Upload
noor-hadi
View
5
Download
1
Tags:
Embed Size (px)
DESCRIPTION
infeksi saluran kencing
Citation preview
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
THANK`SSEE YOU AGAINTSAT CLINICAL DEPT