April 28, 2016 - Pediatric Urology

Question 1

Reasons Against Circumcision

Answer 1

Pain during and after the procedure

Potential problems with bleeding, infection, cutting skin too short/long

Foreskin may protect the tip of the penis

Question 2

Contraindications for Circumcision

Answer 2

Penile abnormalities

Bleeding disorder

Sick baby

Question 3

Undescended Testicles

Answer 3

33% in premature infants

3% in full-term infants

1% at one year of age

Treatment is recommended as early as 6 months of age, and should be completed before the age of 2. Higher risk of testicular cancer.

Question 4

Testicular Atrophy

Answer 4

“Vanishing testis”

The most common scenario with impalpable testis

Question 5

Hypospadias

Answer 5

A congenital condition in males in which the opening of the urethra is on the underside (ventral) side of the penis.

Surgical correction between 6 and 18 months.

Question 6

Dysfunctional Voiding

Answer 6

Can include behaviours like dancing, squatting, holding, and posturing and can lead to bladder sphincter dyssynergia.

Assessment includes ultrasound measurement of post-void residual volume.

Question 7

Testicular Torsion

Answer 7

Most common in neonates.

One of the true urologic emergencies.

Question 8

Testicular Tumor

Answer 8

Uncommon disease but makes up 1-2% of all pediatric solid tumors.

Incidence of childhood testicular tumors peaks around 2 years of age, and then rises again at puberty.