Urologist Dr. Irfan Shabbir Goraya - info4patient - Har Rung Pakistan - Amir Akram - video Dailymotion

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00:00Info for Patients

00:31What are other Diseases Caused by Urethral Stitcher

00:42Utheral sticthure is state after your urination

00:47some children have posterior Uther Belt in their childhood

00:51In adults, it is mostly euthanasia, stone, it can be an impacted stone.

00:57As an emergency, a patient can come in which there is a stone stuck in the urinary tract.

01:02It can be a history of trauma.

01:04A patient has a fall or an accident in which there can be an injury in the perineal region.

01:10Sir, what is the reason for the tightness in the urinary tract?

01:13The reason for the tightness of the urinary tract is infection, which is the most common cause.

01:18The second reason is trauma and the history of catheterization.

01:22If the patient has a fall for some other reason, for some other operation,

01:26or if the patient has been admitted to the hospital for a longer period of time,

01:29then it can become a stricture later on.

01:31Sir, is it treated medically or does it have to go through surgery?

01:36Basically, we have to perform tests for the urinary tract.

01:40We have to perform a urine test, ultrasound.

01:43These are the basic tests that we have to perform in these diseases.

01:47If the patient does not have any culture-sensitive infection,

01:52then we perform a retrograde urethrogram.

01:54We perform a urethrogram test.

01:56It is a contrast study.

01:57It is a radiographic x-ray study.

01:59Contrast study.

02:00I will tell you in simple words.

02:02In that, the x-ray is taken in two views.

02:05Contrast is diluted by putting it in saline.

02:07We do that.

02:08Because of this, a stricture is pinpointed to us that where the patient has a stricture.

02:13How far is the urethra?

02:14How far is the urethra?

02:15And we need surgery for that.

02:17The most common stricture disease is managed by surgery.

02:22Sir, what are the symptoms of this?

02:24In this, there is a history.

02:26The patient himself will tell me that this year, two years, longer time,

02:32whatever time, he had this problem.

02:34He was admitted.

02:35He is being admitted in the hospital.

02:37He has this infection.

02:38Which he ignored.

02:40Or he had unprotected sex.

02:43And because of which he had an infection.

02:46Or he has a history of trauma.

02:48When the symptoms will be told, then we realize that it can be a stricture disease.

02:54So, according to that, we do this test.

02:57So, this diagnostic test, which is a retrograde urethrogram,

03:00we put a dye in it.

03:01In the drain of urine.

03:02Contrast study is taken with it.

03:04So, it is realized that where is the stricture.

03:08So, sir, this is a treatable treatment.

03:10Absolutely, this is a treatable treatment.

03:12Absolutely, this is a treatable treatment.

03:13And it has very good results.

03:15So, for this, we operate endoscopically with the camera.

03:18No incision is made in it.

03:20So, for endoscopy, we call it Optical Internal Arthrotomy.

03:23This is the name of the procedure.

03:24And the patient can go home on the same day.

03:26And after that, after the operation.

03:28So, sir, how do you put the camera?

03:30The instruments of the drain of urine are our good instruments.

03:34It has a telescope.

03:35In the adult, we have only one.

03:38This is a throtone.

03:39Which we put and operate.

03:41Okay, no incision is made in it.

03:43No incision is made at all.

03:44So, sir, how long does the patient recover?

03:47The patient can go home on the same evening or the next day.

03:52And the drain stays for 3 to 5 days.

03:54So, after this, any medication?

03:56Antibiotics have to be given for a few days.

03:59For 2-3 days.

04:00Otherwise, there is no such issue.

04:01But the previous medicine, the infection, etc.

04:05It saves life.

04:06Yes, absolutely.

04:07When the way of urine is open.

04:08Then we don't need antibiotics for so long.

Urologist Dr. Irfan Shabbir Goraya - info4patient - Har Rung Pakistan - Amir Akram

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