Urology Today.net

Site updated at Thursday, 12 May 2016

Common Urological Problems

Hematuria

Office Evaluation of Urinary Incontinence

Introduction
The goals of the basic evaluation are to confirm urinary incontinence (UI)  and to identify factors that may be contributing to or resulting from UI. The general evaluation of UI should include a history, fluid intake/voiding diary, physical examination, urinalysis, urine culture, and measurement of postvoid residual urine. For selected patients, a… Office Evaluation of Urinary Incontinence   



Fluid Intake/Voiding Diary

Patient histories regarding frequency and severity of urinary symptoms are often inaccurate. A more reliable indicator of symptoms is a fluid intake/voiding diary, which should be distributed to patients.

They would be instructed to document in it the amount and type of fluid consumed and the volume and time of voiding and leakage… Fluid Intake/Voiding Diary   



Multichannel Urodynamics

The workup described constitutes the basic office assessment (BOA) of UI; it is generally accepted. However, the role of urodynamics in the evaluation of patients with UI is controversial. This is because the true impact of urodynamics on clinical diagnosis, management plans, and patient’s outcome has not been studied in a well-designed manner. As… Multichannel Urodynamics   



Urinary Stone Disease Symptoms & Signs at Presentation

Upper-tract urinary stones usually eventually cause pain.

The character of the pain depends on the location. Calculi small enough to venture down the ureter usually have difficulty passing through the ureteropelvic junction, over the iliac vessels,  or entering the bladder at the ureterovesical junction (Figure 16–7).

A. PAIN
Renal colic and noncolicky… Urinary Stone Disease Symptoms & Signs at Presentation   



IgA Nephropathy

Primary   hematuria   (idiopathic   benign   and   recurrent hematuria,  Berger’s disease)  is now known to be an immune complex glomerulopathy in which deposition of IgA occurs in a granular pattern in the mesangium of the glomerulus.  The associated light microscope findings are variable and range from normal to extensive crescentic glomerulonephritis.… IgA Nephropathy   



Poststreptococcal Glomerulonephritis

A. ESSENTIALS OF DIAGNOSIS

B. GENERAL CONSIDERATIONS
Poststreptococcal glomerulonephritis is a disease… Poststreptococcal Glomerulonephritis   



Glomerulonephritis

The clinical manifestations of glomerular renal disease are apt to consist only of varying degrees of hematuria, excretion of characteristic formed elements in the urine,  proteinuria,  and renal insufficiency and its complications.

Excluding diabetes, purported immunologic renal diseases are the most common cause of proteinuria and the nephrotic syndrome.

Alterations in glomerular architecture as… Glomerulonephritis   



Heavy Kids Face Future Kidney Risks

Overweight and obese teens are more likely to develop renal failure later in life, a population-based study from Israel showed.

Overweight at age 17 was associated with a three-fold elevated incidence of end-stage renal disease over the subsequent 25 years, Asaf Vivante, MD, of the Israeli Defense Forces Medical Corps and Safra Children’s Hospital… Heavy Kids Face Future Kidney Risks   



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