The Urologic Diseases Dictionary
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Urinary Incontinence: Impact on Long Term Care
Urinary Incontinence: Impact on Long Term Care Muhammad S. Choudhury, MD, FACS Professor and Chairman Department of Urology New York Medical College Director of Urology Westchester Medical Center 1 Urinary Incontinence: Overview • Definition • Scope • Anatomy and Physiology of Micturition • Types • Diagnosis • Management • Impact on Long Term Care 2 Urinary Incontinence: Definition • Involuntary leakage of urine which is personally and socially unacceptable to an individual. • It is a multifactorial syndrome caused by a combination of: • Genito urinary pathology. • Age related changes. • Comorbid conditions that impair normal micturition. • Loss of functional ability to toilet oneself. 3 Urinary Incontinence: Scope • Prevalence of Urinary incontinence increase with age. • Affects more women than men (2:1) up to age 80. • After age 80, both women and men are equally affected. • Urinary Incontinence affect 15% to 30% of the general population > 65 years. • > 50% of 1.5 million Long Term Care residents may be incontinent. • The cost to care for this group is >5 billion per year. • The total cost of care for Urinary Incontinence in the U.S. is estimated to be over $36 billion. Ehtman et al., 2012. 4 Urinary Incontinence: Impact on Quality of Life • Loss of self esteem. • Avoidance of social activity and interaction. • Decreased ability to maintain independent life style. • Increased dependence on care givers. • One of the most common reason for long term care placement. Grindley et al. Age Aging. 1998; 22: 82-89/Harris T. Aging in the eighties. NCHS # 121 1985. Noelker L. Gerontologist 1987; 27: 194-200. 5 Health related consequences of Urinary Incontinence • Increased propensity for fall/fracture. -
CMS Manual System Human Services (DHHS) Pub
Department of Health & CMS Manual System Human Services (DHHS) Pub. 100-07 State Operations Centers for Medicare & Provider Certification Medicaid Services (CMS) Transmittal 8 Date: JUNE 28, 2005 NOTE: Transmittal 7, of the State Operations Manual, Pub. 100-07 dated June 27, 2005, has been rescinded and replaced with Transmittal 8, dated June 28, 2005. The word “wound” was misspelled in the Interpretive Guidance section. All other material in this instruction remains the same. SUBJECT: Revision of Appendix PP – Section 483.25(d) – Urinary Incontinence, Tags F315 and F316 I. SUMMARY OF CHANGES: Current Guidance to Surveyors is entirely replaced by the attached revision. The two tags are being combined as one, which will become F315. Tag F316 will be deleted. The regulatory text for both tags will be combined, followed by this revised guidance. NEW/REVISED MATERIAL - EFFECTIVE DATE*: June 28, 2005 IMPLEMENTATION DATE: June 28, 2005 Disclaimer for manual changes only: The revision date and transmittal number apply to the red italicized material only. Any other material was previously published and remains unchanged. However, if this revision contains a table of contents, you will receive the new/revised information only, and not the entire table of contents. II. CHANGES IN MANUAL INSTRUCTIONS: (N/A if manual not updated.) (R = REVISED, N = NEW, D = DELETED) – (Only One Per Row.) R/N/D CHAPTER/SECTION/SUBSECTION/TITLE R Appendix PP/Tag F315/Guidance to Surveyors – Urinary Incontinence D Appendix PP/Tag F316/Urinary Incontinence III. FUNDING: Medicare contractors shall implement these instructions within their current operating budgets. IV. ATTACHMENTS: Business Requirements x Manual Instruction Confidential Requirements One-Time Notification Recurring Update Notification *Unless otherwise specified, the effective date is the date of service. -
Urge Syndrome and Urge Incontinence
