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Surgical Approach to UTIs | Surgery Lectures | Medical Onl

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In this General Surgery video lecture Dr. Sana Khan describes the multiple ways the removal of identified sources, treating the obstruction, and improving urinary drainage, are all goals of surgical management.

Urinary Tract Infections are described as the inflammation that are caused by the bacterial infections in any part of the urinary tract. As the inflammation ascends upwards it could lead to urethritis, cystitis, prostatitis, and pyelonephritis, eventually causing acute kidney injury.

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Lecture Duration - 00:56:51
Release Date - July 2020

Watch complete lecture on sqadia.com -
sqadia.com/programs/surgical-approach-to-utis
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After conservative treatment fails, for managing urinary tract infections (UTI) in patients. The next viable and important option is the Surgical Approach to UTIs.

Surgical options for rUTI management can range from minimally invasive procedures such as endoscopic or percutaneous, through to more invasive requiring laparoscopic or an open approach.

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Focus of each section of this lecture:

✔️ Introduction
Overview of the anatomy of the urinary system, as it is important to learn how the infection may travel upwards from the urethra to the kidney.

✔️ Obstructive vs Irritative Symptoms
Urinary tract infections could manifest via obstructive and irritative symptoms.

✔️ Acute Pyelonephritis
The most common kidney disease, acute pyelonephritis is a complication of an ascending urinary tract infection, causing inflammation of the kidneys.

The etiology, symptoms, investigations, management and further complications are described here.

✔️ Vesico-Ureteric Reflux
Vesicoureteral reflux (VUR) is characterized by the retrograde flow of the urine. What could be the causes, mechanism, grading and management?

✔️ Emphysematous Pyelonephritis
Emphysematous pyelonephritis refers to a morbid infection with particular gas formation within or around the kidneys.

✔️ Xanthogranulomatous Pyelonephritis
Long term urinary tract obstruction leads to xanthogranulomatous pyelonephritis. It is an uncommon chronic destructive granulomatous process of renal parenchyma.

It affects females more often than males, with a wide range of age, from newborn to elderly.

✔️ Abscess of Urinary Tract
An abscess is a collection of pus that has built up within the urinary tract.

It encompasses renal cortical abscess, corticomedullary abscess, and surgical intervention may also lead to peri-anal abscess.
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