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Procedures

Procedures. Ch 9 Urinary System. Diagnostic Procedures. Catheterization The insertion of a sterile catheter through the urethra and into the urinary bladder Most commonly performed to withdraw urine, relieve urinary retention pressures, or prevent incontinence during surgical procedures

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Procedures

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  1. Procedures Ch 9 Urinary System

  2. Diagnostic Procedures • Catheterization • The insertion of a sterile catheter through the urethra and into the urinary bladder • Most commonly performed to withdraw urine, relieve urinary retention pressures, or prevent incontinence during surgical procedures • May also be used to place fluid, such as a chemotherapy solution, into the bladder

  3. Diagnostic Procedures • Cystoscopy – also known as cysto • Visual examination of the urinary bladder using a cystoscope

  4. Diagnostic Procedures • Intravenous pyelogram • KUB (kidneys, ureters, bladder) is a radiographic study of these structures without the use of a contrast medium. Also referred to as a flat-plate of the abdomen • Intravenous urography • Excretory urography • Retrograde urography

  5. Diagnostic Procedures • Cystography • Voiding cystourethrography • Urinalysis • Used to test for • Blood • Protein • Sugars • Drugs • Toxins

  6. Treatment Procedures • Medications • Diuretics • Medications administered to increase urine secretion to rid the body of excess sodium and water

  7. Treatment Procedures • Dialysis – a procedure to remove waste products from the blood of patients whose kidneys no longer function. • Two types of dialysis • Hemodialysis – blood is filtered directly through a machine • Peritoneal dialysis – the lining of the peritoneal cavity acts as the filter to remove waste from the blood

  8. Treatment Procedures • Kidneys • Kidney transplant • Nephrolysis • Nephrostomy • Pyeloplasty • Pyelotomy • Nephropexy • The surgical fixation of a floating kidney

  9. Treatment Procedures • Kidneys cont. • Removal of kidney stones • Lithotripsy • The destruction of a kidney stone with the use of ultrasonic waves traveling through water • Also known as extracorporeal shockwave lithotripsy or ESWL • http://www.youtube.com/watch?feature=player_detailpage&v=Yl8Qy79aLk0 • Nephrolithotomy • Surgical removal of a kidney stone through an incision in the kidney

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  11. Treatment Procedures • Ureters • Ureterectomy • Ureteroplasty • Ureterorrhaphy

  12. Treatment Procedures • Urinary Bladder • Cystectomy • Cystopexy • Surgical fixation of the bladder to the abdominal wall • Cystorrhaphy • Lithotomy • Suprapubic catheter

  13. Treatment Procedures • Urethra • Meatotomy • Urethropexy • Urethroplasy • Surgical repair of the urethra • http://www.youtube.com/watch?feature=player_detailpage&v=nxajZ50Mqow • Urethrostomy • Urethrotomy

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