Please enable JavaScript.
Coggle requires JavaScript to display documents.
EPISPADIAS DISEASE boy girl (NURSING INTERVENTION (monitor the vital…
EPISPADIAS DISEASE
DEFINITION
Urology conginetal urethral abnornality
SURGERY TREATMENT
BOYS
Modified Cantwell Technique
involves rebuilding the penis
by taking some part of the penis
to move the penis into normal position.
Mitchell Technique
involves completely taking the penis
and then put it back together
done do the urethra is most functional,
in normal position
and dorsal bend is corrected.
GIRLS
If detected early enough at birth
the 2halves are put back together
and also urethra in position
and incontinence may be corrected.
PATHOPHYSIOLOGY
GIRLS
Urethral opening is close to clitoris
pubis bone is separated to different degrees
which disables connection clitoris in the middle
this leads to urine leak with stress.
BOYS
Urethral opening is on top rather down the penis
clssification
Penile
along the shaft of penis
Granular
head of the penis
Penopubic
near pubic bone
CLINICAL MANIFESTATIONS
detected at birth
abnornal genital appearence
urinary incontinance.
CAUSES
Alteration in development
during specific stage of pregnancy
when urinary tract is forming.
DIAGNOSTIC STUDIES
Detected at birth
by healthcare provider.
to check other UT areas
CT scan and X-ray
Urine tests
ultrasound
NURSING INTERVENTION
monitor the vital signs
allay enxiety for the parents
administer prescribed analgesias.
ensure doctors pre and post operation orders are met.
