Paediatric urology

Question 1

9 month old boy
mum noticed lump in left groin at bath time
gone next morning
baby happy and feeding

Answer 1

Inguinal hernia

Question 2

How would inguinal hernia be managed in a child <1 year?

Answer 2

Urgent referral for repair

Question 3

How would inguinal hernia be managed in a child >1 year?

Answer 3

Elective hernia and repair

Question 4

9 month old boy
 mum noticed lump in left SCROTAL swelling at bath time
bluish colour
 gone next morning
 baby happy and feeding

Answer 4

Hydrocele

Question 5

What is the management of hydrocele?

Answer 5

Conservative until 5 years old

Question 6

9 month old boy
mum noticed scrotum empty at bath time
normal neonatal discharge examination
baby happy and feeding

Answer 6

Possible undescended testis

Question 7

What are some indications for orchidopexy?

Answer 7

Fertility concerns
Malignancy
Trauma
Torsion
Cosmetic

Question 8

14 y/o boy
Non-retractile foreskin
Struggling to pass urine
Scarred foreskin
Narrow meatus

Answer 8

Balinitis xerotica obliterans

Circumcision

Question 9

What are some possible complications of circumcision?

Answer 9

Bleeding
Meatal stenosis
Fistula
Cosmetic

Question 10

14 year old boy 
4 hours history of right sided testicular pain
Red scrotum
Assymetry
Tender

Answer 10

Testicular torsion

Question 11

14 year old boy 
4 hour history of right sided testicular pain
Red scrotum
No asymmetry
Tender
Blue spot

Answer 11

Torsion appendix testis

Question 12

How might UTI cause renal scarring?

Answer 12

Not investigated
Reflux nephropathy
Chronic renal failure

Question 13

What does DMSA do?

Answer 13

Tests for function and scarring

Question 14

What is MAG3 used to test for?

Answer 14

Drainage
Function
Reflux

Question 15

How is VUR managed?

Answer 15

Voiding advice
Fluids
Trimethoprim