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Урология - Symptoms and syndroms

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Pollaciuria - frequent micturition

Stranguria – difficult micturition

Nicturia – when night urine volume is

greater than day urine volume

Incontinence – inability to control the passage of urine. This can range from an occasional leakage of urine, to a complete inability to

hold any urine.

Stress incontinence -- occurs during certain activities like coughing, sneezing, laughing, or exercise.

Urge incontinence -- involves a strong, sudden need to urinate followed by instant bladder contraction and involuntary loss of urine. You don't have enough time between when you recognize the need to urinate and when you actually do

urinate.

Urgency – a strong sudden need to urinate without loss of urine.

Ichuria – urine retention

Urinary retention

Acute and chronic Caused by:

Mechanical reasons: benigh prostatic hyperplasia, phimosis, prostatic cancer

Diseases of central nervous system:

tumors,trauma.

Functional reasons: after operations on rectum,

perineum, pelvic trauma

Intoxication

Quantitative changes of urine

Poliuria – more than 2000 ml of urine per 24 hours

Opsouria – secretion of a big amount of urine 24 hours after abundant fluid intake.

Oligouria – 24 hour urine excretion is less than

500 ml

Anuria – the urine does not come to the vesical bladder

Anuria

Secretory – prerenal, renal factors

Excretory – postrenal

Arenal - renoprive

Qualitative changes of urine

Normal density – 1010-1025

Normal pH – 6.0-7.0

Hyperstenuria – elevation of density more than

1030

Hypostenuria – density decrease less than 1006

Changes of color and opacity

Uraturia, oxaluria,fosphateuria, cistinuria

Proteinuria

Piuria

Presence of leucocytes in urine.

Initial – patological process is in distal part of uretra

Terminal – patolodical process is at the

proximal uretra

Total – patological process is in vesical bladder, ureters, kidneys

Hematuria

Presence of eritrocytes in urine.

micromacro-

Initial

Terminal

Total