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Related Concept Videos

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

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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...
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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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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 II: Pathophysiology and Clinical Manifestations01:26

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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...
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Disorders of the Urinary System01:20

Disorders of the Urinary System

473
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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Covert postpartum urinary retention: causes and consequences (PAREZ study).

Pavel Dolezal1, Michaela Ostatnikova2, Barbora Balazovjechova2

  • 12nd Department of Obstetrics and Gynecology, Faculty of Medicine, Comenius University Bratislava, University Hospital Bratislava, Ruzinovska 6, 826 06, Bratislava, Slovakia. palodolezal@hotmail.com.

International Urogynecology Journal
|June 18, 2022
PubMed
Summary

Increased post-voiding residual volume (PVRV), or covert postpartum urinary retention (PUR), is a temporary condition in women. This study found it has no long-term impact on health or quality of life 6 weeks postpartum.

Keywords:
LaborPuerperiumUrinary incontinenceUrinary infectionUrinary retentionVaginal delivery

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Area of Science:

  • Obstetrics and Gynecology
  • Urology

Background:

  • Increased post-voiding residual volume (PVRV), termed covert postpartum urinary retention (PUR), is an asymptomatic condition with unclear long-term effects.
  • Understanding the frequency, risk factors, and consequences of PUR is crucial for postpartum care.

Purpose of the Study:

  • To determine the incidence of PVRV 3 days postpartum.
  • To identify risk factors associated with increased PVRV.
  • To evaluate the impact of PVRV on women's health 6 weeks postpartum.

Main Methods:

  • A prospective observational study included 926 primiparous women.
  • Post-voiding residual volume (PVRV) was assessed via ultrasound on day 3 and 6 weeks postpartum.
  • Risk factors were analyzed using logistic regression; health outcomes were assessed via questionnaires.

Main Results:

  • 90 women (approx. 9.7%) were diagnosed with abnormal PVRV.
  • Gestational week, vaginal tear, and labor induction were identified as risk factors for PUR.
  • No significant differences in urinary tract infection, incontinence, or general health were observed at 6 weeks postpartum.

Conclusions:

  • Covert postpartum urinary retention (PUR) appears to be a self-limited condition with a tendency toward self-correction.
  • Abnormal PVRV showed no discernible impact on maternal morbidity or quality of life at 6 weeks postpartum.
  • Findings support recommendations against routine screening for asymptomatic PVRV in the postpartum period.