Arch Dis Child: first published as 10.1136/adc.64.11.1629 on 1 November 1989. Downloaded from Archives of Disease in Childhood, 1989, 64, 1629-1634 Personal practice Urge syndrome and urge incontinence J D VAN GOOL* AND G A DE JONGEt *Department of Paediatric Nephrology, University Hospital for Children and Youth, Utrecht, and tDepartment of Paediatrics, Vrije Universiteit, Amsterdam, The Netherlands Diurnal enuresis is still the common denominator tractions give rise to urgency and frequency early in for children who wet their pants. A closer look at the filling phase; in the other pattern, incomplete children with daytime wetting, however, shows that relaxation of striated urethral and pelvic floor there are two distinct categories: one with classic muscles interrupts actual voiding and causes a diurnal enuresis and normal bladder function, and staccato urinary flow. the other with urinary incontinence caused by an As these patterns of bladder sphincter over- 'urge syndrome', with bladder sphincter dysfunction, activity are detectable with urodynamic techniques and a conspiciously high incidence of recurrent we decided to investigate prospectively a selected urinary tract infections. group of children of school age whose presenting Overactivity of the detrusor and urethral muscles symptoms were persistent daytime wetting, urgency, is now an established cause for bladder sphincter and frequency. copyright. dysfunction in children, and it is usually associated with symptoms such as urgency, frequency, daytime Patients wetting, and urinary tract infections. 1-5 The symp- toms of dysfunction induced by overactivity have in Ninety girls and three boys with urge incontinence the past been blamed on either the detrusor muscle and recurrent urinary tract infections were studied. -
St. Lawrence School Subject
St. Lawrence School Subject - Science Class - 4 Chapter - 3 Human Body : Digestive and Excetory System ( Part - 1 ) Learn about * Digestive system * Excretory system * Healthy eating habits Digestive System The process by which food is broken down into a simpler form so that it can be easily taken in or absorbed by our body is called digestion. Many organs work together and help in the process of digestion. The mouth, food pipe, stomach, small and large intestine, liver, rectum, and anus are the main organs of the digestive system. Let us learn about them. Mouth Digestion starts in the mouth. The teeth help to break down and chew food. The chewed food then mixes with a liquid, called saliva, produced in our mouth. It makes the food softer and easier to swallow. The tongue helps in the proper mixing of saliva with the food. Food pipe The food pipe ( oesophagus ) passes the food from the mouth to the stomach. Stomach Inside the stomach, the food is broken down further into smaller pieces by churning and with the help of chemicals called digestive juices. Small intestine From the small intestine, the undigested food passes into the large intestine. The large intestine is a shorter but wider, tube - like structure, which collects the indigestible food from the small intestine. The large intestine absorbs water from this undigested food and forms waste products called faeces. Rectum Rectum is the final part of the large intestine. Faeces are stored in the rectum for a short time before being passed out through anus. Anus Faeces are removed from the body through the anus. -
Urinary Bladder – Proteinaceous Plug
Urinary bladder – Proteinaceous Plug Figure Legend: Figure 1 An eosinophilic amorphous proteinaceous plug in the bladder lumen from a male B6C3F1 mouse in a chronic study. Figure 2 A proteinaceous plug associated with other flocculent, eosinophilic material, from a male F344/N rat in an acute study. Comment: Proteinaceous plugs are commonly noted as a postmortem change resulting from an agonal secretion of accessory sex gland fluids during euthanasia. Proteinaceous plugs vary in size but can be large, filling the urinary bladder (Figure 1 and Figure 2). Microscopically, the plug is composed of a mixture of an amorphous eosinophilic material, sometimes containing desquamated epithelial cells and spermatozoa. Proteinaceous plugs by themselves have no toxicologic importance and are not precursors of calculi. Plugs may be seen with obstructive syndromes associated with bacterial inflammation. They must be differentiated from calculi. Recommendation: Proteinaceous plugs occurring alone and not associated with any pathologic lesions should be recognized as an artifact and should not be diagnosed. Occasionally, proteinaceous plugs are recognized grossly, and the pathologist should use his or her judgment to correlate the gross lesion to an artifactual proteinaceous plug. 1 Urinary bladder – Proteinaceous Plug References: Gaillard ET. 1999. Ureter, urinary bladder and urethra. In: Pathology of the Mouse: Reference and Atlas (Maronpot RR, Boorman GA, Gaul BW, eds). Cache River Press, Vienna, IL, 235– 258. Abstract: http://www.cacheriverpress.com/books/pathmouse.htm Hard GC, Alden CL, Bruner RH, Frith CH, Lewis RM, Owen RA, Krieg K, Durchfeld-Meyer B. 1999. Non-proliferative lesions of the kidney and lower urinary tract in rats. -
