Urology Practice of James A. Lugg, MD, FACS; John F. Bryant, MD; Douglas Harris, DO; Donald Tardiff, PA-C

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Glossary
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percutaneous nephrolithotomy (PCN): Percutaneous means "through the skin." In PCN, the surgeon or urologist makes a 1-centimeter incision under local anesthesia in the patient's back, through which an instrument called a nephroscope is passed directly into the kidney and, if necessary, the ureter. Smaller stones may be manually extracted. Large ones may need to be broken up with ultrasonic, electrohydraulic or laser- tipped probes before they can be extracted. A tube may be inserted into the kidney for drainage.

pelvic muscle exercises: Pelvic muscle exercises are intended to improve your pelvic muscle tone and prevent leakage for sufferers of stress urinary incontinence. Also called Kegel exercises (see biofeedback).

periurethral bulking injections: A surgical procedure in which injected implants are used to "bulk up" the area around the neck of the bladder, allowing it to resist increases in abdominal pressure, which can push down on the bladder and cause leakage.

post-void residual (PVR) volume: A diagnostic test that measures how much urine remains in the bladder after urination. Specific measurement of PVR volume can be accomplished by catheterization, pelvic ultrasound, radiography, or radioisotope studies.

prostaglandin: Any of various oxygenated unsaturated cyclic fatty acids of animals that have a variety of hormonelike actions (as in controlling blood pressure or smooth muscle contraction).

prostate: A muscular, walnut-sized gland that surrounds part of the urethra. It secretes seminal fluid, a milky substance that combines with sperm (produced in the testicles) to form semen.

prostatectomy: Surgical removal of the prostate.

  • suprapubic / retropubic prostatectomy: This involves the removal of obstructing prostatic tissue through a supra-pubic incision (a cut below the belly button). The prostate is not wholly removed. suprapubic prostatectomy requires incising the bladder to remove the obstructing tissue, while a retropubic approach involves incising the prostatic capsule to remove the obstructing tissue. Both approaches utilize an abdominal incision.
  • radical retropubic prostatectomy: Removal of prostate through an abdominal incision. The prostate is completely removed. The advantage is that the lymph nodes can be sampled at the time of the operation, and the nerve-sparing procedure is easier to do via this operation.
  • perineal prostatectomy: A perineal incision is utilized. The advantages are: less blood loss, easier visualization of the bladder / urethral anastomosis and decreased recovery time because the incision does not involve muscle or any other vital tissue.

prostatic stent: Inserted through a cystoscope, it is a wire device that expands after placement thus pushing prostate tissue away from passageway, allowing for easier urination.

prostatitis: Inflammation of the prostate.

prostatron: Also called TUMT or Transurethral Microwave Thermotherapy. A catheter is placed within the bladder and positioned within the prostate, and then the antenna emits microwaves. This procedure increases the passageway, allowing for easier urination.

pubovaginal sling: A surgical procedure in which a man-made or cadaveric piece of material is placed under the bladder neck to support and immobilize. This technique improves sphincter function and decreases bladder neck movement, improving continence.

pyelonephritis: Inflammation of the kidney, usually due to a bacterial infection.

pyuria: The presence of pus in the urine; usually an indication of kidney or urinary tract infection.

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Cheyenne Urological, P.C.
 
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