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Impaired Urinary Elimination and Risk for Infection r/t Urethral Stricture

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Urethral stricture is more common in men than women, especially because of the difference in length of the urethra. (C. Long, Barbara; 1996 case 338) Urethral stricture causing disturbances in micturition, urinary flow ranging from shrinking until completely unable to drain urine out of the body. Urine can not get out of the body can lead to many complications, with the heaviest complication is kidney failure. Urethral stricture may occur: 1. Congenital Urethral stricture may occur separately or in conjunction with other urinary tract anomalies. 2. Learned. Urethral injury (due to the insertion of surgical equipment for transuretral surgery, indwelling catheters, or cystoscopy procedure). Injuries due to stretching. Injuries due to accidents. Urethritis gonorheal untreated. Muscle spasm. External pressure eg tumor growth. (C. Smeltzer, Suzanne;2002 hal 1468 dan C. Long , Barbara;1996 hal 338) 3. Postoperative Some operations on the urinary tract can cause urethral strictures, such as ...

Nursing Care Plan for Urethral Stricture

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Definition of Urethral Stricture A urethral stricture is a narrowing of a section of the urethra. It causes a blocked or reduced flow of urine which can lead to complications. Symptoms and signs Symptoms of urethral stricture is a typical small stream of urine and branched irritation and other symptoms of infection such as frequency, urgency, dysuria, sometimes with infiltrates, abces and fistula. Symptoms are retained urine. Physical Examination Anamnese To find the absence of symptoms and signs of urethral stricture also to look for causes of urethral stricture. General and local examination To check on the patient also to change in urethral fibrosis, infiltrates, abscesses or fistulas. Examination Support Laboratory: urea, creatinine, to see the renal physiology. Radiological Diagnosis must be made with urethrography. Retrograde urethrography to see the anterior urethra. Antegrade urethrography to see the posterior urethra. Bipoler urethrography is a combination of antegrade...