Titre : Fistule urinaire

Fistule urinaire : Questions médicales fréquentes

Termes MeSH sélectionnés :

Length of Stay

Questions fréquentes et termes MeSH associés

Diagnostic 5

#1

Comment diagnostiquer une fistule urinaire ?

Le diagnostic se fait par examen clinique, imageries et tests de fuite urinaire.
Fistule urinaire Diagnostic médical
#2

Quels examens sont utilisés pour le diagnostic ?

Les cystographies, échographies et IRM sont couramment utilisés.
Imagerie par résonance magnétique Échographie
#3

Quels signes cliniques indiquent une fistule ?

Une fuite d'urine persistante et des infections urinaires fréquentes sont des signes.
Infection urinaire Symptômes cliniques
#4

Peut-on diagnostiquer une fistule par cystoscopie ?

Oui, la cystoscopie permet de visualiser directement la fistule dans la vessie.
Cystoscopie Fistule urinaire
#5

Les tests urinaires aident-ils au diagnostic ?

Oui, les tests urinaires peuvent révéler des anomalies suggérant une fistule.
Analyse d'urine Fistule urinaire

Symptômes 5

#1

Quels sont les symptômes d'une fistule urinaire ?

Les symptômes incluent fuite d'urine, irritation cutanée et infections urinaires.
Symptômes cliniques Fistule urinaire
#2

La douleur est-elle un symptôme courant ?

La douleur peut être présente, surtout en cas d'infection ou d'irritation.
Douleur Infection urinaire
#3

Y a-t-il des symptômes associés à l'infection ?

Oui, fièvre, malaise général et douleurs abdominales peuvent survenir.
Infection urinaire Symptômes cliniques
#4

Les fuites urinaires sont-elles constantes ?

Elles peuvent être continues ou intermittentes, selon la gravité de la fistule.
Fistule urinaire Incontinence urinaire
#5

Des changements dans l'urine sont-ils possibles ?

Oui, l'urine peut être trouble ou avoir une odeur désagréable en cas d'infection.
Analyse d'urine Infection urinaire

Prévention 5

#1

Comment prévenir les fistules urinaires ?

Éviter les traumatismes pelviens et traiter rapidement les infections urinaires.
Prévention Infection urinaire
#2

Les soins post-opératoires aident-ils à prévenir ?

Oui, un bon suivi post-opératoire réduit le risque de complications et de fistules.
Soins post-opératoires Fistule urinaire
#3

L'hydratation joue-t-elle un rôle ?

Une bonne hydratation peut aider à prévenir les infections urinaires, réduisant le risque.
Hydratation Infection urinaire
#4

Les examens réguliers sont-ils importants ?

Oui, des examens réguliers permettent de détecter précocement des problèmes urinaires.
Suivi médical Fistule urinaire
#5

Les habitudes alimentaires influencent-elles ?

Une alimentation équilibrée peut renforcer le système immunitaire et prévenir les infections.
Nutrition Infection urinaire

Traitements 5

#1

Quels traitements sont disponibles pour une fistule urinaire ?

Les traitements incluent la chirurgie, les soins de la peau et parfois des médicaments.
Chirurgie Fistule urinaire
#2

La chirurgie est-elle toujours nécessaire ?

Pas toujours, certaines fistules peuvent se fermer spontanément, mais la chirurgie est souvent requise.
Chirurgie Fistule urinaire
#3

Quels soins de la peau sont recommandés ?

Utiliser des barrières cutanées et garder la zone propre pour prévenir les irritations.
Soins de la peau Fistule urinaire
#4

Des médicaments peuvent-ils aider ?

Des antibiotiques peuvent être prescrits pour traiter les infections associées.
Antibiotiques Infection urinaire
#5

Quelles sont les options non chirurgicales ?

Les options incluent des dispositifs de drainage et des soins conservateurs.
Soins conservateurs Fistule urinaire

Complications 5

#1

Quelles complications peuvent survenir ?

