Paediatric urology Flashcards

1
Q

What are inguinal hernias?

A

Herniation of bowel and/or ovary through defective inguinal canal

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2
Q

Who are inguinal hernias seen in?

A

Boys > girls

V common in premature

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3
Q

Wha are the features of an inguinal hernia?

A

Groin swelling

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4
Q

What is the management of an inguinal hernia?

A

<1 year= urgent referral and repair
>1 year= elective referral and repair
Incarcerated= reduce and repair on same admission

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5
Q

What is a hydrocele?

A

Swelling of testis causing by accumulation of fluid

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6
Q

What are the features of a hydrocele?

A

Scrotal swelling- bluish colour
Painless
Increases size with crying, straining or in evening

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7
Q

What is the management of a hydrocele?

A

Conservative until 5 years

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8
Q

What is cryptorchidism?

A

Undescended testes

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9
Q

What are the types of cryptorchidism?

A

True
Retractile- normal
Ectopic
Ascending

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10
Q

What is ascending cryptorchidism?

A

Testes in normal place at birth but don’t keep up with growth so get pulled up into groin

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11
Q

What is the management of cryptorchidism?

A

Orchidopexy

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12
Q

What are the indications for orchidopexy?

A
Fertility
Malignancy
Trauma
Torsion
Cosmetic
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13
Q

What are the indications for circumcision?

A

Absolute- balanitis xerotica obliteratans BXO

Relative- religion, UTI, balanoprosthitis

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14
Q

What are the suggested advantages of circumcision?

A

UTI
Malignancy
Sexual enhancement
AIDS/STI

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15
Q

What are the disadvantages of circumcision?

A

Painful

COmplications

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16
Q

What is acute scrotum?

A

Acute testicular pain and swelling

17
Q

What is the differential for acute scrotum dependent on?

A

Age

History

18
Q

What is the most common cause of acute scrotum in neonates?

A

Testicular torsion

19
Q

What is the most common cause of acute scrotum in infants-15 years?

A

Torsion appendix testes

20
Q

What is the most common cause of acute scrotum in teenagers?

A

Testicular torsion

21
Q

Who is epididimytis seen in?

A

Neonates or teens

22
Q

What is the treatment of acute scrotum?

A

Urgent surgery for testicular torsion

If in doubt, operate

23
Q

What are the features if a UTI?

A

Pure growth bacteria >10^5 and pyuria

Systemic upset

24
Q

When should UTIs be investigated?

A

Baby
Atypical bacteria
Recurrent

25
Q

What investigations can be done for UTI?

A

US
Renography
Micturating cystourethrogram

26
Q

What is vesicoureteric reflux?

A

Retrograde urine flow into kidneys

27
Q

What is the management of vesicoureteric reflux?

A

Conservative- voiding advice, avoid constipation, fluids
Antibiotic prophylaxis
Submucosal teflon injection
Ureteric implantation

28
Q

What is hypospadias?

A

Urethral meatus on ventral aspect of penis?

29
Q

Where can the urethral meatusbe located in hypospadias?

A

Anterior- 50%
Middle= 30%
Posterior= 20%

30
Q

What is chordee?

A

Bend in penis

31
Q

What is done for chordee?

A

surgery of >15 degrees