Urinary Tract Infection (UTI): Western and Ayurvedic Diagnosis and Treatment Approaches
Urinary tract infection (UTI): Western and Ayurvedic Diagnosis and Treatment Approaches. By: Mahsa Ranjbarian Urinary system Renal or Urinary system is one of the 10 body systems that we have. This system is the body drainage system. The urinary system is composed of kidneys (vrikka), ureters (mutravaha nadis), bladder(mutrashaya) and urethra(mutramarga). The kidneys are a pair of bean-shaped, fist size organs that lie in the middle of the back, just below the rib cage, one on each side of the spine. Ureters are tubes that carry the wastes or urine from the kidneys to the bladder. The urine finally exit the body from the urethra when the bladder is full.1 Urethras length is shorter in women than men due to the anatomical differences. Major function of the urinary system is to remove wastes and water from our body through urination. Other important functions of the urinary system are as follows. 1. Prevent dehydration and at the same time prevent the buildup of extra fluid in the body 2. Cleans the blood of metabolic wastes 3. Removing toxins from the body 4. Maintaining the homeostasis of many factors including blood PH and blood pressure 5. Producing erythrocytes 6. make hormones that help regulate blood pressure 7. keep bones strong 8. keep levels of electrolytes, such as potassium and phosphate, stable 2 The Urinary system like any other systems of our body is working under the forces of three doshas, subdoshas. Mutravaha srotas, Ambuvahasrota and raktavahasrota are involved in formation and elimination of the urine. Urine gets separated from the rasa by maladhara kala with the help of pachaka pitta and samana vayu and then through the mutravaha srota(channels carrying the urine) it is taken to the bladder. -
A New Look at the Etiology of Interstitial Cystitis/Bladder Pain Syndrome: Extraordinary Cultivations
International Urology and Nephrology (2019) 51:1961–1967 https://doi.org/10.1007/s11255-019-02248-5 UROLOGY - ORIGINAL PAPER A new look at the etiology of interstitial cystitis/bladder pain syndrome: extraordinary cultivations Tahsin Batuhan Aydogan1 · Oznur Gurpinar2 · Ozgen Koseoglu Eser2 · Begum Aydogan Mathyk3 · Ali Ergen1 Received: 25 April 2019 / Accepted: 24 July 2019 / Published online: 30 July 2019 © Springer Nature B.V. 2019 Abstract Purpose So far, studies have not clearly identifed infectious agents as an etiological factor for interstitial cystitis (IC). Spe- cifc microbiological diagnosis for detecting the pathogen with higher sensitivity in IC may decrease the treatment costs and increase psychosocial health of the patients. Methods A prospective clinical study was performed in 26 IC patients and 20 controls between April and September 2017. All participants were asked to give mid-stream urine sample for routine urine cultures. Followed by the negative results, symptomatic 26 patients were evaluated for L-form pathogen existence by extraordinary cultivation methods. Biopsy sam- ples were taken from 19 patients with ulcerative lesions in the bladder while collecting sterile urine samples from all 26 patients. PG broth, 5% sheep blood agar, EMB, Sabouraud’s dextrose, LEM, and GYPA were used. Followed by the 1st day inoculations, all inoculated PG broths were subcultured into the same solid media at the 2nd and 10th days in case of any growth after incubation of 24 h under 35–37 °C. The “O’Leary Sant Symptom and Problem Index” score forms were used to evaluate response to the appropriate treatment for those patients with documented pathogens. -
Interstitial Cystitis/Painful Bladder Syndrome