Les complications incluent infections, irritations cutanées et déshydratation.
Complications Infection urinaire
#2

Les fistules peuvent-elles causer des problèmes rénaux ?

Oui, des infections récurrentes peuvent affecter la fonction rénale à long terme.
Fonction rénale Infection urinaire
#3

Y a-t-il un risque de cancer associé ?

Le risque de cancer est faible, mais une irritation chronique peut augmenter ce risque.
Cancer Irritation cutanée
#4

Les complications psychologiques sont-elles possibles ?

Oui, les fistules peuvent entraîner des problèmes d'estime de soi et d'anxiété.
Santé mentale Fistule urinaire
#5

Comment gérer les complications ?

Un suivi médical régulier et des soins appropriés sont essentiels pour gérer les complications.
Suivi médical Complications

Facteurs de risque 5

#1

Quels sont les facteurs de risque de fistule urinaire ?

Les facteurs incluent les interventions chirurgicales, les traumatismes et les infections.
Facteurs de risque Fistule urinaire
#2

Les femmes sont-elles plus à risque ?

Oui, les femmes peuvent être plus à risque en raison de complications lors de l'accouchement.
Accouchement Fistule urinaire
#3

Les maladies chroniques augmentent-elles le risque ?

Oui, des maladies comme le diabète peuvent augmenter le risque de fistules urinaires.
Diabète Fistule urinaire
#4

Les infections urinaires fréquentes sont-elles un facteur ?

Oui, les infections urinaires récurrentes peuvent favoriser le développement de fistules.
Infection urinaire Fistule urinaire
#5

Les antécédents chirurgicaux influencent-ils le risque ?

Oui, des antécédents de chirurgie pelvienne augmentent le risque de fistules urinaires.
Chirurgie Fistule urinaire
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possibles ?", "position": 24, "acceptedAnswer": { "@type": "Answer", "text": "Oui, les fistules peuvent entraîner des problèmes d'estime de soi et d'anxiété." } }, { "@type": "Question", "name": "Comment gérer les complications ?", "position": 25, "acceptedAnswer": { "@type": "Answer", "text": "Un suivi médical régulier et des soins appropriés sont essentiels pour gérer les complications." } }, { "@type": "Question", "name": "Quels sont les facteurs de risque de fistule urinaire ?", "position": 26, "acceptedAnswer": { "@type": "Answer", "text": "Les facteurs incluent les interventions chirurgicales, les traumatismes et les infections." } }, { "@type": "Question", "name": "Les femmes sont-elles plus à risque ?", "position": 27, "acceptedAnswer": { "@type": "Answer", "text": "Oui, les femmes peuvent être plus à risque en raison de complications lors de l'accouchement." } }, { "@type": "Question", "name": "Les maladies chroniques augmentent-elles le risque ?", "position": 28, "acceptedAnswer": { "@type": "Answer", "text": "Oui, des maladies comme le diabète peuvent augmenter le risque de fistules urinaires." } }, { "@type": "Question", "name": "Les infections urinaires fréquentes sont-elles un facteur ?", "position": 29, "acceptedAnswer": { "@type": "Answer", "text": "Oui, les infections urinaires récurrentes peuvent favoriser le développement de fistules." } }, { "@type": "Question", "name": "Les antécédents chirurgicaux influencent-ils le risque ?", "position": 30, "acceptedAnswer": { "@type": "Answer", "text": "Oui, des antécédents de chirurgie pelvienne augmentent le risque de fistules urinaires." } } ] } ] }
Dr Olivier Menir

Contenu validé par Dr Olivier Menir

Expert en Médecine, Optimisation des Parcours de Soins et Révision Médicale


Validation scientifique effectuée le 21/04/2025

Contenu vérifié selon les dernières recommandations médicales

Auteurs principaux

Ji Hoon Shin

3 publications dans cette catégorie

Affiliations :
  • Department of Radiology, The Affiliated Cancer Hospital of Zhengzhou University, Zhengzhou, Chin; Department of Radiology and Research Institute of Radiology, Asan Medical Center, University of Ulsan College of Medicine, Olympic-ro 43 gil 88, Songpa-Gu, Seoul 05505, Korea. Electronic address: jhshin@amc.seoul.kr.

