11: Bladder Flashcards

1
Q

How can you locate a cryptorchid testicle?

A

Follow vas deferens

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2
Q

Why must you treat concurrent UTI before surgery?

A

Tissue more friable and leakage could cause sepsis

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3
Q

WHich uroliths are radiopaque?

A

Struvite and calcium

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4
Q

How can you get rid of ectopic ureter?

A

Laser ablation

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5
Q

When do you need peri-operative antibiotics?

A

Usually (because either UTI or contaminated)

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6
Q

What is often done before surgery in females?

A

Place catheter to flush urethra

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7
Q

Which equipment should you not use on the bladder?

A

Rat tooth or Allis tissue forceps

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8
Q

Where do you open the bladder?

A

Ventral, slightly off midline

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9
Q

Why do you do a ventral approach to the bladder?

A

Avoid nerve and trigone injury, avoid ureter damage, can extend incision to urethra

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10
Q

Where is the hardest place to remove stones?

A

Bladder neck

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11
Q

What should you do after urolith surgery?

A

Radiograph to check for any left behind

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12
Q

How long does it take the bladder to regain 100% strength?

A

2-3 weeks

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13
Q

Which suture material do you use for the bladder?

A

Monofilament, absorbable, synthetic

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14
Q

Why do you NOT use vicryl on the bladder?

A

Rapidly degrades in infected urine

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15
Q

Which suture pattern do you use for the bladder?

A

Simple continuous appositional

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16
Q

Why should you avoid penetrating the mucosa when suturing the bladder?

A

Can act as nidus for stones

17
Q

What is the suture holding layer in the bladder?

A

Submucosa

18
Q

What should you suture if you can’ identify the submucosa?

A

Full thickness, will probably be rapidly covered by urothelium

19
Q

How long after surgery should you give IV fluids to flush?

A

12-24 hours to flush

20
Q

How do you identify uroabdomen?

A

Potassium and creatinine more than twice that of blood

21
Q

How can you reinforce a bladder repair?

A

Omentum or serosal patch

22
Q

What minimally invasive technique is available for stones below 2cm?

A

PCCL

23
Q

What are the indications for partial cystectomy?

A

Polyps, neoplasia, trauma, patent urachus

24
Q

How much of the bladder can you remove?

A

75-80%

25
Q

Which should you avoid removing the trigone?

A

Incontinence

26
Q

How quickly will the bladder re-grow?

A

One month

27
Q

How can you place a cystotomy tube in an emergency?

A

Percutaneously

28
Q

What are some possible complications of a cystotomy tube?

A

Many, e.g. UTI

29
Q

How do you manage urine leaking from a cystotomy tube?

A

Barrier cream