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1. How do you measure the flow of urination? What is the normal range?

The patient is instructed to accumulate urine until the bladder is full and then
begin voiding; a 5-second collection of urine should be obtained during midstream
maximal flow and its volume recorded. After the patient repeats this procedure 8
10 times over several days in a relaxed atmosphere, the mean peak flow can be
calculated. With strictures creating significant problems, the flow rate will be less
than 10 mL/s (normal 20 mL/s).

2. Why do you plan a cystostomy? What is the indication?


At least 4 situations exist in which suprapubic cystostomy is
considered:
- Acute urinary retention in which a urethral catheter cannot be
passed (eg, because of prostatic enlargement secondary to benign
prostatic hyperplasia or prostatitis, urethral strictures or false
passages, or bladder neck contractures secondary to previous
surgery).
- Urethral trauma
- Management of a complicated lower genitourinary tract infection
- Requirement for long-term urinary diversion (eg, because of
neurogenic bladder)

3. What is the probably cause of vesikoureteral reflux in this case? Does it


has a correlation with the urethral stricture?
Under normal circumstances, the ureterovesical junction allows urine to enter the
bladder but prevents urine from regurgitating into the ureter

4. Why does in this patient performed internal urethrotomy?


Dilation of urethral strictures is not usually curative, but it fractures the scar tissue
of the stricture and temporarily enlarges the lumen

5. What is the risk factor of urethral stricture in this patient?

6. When we do the surgical reconstruction in urethral stricture?

7. What is the gold standar to diagnose urethral stricture?

8. Why did u plan a bipolar cystouretrography?

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