URINARY TRACT INFECTION

(Surgical Management)

- Urine are produced by kidney

- Urine is steril fluid but non
pyrogen free
- Urinary 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 statis
- Bacteria multification
- Infection

PATHO PHYSIOLOGY
- Urinary obstruction
- Impaired urine flow
- Stasis urine
- Full bladder (distal urinary
obstruction)
- Infection, cystitis

Reflux
Hidroureter
Hidronefrosis
Ureteritis
Pyelonefritis

- Pyonefrosis
- Impaired kidney function

Emergency Treatment :
- Urine diversion
- Kateterisation uretra

Sistostomy (Close & Open)

- Insertion of 2 J ureter
kateter

Diagnosis
- X Ray examination
- Uretrography
- Sistografi

- Nephrostomy (Close & Open)

- Retrograde Pyelografi

- Antegrade pyelografi

- Endoskopic Ex

- Uretroscopy
- Sistoscopy

Uretero Renoscopy
- Definitif 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`S
SEE YOU AGAINTS
AT CLINICAL DEPT