Clinical Management in Renal

Question 1

Angiomyolipma?

Answer 1

embolization

Question 2

What kind of staging is used for RCC?

Answer 2

Robson

Question 3

Treatment of RCC?

Answer 3

radical or partial nephrectomy, radiofrquency ablation, cryoablation

Question 4

Acute urinary retention

Answer 4

catheter

Question 5

Renal calculus?

Answer 5

NSAIDs
Alpha blocker for small stone expected to pass
If stone hasn’t passed in 1 month, needs surgical intervention
Stent if infected

Question 6

Torsion of spermatic cord?

Answer 6

prompt exploration to avoid reversible ischaemic injury

Question 7

Torsion of testicular appendages?

Answer 7

treat conservatively, NSAIDs, ice, reduced activity etc

Question 8

Pariphimosis?

Answer 8

iced glove, granulated sugar for 1-2hrs, puncture, compression,

Question 9

Priapism?

Answer 9

aspirate blood from corpus cavernosum, inject alpha agonist, surgical

Question 10

Fournier’s?

Answer 10

debridement and antibiotics

Question 11

Emphysematous pyelonephritis?

Answer 11

often requires nephrectomy

Question 12

Bladder injury?

Answer 12

catheter, antibiotics

Question 13

Penile fracture?

Answer 13

circumcision incision with de gloving of penis to expose all 3 comparments

Question 14

BPH?

Answer 14

alpha blockers are 1st line eg tamulosin

5alpha reductase inhibitors may be added eg finasteride

Question 15

Prostate cancer?

Answer 15

if under 70, prostatectomy

Question 16

SCC of penis?

Answer 16

circumcision and topical 5 flurouracil

Question 17

Stress incontinence?

Answer 17

pelvic floor exercise