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Related Concept Videos

Urinary Tract Calculi VI: Surgical Management01:25

Urinary Tract Calculi VI: Surgical Management

16
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...
16
Urinary Tract Calculi V: Nursing Management01:28

Urinary Tract Calculi V: Nursing Management

20
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...
20
Urinary Tract Calculi II: Pathophysiology and Clinical Manifestations01:26

Urinary Tract Calculi II: Pathophysiology and Clinical Manifestations

26
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...
26
Urinary Tract Calculi I: Introduction01:28

Urinary Tract Calculi I: Introduction

24
Renal calculi, or kidney stones, are solid deposits of minerals and salts formed inside the kidneys. In medical terminology, "calculus" refers to the stone itself, while "lithiasis" describes the process of stone formation. Depending on their location within the urinary system, these stones may be classified as either urolithiasis, when situated within the urinary tract, or nephrolithiasis, when located within the kidneys. Each term signifies the specific impact of the stone.Predisposition...
24
Urinary Tract Calculi III: Medical Management01:30

Urinary Tract Calculi III: Medical Management

13
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)...
13
Urinary Bladder01:23

Urinary Bladder

1.2K
The urinary bladder is a hollow, muscular sac that temporarily stores urine before it is expelled from the body. It can hold approximately 600 mL of urine prior to micturition. The bladder is retroperitoneal and located behind the pubic symphysis in the pelvic floor.
In males, the bladder is situated in front of the rectum, while in females, it is positioned anterior to the vagina and uterus. The bladder floor contains an inverted triangular area called the trigone, defined by the two ureteric...
1.2K

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Technical Modification of the Terminal Ureter During Total Transperitoneal Laparoscopic Nephroureterectomy for Upper Urinary Tract Urothelial Carcinoma
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Incarcerated inguinal hernia containing urinary bladder and bladder calculi.

Sarah McLain1, Jack Cecire1, Allan Mekisic1

  • 1Department of General Surgery, Wollongong Hospital, Wollongong, Australia.

Journal of Surgical Case Reports
|January 30, 2023
PubMed
Summary

Inguinoscrotal herniation involving the urinary bladder is rare. Suspect bladder involvement with groin lumps and lower urinary tract symptoms; pre-operative imaging aids surgical planning and prevents bladder injury.

Keywords:
bladder calculibladder herniahernia repairinguinal herniaurolithiasis

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Area of Science:

  • Urology
  • Surgical Oncology
  • Radiology

Background:

  • Inguinoscrotal herniation of the urinary bladder is an uncommon presentation.
  • Concurrent lower urinary tract symptoms (LUTS) in patients with groin lumps warrant high clinical suspicion for bladder involvement.

Observation:

  • A case is presented of an irreducible inguinoscrotal hernia containing the urinary bladder with multiple calculi.
  • The patient presented with a painful groin lump and LUTS.

Findings:

  • Successful surgical repair of the hernia was performed.
  • The patient experienced an uncomplicated post-operative course.

Implications:

  • Pre-operative imaging is crucial for identifying hernia contents, enabling safe surgical planning.
  • Early recognition and imaging can reduce the risk of bladder injury during hernia repair surgery.