What I need to know about Interstitial Cystitis/Painful Bladder Syndrome U.S. Department of Health and Human Services National Kidney and Urologic Diseases NATIONAL INSTITUTES OF HEALTH Information Clearinghouse What I need to know about Interstitial Cystitis/Painful Bladder Syndrome U.S. Department of Health and Human Services National Kidney and Urologic Diseases NATIONAL INSTITUTES OF HEALTH Information Clearinghouse Contents What is interstitial cystitis/painful bladder syndrome (IC/PBS)? ............................................... 1 What are the signs of a bladder problem? ............ 2 What causes bladder problems? ............................ 3 Who gets IC/PBS? ................................................... 4 What tests will my doctor use for diagnosis of IC/PBS? ............................................................... 5 What treatments can help IC/PBS? ....................... 7 Points to Remember ............................................. 14 Hope through Research........................................ 15 Pronunciation Guide ............................................. 16 For More Information .......................................... 17 Acknowledgments ................................................. 18 What is interstitial cystitis/painful bladder syndrome (IC/PBS)? Interstitial cystitis*/painful bladder syndrome (IC/PBS) is one of several conditions that causes bladder pain and a need to urinate frequently and urgently. Some doctors have started using the term bladder pain syndrome (BPS) to describe this condition. Your bladder is a balloon-shaped organ where your body holds urine. When you have a bladder problem, you may notice certain signs or symptoms. *See page 16 for tips on how to say the words in bold type. 1 What are the signs of a bladder problem? Signs of bladder problems include ● Urgency. The feeling that you need to go right now! Urgency is normal if you haven’t been near a bathroom for a few hours or if you have been drinking a lot of fluids. -
Symptoms of Overactive Bladder and Interstitial Cystitis – How Different?
183 Homma Y1, Tanaka M1, Niimi A1 1. Japan Red Cross Medical Centre SYMPTOMS OF OVERACTIVE BLADDER AND INTERSTITIAL CYSTITIS – HOW DIFFERENT? Hypothesis / aims of study Overactive bladder (OAB) is a symptom syndrome of urgency, frequency or urgency incontinence [1]. Interstitial cystitis (IC) is a bladder disease with a symptom syndrome of urgency, frequency, or bladder pain. Difference in symptoms of these confusable disorders is to be examined. Study design, materials and methods Female patients with OAB or IC and asymptomatic controls were recruited for the study. Diagnosis of OAB is based on 1) OAB symptom score [2] larger than 5 and/or urgency incontinence, and 2) exclusion of stress urinary incontinence and other obvious diseases. IC was diagnosed by 1) O’Leary & Sant’s symptom score [3] larger than 7 and/or bladder pain, 2) exclusion of other obvious diseases, and 3) Hunner’s ulcer or bladder bleeding at hydrodistension under anesthesia. The subjects recorded, in 3-day bladder diary, time voided, voided volume and intensity (0: none, 1: slightly, 2: moderately, 3: a lot) of 6 sensations or symptoms (urge to void, fear of leakage, amount of leakage, bladder discomfort, bladder pain and feeling of incomplete emptying) for each micturition. Additionally the urge questionnaire of 5 questions addressing the conditions during the last week was administered: 1) Did you feel urge to void that was not followed by voiding? (Response: yes, no), 2) Did you feel strong urge to void? (yes, no), 3) In case of yes in question 2, did you feel strong urge to void suddenly? (yes, no), 4) What happened or might happen, if you held strong urge to void for a long time, 1 hour for example ? (Response: leak urine, feel discomfort and/or pain, both), 5) In case of discomfort and/or pain in question 4, could you tell these 2 sensations apart? (yes, no). -
1535190852 9 Medical Terminology Urinary.Pdf
Syrian Private University Medical Faculty Medical Terminology M.A.Kubtan , MD – FRCS Lecture 9 M.A.Kubtan Objectives After studying this chapter, you will be able to: •Name the parts of the urinary system and discuss the function of each part •Define combining forms used in building words that relate to the urinary system •Identify the meaning of related abbreviations •Name the common diagnoses, clinical procedures, and laboratory tests used in treating disorders of the urinary system M.A.Kubtan 2 Objectives Part 2 •List and define the major pathological conditions of the urinary system •Explain the meaning of surgical terms related to the urinary system •Recognize common pharmacological agents used in treating the urinary system M.A.Kubtan 3 Structure and Function The Urinary System Bladder Kidneys •Also called the excretory system •Maintains water Urinary System balance •Removes waste products from the Urethra Ureters blood by excreting them in the urine Meatus M.A.Kubtan 4 Kidneys Kidneys The kidneys are bean-shaped