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Related Concept Videos

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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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...
139
Urologic Endoscopic Procedure: Cystoscopic Examination01:28

Urologic Endoscopic Procedure: Cystoscopic Examination

1.1K
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...
1.1K
Urinary Tract Infection III: Diagnostic Studies and Interprofessional Care01:30

Urinary Tract Infection III: Diagnostic Studies and Interprofessional Care

120
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...
120
Urinary Tract Calculi II: Pathophysiology and Clinical Manifestations01:26

Urinary Tract Calculi II: Pathophysiology and Clinical Manifestations

217
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...
217
Urinary Tract Calculi V: Nursing Management01:28

Urinary Tract Calculi V: Nursing Management

136
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...
136

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Updated: Nov 22, 2025

Ultrasonography of the Adult Male Urinary Tract for Urinary Functional Testing
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Value-Based Healthcare in Urology: A Collaborative Review.

Chanan Reitblat1, Paul A Bain2, Michael E Porter3

  • 1Division of Urologic Surgery, Beth Israel Deaconess Medical Center, Boston, MA, USA; Harvard Medical School, Boston, MA, USA; Harvard Business School, Boston, MA, USA.

European Urology
|January 8, 2021
PubMed
Summary
This summary is machine-generated.

Value-based healthcare in urology shows early promise for improving patient care and outcomes. Further research is needed to fully evaluate its impact and guide effective implementation strategies.

Keywords:
Integrated Practice UnitsOutcome measurementTime-driven activity-based costingUrologic oncologyUrologyValue-based healthcare

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Area of Science:

  • Urology
  • Healthcare Management
  • Health Services Research

Background:

  • Rising healthcare costs and quality variations necessitate new strategies.
  • Value-based healthcare (VBHC) is proposed to improve healthcare delivery, measurement, and payment.
  • Urology is a key area for exploring VBHC implementation.

Purpose of the Study:

  • To systematically review the literature on VBHC implementation in urology.
  • To assess the impact of VBHC on healthcare value in urologic settings.

Main Methods:

  • Systematic review of publications describing VBHC implementation in urology.
  • Inclusion of studies measuring changes in healthcare value.
  • Selection of 22 relevant publications.

Main Results:

  • Reorganizing urologic care by condition improved guideline compliance for prostate cancer and outcomes for lower urinary tract symptoms.
  • Measuring patient outcomes enhanced prostate cancer care.
  • Time-driven activity-based costing reduced resource use in pediatric urology.
  • Centralized urologic cancer care improved outcomes in some countries, with mixed results for systems integration in the USA.

Conclusions:

  • Limited studies exist, but early results for VBHC in urology are promising.
  • Further research is essential to evaluate proposed VBHC interventions and measure their real-world effects.
  • Effective redesign of urologic care requires continued investigation into VBHC strategies.