Hee Ho Chu

3 publications dans cette catégorie

Affiliations :
  • Department of Radiology and Research Institute of Radiology, Asan Medical Center, University of Ulsan College of Medicine, Olympic-ro 43 gil 88, Songpa-Gu, Seoul 05505, Korea.

Rahel Nardos

3 publications dans cette catégorie

Affiliations :
  • Worldwide Fistula Fund, Oregon Health & Science University/Kaiser Permanente, Mail code: L466, 3181 SW Sam Jackson Park Road, Portland, OR, 97239, USA. nardosr@ohsu.edu.

Jun Qian

2 publications dans cette catégorie

Affiliations :
  • Institute of Urology, Hexi University, Zhangye, Gansu 734000, P.R. China.
Publications dans "Fistule urinaire" :

Song Tu

2 publications dans cette catégorie

Affiliations :
  • Department of Urology, Hexi University Affiliated Zhangye People's Hospital, Zhangye, Gansu 734000, P.R. China.
  • Institute of Urology, Hexi University, Zhangye, Gansu 734000, P.R. China.
Publications dans "Fistule urinaire" :

Jiaxi Yao

2 publications dans cette catégorie

Affiliations :
  • Department of Urology, Hexi University Affiliated Zhangye People's Hospital, Zhangye, Gansu 734000, P.R. China.
  • Institute of Urology, Hexi University, Zhangye, Gansu 734000, P.R. China.
Publications dans "Fistule urinaire" :

Hai-Liang Li

2 publications dans cette catégorie

Affiliations :
  • Department of Radiology, The Affiliated Cancer Hospital of Zhengzhou University, Zhengzhou, Chin.
Publications dans "Fistule urinaire" :

Jong Woo Kim

2 publications dans cette catégorie

Affiliations :
  • Department of Radiology and Research Institute of Radiology, Asan Medical Center, University of Ulsan College of Medicine, Olympic-ro 43 gil 88, Songpa-Gu, Seoul 05505, Korea.

Laura Jacobson

2 publications dans cette catégorie

Affiliations :
  • School of Public Health, OHSU-PSU, Portland, OR, USA.
Publications dans "Fistule urinaire" :

L Lewis Wall

2 publications dans cette catégorie

Affiliations :
  • Washington University, Worldwide Fistula Fund, St Louis, MI, USA.
Publications dans "Fistule urinaire" :

Bharti Garg

2 publications dans cette catégorie

Affiliations :
  • Obstetrics & Gynecology, Oregon Health & Science University, Portland, OR, USA.
Publications dans "Fistule urinaire" :

Melaku Abriha Marye

2 publications dans cette catégorie

Affiliations :
  • Obstetrics and Gynecology, Hamlin Fistula Center, Mekelle, Ethiopia.

Arman A Kahokehr

2 publications dans cette catégorie

Affiliations :
  • University of Adelaide, South Australia, Australia.

William R Boysen

2 publications dans cette catégorie

Affiliations :
  • Division of Urology, Duke University Medical Center, Durham, NC. Electronic address: wboysen@bwh.harvard.edu.

Brent D Nosé

2 publications dans cette catégorie

Affiliations :
  • Division of Urology, Duke University Medical Center, Durham, NC.

Kevin J Hebert

2 publications dans cette catégorie

Affiliations :
  • Department of Urology, Mayo Clinic and Mayo Medical School, Rochester, MN, USA.

Ileogben Sunday-Adeoye

2 publications dans cette catégorie

Affiliations :
  • National Obstetric Fistula Centre, Abakaliki, Nigeria.

Luis G Medina

1 publication dans cette catégorie

Affiliations :
  • The Catherine and Joseph Aresty Department of Urology, USC Institute of Urology, Keck School of Medicine, University of Southern California, Los Angeles, CA, USA.
Publications dans "Fistule urinaire" :

Sources (8722 au total)

Effect of Instrumented Spine Surgery on Length of Stay.

