MED IV UROLOGY

1
MED IV UROLOGY

• 1.Stones
• 2 Incontinence

2
STONES

• 1 RENAL, URETERIC, BLADDER
• 2 DIAGNOSIS history, radiology
• 3 MANAGEMENT analgesia, sepsis, biochemistry

3
TREATMENT

• UreteroRenoScopy (URS)
• blasting / basketing
• 2. Extracorporeal Shockwave Lithotripsy
• (ESWL)
• 3. PerCutaneous NephroLithotomy
• (PCNL)

4
INCONTINENCE

• CONTINENCE
• normal pressure/volume relationship
• absence of uninhibited contractions
• satisfactory intrinsic closure capability of the
  urethra functional anatomical support structures

5
URGE

• Investigation
• history / exam, urodynamics,
• cystoscopy
• Treatment
• a) behavioural, pharmacological
• b) surgical augmentation, botox

6
STRESS (SUI, GSI)

• TREATMENT
• a) behavioural, pharmacological, physiotherapy,
• b) surgical open, minimally invasive (TVT, TOT)
• (overflow)