organs located in the retroperitoneal portion of the abdominal cavity on either side of the vertebral column. Two Primary Functions •To form urine for excretion •To retain essential substances the body needs in the process called reabsorption M.A.Kubtan 5 Parts of the Kidney Kidneys filter about 1700 kidney liters of blood daily in the average adult. medulla Parts of the kidneys •Cortex hilum -outer protective portion •Medulla -inner soft portion •Hilum -a depression located in the middle of the concave side of the kidney where blood vessels, nerves, and the ureters enter and cortex exit the kidneys M.A.Kubtan 6 Urine Production Urine is produced by filtration of: •water •sugar •creatine •salts •urea •uric acid Each kidney contains more than 1 million nephrons which are the functional units of the kidneys. -
Interstitial Cystitis? You May Have Interstitial Cystitis If Any of the Following Occur: Interstitial Cystitis • You Have to Urinate Often Or Urgently
the bladder wall. An autoimmune response (when antibodies are made that act against a part of the body such as in rheumatoid arthritis) may also be the cause in some people. How does my doctor know I have interstitial cystitis? You may have interstitial cystitis if any of the following occur: Interstitial Cystitis • You have to urinate often or urgently. • You have persistent pelvic or bladder pain. A Guide for Women • A doctor finds bladder wall inflammation, pinpoint bleed- 1. What is interstitial cystitis? ing or ulcers during an exam with a special telescope 2. What causes interstitial cystitis? (called a cystoscope) used to look inside your bladder. 3. How does my doctor know I have interstitial cystitis? • Your doctor has ruled out other diseases such as urinary 4. How is interstitial cystitis treated? tract infections, vaginal infections, bladder cancer, and sexually transmitted diseases that may mimic some of the 5. Other Treatment Options symptoms of interstitial cystitis. 6. Where can I get more information about interstitial How is interstitial cystitis treated? cystitis? Because the causes of IC are unknown, current treatments are aimed at relieving symptoms. One or a combination of treat- ments helps most people for variable periods. As researchers What is interstitial cystitis? learn more about IC the list of potential treatments will change, Interstitial cystitis (IC) is a term used to describe the condition so patients should discuss their options with a doctor. Most peo- of bladder pain or discomfort with a frequent and often urgent ple feel better after trying one or more of the following treat- need to pass urine. -
Guide to Treating Your Child's Daytime Or Nighttime Accidents
A GUIDE TO TREATING YOUR CHILD’S Daytime or Nighttime Accidents, Urinary Tract Infections and Constipation UCSF BENIOFF CHILDREN’S HOSPITALS UROLOGY DEPARTMENT This booklet contains information that will help you understand more about your child’s bladder problem(s) and provides tips you can use at home before your first visit to the urology clinic. www.childrenshospitaloakland.org | www.ucsfbenioffchildrens.org 2 | UCSF BENIOFF CHILDREN’S HOSPITALS UROLOGY DEPARTMENT Table of Contents Dear Parent(s), Your child has been referred to the Pediatric Urology Parent Program at UCSF Benioff Children’s Hospitals. We specialize in the treatment of children with bladder and bowel dysfunction. This booklet contains information that will help you understand more about your child’s problem(s) and tips you can use at home before your first visit to the urology clinic. Please review the sections below that match your child’s symptoms. 1. Stool Retention and Urologic Problems (p.3) (Bowel Dysfunction) 2. Bladder Dysfunction (p.7) Includes daytime incontinence (wetting), urinary frequency and infrequency, dysuria (painful urination) and overactive bladder 3. Urinary Tract Infection and Vesicoureteral Reflux (p. 10) 4. Nocturnal Enuresis (p.12) Introduction (Nighttime Bedwetting) It’s distressing to see your child continually having accidents. The good news is that the problem is very 5. Urologic Tests (p.15) common – even if it doesn’t feel that way – and that children generally outgrow it. However, the various interventions we offer can help resolve the issue sooner THIS BOOKLET ALSO CONTAINS: rather than later. » Resources for Parents (p.16) » References (p.17) Childhood bladder and bowel dysfunction takes several forms.