Total joint arthroplasty studies have identified that surgeries that take place later in the week have a longer length of stay compared with those earlier in the week. This has not been demonstrated i... All instrumented spine surgeries in 2019 at a single academic tertiary center were retrospectively reviewed. Patients were categorized for surgical day and discharge disposition to home or a rehabilit... Seven hundred six patients were included in the analysis. Excluding Saturday, there were no differences in length of stay based on the day of surgery. Age older than 75 years, female, American Society... Day of surgery does not affect length of stay in instrumented spine surgeries. Discharge to a rehabilitation facility, however, did increase the length of stay as did age older than 75 years, higher A...

Perioperative risk factors impact on intensive care unit length of stay (ICU length of stay) in oral squamous cell carcinoma.

The trend in postoperative care for free flap patients is to deescalate from routine ICU admission into a specialty recovery unit. This study aims to investigate the predictive parameters in a routine... All patients who underwent ablative surgery for OSCC with free flap reconstruction and were managed in the ICU were included in this study. The primary outcome was ICU-length of stay. Perioperative, o... The study included 136 homogeneous patients, with a mean ICU length of stay of 4.5 (± 4.43 day). Patients with pre-operative positive renal dysfunction (P = 0.004), peripheral vascular disease (P < 0.... Patients with perioperative severe renal dysfunction, peripheral vascular disease, postoperative complication or high NYHA class are prone to have a significantly longer ICU length of stay. Several fa...

Frailty, length of stay and cost in hip fracture patients.

A hip fracture causes high morbidity and mortality. Frailty is associated with adverse outcomes and increased costs. Frailty measured using the Hospital Frailty Risk Score (HFRS) is associated with hi... Hip fractures account for an increasing number of hospital admissions around the world and are associated with high rates of morbidity and mortality. Frailty is increasingly recognized to be associate... A retrospective analysis was performed on 1014 patients ≥ 60 years who presented with a hip fracture between January 2016 to June 2020. Each patient was classified into HFRS low, intermediate or high ... Median total hospitalization costs were significantly higher in the highest HFRS (SGD$22,432) patients as compared to intermediate (SGD$18,759) and low HFRS (SGD$15,671) patients. The difference betwe... Frailty is associated with a marked increase in total costs in hip fracture patients. HFRS proved useful in estimating LOS and outcomes for older patients with hip fractures....

Length of Stay in Patients Undergoing Tracheoplasty: A NSQIP Study.

Prolonged length of stay (LOS) has been associated with increased morbidity and resource utilization in various surgical procedures. We aim to determine factors associated with increased hospital stay... The 2012-2018 National Surgical Quality Improvement Program (NSQIP) database was queried for patients undergoing tracheoplasty. Patient LOS was the primary clinical outcome. A LOS >75th percentile was... A total of 252 patients were queried. The majority of patients were female (67.5%), white (82.4%), and over the age of 65 (77.0%). Patients had a median LOS of 7 days with the 75th percentile cutoff b... This study elucidates factors associated with prolonged LOS in patients undergoing tracheoplasty. Patients with COPD and chronic steroid use were significantly associated with prolonged LOS.... 4 Laryngoscope, 133:1938-1942, 2023....

Genetic Testing and Hospital Length of Stay in Neonates With Epilepsy.

We evaluated changes in genetic testing for neonatal-onset epilepsy and associated short-term outcomes over an 8-year period among a cohort of patients in the neonatal intensive care unit (NICU) at a ... Our primary outcome was a change in length of stay (LOS) after 2018. We also ascertained severity of illness with the Neonatal Sequential Organ Failure Assessment (nSOFA), type and result of genetic t... Fifty-three infants with genetic testing were included; 20 infants were tested after 2018. A total of 4160 infants in the NICU without genetic testing were used as reference. In the genetic testing gr... In this cohort, changes in genetic testing for neonatal-onset epilepsy were associated with shorter LOS that was not explained by changes in severity of illness, birth weight, or the average LOS in th...

