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Related Concept Videos

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

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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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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 VI: Surgical Management01:25

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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 Infection IV: Nursing Management01:17

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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 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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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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Related Experiment Video

Updated: Sep 18, 2025

Enucleation of the Prostate for the Treatment of Benign Prostatic Hyperplasia Using a 980 nm Diode Laser
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Persistence of nocturia after BPH surgery: a multicenter study.

Thibaut Long Depaquit1,2,3, Christopher Aguëro4,5,6, Alessandro Uleri5,6

  • 1Department of Urology, Hôpital d'Instruction des Armées Sainte-Anne, Toulon, France. Thibaut.long2@gmail.com.

World Journal of Urology
|June 20, 2025
PubMed
Summary

Endoscopic enucleation of the prostate (EEP) offers significant nocturia improvement for many men with benign prostatic obstruction (BPO). However, overactive bladder symptoms may predict a lack of response to EEP for nocturia.

Keywords:
Benign prostatic hyperplasiaEndoscopic enucleation of the prostateLower urinary tract symptomsNocturiaOveractive bladder

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Area of Science:

  • Urology
  • Surgical Innovation
  • Lower Urinary Tract Symptoms Research

Background:

  • Nocturia is a common and distressing lower urinary tract symptom (LUTS) in men with benign prostatic obstruction (BPO).
  • Endoscopic enucleation of the prostate (EEP) is a surgical option for BPO.
  • The impact of EEP on nocturia requires further investigation.

Purpose of the Study:

  • To assess the long-term outcomes of nocturia following EEP for LUTS/BPO.
  • To identify predictors of persistent nocturia after EEP.

Main Methods:

  • Multicenter retrospective study of 120 men undergoing EEP.
  • Voiding diaries used for nocturia evaluation.
  • Outcomes analyzed for remission, improvement, stability, and worsening.

Main Results:

  • At 15 months median follow-up, 45% achieved complete nocturia remission, 19% partial improvement.
  • Predominant overactive bladder symptoms were the sole significant predictor of no response (HR 1.68).
  • No association found with age, BMI, prostate volume, or comorbidities.

Conclusions:

  • EEP can lead to meaningful nocturia improvement in nearly two-thirds of men with LUTS/BPO.
  • Nocturia persistence after EEP may be linked to overactive bladder.
  • The multifactorial nature of nocturia should be considered post-surgery.