacology
  • Urology

Background:

  • Non-depolarizing neuromuscular blockade (NDNMB) requires reversal agents.
  • Glycopyrrolate, an anticholinergic, is frequently combined with neostigmine for reversal.
  • Glycopyrrolate can adversely affect the genitourinary system, potentially causing bladder hypotonia and urinary retention.

Purpose of the Study:

  • To review the association between glycopyrrolate administration and post-operative urinary retention (POUR).
  • To address the limitations of outdated studies on glycopyrrolate and urinary retention.
  • To provide current insights into glycopyrrolate's role in perioperative urinary retention.

Main Methods:

  • Literature review of studies on glycopyrrolate and urinary retention.
  • Analysis of perioperative data concerning post-operative urinary retention.
  • Focus on studies published within the last decade and those considering POUR as a primary outcome.

Main Results:

  • Older retrospective studies suggest a link between glycopyrrolate and urinary retention.
  • Limited recent data specifically addresses glycopyrrolate's impact on POUR as a primary outcome.
  • Further research is needed to quantify the risk and establish causality.

Conclusions:

  • Glycopyrrolate's anticholinergic properties warrant consideration for its potential contribution to post-operative urinary retention.
  • Current evidence is largely based on older, retrospective studies.
  • A comprehensive review is necessary to update understanding and guide clinical practice regarding glycopyrrolate and POUR.