[Laboratories as predictors of length of hospital stay in patients with pneumonia].

There are several factors that influence the length of hospital stay (LoHS) in patients with community-acquired pneumonia (CAP). There is currently no study in the literature that correlates laborator... To find the association of laboratory parameters with the LoHS in patients with community-acquired pneumonia.... An observational, prospective, longitudinal, and controlled study was conducted in the emergency room of a secondary level hospital.... The mean time of LoHS in patients with CAP was 6.6 ± 3.0 days. The parameters of laboratory of monocytes, basophils and segmented neutrophils presented a correlation (Spearman rho) of 0.363, 0.364 and... LoHS in patients with CAP is related to the counting of monocytes, basophils, and neutrophils at the time of the hospital admittance and it was increased in patients with SAH and patients with COPD....

Laparoscopy in high-risk emergency general surgery reduces intensive care stay, length of stay and mortality.

Emergency general surgery patients undergoing laparoscopic surgery are at reduced risk of mortality and may require reduced length of critical care stay. This study investigated the effect of laparosc... Data were retrieved for all patients entered into the NELA database between 2013 and 2018. Only high-risk surgical patients (P-POSSUM predicted mortality risk of ≥ 5%) were included. Patients undergoi... A total of 66,517 high-risk patients received emergency major abdominal surgery. A laparoscopic procedure was attempted in 6998 (10.5%); of these, the procedure was competed laparoscopically in 3492 (... The results of this study suggest that in patients at high risk of post-operative mortality, laparoscopic emergency bowel surgery leads to a reduced length of critical care stay, overall length of sta...

Factors associated with an extended length of stay in the pediatric burn patient.

The Center for Medicaid and Medicare Services predicts the length of stay for pediatric burn patients based on several variables. However, many patients exceed their anticipated length. This study loo... We conducted a retrospective chart review of 535 pediatric burn patients admitted to our academic hospital from January 2018 to December 2020. 405 patients met inclusion criteria. Data were collected ... Average patient age was 3.36 years. 72.3% were treated for scald burns. Average length of stay was 13.5 days. 20.5% (n = 83) of patients exceeded their predicted length of stay. In comparing patients ... Twenty percent of pediatric burn patients had a longer length of stay than predicted by the Center for Medicaid and Medicare Services. Many factors were strongly associated with a longer-than-predicte...

Qualitative Analysis of Length of Stay and Readmission after Carotid Endarterectomy.

Length of stay (LOS) and readmissions are common measures to evaluate quality of health care. The objective of this study was to evaluate factors related to hospital LOS and readmission within 90 days... Using a single institution database, patients who underwent CEA for carotid stenosis between 2014 and 2019 were identified. Asymptomatic carotid stenosis (no history of any stroke or transient ischemi... There were 125 patients identified who underwent CEA for 133 carotid stenosis, and 8 patients had bilateral CEA; of which 36.8% were asymptomatic carotid stenosis with the remaining being operated on ... More than half of patients undergoing CEA for carotid stenosis were discharged after postoperative day 1. Interventions on modifiable clinical risk factors, such as morning CEA scheduling and manageme...

Association of Prophylaxis and Length of Stay With Venous Thromboembolism in Abdominopelvic Surgery.

Extended venous thromboembolism prophylaxis (eVTEp) is recommended for select patients who have undergone major abdominopelvic surgery to prevent postdischarge venous thromboembolism (pdVTE). Criteria... A retrospective cohort study of patients undergoing abdominopelvic surgery from January 2016 to February 2020 was performed using data from the Michigan Surgical Quality Collaborative. pdVTE was the m... A total of 45,637 patients underwent abdominopelvic surgery. Of which, 3063 (6.71%) were prescribed eVTEp. Two hundred eighty-five (0.62%) had pdVTE. Of the 285, 59 (21%) patients received eVTEp, whil... pdVTE was associated with increasing LOS but not with other VTE risk factors after propensity score matching. Current guidelines for eVTEp do not include LOS. Our findings suggest that LOS >5 d should...