Post radical prostatectomy urinary incontinence
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The patient is a 67-year-old man who underwent an open radical prostatectomy in 2014 for prostate cancer. Since the surgery, he has experienced urinary leakage when walking or coughing. Testing revealed mild hydroureteronephrosis but no strictures or leaks. The patient was advised conservative management with follow up in 6 months before considering an artificial urinary sphincter, due to the mild hydroureteronephrosis.
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1. Hematuria, or blood in the urine, can be an early sign of urothelial cancer. Evaluation of hematuria involves classifying it as glomerular or non-glomerular, identifying risk factors, and discussing cost-effective diagnostic approaches.
2. Dipstick testing and microscopic examination are used to detect and classify hematuria. Cystoscopy and imaging studies may be used to identify the source and guide management.
3. Patients with gross hematuria or other risk factors like smoking have a higher likelihood of underlying urologic malignancy and warrant more thorough evaluation.
Benign Prostatic Hypertrophy, Prostatitis and Hematuria
This document discusses benign prostatic hypertrophy (BPH), prostatitis, and hematuria. It provides details on the presentation, diagnostic approach, management, and referral criteria for each condition. For BPH, it describes a case study and recommends an initial workup including digital rectal exam, urine analysis, PSA, IPSS questionnaire, and uroflowmetry. Drug therapies for BPH include alpha-blockers and 5-alpha-reductase inhibitors. Complications may require referral. Acute and chronic bacterial prostatitis are also covered. The document outlines the approach to hematuria cases based on severity and risk factors.
Inflammatory bowel disease
Information about Inflammatory bowel disease in history, different investigations and surgery and post op by Dr Dhaval Mangukiya.
Details of Low Anterior Resection(LAR), Arterial Supply, Venous Drainage, Ports, Position, Modified Lithotomy, Vessel Ligation, Lymph Nodes, Nerves Anatomy, Superior Hypogastric Plexus, Lateral Pelvic Nerves, Correct TME, Anastomosis etc.
https://drdhavalmangukiya.com/
http://www.youtube.com/c/DrDhavalMangukiyaGastrosurgeonSurat
https://gastrosurgerysurat.blogspot.com/
Liver tomour
The document discusses the workup and diagnosis of liver masses. It describes various benign and malignant liver lesions including hemangioma, focal nodular hyperplasia, hepatic adenoma, liver cysts, hepatocellular carcinoma, and metastases. Multiphasic CT is useful for characterizing lesions based on enhancement patterns in the arterial, portal venous, and delayed phases. Biopsy may be needed to confirm diagnosis of suspicious lesions.
livertomour-170928174535.pdf
The document discusses the workup and diagnosis of liver masses. It describes various benign and malignant liver lesions including hemangioma, focal nodular hyperplasia, hepatic adenoma, liver cysts, hepatocellular carcinoma, cholangiocarcinoma, and metastases. Multiphasic CT is useful for characterizing lesions based on enhancement patterns in the arterial, portal venous, and delayed phases. Biopsy may be needed to confirm diagnosis of suspicious lesions.
Approach to Hematuria
Hematuria refers to the presence of blood in the urine. A diagnosis requires red blood cells to be present in urine samples obtained at least a week apart. Hematuria can be classified as microscopic or macroscopic, intermittent or persistent, and by its location in the urinary tract. Potential causes include glomerular disease, tumors, infections, vascular abnormalities, stones and trauma. Evaluation involves urinalysis, urine culture, imaging tests like ultrasound and CT urography, and cystoscopy depending on risk factors. Treatment focuses on the underlying cause if identified, while asymptomatic microscopic hematuria often requires monitoring without intervention.
Evaluation of the patient with benign Prostatic Hyperplasia(BPH)
This document provides an overview of how to evaluate a patient with benign prostatic hyperplasia (BPH). The evaluation involves taking a medical history, performing a physical exam including a digital rectal exam, and ordering relevant investigations. The medical history focuses on lower urinary tract symptoms and their severity is assessed using the International Prostate Symptom Score. The physical exam also includes neurologic tests to rule out other causes. Investigations include urine analysis, ultrasound of the kidneys/prostate/bladder, uroflowmetry, serum PSA, x-ray, and more. Based on the evaluation, BPH is staged and treatment is determined, which may include watchful waiting, medical therapy, or surgery.
Evaluation of the patient with BPH
This document provides an overview of evaluating patients with benign prostatic hyperplasia (BPH). It discusses taking a history, performing a physical exam including a digital rectal exam and neurological exam, and relevant investigations like the International Prostate Symptom Score, urinalysis, ultrasound, uroflowmetry, and serum PSA. Treatment options for BPH include watchful waiting, medical therapy with alpha blockers or 5-alpha reductase inhibitors, and surgical options like transurethral resection of the prostate or open prostatectomy. The goal of treatment is to relieve symptoms and obstruction based on the patient's severity and risk factors.
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M. Altman presentation 3 ch. 9 urinary system abbreviations
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Benign Prostatic Hypertrophy, Prostatitis and Hematuria
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Evaluation of the patient with benign Prostatic Hyperplasia(BPH)
Evaluation of the patient with benign Prostatic Hyperplasia(BPH)
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Novas diretrizes da OMS para os cuidados perinatais de mais qualidade
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Estas diretrizes visam melhorar a qualidade dos cuidados pós-natais essenciais e de rotina prestados às mulheres e aos recém-nascidos, com o objetivo final de melhorar a saúde e o bem-estar materno e neonatal.
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O estabelecimento da amamentação e o manejo das principais intercorrências é contemplada.
Recomendamos muito.
Vamos discutir essas recomendações no nosso curso de pós-graduação em Aleitamento no Instituto Ciclos.
Esta publicação só está disponível em inglês até o momento.
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www.agostodourado.com
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Post radical prostatectomy urinary incontinence
- 1. Post radical prostatectomy Urinary Incontinence
- 2. History • 67 years Gentleman • Poor flow, frequency 4 years back • No urgency, hematuria, AUR or incontinence • Diagnosed to have carcinoma prostate • Open radical prostatectomy for carcinoma prostate March 2014
- 3. • Post operatively - poor flow of urine, straining and urinary leakage at walking, coughing . • No leakage at night. • EIU for anastomotic site stricture – October 2015 • H/O TURP in 1995, Bilateral hernioplasty 2015 • No co-morbidities
- 5. Examination • General physical examination was unremarkable. • Pulse 84/min. BP 120/80 mmHg • PA: Lower mid line scar and bilateral hernioplasty scar. Bladder not palpable. • External genitalia: EUM, testes & cord structures were normal. • DRE: Tone normal with positive BCR & prostate not felt.
- 7. Investigations • Hemoglobin: 14.8 gm/dl • TLC: 6700 / cumm • Creatinine : 0.9 mg % • Urine R/M: Normal • Urine C/S : No growth • PSA : < 0.04 ng/dl
- 8. Uroflowmetry Q max = 10 ml/sec, Voided volume 266 ml, PVR = 90 ml
- 10. MCU Scout RGU
- 13. • USG report:- • Bilateral mild hydroureteronephrosis • MCU report:- • No strictures or leak
- 15. Management • Conservative : – In view of mild HUN , advised to follow up after 6 months before planning of artificial urinary sphincter.
- 17. Learning Points • Causes • How to prevent it? • management