4.the incision will be done in lateral side or abdomen to reach ureter after reaching an oblique incison will be done directly above stone place to avoid injury of ureter
The pain is felt at the tip of the penis or clitoris usually when the stone is lodged low in the ureter and this is because that the afferent fibers supplying this part travels through L1 & L2 segments to which afferent fibers of the genitofemoral nerve also travel.. P.s: the pain may be also referred along the femoral branch so the pain is experienced in the front of the thigh..
The answer of the interactive Questions : Q1: The direction of the ideal incidion in the ureter for surgical removal of a stone is a small incision, most commonly in the back, creating a narrow tunnel directly to the kidney to break up and remove large or irregularly shaped stones. -And if it is by ureteroscopy (as in removal of the stone fragments), the the surgeon inserts a narrow, flexible instrument called a ureteroscope through the urethral opening, passing it through the bladder to where the stone is located in the ureter or kidney. Q2 : the stone in the ureter gives referred pain to the tip of the clitoris or penis because in its lower 1/3, there is suprapubic pain associated with frequency as the ureter is related to the ilioinguinal and genitofemoral nerves.
1. The position of the longitudinal incision made on the lateral side of the ureter to avoid cutting off its medial arterial supply. 2. Because the cutaneous regions of these are supplied by the same spinal segments, the pain is transmitted to the tip of the clitoris or penis.
Stones frequently become stuck in this part of the ureter. If so, they can cause urinary symptoms, including frequency (the need to urinate more frequently than usual), urgency (the need to urinate as soon as the urge to go is felt), and postvoid fullness (the sense of the need to urinate further even after one has urinated). These symptoms mimic the symptoms of urinary tract infection. Patients may think they have a bladder infection, but most often these voiding symptoms are due to the stone. When stones are in the lower part of the ureter, they may also cause pain that is referred to the testicle or the tip of the penis in men or into the vaginal and urethral area in women. this what I found
Q: 2. The referred pain of stone Becauce the same nerve that supply the ureter, supply the loin( T10 ), groin and inguinal (T12,L1),and scrotum and labia magora(L1)
Distal ureteral stones cause pain that tends to radiate into the groin or testicle in the male or labia majora in the female because the pain is referred from the ilioinguinal or genitofemoral nerves.
on the lateral side to avoid cutting any blood vessels and the incision is longitudinally because they have the same lymphatic drainage مش متاكدة الصراحة
2 - The muscles in the wall of the ureter try to squeeze the stone along into the bladder , This causes burning sensation during urination and pain may move down to the tip of penis
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وفقك الله وكثر الله من امثالك
اللهم آمين الف شكر
Relations of Abdominal part: 10:05
II Pelvic Part: 15:40
Blood supply: 17:20
interactive question : 20:00
4.the incision will be done in lateral side or abdomen to reach ureter after reaching an oblique incison will be done directly above stone place to avoid injury of ureter
دكتورنا العظيم بارك الله فى حضرتك وفى علم حضرتك❤
The pain is felt at the tip of the penis or clitoris usually when the stone is lodged low in the ureter and this is because that the afferent fibers supplying this part travels through L1 & L2 segments to which afferent fibers of the genitofemoral nerve also travel..
P.s: the pain may be also referred along the femoral branch so the pain is experienced in the front of the thigh..
Perfect 👌
5- pain that begins at loin is sensed by T10 which then radiates to groin at T12 and L1 which also radiates the pain to enternal genitalia by L1
ربنا يوفقك يارب ويسعدك يارب مشاء الله شرح حضرتك عظيم زيك❤
اللهم امين
متابع حضرتك من الماسكلو السنه اللى فاتت وما زلت حضرتك متألق
شكرا جزيلا دكتور متابعك من العراق 🇮🇶 ❤
The answer of the interactive Questions :
Q1: The direction of the ideal incidion in the ureter for surgical removal of a stone is a small incision, most commonly in the back, creating a narrow tunnel directly to the kidney to break up and remove large or irregularly shaped stones.
-And if it is by ureteroscopy (as in removal of the stone fragments), the the surgeon inserts a narrow, flexible instrument called a ureteroscope through the urethral opening, passing it through the bladder to where the stone is located in the ureter or kidney.
