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 and retrograde urethrography examinations. With this examination can be expected in addition to the diagnosis of urethral strictures can be also determined the length of urethral stricture are important for therapy planning / operations.
Basic Concepts of Nursing Care
In nursing care is carried out by using the nursing process. The nursing process is a form of dynamic problem-solving process in an effort to improve and maintain optimal patient through a systematic approach to help patients. Nursing theories and concepts are implemented in an integrated manner in which organized phases which include:
Assessment, Nursing Diagnosis, Interventions, Implementation, Evaluation.
1. Assessment
Assessment of clients with urological disorders including data collection and data analysis. In data collection, sources of client data obtained from the client's own self, family, nurse, physician or from medical records.
Data collection include:
Biodata client and the client responsible. Biodata clients consist of the name, age, gender, education, occupation, status, religion, address, date of hospital admission, register number, and medical diagnostics.
Past medical history will provide information about health or disease of the past who have suffered in the past.
Physical Examination
Done by inspection, palpation, percussion, auscultation of the body's system, it will be found to any of the following: general state of the client postoperative urethral stricture should be viewed in terms of: a state generally include appearance, awareness, style of speech. On postoperative urethral stricture impaired bladder elimination patterns that do permanent catheter.
Respiratory system
Needs to be studied starting from the nose shape, presence or absence of pain in the nostrils, the movement of the nostrils during breathing, symmetry chest movement during breathing, auscultation of breath sounds and respiratory problems that arise. Is it clean or there Ronchi, as well as the frequency of breath. This is important because it affects the development of immobilization and mobilization of pulmonary secretions in the airway.
Cardiovascular system
Began to be studied conjunctival color, lip color, presence or absence of elevation of the jugular vein can be assessed by auscultation of heart sounds in the chest and the measurement of blood pressure by palpation of the pulse frequency can be calculated.
Digestive System
That were examined include the state of teeth, lips, tongue, appetite, intestinal peristalsis, and bowel movements. The purpose of this assessment to find out early deviations in this system.
Genitourinary system
Can be assessed from the presence or absence of swelling and pain in the waist area, observation and palpation of the lower abdominal area to determine the presence of urinary retention and review of the state of genitourinary tools shape the outside of the presence or absence of tenderness and lumps and how spending urine, smooth or there painful micturition time, and how the color of urine.
Musculoskeletal system
What needs to be studied on this system Range of Motion is the degree of movement joints from head to lower limbs, discomfort or pain were reported when the client moves, the tolerance time clients move and observation of injuries to the muscles must be studied as well, because the client usually immobility tonus and decreased muscle strength.
Integumentary System
What needs to be studied is the state of skin, hair and nails, skin examination include: texture, moisture, turgor, color and function of touch.
Neurosensori System
Studied is consistent Neurosensori cerebral function, cranial nerve function, sensory function and reflex function.
The pattern of daily activities
The pattern of daily activities on clients who experience post op urethral strictures include the frequency of meals, food types, portion sizes, types and quantity of drinking and elimination that includes defecation (frequency, color, consistency) and urination (frequency, number of urine that come out every day and the color of urine). Personal hygiene (frequency of bathing, washing hair, brushing teeth, changing clothes, combing hair and nails). Sports (frequency and type) and recreation (frequency and recreation).
