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Meeting personal needs: elimination
Published in Nicola Neale, Joanne Sale, Developing Practical Nursing Skills, 2022
You probably identified that infection is a major complication of catheterisation. Encrustation and eventual blockage are also problems associated with urinary catheterisation (Wilson 2012). Other complications include urethral strictures, pressure necrosis, spasm, discomfort and pain (Yates 2012).
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Published in Andrew Schofield, Paul Schofield, The Complete SAQ Study Guide, 2019
Andrew Schofield, Paul Schofield
Urethral strictures occur in the background of chronic inflammation or after urethral trauma. If present in the anterior urethra, they may cause fibrosis of the corpus spongiosum, although they may affect any part of the urethra. Narrowing results from collagenous scar tissue formation in response to trauma, infection or inflammation. Lichen sclerosus et atrophiais causes dermal sclerosis and usually affects the distal urethra and urethral meatus. Symptoms include urgency, frequency, initial haematuria, incontinence or recurrent UTIs. They may be noticed incidentally when attempting urethral catheterisation for another reason. Diagnosis can be made at cystoscopy, or using radiological investigations such as uroflowmetry or voiding cystourethrogram. Many surgical interventions yield a high rate of recurrence, such as internal urethrotomy, and despite all of the treatments listed above, some patients end up requiring a suprapubic catheter.
Complications of Prostate Brachytherapy: Cause, Prevention, and Treatment
Published in Kevin R. Loughlin, Complications of Urologic Surgery and Practice, 2007
Larissa J. Lee, Anthony L. Zietman
The incidence of brachytherapy-related urethral stricture is reported to be between 0% and 12%, and has been correlated with the dose to the bulbo-membranous urethra (21). Patients with urethral stricture may present with obstructive symptoms such as weak stream or straining while voiding. The first step in management of a urethral stricture is urethral dilation or internal urethrotomy. Rarely, conversion to a suprapubic catheter or self-catheterization is required for recurrent strictures. The median time to development of a urethral stricture is approximately 24 months, but can occur many years after brachytherapy.
Urethral stricture and scrotal abscess: a rare case presentation of penile cancer and review of the literature
Published in The Aging Male, 2020
Aldo Franco De Rose, Francesca Ambrosini, Laura Tomasello, Francesco Boccardo, Carlo Terrone
A 67-year-old male presented to the Department of Urology, San Martino Hospital (Genova) in December 2017 with high temperature and purulent urethral discharge. He was cigarette smoker and suffered from chronic obstructive pulmonary disease, but apart from that the patient’s medical history was unremarkable. The patient did not provide any history of urethral trauma or sexually transmitted disease. In July 2017, a suprapubic cystostomy had been placed for the management of obstructive voiding symptoms, after failed urethral catheterization in another Department. A urethral stricture had been suspected. In September 2017, the patient had been admitted because of penoscrotal abscess extending to surrounding subcutaneous tissue. A perineal urethrostomy had been performed after several unsuccessful attempts of conservative treatment. A malignant disease was not rule out.
Comparative study between Amplatz renal dilator vs visual internal urethrotomy (cold knife) for the treatment of male urethral stricture
Published in Scandinavian Journal of Urology, 2020
Urethral stricture in males is one of the most reported urologic problems and considered to be the greatest challenging urological condition to cure perfectly [1]. Urethral stricture disease is defined as a constriction and narrowing affecting the urethral lumen. The pathological development of urethral stricture disease refers to the fibrosis and scarring that disturb the urethral mucosa or the enveloped spongiosal erectile tissue of the corpus spongiosum [2]. Numerous insults stimulate fibroblastic damage to the urethra. These involve inflammatory factors, infections, and traumatic causes like iatrogenic injury or fracture of the pelvis [3]. Management of urethral strictures is composite and strongly related to the location, length of fibrosis, scare depth, and nature of the stricture [4,5]. Less invasive techniques like optical urethrotomy, stenting, or dilation remain the first-line treatment option in most of the patients [6].
Can bipolar energy serve as an alternative to monopolar energy in the management of large bladder tumours >3 cm? A prospective randomised study
Published in Arab Journal of Urology, 2019
Mahmoud A. Mahmoud, Ahmed Tawfick, Diaa Eldin Mostafa, Hossam Elawady, Mohamed Abuelnaga, Karim Omar, Hisham Elshawaf, Mohamed Hasan
Exclusion criteria: Unfitness for spinal anaesthesia.Patients with recurrent bladder tumour.Patients with other urological malignancies.Patients requiring anticoagulation.Patients with pacemakers.Patients with back pressure change.Patients with urethral stricture.Active UTIs.Patients with uncontrolled bleeding diathesis.