URINARY TRACT INFECTION(Surgical Management)

Urine are produced by kidneyUrine is steril fluid but non pyrogen freeUrinary tract obstruction are common emergency cases caused by intra lumunair obstruction reduced wall lumen (stenosis, stricture congenital), compression of the onter wall mass

Urinary tract obstruction, urine statisBacteria multificationInfection

PATHO PHYSIOLOGYUrinary obstructionImpaired urine flowStasis urineFull bladder (distal urinary obstruction)Infection, cystitis

RefluxHidroureterHidronefrosisUreteritisPyelonefritis

PyonefrosisImpaired kidney function

Emergency Treatment :Urine diversion- Kateterisation uretra

Sistostomy (Close & Open)- Insertion of 2 J ureter kateter

DiagnosisX Ray examination- Uretrography- Sistografi

- Nephrostomy (Close & Open)

- Retrograde Pyelografi

- Antegrade pyelografi

- Endoskopic Ex- Uretroscopy- Sistoscopy

Uretero RenoscopyDefinitif Treatment- release urinary obstruction- Stone :- Open surgery

- Endoskopiec stone disintegration- Extra corparal schoch wave lithotrypsy- Congenital valve: transuretral reseksion of the valve- BPH : TURP- Ca Prostata : TURP radical prostattektomi, hormon therapy

- Strictura uretra: uretrotomi interna, anastomosa calibrasi

- Ligasion : Release of the ligasion even tuel ureter neo implantion

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