Q2 : the stone in the ureter gives referred pain to the tip of the clitoris or penis because in its lower 1/3, there is suprapubic pain associated with frequency as the ureter is related to the ilioinguinal and genitofemoral nerves.
Perfect
1. The position of the longitudinal incision made on the lateral side of the ureter to avoid cutting off its medial arterial supply.
2. Because the cutaneous regions of these are supplied by the same spinal segments, the pain is transmitted to the tip of the clitoris or penis.
@@Dr.Ayman_khanfour
تسلم دكتور يا رب
@@dr.ibrahimobeidat المشكلة انك بدك تدخل باطني ههههه
@@ahmadidkidkaidek9045
ربي رزقني ادخل جراحة او ادخل باطني, فالنهاية رح اكون دكتور له وزن وقيمة ومن الافضل باذن الله
بارك الله فيك يا دكتور
اللهم امين الف الف شكر
Stones frequently become stuck in this part of the ureter. If so, they can cause urinary symptoms, including frequency (the need to urinate more frequently than usual), urgency (the need to urinate as soon as the urge to go is felt), and postvoid fullness (the sense of the need to urinate further even after one has urinated). These symptoms mimic the symptoms of urinary tract infection. Patients may think they have a bladder infection, but most often these voiding symptoms are due to the stone. When stones are in the lower part of the ureter, they may also cause pain that is referred to the testicle or the tip of the penis in men or into the vaginal and urethral area in women.
this what I found
Q: 2. The referred pain of stone
Becauce the same nerve that supply the ureter, supply the loin( T10 ), groin and inguinal (T12,L1),and scrotum and labia magora(L1)
Distal ureteral stones cause pain that tends to radiate into the groin or testicle in the male or labia majora in the female because the pain is referred from the ilioinguinal or genitofemoral nerves.
تسلم يا احلى دكتور في المجرة 😍
كل الحب ي دكتور والله الله يكرمك
الف الف شكر اللهم امين
on the lateral side to avoid cutting any blood vessels and the incision is longitudinally
because they have the same lymphatic drainage
مش متاكدة الصراحة
ياسلااام المتعه الي بمحاضراتك غييير
🩵💙💚💛🧡
انت دكتور رهيب وجميل ربنا يحفظك بنحبك من السودان
عظيم يا دكتور ♥️
ربنا يبارك فى حضرتك يا دكتور 🤍🤍
يا ليت لو شلت الموسيقى من الاوترو لأنها لا تجوز 💛
جزاك الله كل خير
اخوك من القاهرة بحبك اوي ❤
و انا كمان 😂😊
شكرا جزيلا ❤
عفوا جزيلا 😀
بارك اللهم لك ربنا يجعله في ميزان حسناتك الشرح و طريقة العرض ممتازين
و معلش سؤال ايه ال Nerve supply of Kidney and Ureter
موفق لكل خير ان شاء الله
اللهم آمين الف شكر
What is the loin?
between the upper part of the hipbone and the last of the false ribs on either side of the backbone
4- on the medial side to avoid injury of external and internal iliac artries, direction of inscesion is longitudinally
شرح ممتع و مفيد جدا جزاك الله كل خير يا دكتور
where can i find explanation to the relations of the pelvic part of the ureter by you ya dr ?
@@Dr.Ayman_khanfour تمام شكرا يا دكتور ❤️
دكتور الperitoneum and gonadal vessel بتكون موجوده في abdominal part anterior لright ureter لوحدو Right and left ureter or ؟؟
@@Dr.Ayman_khanfour شكرا يا دكتور
5_ because the stone in the ureter scratch the inguinal canal
I'm not sure
5- becuase the ureter pass infront the genitofemoral nerve .
Where is loin in body ??
و ما لنا الا السعي و لله الأمــر من قبــل و من بعد
بالتوفيق
و نعم بالله
دكتور أنا من أشد المعجبين بحضرتك ،ومعيدة أناتومي وحضرتك قدوتي ❤️🙏
يارب
🤩🤩
تحياتي من حلوان
دكتور نريد الملف اللي تشرح علي
❤❤❤❤❤❤❤❤❤
💙💚💛🧡❤
Very nice
تحياتي من عزبه خروع
2 - The muscles in the wall of the ureter try to squeeze the stone along into the bladder , This causes burning sensation during urination and pain may move down to the tip of penis