在绝经后的女性中,尿道的成功手术管理
Kevin D Healey1, Davong D Phrathep1, Andrew B Herson1
1Urology, Lake Erie College of Osteopathic Medicine, Bradenton, USA.
Cureus
|June 12, 2023
概括
尿道脱落是一种罕见的疾病,导致尿道内突起,在绝经后的妇女中往往没有被诊断出来. 早期考虑是及时诊断和治疗持续性尿路症状的关键.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 妇科 妇科医生 妇科
背景情况:
- 尿道脱落是一种罕见的良性疾病,涉及尿道内膜通过外部尿道孔突起.
- 它主要影响到青春期前和绝经后的妇女,其中的危险因素包括肥胖,多夫妻制和更年期发作.
研究的目的:
- 为了在绝经后的女性中呈现尿道脱落病例.
- 强调在这种人口群体中对持续性尿路症状的差异诊断中考虑尿道的重要性.
主要方法:
- 一个71岁的绝经后妇女的病例报告.
- 评估持续的尿路症状.
- 对失败的保守治疗方法的审查.
- 手术干预:尿道脱落切除,尿道脱落切除.
主要成果:
- 患者呈现出持续的尿路症状.
- 保守的治疗方法没有成功.
- 泌尿道脱落切除术成功进行.
结论:
- 在绝经后的妇女中,如果有持续的尿路问题,应考虑尿道落.
- 及时诊断和适当的治疗对于管理这种情况至关重要.
相关概念视频
Urinary Tract Calculi VI: Surgical Management
11
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...
11
Urinary Tract Calculi III: Medical Management
9
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)...
9
Urinary Tract Calculi V: Nursing Management
14
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...
14
Peptic Ulcer Disease V: Surgical Management and Nursing Care
349
Surgical management and nursing care are crucial in treating Peptic Ulcer Disease (PUD). Here is an organized and enhanced overview of the surgical interventions and the associated nursing care for PUD:
Surgical Interventions for Peptic Ulcer Disease
Surgical Interventions for Peptic Ulcer Disease
349
Urologic Endoscopic Procedure: Cystoscopic Examination
97
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...
97
Urinary Tract Infection IV: Nursing Management
29
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...
29


