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相关概念视频

Imaging Studies V: Intravenous Urography and Retrograde Pyelography01:22

Imaging Studies V: Intravenous Urography and Retrograde Pyelography

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IntroductionIntravenous Urography (IVU) and Retrograde Pyelography (RP) are important diagnostic imaging techniques used to evaluate the urinary system. These methods help identify structural abnormalities, obstructions, and functional issues in the kidneys, ureters, and bladder. Both procedures use iodine-based contrast media to enhance the visibility of urinary tract structures on X-ray images, though they differ in their methods and indications.1. Intravenous Urography (IVU)Intravenous...
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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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Kidney Transplant II: Surgical Procedure01:26

Kidney Transplant II: Surgical Procedure

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Preoperative ManagementThe primary goals of preoperative management in kidney transplantation are to optimize the patient’s metabolic state and prepare them for surgery through diet adjustments, necessary dialysis, and tailored medical treatment. This phase also involves comprehensive infection screening and patient education about the surgical procedure and postoperative care to improve outcomes and adherence.Medical ManagementA comprehensive evaluation is required for both the living...
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Imaging Studies II: Ultrasonography01:24

Imaging Studies II: Ultrasonography

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IntroductionUltrasonography, or renal ultrasound, is a noninvasive medical imaging technique that uses high-frequency sound waves to visualize the kidneys, ureters, bladder, and surrounding tissues.Indications for Urinary System UltrasonographyUrinary system ultrasonography is indicated in various clinical scenarios, such as:Kidney Stones (Urolithiasis): To detect and monitor the size and presence of kidney or urinary tract stones.Hydronephrosis: To assess the dilation of the renal pelvis and...
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Ureters01:22

Ureters

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The ureters are retroperitoneal tubes located on either side of the vertebral column. They are responsible for transporting urine from each kidney to the urinary bladder. These tubes have thick walls and are approximately 25-30 cm long. Their diameter is around 10 mm at the renal pelvis, gradually narrowing to 1 mm as the ureter obliquely enters the posterior bladder wall through the ureteric orifices. The shape of these orifices is slit-like, which helps to prevent urine backflow toward the...
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Urodynamic Studies: Uroflowmetry01:19

Urodynamic Studies: Uroflowmetry

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Uroflowmetry is a non-invasive urodynamic test designed to measure various aspects of urination, including volume, flow rate, and the time to void. This test is crucial for diagnosing and assessing conditions such as bladder outlet obstruction, bladder dysfunction, incomplete bladder emptying, incontinence, and urinary tract blockages caused by benign prostatic hyperplasia (BPH) and urethral strictures.Pre-Test Instructions:Before a uroflowmetry test, patients are typically advised to drink...
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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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在压力下:在柔性尿路透镜期间灌实践模式.

Bassel Salka1, Jamsheed Bahaee2, Jeff Plott3

  • 1University of Michigan Medical School, 1301 Catherine St, Ann Arbor, MI 48109, USA.

Therapeutic advances in urology
|June 26, 2023
PubMed
概括

灵活尿道透视 (fURS) 灌方法在全球范围内有所不同,北美偏爱压力袋,欧洲偏爱重力系统. 灌的挑战最常发生在尿路瘤活检期间.

关键词:
灌灌方式尿路透镜检查 尿路透镜检查

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科学领域:

  • 泌尿器科 泌尿器科 泌尿器科 泌尿器科
  • 内分泌病学 在内分泌病学.
  • 手术技巧 手术技巧

背景情况:

  • 灵活尿路透镜 (fURS) 期间的灌参数可以影响患者的结果.
  • 目前用于灌方法和fURS参数选择的实践模式在全球范围内没有得到充分的记录.

研究的目的:

  • 评估国际内分泌学家在fURS期间的常见灌方法,压力设置和有问题的场景.

主要方法:

  • 2021年1月,对内分泌学会成员进行了一项全球调查.
  • 数据通过在线问卷收集,并根据CHERRIES指南分析答案.
  • 来自北美,拉丁美洲,欧洲,亚洲,非洲和大洋洲的外科医生参加了会议.

主要成果:

  • 共有208名外科医生做出反应 (14%的响应率).
  • 北美外科医生主要使用压缩盐水袋 (55%),而欧洲外科医生更喜欢带有灯泡/注射器系统的重力盐水袋 (45%).
  • 自动化系统在亚洲 (30%) 最常见;大多数外科医生使用75-150mmHg,尿瘤活检提出了最多的灌挑战.

结论:

  • 在全球范围内,fURS期间的灌实践和参数选择存在显著差异.
  • 观察到偏好的灌方法 (压力灌与重力灌) 的区域差异.
  • 自动灌系统尚未得到广泛采用,在瘤活检过程中经常遇到灌困难.