JP NUR HUMAIRA MUNIRA BINTI MARUAN BJ2018-0198

NSNE 3113 : SURGICAL NURSING GU CONGENITAL ABNORMALITIES

DEFINISI ETIOLOGI CLINICAL MANIFESTATION COMPLICATION MANAGEMENT

HYPOSPEDIAS 1. Incomplete urethra 1. Tidak dapat kencing 1. Abnormal urin output due to 1. circumcision tidak dilakukan keran
development pada posisi normal multiple diection . foreskin penis is needed for
Malformation yang 2. Genetic of pericentric kerana pada bahagian 2. sexual disturbance due to tip of reconstruction purpose.
melibatkan inversion of bawag. penis is bent inward. Infertility if 2. operation when major congenital
pembukaan uretra chromosome 16. 2. Abnormalities arah urethra nar with scortumm abnormalities.
(uretheral meatus) 3. Tidak cukupandrogen pengeluaran urin @perineum.
berada pada bahagian atau environment agent semasa elimination. 3. infection – due to abnormal
inferior penis seperti phthalates, ddt, 3. The tip of the penis is position near urethral.
polychlorinated. bent inward caused hard 4. haematoma
sex intercourse
EPISPADIAS 1. abnormities not cause 1. incontinence 1. modified Cantwell – Ransley
urination but sex 2. depression and psychosocial To improve urethra to normal position.
Congenital statisfication. complication Reconstructive secara comprehensive
abnormalities which is 3. Sexual dysfunction. before 7 years age include urethra,
opening of the urethra penile shaft closed and corpora
is superior penis. mobilization.
PHIMOSIS 1. Oedema 1. Balanitis (inflamation of 1. kesukaran ketika urination. 1. Hygiene – elak infection .
2. Chronic inflammation foreskin ), swelling, 2. Infection foreskin (Balanitis). bersihkan dengan menarik
“Uncircumcised foreskin due to bacteria redness , tender. 3. pain during eraction. prepuce kebelakang supaya
foreskin” on penis & yeast inflammation. 4. malignancy (Rare) seluruh bahagian dgn sempurna.
caused constrict or 3. Presence of scar tissues 2. Pus secreation due to 5. Narrowing of penile opening. 2. Foreskin tarik secara perlahan
retracted to penis become fibrous , hard , infection/ 6. Paraphimosis tapi kebelakang sehingga berusia
gland. tough and inelastics. 3. Retension kerana 18/52.
kesukaran kencing due 3. Merendam bahagian terlibat
to foreskin restriction. dengan air suam dapat
4. Straining during membantu memisahkan foreskin
urination. 4. Ubatan – sekirnya ada pus .
 DEFINISI ETIOLOGI CLINICAL MANIFESTATION COMPLICATION MANAGEMENT
PARAPHIMOSIS 1. FORESKIN tertarik 1. TOPIVAL CORTICOSTEROD
kebelakang -BETHAMETHASONE CREAM 0.05% 2-3
Oedema di retracted semasa mandi. OD.
uncircumised foreskin 2. Penggunaan 2. tip of the foreskin
over the glans urinary catheters 2. manual stretching
3. Intercoursee Pull foreskin to glans penis using artery
4. Forward position. forceps for 2-3 weeks using warm water
+ soap.
3. rendaman
Warm water untuk membersihkan penis
and avoid infection.
4. preputial plasty
- non retractable foreskin through dorsal
& longitudinal incision with suture
transverse
Circumcision
UNDESSCENDED 1. Testis menjadi atrophysebelum kelahiran akibat 1. Orchiopexy dilakukan semasa berusia
TESTES torsion (twist) atau tersekat pada testicular, 1 hingga 10 taghun.
2. Congenital absence
Testes tidak turun 3. Testis tidak turun sepenuhnya kerana berada pada
dalam scortum sac & inguinal canal.
stuck in abdomen or
femoral.

POLYCYSTIC KIDNEY Type MK

DISEASES  Autosomal 1. Progress penyakit lambat (autosomal dominant) dapat dilihat sign usia 30 an - 40 an.
dominant (adult) 2. Flank pain.
Cysts are  Autosomal 3. Gross haematuria (microscopic)
noncancerous round recessive (child) 4. Proteinuria.
sacs containing fluid. Etiologi 5. Polyuria.
Inheritance 6. Nocturia.