Fluids used in urology

[Lorodz]

Im a bit confused about the fluids used in urology.

if the patient is having a cystoscopy, which fluid is ideal? and why?

if patient is having a surgery above the bladder, which fluid is ideal? and why?

if patient is having a long urological procedure, which fluid is ideal? and why?

if patient is having a cystoscopy with diathermy, which fluid is ideal? and why?

[CIRQL8]

Im a bit confused about the fluids used in urology.

if the patient is having a cystoscopy, which fluid is ideal? and why?

if patient is having a surgery above the bladder, which fluid is ideal? and why?

if patient is having a long urological procedure, which fluid is ideal? and why?

if patient is having a cystoscopy with diathermy, which fluid is ideal? and why?

Cysto: water. Because you're not going Systemic and if you need electricity, the water will not conduct it away as much as saline would. Unless you're doing a TUR, then you want sorbitol or glycine to avoid absorption and TUR syndrome. Not saline, it will conduct the electricity away. Unless your TUR is BIpolar. Then you want saline.

Once you get into ureters, it is suggested to use saline. It is more isotonic. Unless you're needing electricity. Then water or glycine or sorbitol. Unless bipolar, then saline.

Long URO procedures tend to be TUR's. See above.

Wow. I'm embarrassed. What's diathermy?

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