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1. Signs and symptoms of renal calculi: • Renal Colic (+ CVA Tenderness), intense flank pain
• Severe pain (+/- Nausea and Vomiting)
• Hematuria, cloudy urine, painful urination
• Urinary retention
2. incontinence: inability to control bladder and/or bowels
3. Types of incontinence: 1. Stress
Loss of small amounts of urine from increased abdominal pressure without bladder muscle contraction with laughing,
sneezing, or lifting.
2. Urge
Inability to stop urine flow long enough to reach the bathroom due to an overactive detrusor muscle with increased
bladder pressure,
3. Overflow
Urinary retention from bladder over-distention and frequent loss of small amounts of urine due to obstruction of the
urinary outlet or an impaired detrusor muscle.
4. Reflex
Involuntary loss of a moderate amount of urine usually without warning due to hyperrflexia, of the detrusor muscle,
usually from spinal cord dysfunction.
5. Functional
Loss of urine due to factors that interfere with responding to the need to urinate such as cognitive, mobility, and
environmental barriers.
6. Total
Unpredictable, involuntary loss of urine that generally does not respond to treatment,
4. Tests to diagnose incontinence: Urinalysis, Bladder Diary, Post void residual measurement, cys-
toscopy, Ultrasound
5. Treatment for incontinence: -bladder training
-scheduled toileting
-fluid/diet management
-pelvic muscle exercises (stress and urge)
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-pharmacological interventions
-surgery
6. Patient education for incontinence: Urinate only every 3 to 6 hours to "re-train" your bladder.
Know that consumption of diuretics, antidepressants, antihistamines, and cough-cold preparations exacerbates urinary
incontinence.
Eat fruits, vegetables, and whole grains daily to prevent constipation.
Stop smoking (nicotine irritates the bladder).
7. Patient education for urolethiasis: Limit the amount of salt (sodium) in your diet. Eat a balanced
diet that is not too high in protein. Limit foods that are high in a substance called oxalate, which can cause kidney
stones. These foods include dark green vegetables, rhubarb, chocolate, wheat bran, nuts, cranberries, and beans.
8. Treatment for BPH: TURP (transurethral resection of the prostate)
terazosin (Hytrin), doxazosin (Cardura), tamsulosin (Flomax), alfuzosin (Uroxatral), and silodosin (Rapaflo).
Prostatic Urethral Lift or Water Vapor Therapy
9. Symptoms of erectile dysfunction: being able to get an erection sometimes, but not every time you
want to have sex.
being able to get an erection, but not having it last long enough for sex.
being unable to get an erection at any time.
10. Treatment of erectile dysfunction: Sildenafil, prostoglandins, intraurethral prostoglandins, vacu-
um-assisted devices, implants
11. Patient education erectile dysfunction: Psychological causes, such as performance anxiety, a
strained relationship, lack of sexual arousability and mental health disorders, including depression and schizophrenia.
Neurological disorders, including Parkinson's disease, Alzheimer's disease, stroke and brain trauma. These conditions
often cause erectile dysfunction by decreasing libido or preventing the initiation of an erection.
Hormonal disorders, such as hyperprolactinemia and androgen deficiency, which can decrease nocturnal erections and
libido.
Vascular conditions and factors, including heart disease, hypertension, hyperlipidemia, cigarette smoking, diabetes
mellitus and pelvic irradiation.
A disorder called, veno-occlusive dysfunction, in which the veins are unable to close during an erection, also can cause