This document discusses different types of urinary tract infections (UTIs) including their causes. It mentions that cystitis is usually caused by bacteria like E. coli and makes up 80% of UTIs. Urethritis is caused by organisms like Chlamydia trachomatis and Neisseria gonorrhoeae and accounts for 10-15% of UTIs. Less than 1% of UTIs are non-infectious and can be caused by factors like low estrogen levels or physical obstructions. The document also outlines different surgical procedures for urinary diversions including nephrostomies, cutaneous ureterostomies, and ileal conduits.

33. % is
not
possibl
e to

35. Dysuria and
frequency
Vaginitis (5%)
Candida spp.
T. vaginalis
Cystitis (80%)
E. coli,
S. saprophyticus
Proteus spp.
Klebsiella spp.
Urethritis (10-
15%)
C. trachomatis,
N. gonorrhoeae
H. simplex
Other bacteria?
Non-infectious (<1%)
Hypoestrogenism
Functional obstruction
Mechanical obstruction
Chemicals

65. Transurethral resection
Induction Therapy: Radiation + chemotherapy
(cisplatin, paclitaxel)
Cystoscopy after 1 month
no tumor tumor
Consolidation: RT + CT cystectomy

67. A nephrostomy is a
surgical procedure by
which a tube, stent, or
catheter is inserted
through the skin
into the kidney

68. Cutaneous
Ureterostomy…
•One kidney drainage,
with short-live
prognosis
•Complications
(infection, stone,
stenosis)

70. Cutaneous urinary
diversions
Ileal conduit (ileal loop)
A 12 cm loop of ileum led out
through abdominal wall
Stents used
The space at cystectomy site
drained by a drainage system
After surgery a skin barrier
and a transparent disposable
urinary drainage bag
Constantly drains