• Title/Summary/Keyword: 배뇨곤란

Search Result 30, Processing Time 0.031 seconds

Prognosis and Surgical Treatment of the Urethra Embedding Leiomyosarcoma in a Dog (개에서 요도를 포매한 평활근육종의 수술적 처치 및 예후)

  • Kim, Ji-Hyun;Lee, Jun-Am;Kim, Ill-Hwa;Jang, Dong-Woo;Kang, Hyun-Gu
    • Journal of Veterinary Clinics
    • /
    • v.31 no.4
    • /
    • pp.307-312
    • /
    • 2014
  • A 16-year-old female Shih-Tzu, weighing 5 kg, presented with clinical symptoms of abdominal distension and urinary and fecal incontinence. Abdominal palpation detected a large mass. According to the radiographic findings, the bladder had been moved to the umbilicus by the mass and a large abdominal mass was confirmed in the lower abdominal area. Ultrasonography indentified a large heterogeneous mass with heterogeneous parenchyma and a focal anechoic area in the lower abdominal area. The complete blood count abnormalities suggested thrombocytosis and mild neutrophilia, and the serum chemistry indicated an elevated alkaline phosphatase value. During laparotomy, a firm mass that measured $10.5{\times}9.6cm$ was found between the uterine cervix and urinary bladder. The urethra was embedded in the mass. A diagnosis of leiomyosarcoma was established based on histopathology and histochemistry. One week after surgery, urinary retention symptoms that did not appear to be related to mechanical obstruction presented suddenly, but they did not respond to several drug treatments, thus long-term conservative therapy was adopted. The urinary symptoms disappeared on day 27 and the patient started to void large quantities of urine in a smooth and frequent manner. This case report describes the serial changes in the patient's status and the response after surgical remove of the urethra embedding leiomyosarcoma.

The Effect of Scenario-Based Education for Patients with Difficulty Urination on Nelaton Knowledge, Nelaton Confidence and Nelaton Catheterization Skill Ability of Nursing College Students (배뇨곤란 대상자 사례기반 교육이 간호 대학생의 단순도뇨 지식, 단순도뇨 자신감 및 단순도뇨 술기능력에 미치는 효과)

  • Ahn, Jun-Hee;Hwang, Eun-Suk
    • Journal of Convergence for Information Technology
    • /
    • v.11 no.2
    • /
    • pp.57-63
    • /
    • 2021
  • This study examined the effects of scenario-based education for patients with difficulty urination on nelaton knowledge, nelaton confidence, and nelaton catheterization skill ability of nursing college students. The data for this study were collected from May to June 2019, and were conducted for the third grade nursing students located in J city. A non-equivalent control group pretest-posttest design was used in 75 junior nursing college students subjects who were assigned to the experimental group 37 and the control group 38. The collected data was analyzed through the ��2-test, independent t-test and paired-test. There were significant differences in nelaton confidence(t=4.60, p<.001), nelaton catheterization skill ability(t=3.46, p=.001). But scenario-based education was found to be insignificant in the nelaton knowledge of nursing students. Difficulty urination scenario-based education can be used as an effective educational intervention to improve nelaton confidence and nelaton catheterization skill ability. However, in nelaton knowledge, it is necessary to verify the effectiveness of education through additional research.

Surgical Correction of a Vesicourachal Diverticulum in a Cat (고양이에서 방광요막관 게실의 외과적 치료 증례)

  • Yoon, Hun-Young;Roh, Mi-Young;Jeong, Soon-Wuk
    • Journal of Veterinary Clinics
    • /
    • v.29 no.6
    • /
    • pp.509-512
    • /
    • 2012
  • A 4-year-old female Korean short hair cat weighing 6.5 kg presented for evaluation of urinary incontinence and stranguria. On physical examination, stranguria was observed concurrently with urinary bladder distention. Abdominal radiographs revealed two small uroliths in the urinary bladder. Urinary bladder sludge was detected on abdominal ultrasound. Urine analysis indicated hematuria and bacteriuria. The cat was treated with a 4-week course of a combination of antibiotics and urinary bladder irrigation using normal saline; however, response to treatment was minimal. Excretory urography was performed to identify a congenital disorder. A small diverticulum, located to the urinary bladder apex, was identified. A tentative diagnosis of a vesicourachal diverticulum was made. Surgical exploration of the abdomen was performed and a triangular-shaped diverticulum was apparent at the urinary bladder apex. Cystotomy was performed to remove two small uroliths. Partial cystectomy was then performed for diverticulectomy. Approximately 2 cm diameter of a part of the apex was removed. Normal urination was regained 5 days postoperatively. The follow-up was completed by physical examination 2 years after surgery. There was no evidence of stranguria and urinary incontinence.

Spontaneous Perinephric Urinoma after the Removal of a Foley Catheter in a Girl with Acute Kidney Injury (급성 신부전 환아에서 유치 도뇨관 제거 후 발생한 신 주위 요낭종 1례)

  • Yang, Tae Hwan;Yim, Hyung Eun;Yoo, Kee Hwan
    • Childhood Kidney Diseases
    • /
    • v.17 no.2
    • /
    • pp.127-131
    • /
    • 2013
  • Urinomas can occur after renal trauma or perforation of the collecting system during an endosurgical procedure. However, spontaneous urinomas are very rare. Here we report a case of a spontaneous perinephric urinoma following the removal of a Foley catheter in an 18-year-old girl with acute kidney injury caused by septic shock. The patient had been treated for septic shock, acute kidney injury, and acute respiratory distress syndrome, and had a Foley catheter in place for seven days. After Foley catheter removal, the patient complained of consistent voiding difficulty. An abdominal computed tomography scan showed a large amount of left perinephric fluid, and the aspirated fluid included urothelial cells, confirming the diagnosis of a urinoma. The urinoma was successfully treated by insertion of a double-J stent into the left ureter. This report discusses the available literature on urinomas, and their clinical features, diagnosis, and treatment.

