I went to a urologist after having kidney stone pain for months. After he explained what the surgery would be like, I went home. I passed the stone naturally that night. Sometimes a little fear inspires the body to do amazing things.
Every stone in the ureter/bladder or the urethra isn't an indication for surgery. You have myriad of options like extracorporeal shock wave lithotrypsy (ESWL), medical therapy to dilate the ureter and dissolve the stone, if you passed the stone by yourself then that it must be less than 10mm in size. Also, stones are of varying types like calcium oxalate, struvite etc
My mom is a nurse and I remember her story of a patient forcibly removing a foley catheter with the balloon still full. Full on crime scene levels of blood, plus they still needed to put it back in with a larger balloon.
Many years ago when we still used 30cc balloons I walked into a patient's room to find the fully intact 30cc ballon Foley hanging over the bed rail. But how did he get it out? Surely it had to have hurt tugging on it. He was incontinent and had no trouble passing urine, no blood, no apparent injury. Life is strange
I'm a PA on the Burn Service at a teaching hospital, and we get first-year urology residents on the service for a critical care rotation. For some reason, when they are there, the nurse can never get the foley placed.
Brilliant and informative video as always. Many of us males tend to rather suck up the pain out of embarrassment than go to a Urologist when we experience pain the in the nether regions!!
Some nurses cannot do this and I thought I would die after a long surgery where they did not get the catheter in correctly. They finally found somebody who could do this and I almost filled up a whole urine bag. Your wife is a treasure to the medical field.
You mentioned "not being able to pee" well, in 2002 I broke my back and neck from a parachute malfunction. L3 and L5, C2 - C6. 3 years later I learned I had broken my back because my butt was aching and legs were num and eventually not working. Before I went to the hospital for surgery, I could not urinate because the disc was impinging on my spine, but I didn't understand why. Could you explain?? Oh, 7 years afterward when I retired, I found that I had broken my neck as well. All the best and love your videos.
After a moto accident 1 mo in coma several aggressive surgeries the last of which accidently nicked my bladder! I had to have a cathader in me for 3 months to let that heal up and had 3 UTI's from it. OMG what a terrible experience. That was by far the worst part. Oh but it also came w/ the best part. I wake up 3-6 a night to pee and I'm not diabetic, I work out 5 times a week look and feel great, anyways that was the only time I've slept a full night in 10 years. Ugh I miss that.
When I am under deep anesthesia my bladder becomes "paralyzed" for a few hours. The hospital will not release you until you pee or your bladder is drained. If it's day surgery the nurse puts a catheter in to drain the urine before I can go home. Beats having to stay overnight in the hospital.
@@micco6020 I'm almost 71 and throughout my life I've probably been anesthesasized 10 times. 3 shoulder surgeries, one knee surgery, gall bladder removal, tonselectomy ( had to go under twice for that because of excessive bleeding), and other procedures.
I have had 5 brain surgeries on the 3rd i had a brand new transferred female nurse that had to cath me after surgery, I was her first patient on that floor. She was scrambling and gave me a TOTALY dry catheter (no lube) and shoved it up and in my man part as i screamed in pain! Just funny to think about now! Appreciate your videos and your knowledge!
1st! interesting/funny! Off topic...I asked this in ur last ShortV: @Rena Malik,M.D.,What about Women's 🍑 fluids? Does diet & fruit affect the taste👅 & smell👃? Seriously? Thnx!
I request a foley cath after PCNL surgeries and ureteroscopies as my bladder spasms and I can't pee and having one put in after surgery hurts more than normal
I was told that if a man has one erection that lasts longer than four hours, he should go to the emergency room My question is for the doctor: If a man has 2-3 erections on the same day lasting 2-3 hours each, is he running a risk of damaging anything? Thanks in advance for your answer!
Matter of fact I actually don't like showing that because I had do that a couple times which is upsetting namely a scabies treatment and a pilodonial cyst on my captains quarters for a cleft lift yeah I can't stand being completely naked like that
Have been around for just about 62 years now and never once that I can remember I had the urge to stick something in me but when you hear what some people do it is funnier than hell
It wouldve been really nice of my surgeon to have explained all of the side effectives of procedures that call for something being inserted in my penis such as "STRICTURE," and the disturbing thing is that symptoms show their ugly head 3 to 4 years after procedure, so pls fellas ask about side effects before anything is inserted in ur penis. I mean, its our little guy dwn there. Our best buddy l ook out for him always.
all urologists should be women. i think it would humble the male population into good manners towards women. overall, i prefer women drs in all med fields. i just trust them more.
I had a urologist call the need for a foley as he walked by my er room he didnt come in he just passed by in the hallway and was like "That guy is going to need a Foley I will at that point I am pretty sure I was covered up....not sure if he was a really good urologist or if I was worse than death warmed over at that point but it is the last non ket formed memory I have till around 3 weeks later when I was eased off the "People do this for fun?!?!?! medication." dont recommend -40000000/10 stars but there are worse things they can do to you in a hospital....I dont want to talk about it
Based on the information provided here my best guess is this was any emergency medicine physician, probably could tell by reading the charts that a strict record of urine output was going to be needed. Less of a urology problem and more of a critical care problem.
@@Anonymous-so1ho no it was a urologist and I was like 5 minutes out of the ambulance at most at that point he talked to me a month or so later was like "When I saw you in the ER you looked half dead looks like things are improving."
What is it with all the doctors and audio levels on youtube? :D Why is it specifically just the doctors? I've always tried to imagine how it is to be a woman inspecting penises or man inspecting vaginas (assuming heterosexual in this example), because you get to see so many ill sex organs of the opposite sex. Like do they come home to their partner after a workday and go "Yay! Another penis/vagina! I can't wait!". Or maybe "Thank god, finally a healthy penis/vagina"?
Dr. Malik...is there any differences that you know of in the training of Osteopathic Urologists and what Medical Urologists, such as yourself, go through?
The DO/MD distinction applies to medical school; becoming board certified in your specialty happens after completion of medical school, so the difference between a DO urologist and an MD urologist (or and MD/DO of any specialty) is only in medical school. They train in the same residency programs (with the exception of ONMM which if I'm not mistaken is exclusive to DO's) and many DO's challenge the USMLE (the exam which MD graduates must take to become a licensed physician) rather than the COMLEX (the DO licensure exam). So in short, there is no difference in the *urology* training of a DO or MD urologist; there is no difference in the surgical training between MD and DO surgeons, no difference in the anesthesia training between MD and DO anesthesiologists. If they are ABMS certified it means they completed an ABMS certified residency program. The difference is in only in the general medical education that they receive as med students.
