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Related Concept Videos

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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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 Infection IV: Nursing Management01:17

Urinary Tract Infection IV: Nursing Management

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

Urinary Tract Infection III: Diagnostic Studies and Interprofessional Care

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

Urinary Tract Calculi V: Nursing Management

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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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Urologic Endoscopic Procedure: Cystoscopic Examination01:28

Urologic Endoscopic Procedure: Cystoscopic Examination

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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...
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Retzius-Sparing Robot-Assisted Radical Prostatectomy
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Current Management of Post-radical Prostatectomy Urinary Incontinence.

Mohammad S Rahnama'i1, Tom Marcelissen2, Bogdan Geavlete3

  • 1Urology Department, Uniklinik RWTH Aachen, Aachen, Germany.

Frontiers in Surgery
|April 26, 2021
PubMed
Summary
This summary is machine-generated.

Radical prostatectomy can cause incontinence due to surgical factors. Pelvic floor muscle training is a primary treatment, with new techniques offering improved outcomes for men experiencing post-prostatectomy urinary incontinence.

Keywords:
detrusor activityincontinence (male)prostate cancerprostatectomystress incontinence

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Area of Science:

  • Urology
  • Oncology
  • Men's Health

Background:

  • Prostate cancer is a leading male cancer globally.
  • Radical prostatectomy (RP) and radiation therapy are primary treatments for localized prostate cancer, each with distinct complications.
  • Post-prostatectomy incontinence and overactive bladder syndrome (OAB) are significant concerns following RP.

Purpose of the Study:

  • To explore the multifactorial etiology of post-prostatectomy incontinence.
  • To review the impact of surgical techniques on urinary continence after RP.
  • To discuss current and emerging treatment options for post-prostatectomy urinary incontinence and OAB.

Main Methods:

  • Literature review of factors influencing post-prostatectomy incontinence.
  • Analysis of surgical variables affecting continence outcomes.
  • Evaluation of conservative and surgical treatment modalities for urinary incontinence post-RP.

Main Results:

  • Extensive surgical dissection, neurovascular bundle damage, and fibrosis negatively impact continence.
  • Bladder neck sparing and secure anastomosis correlate with better continence rates.
  • Pelvic floor muscle training (PFMT) is the first-line treatment; new techniques like male slings offer improved management.

Conclusions:

  • Urinary incontinence post-RP is multifactorial, influenced by surgical technique and patient factors.
  • PFMT remains a cornerstone of conservative management, though outcomes vary.
  • Advancements in surgical techniques and devices are improving management of urinary incontinence after radical prostatectomy.