1. Urology SURG 451Clinical session
Dr. Danny M. Rabah
Associate Professor
Chief of Urology, KKUH, KSU.

2. Colored urine
Urochrome gives urine its characteristic yellow color

3. Red Urine Color
Hematuria
Myoglobinuria
Hemoglobinuria

4. Purple urine bag syndrome
Occurs on patients with chronic indwelling urinary catheter .
The syndrome is often associated with a UTI,
Providencia bacteria,
Escherichia coli,
P. mirabilis
or Klebsiella pneumoniae.

5. Orange Coloured Urine
Orange urine may be produced by phenazopyridine (Pyridium) or ethoxazene (Serenium) .

6. Pink Coloured Urine
Eating beetroot can produce urine that’s pink to deep-red in colour
(a condition known as beeturia)
Urate crystals in the urine.

7. BLUE / GREEN colored Urine
Food colourings
Increased carotene in the diet
Pseudomonas aeruginosa infection
Oxalate Poisoning
Oxaluria
Phenol poisoning

8. Pyuria

11. Surgical Incisions Classification of incisions
Vertical incision
Midline incisions
Paramedian incisions
Transverse and oblique incisions
Kocher's subcostal Incision
Chevron (roof top Modification )
Mercedes Benz Modification
Mc Burney’s grid iron or muscle splitting incision.
Pfannenstiel incision
Maylard Transverse Muscle cutting Incision
Transverse Muscle dividing incision
Oblique Muscle cutting incision.
Thoracoabdominal incisions

12. Vertical Incisions
Midline incision:
1) Upper Midline Incision

13. 2) Lower Midline Incision

14. 3) Full Midline Incision

15. 4) Paramedian incision

16. Transverse And Oblique Incisions
Kocher’s incision

17. Bilateral sub costal , Chevron , Thoracoabdominal (Kidney approach)

19. Thoracoabdominal Incision
Thoracoabdominal incision at the supra-tenth
border with patient in lateral decubitus position.

20. Oncology -Pathology
Renal cell carcinoma

21. Chevron (Roof Top) Modification

22. The Mercedes Benz Modification

23. McBurney Grid Iron

24. Pfannenstiel incision (smile incision)

27. Endo-urology Instruments

28. Papillary bladder lesion

29. Bladder Tumours Broad-based papillary lesion
Depth of resection to detrusor muscle

30. TURBT video
Click above for video

38. SOC for AUR – The Foley Significant Drawbacks
27 million inserted annually
Static design since 1930’s
Firmly entrenched as SOC
Significant Drawbacks
High infection rate
Passive vs active drainage
Patient QOL

42. Foley Catheter insertion Male
Click above for video

43. Foley Catheter insertion Female
Click above for video

44. Suprapubic catheterisation
Click above for video

45. You can view a copy this presentation at: