Urology SURG 451Clinical session
Dr. Danny M. Rabah
Associate Professor
Chief of Urology, KKUH, KSU.
Colored urine
Urochrome gives urine its characteristic yellow color
Red Urine Color
Hematuria Myoglobinuria Hemoglobinuria
Purple urine bag syndrome
Occurs on patients with chronic indwelling urinary catheter .
The syndrome is often associated with a UTI,
Providencia bacteria, Escherichia coli, P. mirabilis or Klebsiella pneumoniae.
Orange Coloured Urine
Orange urine may be produced by phenazopyridine (Pyridium) or ethoxazene (Serenium) .
Pink Coloured Urine
Eating beetroot can produce urine that’s pink to deep-red in colour
(a condition known as beeturia)
Urate crystals in the urine.
BLUE / GREEN colored Urine
Food colourings
Increased carotene in the diet
Pseudomonas aeruginosa infection
Oxalate Poisoning Oxaluria Phenol poisoning
Pyuria
Surgical Incisions Classification of incisions
Vertical incision Midline incisions Paramedian incisions
Transverse and oblique incisions Kocher's subcostal Incision
Chevron (roof top Modification ) Mercedes Benz Modification
Mc Burney’s grid iron or muscle splitting incision. Pfannenstiel incision Maylard Transverse Muscle cutting Incision Transverse Muscle dividing incision Oblique Muscle cutting incision.
Thoracoabdominal incisions
Vertical Incisions
Midline incision:
1) Upper Midline Incision
2) Lower Midline Incision
3) Full Midline Incision
4) Paramedian incision
Transverse And Oblique Incisions
Kocher’s incision
Bilateral sub costal , Chevron , Thoracoabdominal (Kidney approach)
Thoracoabdominal Incision
Thoracoabdominal incision at the supra-tenthborder with patient in lateral decubitus position.
Oncology -Pathology
Renal cell carcinoma
Chevron (Roof Top) Modification
The Mercedes Benz Modification
McBurney Grid Iron
Pfannenstiel incision (smile incision)
Endo-urology Instruments
Papillary bladder lesion
Bladder Tumours
Broad-based papillary lesion
Depth of resection to detrusor muscle
TURBT video
Click above for video
SOC for AUR – The Foley
• 27 million inserted annually• Static design since 1930’s• Firmly entrenched as SOC
38
Significant Drawbacks High infection rate Passive vs active drainage Patient QOL
Foley Catheter insertion Male
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Foley Catheter insertion Female
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Suprapubic catheterisation
Click above for video
You can view a copy this presentation at: http://faculty.ksu.edu.sa/DannyRabah/defa
ult.aspx
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