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  • Stricture Urethral

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    Anonymous VEUa5p1I
    26 просмотров15 страниц
    The document discusses urethral stricture, which is a narrowing of the urethra lumen caused by fibrosis of the wall. Urethral stricture can be caused by infections, trauma, congenital abnormalities, and leads to obstructed urine flow. Symptoms include weak urinary stream, hesitancy, incomplete emptying of the bladder, and frequent urinary tract infections. Diagnosis involves uroflowmetry, urethrography, and urethroscopy. Treatment depends on the severity of stricture and may include dilation, internal urethrotomy, open urethrotomy, and urethroplasty surgery. Patients are at risk of recurrence and require long term

    Исходное описание:

    stiktur uretra

    Оригинальное название

    STRICTURE URETHRAL

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    The document discusses urethral stricture, which is a narrowing of the urethra lumen caused by fibrosis of the wall. Urethral stricture can be caused by infections, trauma, congenital abnormalities, and leads to obstructed urine flow. Symptoms include weak urinary stream, hesitancy, incomplete emptying of the bladder, and frequent urinary tract infections. Diagnosis involves uroflowmetry, urethrography, and urethroscopy. Treatment depends on the severity of stricture and may include dilation, internal urethrotomy, open urethrotomy, and urethroplasty surgery. Patients are at risk of recurrence and require long term

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    © All Rights Reserved
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    Отметить как неприемлемый контент
    26 просмотров15 страниц

    Stricture Urethral

    Загружено:

    Anonymous VEUa5p1I
    The document discusses urethral stricture, which is a narrowing of the urethra lumen caused by fibrosis of the wall. Urethral stricture can be caused by infections, trauma, congenital abnormalities, and leads to obstructed urine flow. Symptoms include weak urinary stream, hesitancy, incomplete emptying of the bladder, and frequent urinary tract infections. Diagnosis involves uroflowmetry, urethrography, and urethroscopy. Treatment depends on the severity of stricture and may include dilation, internal urethrotomy, open urethrotomy, and urethroplasty surgery. Patients are at risk of recurrence and require long term

    Авторское право:

    © All Rights Reserved
    Скачайте в формате PPTX, PDF, TXT или читайте онлайн в Scribd
    Отметить как неприемлемый контент
    из 15

    Amalia Ghanita Herdiana

    Basuki B Purnomo, 2016, Anatomi Sistem Urogenitalia dalam Buku Dasar-Dasar Urologi, Sagung Seto.
    Atlas of Human Anatomy, Sixt edition, Frank H Netter
    Friederich Paulson and Jnes Waschke, Sobotta Atlas of Anatomy Volume 1, General
    Anatomy 16th ed, 2018, Elsevier
    Moore et al, 2014, Clinically oriented anatomy, 7th ed. Philadelpia : Lippincoltt William & Wilkins
    Striktur Urethra adalah penyempitan
    lumen urethra karena fibrosis pada
    dindingnya.

    Basuki B Purnomo, 2016, Anatomi Sistem Urogenitalia dalam Buku Dasar-Dasar Urologi, Sagung
    Seto.
    Aliran urine yg
    INFEKSI PROSES terhambat mencari
    RADANG jalan keluar (proksimal
    striktur)
    >> Infeksi
    Gonokokus
    TIMBUL
    JARINGAN Urine mengumpul di
    TRAUMA SIKATRIK PADA rongga periuretra
    URETRA URETRA
    Straddle injury, Frac. Tulang
    pelvis, Tindakan transuretra yg
    kurang berhati-hati (fiksasi HAMBATAN Jika terinfeksi timbul
    kateter yang tdk benar) ALIRAN URINE abses periuretra

    KELAINAN
    BAWAAN Fistula uretrokutan 
    RETENSI URINE fistula seruling

    Basuki B Purnomo, 2016, Anatomi Sistem Urogenitalia


    dalam Buku Dasar-Dasar Urologi, Sagung Seto.
    Frank H Netter, 2016, Atlas of Human Anatomy, Sixt edition
    Basuki B Purnomo, 2016, Anatomi Sistem Urogenitalia
    dalam Buku Dasar-Dasar Urologi, Sagung Seto.
     Gejala Voiding/obstruksi (pancaran lemah, pancaran
    bercabang, hesistensi, kencing mengedan)
     Pengosongan urine tidak sempurna (terasa ada sisa kencing,
    terminal dribbling)
     Peningkatan volume residu urine
     Disuria, Frekuensi, Urgensi
     UTI berulang
    Tritschler, Roosen A, 2013, Urethral Stricture: Etiology, Investigation and Treatments, Deutsches Ärzteblatt International
    Journal: Department of Urology, Ludwig-Maximilians-Universität München, 110(13): 220−6

    Christopher J. Hillary, Nadir, 2014, Current trends in urethral stricture management, Asian Journal of Urology , (1)46-54

    David B. Bayne , Thomas W. Gaither , Mohannad A. Awad, 2017, Guidelines of guidelines: a review of urethral
    stricture evaluation, management, and follow-up, Translational Andrology and Urology Journal, 6(2):288-294
     DERAJAT RINGAN: Oklusi kurang dari 1/3 diameter lumen uretra
     DERAJAT SEDANG: Oklusi 1/3 sampai 1/2 diameter lumen uretra
     DERAJAT BERAT: Oklusi lebih dari 1/2 diameter lumen uretra

    Basuki B Purnomo, 2016, Anatomi Sistem Urogenitalia dalam Buku Dasar-Dasar Urologi, Sagung Seto.
    1. UROFLOWMETRI
    2. FOTO URETROGRAFI FOTO BIPOLAR SISTO URETROGRAFI
    3. URETROSKOPI  Dx & Tx

    Basuki B Purnomo, 2016, Anatomi Sistem Urogenitalia dalam Buku Dasar-Dasar Urologi, Sagung Seto.
    Tritschler, Roosen A, 2013, Urethral Stricture: Etiology, Investigation and Treatments, Deutsches Ärzteblatt International
    Journal: Department of Urology, Ludwig-Maximilians-Universität München, 110(13): 220−6
    Jika px retensi urine  sistotomi suprapubik
    Businasi (dilatasi)
    Uretrotomi Interna : memotong jaringan sikatrik uretra
    dg pisau otis atau pisau sache. Otis dikerjakan jika
    blm tjd striktur total.
    Uretrotomi Eksterna : tind. Op terbuka berupa
    pemotongan jaringan fibrosis, kemudian dilakukan
    anastomosis diantara jaringan uretra yang masih
    sehat
    Uretroplasty
    Basuki B Purnomo, 2016, Anatomi Sistem Urogenitalia dalam Buku Dasar-Dasar Urologi, Sagung Seto.
     ISK
     DIVERTIKEL URETRA/BULI-BULI
     ABSES PERIURETRA
     FISTEL URETROKUTAN
     BATU SALURAN KEMIH
     HIDRONEFROSIS

    Basuki B Purnomo, 2016, Anatomi Sistem Urogenitalia dalam Buku Dasar-Dasar Urologi, Sagung
    Seto.
    • Striktur uretra kerap kali terjadi kekambuhan,
    sehingga pasien harus sering menjalani pemeriksaan
    yang teratur oleh dokter.
    • Penyakit ini dikatakan sembuh jika setelah dilakukan
    observasi selama 1 tahun tidak menunjukkan tanda-
    tanda kekambuhan

    Basuki B Purnomo, 2016, Anatomi Sistem Urogenitalia dalam Buku Dasar-Dasar Urologi, Sagung Seto.

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