Surgical Correction of a Congenital or Acquired Phimosis in Two Cats (두 마리 고양이에서 선천적 또는 후천적 포피 폐쇄증의 외과적 치료 증례)

  • Yoon, Hun-Young;Jeong, Soon-Wuk
    • Journal of Veterinary Clinics
    • /
    • v.30 no.2
    • /
    • pp.123-126
    • /
    • 2013
  • A 3-month-old male domestic shorthair cat was presented for evaluation of stranguria and hematuria and a 4-year-old male domestic shorthair cat was presented for evaluation of stranguria. For cat 1, a swollen prepuce, erythematous preputial orifice, and urine pooling from the preputial orifice were noted. The preputial orifice was a pinpoint opening and penis was not extruded from the prepuce. For cat 2, a necrotic skin around the preputial orifice, small preputial orifice, and severe urine pooling from the preputial orifice were noted. The round-shaped resection of the tip of the prepuce was performed to increase the diameter of the preputial orifice and remove erythematous fragile skin or a necrotic skin around the preputial orifice and the edematous, redundant preputial mucosa in these 2 cats. The preputial mucosa was then apposed to the ipsilateral incised skin edge. There was no recurrence of clinical signs over 22- and 24-month follow-up period, respectively. The round-shaped resection technique provided adequate enlargement of the preputial orifice to allow extrusion of penis in these 2 cats with a phimosis. This technique could be helpful in cases with skin and mucosa necrosis around the preputial orifice that require round-shaped resection.

Prepubic Urethrostomy for Surgical Correction of the Urethral Stricture and Rectourethral Fistula after Perineal Urethrostomy in a Cat (고양이에서 회음부 요도개구술 후 발생한 직장요도 루 및 요도 협착의 외과교정을 위한 치골 요도개구술 증례)

  • Heo, Su-Young;Lee, Hae-Beom;Kim, Nam-Soo
    • Journal of Veterinary Clinics
    • /
    • v.29 no.4
    • /
    • pp.331-333
    • /
    • 2012
  • A 2-year-old, castrated male domestic short-haired cat was presented with dysuria. The physical and radiographic examinations were revealed the urethral stricture and rectourethral fistula after perineal urethrostomy (PU). A prepubic urethrostomy was performed to resolve these problems. After the treatment, the cat had normal urination and complete wound healing without any complications. This is the first case report on co-occurrence of the urethral stricture and rectourethral fistula after PU in the cat.

Voiding Difficulty in Herpetic Neuralgia Patient -Two cases report- (대상포진 환자에서 발생한 배뇨곤란 -증례 보고-)

  • Lee, Young-Bok;Yoon, Kyung-Bong;Lim, Young-Su
    • The Korean Journal of Pain
    • /
    • v.9 no.2
    • /
    • pp.412-414
    • /
    • 1996
  • Herpes zoster is an infection by the varicella zoster virus in a partly immune compromised person such as old age, cancer, immune deficiency disease. When either the upper lumbar or sacral segments are involved, serious urinary retention caused by central spread of herpes zoster from dorsal root ganglion can occur. The urinary disturbance appears to have been due to motor dysfunction of detrusor muscle, trigone muscle, and internal sphincter. We experienced two cases of zoster affecting different segments of the spinal cord and resulting in urinary retention.

  • PDF

Effect of Meridian Tendino-musculature Acupuncture on a Patient with Chronic Prostatitis (골반통 및 배뇨곤란을 주소로 하는 전립선염 환자의 경근자법 치험례)

  • Lee, Ji In;Kang, Mi Suk
    • Journal of Acupuncture Research
    • /
    • v.31 no.4
    • /
    • pp.223-232
    • /
    • 2014
  • Objectives : The objective of this study was to report a effectiveness of meridian tendino-musculature acupuncture on the pelvic pain and dysuria in a patient with chronic prostatitis. Methods : A patient with Pelvic pain and Dysuria was treated with acupuncture and moxibustion. Before and After treatment we measured International Prostate Symptom Score(IPSS), National Institutes of Health-Chronic Prostatitis Symptom Index(NIH-CPSI) and Visual Analogue Scale(VAS). Results : International Prostate Symptom Score(IPSS), National Institutes of Health -Chronic Prostatitis Symptom Index(NIH-CPSI) and Visual Analogue Scale(VAS) scores were decreased considerably after 14 times treatment. Conclusions : It was suggesting that symptoms(pelvic pain and dysuria) of chronic prostatitis could be improved by acupuncture and moxibustion treatment in the view of the meridian tendino- musculature acupuncture.

Three Case Reports of Urinary Disturbance as Heat Syndrome Treated with Jasin-hwan (열증으로 변증된 배뇨곤란 환자의 자신환 치험 3례)

  • Kim, Tae-Yong;Oh, Min-Kyu;Shin, Hyeon-Su;Han, Jong-Hyun;Park, Jun-Beom
    • The Journal of Internal Korean Medicine
    • /
    • v.27 no.4
    • /
    • pp.927-935
    • /
    • 2006
  • Urinary disturbance is deficit in volitional control of voiding. Stroke can cause temporary or permanent urinary disturbance. The purpose of this study was to confirm the effect of Jasin-hwan on urinary disturbance as heat syndrome. This study was carried out on 3 patients with urinary disturbance caused by stroke. We measured components of IPSS (international prostate symptom score) at pre-treatment and post-treatment. After prescribing medication to the patients, symptoms improved rapidly within three weeks. These results support that Jasin-hwan is effective in reduction of urinary disturbance as heat syndrome.

  • PDF