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Related Concept Videos

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

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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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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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Preoperative ManagementThe primary goals of preoperative management in kidney transplantation are to optimize the patient’s metabolic state and prepare them for surgery through diet adjustments, necessary dialysis, and tailored medical treatment. This phase also involves comprehensive infection screening and patient education about the surgical procedure and postoperative care to improve outcomes and adherence.Medical ManagementA comprehensive evaluation is required for both the living...
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Disorders of the Urinary System01:20

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The urinary system is responsible for eliminating waste and excess fluids from the body. However, disorders of the urinary system can arise due to various reasons like infections, stress, age, congenital abnormalities, and lifestyle.
Urinary tract infections (UTIs) are one of the most common urinary system disorders. They are caused by bacteria that enter the urethra and can spread to the bladder resulting in cystitis. Pyelonephritis is the result of a UTI that has ascended to the level of the...
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Peritoneal dialysis (PD) is a medical process that removes waste products and excess fluid from the body using the peritoneal membrane as a natural filter.Peritoneal Dialysis MethodsSeveral methods can be used for peritoneal dialysis, including Acute Intermittent Peritoneal Dialysis, Continuous Ambulatory Peritoneal Dialysis, and Automated Peritoneal Dialysis, also known as Continuous Cyclic Peritoneal Dialysis.Acute Intermittent Peritoneal Dialysis (AIPD) is used for patients with uremic...
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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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Genitourinary complications in orthopaedic surgery.

Edward J Testa1, Syed M Alam2, Lindsey G Kahan3

  • 1Department of Orthopaedic Surgery, Warren Alpert Medical School of Brown University, Providence, RI, United States of America. Edward.j.testa@gmail.com.

European Journal of Orthopaedic Surgery & Traumatology : Orthopedie Traumatologie
|March 30, 2021
PubMed
Summary
This summary is machine-generated.

Genitourinary complications after orthopaedic surgery are rare but can be severe. Early recognition by orthopaedic providers is crucial for managing these urologic injuries and preventing long-term issues.

Keywords:
Bladder injuryGenitourinary injuryHip arthroplastyPelvic ring injuriesSpine surgeryUrologic injury

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Area of Science:

  • Orthopaedic Surgery
  • Urology
  • Genitourinary Medicine

Background:

  • Genitourinary complications following orthopaedic intervention are uncommon but serious.
  • These complications can range in severity and depend on surgical site, with spine, hip, and pelvis surgeries posing higher risks.

Purpose of the Study:

  • To highlight the spectrum of genitourinary complications after orthopaedic procedures.
  • To emphasize the importance of orthopaedic providers in diagnosing and managing these injuries.
  • To underscore the need for anatomical knowledge to prevent and identify urologic injuries.

Main Methods:

  • Review of literature on genitourinary complications post-orthopaedic surgery.
  • Analysis of presentation patterns, including acute and delayed symptoms.
  • Discussion of diagnostic challenges and management strategies.

Main Results:

  • Injuries may present acutely (urinary retention, hematuria) or delayed (fistula, recurrent infection).
  • Delayed presentations require vigilant orthopaedic providers for timely diagnosis.
  • Early identification is key to preventing long-term sequelae like bladder dysfunction and renal injury.

Conclusions:

  • Genitourinary injuries are a potential risk in orthopaedic surgery, particularly spinal, hip, and pelvic procedures.
  • Orthopaedic surgeons play a vital role in the early detection and management of these complications.
  • Thorough anatomical understanding and prompt evaluation are essential to mitigate severe outcomes.