paed urology Flashcards
how do you manage a hernia ?
<1 yr - urgent referral, repair
>1 year - elective ref and repair
what are features of a hydrocele ?
scrotal swelling very common painless increase with crying straining, PM bluish colour
how do you manage a hydrocele ?
conservative until 5
what is cryptorchidism and what are types of it ?
testis that cannot be manipulated into the bottom half to the scrotum
true
retractile
ectopic
what are indications for orchidopexy ?
fertility malignancy trauma torsion cosmetic
what are indications for circumcision ?
balanitis xerotica obliterans
balanoprosthitis
religious
UTI
what are cons to circumcision ?
painful bleeding meatal stenosis fistula cosmetic
what are differentials of the acute scrotum ?
torsion testis
torsion appendix testis - blue spot
epididymitis
6-8 hours to recover testis
what is the most common cause of acute scrotum in neonates-infants ?
torsion testis
infant - 15 is torsion appendix testis
who should be investigated for UTI ?
<6months
atypical
recurrent
what are signs of UTI ?
pyuria
systemic upset - fever, vomiting
pure growth bacteria
how do you assess UTI ?
FH, bowel habit, voiding dysfunction
USS
renography
micturating cystourethrogram
how do you manage vesicoureteric reflux ?
conservative - fluid, voiding, constipation
ABx prophylaxis - trimethoprim
STING - narrow tube ?
ureteric reimplantation
what is hydrospadias ?
urethral meatus on ventral aspect of penis
